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The Question
09/14/09 11:08 AM

"I'm taking 100 mg of Januvia and 1700 mg Metformin a day. My BG ranges between 110 and 140, sometimes spiking to 150. Is this acceptable?"
Asked By: dianemtl  
Category: Newly Diagnosed

Background Info Hide
After 1 month on 1000 mg Metformin and walking 5 miles a day, and a change in diet, resulting in a 5 lb weight loss (I'm now at 24 lbs after 2 full months, my A1C number went from 12 to 10 -- still high. But given my BG numbers above, am I on the right track to lowering the A1C? I have another appointment and tests scheduled for November, a full 3 months on this regimen.

Expert Answers (2)

09/15/09 07:12 PM

Dear Dianemtl-

You are doing a great job. It sounds like you embraced the challenge of making life style behaviors and are doing great. The Januvia you are taking is working on helping you drive the A1c down. The Metformin is working on keeping your liver from producing extra glucose and helping utilize your glucose when you are exercising by reducing your insulin resistance.

You did not mention when the glucose of 150 is but that is still well within the range of striving toward the recommended ADA A1c level of 7%.

Your MD will continue the testing every 3 months and will monitor you glucose levels to make any further adjustments needed until you maintain a A1c of 7%. The work you have accomplished so far in such a short time is excellent.

Continue to let the dLife community know how you are doing and give us updates on the dLife Forum section to provide inspiration to everyone.

Continue your healthy lifestyle!

Answered By: Janet HowardDucsay
Accreditations: RN BSN CDE
Sources Show
09/15/09 06:19 PM

Congratulations on the changes you are making in your lifestyle - be sure they are changes you can maintain. If you go back to your "old ways" the weight will return and your blood sugars will increase again. With blood sugars 110-140 I would expect more decrease in your A1C. The goal is to be below 7 per ADA and below 6.5 per the Endocrine Society. Keep good written records - note what causes your "spikes" and work to make the necessary changes. You are doing a good job - improving blood sugar control is a process, but also about developing life long habits.
Answered By: Beth McKinzie
Accreditations: RN, BSN, CDE
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Community Answers (1)

09/25/09 07:59 PM

Those readings are pretty good with what your doing. Thing is the a1c is pretty high yet. Are you testing several times a day or only at fasting. I would test at all meals pre and 2 hrs post to see exactly how you are doing. You are on the right track so I think just making sure that there are no severe spikes your wel on your way.
Answered By: furball64801
FLAG
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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