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The Question
Sat Jul 13 17:20:46 EDT 2013

Should I start insulin therapy, even though my a1c is below 7%?
Asked By: babyd2012  
Category: Insulin

Background Info Hide
Type 2 diabetes for 3 years. Diet and exercise regimen no longer working. I do not want to take oral medications(personal problems). Decent a1c but I still have high readings and I think my low readings may be affect my a1c results.
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Expert Answers (1)
2014-04-23 02:43:25.0

Dear Babyd:

Initiation of insulin is something to be decided on between you and your doctor. It sounds as if you are paying good attention to your BG levels and watching the A1c as you should be.

Technically, an A1c under 7% does not warrant the start of insulin, however, you are wise to have recognized that an A1c is only as helpful as the lack of wide variation in your glucose levels.

  • Talk to your doctor
  • continue BG self monitoring
  • Remember that insulin can be safely adjusted, hence even though you may only need a very small amount at this time, your health care provider should be able to help you prevent problems with hypoglycemia (low blood sugar). Generally speaking, the goal you should be reaching for includes keeping your BG as close as possible to "normal" (<100 fasting and <140 throughout the day), without triggering signs and symptoms of low blood sugar.

    Thank you for writing to dLife. Good luck!

  • Answered By: Anne Carroll
    Accreditations: RN, CDE
    Sources Show

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