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The Question
02/12/10 06:42 PM

"Is it normal to have high BS readings even on medication and diet restrictions. "
Asked By: shirfire  
Category: Newly Diagnosed

Background Info Hide
Last year at 59 y/o I was diagnosed with T2D along with high BP and choloestoral issues. I was placed on graduating doses of Metformin and up to 1000mg twice a day along with other meds. For the first 3-5 months my BS readings were pretty much in the normal range and in fact my A1C dropped down to 5.6. Recently my daily readings have been creaping up to the point of concern. My last A1C was 7.5 (still within acceptable range), but still an increase> Also my fasting am BS readings have not been under 150 and and my PP reading have been between 200-400. After talking to my Dr. he put me on Glipizide in the am. My question is, is it normal for BS to go up after such a short time of being stable?, and what should I look for in the future as this progresses. When I have high BS readings I become extremly cold and fall asleep or become very cranky. If this is the new normal I am not sure I want to deal with all of this. I have been a little depressed and have contemplated asking for help.

Expert Answers (2)

02/25/10 12:53 PM

Answered By: Donna Yuscavage
Accreditations: RN, BSN, CDE
Sources Show
02/25/10 01:23 PM

Your blood sugar results are higher than recommended and you need changes to get them where they need to be to put you in a safer place. Current blood sugar goals for people with diabetes are an A1C of 6.5%-7%, a 2-hour after meal sugar of less than 180 and pre-meal and morning sugar averages between 90-130. Your diabetes has changed overtime, which is the normal course of the disease. Diabetes CHANGES over time. At first, many can control blood sugars with activity, healthy food choices and achieving and maintaining a healthy weight. As time, goes by however, this is not enough. Most people require more or different medicines and eventually require insulin because the pancreas no longer makes enought insulin.,

Moving from one stage to another DOES NOT mean that something is wrong or you have failed. It sounds like you are at a point of progression where your current meds are not working and you need more or different meds to control your blood sugars. Understand that the type or amount of medicine you need to control blood sugars has nothing to do with your diabetes health or risk for complications. What matters is keeping your numbers in target.

You did not mention your activity, eating choices or weight. In early stages of diabetes, increased activity, eating healthier and weight loss may reverse the progression of diabete for years.

Your best strategy would be 1) Speak with your doctor about your blood sugar levels and ask about making medication changes. 2) Ask for a referral to a Diabetes Education program where you can get the information you need to manage your diabetes and meet with a Certified Diabetes Educator and dietitian. Also speak to your doctor or educator about your feelings of depression. Depression is a normal reaction to being diagnosed with diabetes. But, it it goes on for too long, it needs to be treated. 3) Consider joining a support group - contact with others who have diabetes is extremely helpful. Good lu

Answered By: Donna Yuscavage
Accreditations: RN, BSN, CDE
Sources Show

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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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