Diabeties question

[I_UndergroundPanther]

I keep my blood sugar levels in the range of 80 to 110.

My doctor told me my diabeties is over managed.

My edrocrinologist said the same thing.

Ever since the med reduction I have felt shitty.

My blood sugar levels are in the 90 to 120 range.

I want to go back to the old med regimen. My stomach hurts after I eat and this med change has been for a week.

Was my diabeties overmanaged or not.

[multigraincracker]

1. Not a doctor, but I've found it sometimes it

takes more than a week for the body to adjust to meds. Give it some more time and stick to the diet and get some exercise until then.
Best of luck and feel better soon.

[FarPoint]

2. Did the physicians explain

if there were clinical consequences from being " over managed"?

[I_UndergroundPanther]

4. She said I might have heart issues.

like palpatations,fibrillation, and heart attack .
Didnt say much more than that.

My last A1c was 4.8

Getting due for another test soon tho.

[catrose]

6. My husband works hard to keep his blood sugar under 5 in hopes of avoiding dementia

His diabetes guru is Dr Richard K Bernstein who is a diabetic. He has several books and many Youtube videos. Both he and my husband would be thrilled with your 4.8.

I thought it was the people with high A1Cs who had heart problems

He did go to one doctor once who wanted his A1C UP to 7.0 . He never went back.

[FarPoint]

12. Maybe get a second opinion

Just to process issue with another set of eyes....A good endocrinologist is my suggestion.

[LetMyPeopleVote]

3. I just had a 5.8 on my A1C

My doctor cut me back on my meds and I have not had any problems

[people]

5. type 1 or a type 2?

I think the dr. is mainly concerned about the possibility of low blood sugars - hypoglycemia. Is that something you have experienced when you have to grab something sugary or sweet to stay alert and conscious? If that has not been a problem for you you probably were OK before, but your current blood sugars are also in the normal range, which is good. Probably true that you may need a few weeks to decide how the new meds sit with you.

[FarPoint]

13. Like the old saying...

" Better to be a little sweet than sour".

[I_UndergroundPanther]

15. Yeah I have had low bsl

And had to eat some honey a few times.
Yeah what bothers me is the new meds make me tired after I eat. So Tired I can barely keep my eyes open and dont feel safe to exercise. I literally fall asleep.

[ebbie15644]

7. I'm about in the same range as you

My doctor is very happy with my numbers. I went from blood sugars of over 300 and an A1c of 11.9 to right where you are. I take one trajenta a day and he said I could try not taking any medication if I felt comfortable doing so. So far I'm continuing but may try no meds in the future. My Endocrinologist has also been happy with those numbers. If you're unsure seek another medical opinion

[Grasswire2]

8. wow, I would feel so terrible at that BS range.

I feel rotten at 130!

But I agree that a week may not be time enough to adjust to meds.

Did your food intake change in any way?

[Grumpy Old Guy]

9. 4.8 might be a little low.

Anything under 70 is dangerous. I'm not a doctor, but I would think 80 should be OK. Personally, I shoot for between 90 and 110. My last A1c was 6.1, and before that it was 5.5. It could be that your doctor would like you to get your A1c above 5.0.

Remember, a blood sugar that is too low can be just as dangerous as one that is too high. My mother once collapsed in Las Vegas because her blood sugar had dropped too low. My former neighbor also passed out a few times and the paramedics had to revive him with glucose.

I'd listen to your doctor. We all mean well, but really, we're just people you know on the internet. He has your complete medical record, and knows what's best. There is nothing wrong with having an A1c between 5.0 and 5.9.

[IbogaProject]

10. You may be recovering

You'll never be truly cured but your body may be responding to your improved diet. Fyi melatonin unregulates the insulin receptors so you could try and keep healing. As others mentioned you might be detoxing at this stage so soon after the taper.

[I_UndergroundPanther]

16. That makes me feel a lot better

Didnt know about the melatonin. I take 20 mgs. at night because I have a hard time falling asleep.

I think I'll take more hops flowers. Maybe some valerian too.

[IbogaProject]

18. Diabetics are often insomniacs

One other thing that really helps with diabetes is eat olive oil. The fat is very healthy and it provides backup energy if your bloidsugar goes low.

