Metformin T2 CGM findings -wonder what people think as my D nurse not interested !
F 60s 22 years diagnosed; Metformin 2000g; Low BMI (19); Hba1C 49.
I’ve just floated along being told my D is well
Controlled and eating / drinking more or less what I like and none the wiser.
I thought I’d pay for a CGM in the month leading up to my D review. Clear patterns are as follows:
- when I have modest portion carbs ( bread / rice / healthy grains) the blood glucose rises to 12 even 13 ( high glucose alarm) and does not reach back to 8 ( Diabetes UK target) until 4-5 hours later. I am seemingly not managing the glucose, even on metformin
- to stay in the ‘green zone’ it seems I have to avoid carbs altogether (not practical
- I also get some significant lows at night - triggering the Low alarm. About twice a week - readings as low as 2.9- 3.2. These are definitely NOT compression lows. 4 jelly babies sorts it.
- Fasting is always around 6.0
I had my routine review today and came armed with this data and graphs. D Nurse could not have been more disinterested . Said HBa1C was fine/ everyone has highs - I’d have to see the doctor if I wanted a medication change to help manage glucose better.
What does this pattern say? What are my options? Is there a medication that might manage this pattern better? I cannot cut out carbs as I’m already at bottom end of BMI. I don’t want to do Atkins type diet.