can't comment on your other therapies - but type 2 diabetes is a progressive disease, so increase in med's can happen sometimes even when you are doing everything right.

Weight loss would certainly help keep the disease under control - I would say your really good reduction in HBA1c was result of a combination of losing weight/improving diet and upped medication.

Have to agree with you Vegemite Kid, type 2 is progressive, originally on 1000mg of Metformin a day by taking 500mg tablets twice a day, had to go up to 2000mg of Metformin a day by replacing the 500mg with 1000 mg tablets, a couple of years back, that brought my blood sugars down, so when tested earlier this year, my sugar levels where lower again, I came down to just one 1000mg of Metformin tablet a day. Have an appointment to have another blood test later this month, so if the blood sugar levels have not gone back up, then great, but if they have, then no doubt will have to up my medication again. Will just have to wait and see, when I've had my blood tested later in the month .

Well, the incompetents in charge of the diabetic records in my region have had me down as Type 2 for many years, even though I have repeatedly told them that I'm not. They just respond with things like "Oh, really" as if I'm talking nonsense and they're just being polite and humouring me, and just leave it at that. Shockingly, they've even been known to say "Oh, I've never heard of that one before". Seriously? People treating diabetic patients who have never heard of LADA? Never once in all my visits to check-ups has anyone bothered to change my records accordingly.

I actually have Type 1.5, and it's proper name is Latent Autoimmune Diabetes in Adults (LADA) and it was caused by my aggressive immune system starting to kill off my pancreas off about 15 years ago. It has all but destroyed my pancreas now. I just thought I'd mention this to diabetic sufferers because it is very often diagnosed as Type 2 but it needs to be handled differently.

Elias Mooseblaster wrote: Well, the incompetents in charge of the diabetic records in my region have had me down as Type 2 for many years, even though I have repeatedly told them that I'm not. They just respond with things like "Oh, really" as if I'm talking nonsense and they're just being polite and humouring me, and just leave it at that. Shockingly, they've even been known to say "Oh, I've never heard of that one before". Seriously? People treating diabetic patients who have never heard of LADA? Never once in all my visits to check-ups has anyone bothered to change my records accordingly.

I actually have Type 1.5, and it's proper name is Latent Autoimmune Diabetes in Adults (LADA) and it was caused by my aggressive immune system starting to kill off my pancreas off about 15 years ago. It has all but destroyed my pancreas now. I just thought I'd mention this to diabetic sufferers because it is very often diagnosed as Type 2 but it needs to be handled differently.

LADA can often be mistaken for type 2 Diabetes.
But if you have officially been diagnosed with LADA it should say this in your medical records.

The treatment of LADA needs to focus on controlling hyperglycaemia and preventing the onset of any complications, much the same as type 2 diabetes.
Insulin can be used to treat LADA, as can metformin and thiazolidinediones.

When we get the warm weather that we are now experiencing, I start to retain water in my body, especially in my legs, which obviously means my weight goes back up again. In the meantime, I have a blood test to do to see if the change in my medication routine three months ago has caused my sugar levels to go up or not. Also got my letter yesterday to arrange for my annual eye test to be done .

had my blood test earlier in the week and got a text yesterday from the nurse to say she was pleased with the results and to get in touch with regard discussing medication. Phone up the surgery and asked for my result and it seems that my long term blood sugars are still at the same level as three months ago, despite reducing my medication, so I'm pleased with that. Shall wait until after my eye test next month before I make an appointment with the nurse to discuss the situation .

Pats wrote:

Elias Mooseblaster wrote: Well, the incompetents in charge of the diabetic records in my region have had me down as Type 2 for many years, even though I have repeatedly told them that I'm not. They just respond with things like "Oh, really" as if I'm talking nonsense and they're just being polite and humouring me, and just leave it at that. Shockingly, they've even been known to say "Oh, I've never heard of that one before". Seriously? People treating diabetic patients who have never heard of LADA? Never once in all my visits to check-ups has anyone bothered to change my records accordingly.

I actually have Type 1.5, and it's proper name is Latent Autoimmune Diabetes in Adults (LADA) and it was caused by my aggressive immune system starting to kill off my pancreas off about 15 years ago. It has all but destroyed my pancreas now. I just thought I'd mention this to diabetic sufferers because it is very often diagnosed as Type 2 but it needs to be handled differently.

LADA can often be mistaken for type 2 Diabetes.
But if you have officially been diagnosed with LADA it should say this in your medical records.

The treatment of LADA needs to focus on controlling hyperglycaemia and preventing the onset of any complications, much the same as type 2 diabetes.
Insulin can be used to treat LADA, as can metformin and thiazolidinediones.

Yep, you'd think it would be in my records, but every time I am being checked over they look at the screen and say "Ah, so you're type 2 then..." Ive told them repeatedly but it never changes. When I was recovering in hospital once, a few years ago, two nurses from the Diabetic unit turned up at my bed. They said was it correct on my admission details that I was a diabetic, to which I said I was. They pronounced my medical history records had lost this little nugget of information going back around two years ago - not their fault as I had never even seen them before. Lovely staff, but the computerised system for keeping records is very poor here.

While not related to Diabetes in itself, I have discovered something that accounts for a lot of my medical problems that are also associated with diabetes and are sort of written off as part of the symptoms of diabetes.

I was just diagnosed with a low B12 level of 138pmo/l and 200pmo/l to 300pmo/l is classed as borderline. As I mentioned, a few of the symptoms also appear in diabetics anyway. These are extreme tiredness, lack of energy, pins and needles (paraesthesia), a sore and red tongue, mouth ulcers, muscle weakness, disturbed vision, psychological problems (which may include depression and confusion), problems with memory, understanding and judgement. The paraesthesia and blurred vision have shown signs of improvement even in the few days I have taken a prescribed supplement.

It also turns out my Vitamin D level was 22nmol on a scale of 50nmol (adequate) to 125nmol (too high) and was at the point where if I was a child I'd be developing rickets. Symptoms of Vitamin D deficiency are fatigue, not sleeping well, bone pain or achiness, depression or feelings of sadness, hair loss, muscle weakness, loss of appetite, getting sick more easily and pale skin. Having started a prescribed supplement, my joint pain and muscle pain levels are also showing signs of improvement already. I have to take 8000IU of Vitamin D daily for 8 weeks, 4000IU daily for 8 weeks and then 2000IU daily ongoing.

I just thought I'd mention this because our diabetes may be hiding other problems.

I meant to say that not ALL of the symptoms from vitamin deficiency are similar to the symptoms of diabetes, of course. For me, with the B12 deficiency it's the extreme tiredness, lack of energy, pins and needles in fingers and feet (paraesthesia) and disturbed (blurred) vision. With the Vitamin D it's the fatigue it also causes, not sleeping well, bone pain or aching and muscle weakness. These symptoms are definitely easing up for me already but of course I still need my diabetic medication too.

My doctor told me to use over the counter medication because it's safe to do so, but if anyone wants to try it out you could always check with your doctor first just for some reassurance first.

Spent some time recently watching a lot of videos on YouTube with regard diabetes from several doctors that have their own channel. Not only can diabetes itself affect you vitamin levels, but so can the medication you may be on to control it. I'll wait until my next appointment with the nurse later this year and probably discuss it with them .