[MyMission]

11. Better to be over managed than under managed

I've found that MD's use 2 sets of ranges, for many things including blood sugar.

People with diabetes are given higher numbers as a normal range.
I'm prediabetic for many years. My fasting bloods, always above 100 but below 110 were creeping up to 115-121. I was upset, had symptoms, but MD's said it wasn't at diabetic levels, and for a diabetic those are good numbers. My post meal numbers were often 160-180, sometimes 190 but they didn't reach 200, which would be indicative of diabetes, and again MD's said for a diabetic they were good numbers. A1C was high too, but not diabetic. I wanted to stop the progression to diabetes. I reduced carbs, and lowered the post meal numbers; and natural medicine helped with fasting bloods, so A1C came down.

So, my issue is, if post meal under 140 is considered normal, and over 200 is considered diabetic, the high blood sugar above 140 but below 200 (which can cause problems associated with diabetes) is considered good if you're a diabetic; and acceptable if you're prediabetic, with the hope or expectation that diet, exercise and medication could reduce your numbers. Meanwhile they really want or expect it to go down to 120. That's the high end of normal. If you're at 110 that seems great to me.

Normal A1C level is below 5.7%, a level of 5.7% to 6.4% indicates prediabetes, and a level of 6.5% or more indicates diabetes. Within the 5.7% to 6.4% prediabetes range, the higher your A1C, the greater your risk is for developing type 2 diabetes. (Copied from Google search)
But the normal range for A1C is 4.0 to 5.6.
The lower the better. If you're "over managed" your numbers are actually well within normal limits, not at the high end of normal, and not too low.

You deserve to have/achieve normal numbers. 110 is not too low, in my opinion, not that I'm a doctor. MD's may want diabetics to have high normal or slightly above normal for some reason.
I'd ask why. If you're good, and the protocol is good at managing it, you aren't over managed.
It can take several weeks for one to adjust to a change in meds, but if you continue to feel poorly I suggest you contact your MD's to advocate a change back to original.
You're the best judge of how you feel.

[TexLaProgressive]

14. This is a hard question to answer without more data.

1. What is the type diabetes mellitus?
2. What drugs and what dose are prescribed, in the near past and now?
3. Are you on insulin, if so what kinds, long, intermediate or rapid.

On one of the diabetes fora I frequent some have reported problems with the drug Ozempic (Semaglutide) causing gastric distress.

I am very aggressive in my blood glucose management. If the doctor doesn’t support me, I will dump them. I have really had no problem with my past doctors. If I do not consent to a drug change, they are fine. Or if I consent, the new drug is on probation.

One thing that may be of concern to you docs is how is your HbA1c 4.8% without experiencing hypoglycemia? It is possible to be hypo without symptoms, called hypo unawareness.

Insufficient blood sugar levels can cause a rapid heartbeat and heart palpitations. However, even if you have diabetes, you may not always have obvious symptoms of low blood sugar. This is a potentially dangerous condition called hypoglycemia unawareness.

https://www.healthline.com/health/low-blood-sugar-effects-on-body

For the past year I have been on multi daily injections (now a pump) insulin plus Metformin. Along with that came a Constant Glucose Monitor. CGMs are great because you can see how close to correct range you are. Because the HbA1c is sort of an average, it can give a false indication when there are highs and lows that give a good number. This chart of 3 7% HbA1c with very different time in range. Courtesy of

https://diatribe.org/going-beyond-a1c-–-one-outcome-can’t-do-it-all



A couple of diabetes sites with community support forums are:
TuDiabetes.org
And
FuDiabetes.org.

Good luck to you

[I_UndergroundPanther]

17. Thanks gonna have to bookmark this thread

A lot of good info here.
I am type 2 diabetic.
My new med dose is
2 mgs gimperide and 1000 mgs of metformin.

My old dose before it was changed was 2,000 metformin and 4mgs of glimperide.


When I got low sometimes I didnt know it was low until it got really low around 60 to 49.

Only had 60 or below twice since I got diagnosed like 3 years ago.

Now I can recognize when its low better. Haven't got in the 50's in a long long time.