I have been having higher numbers with a random blood glucose test the other day at 210. I have an appointment with my endo next week and I’m planning to present all my info I have. I’ve been keeping track of my meals and eating low carb. I take metformin 1000mg 2x a day and I think she’ll want to start me on januvia(?) Metformin causes me horrid stomach upset. I’ve been wearing a freestyle Libre 2 and it’s been beneficial. My numbers spike high into 170s-200s after I eat. I’m not sure what the next steps are. I’d like to start on insulin if it’s bound to happen anyways.
Your doctor gave you metformin and considering januvia but hasn’t given you a diagnosis yet? You might want to consider a new doctor
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Have you been counting your carb grams? Since you’re watching your glucose levels with both the Libre and finger sticks, you might want to further reduce the number of carb grams you eat until the post-meal glucose excursions are lower, like less than 150 mg/dL.
A 170-200 level on a regular basis is not normal and can damage your health. I live with T1D so I don’t live with T2D issues.
I suggest that since you’re already tracking your meals and post meal blood sugars, eliminate or reduce the meals that you know cause you trouble. That will close the final link in your feedback loop.
Insulin is a fine tool to manage blood sugar levels but it is more complicated and comes with risks of hypoglycemia. If I were you, I would try to reduce your daily carbs to less than 50 grams and see what effect that has on your post-meal glucose. That may be all you need to fix things.
If that doesn’t work, I would seriously consider insulin. Just be aware that many doctors are skittish about starting patients on insulin. You deserve normal blood sugar levels. I would peg that at 70-140 mg/dL 90% of the time.
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She just has me diagnosed with “impaired glucose tolerance” with “unexplained hyperglycemia”
Isn’t that the same thing as type2 diabetes?
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If you had a glucose of 200 at any time and the reading was accurate, you have diabetes…
You have plenty of other options besides metformin. There is Januvia, the SGLT2 medicines, GLP1 agonist meds, sulfonoureas ( that have fallen somewhat out of favor) and then insulins. Januvia worked so well for me but I got awful joint pain and had to stop. Made me very sad… Type 2 is a progressive disease. Try to fit in as much activity as you possibly can. Activity ( something as simple as walking) can be as strong as medicines and help with insulin resistance, which is the main problem with type 2.
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+1 on walking daily if you can. That plus limiting simple carbs can slow down T2DM to the point that you could die of something else before the diabetes makes it’s mark.