Your Good Health: Patient still has diabetes even with normal blood sugar

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Your Good Health: Patient still has diabetes even with normal blood sugar
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Once the diagnosis of diabetes has been made, it is a “stable” diagnosis.

Dear Dr. Roach: My mom was feeling awful and went to the doctor. The doctor did lab work and concluded that my mom’s A1C was 8.5% — and that she was diabetic. My mom told her doctor that she had been eating a lot of sweets every day. The doctor put her on metformin, but my mom said that the medicine made her feel worse.

Well, my mom is a dessert-aholic and still eats whatever she wants, just in moderation, but she is not scheduled to go back to the doctor. I tried to explain to her that when she eats a lot of sugar or starch, her glucose level can still skyrocket and cause damage to her kidneys and other organs. I told her it is very unhealthy for her glucose levels to go up and down, but she just repeats what her doctor said about no longer being diabetic and just having to watch what she eats.

Her doctor may be absolutely correct that with a careful diet , she may remain well-controlled without medicine, but I strongly disagree about not having her back for regular checkups. Although metformin is often the first medicine we use for people with Type 2 diabetes, especially those who are overweight, it is not the only treatment. Other oral medications are also effective at keeping blood sugar levels down. Some of these also help with weight loss and protecting the heart and kidneys. Side effects vary, and we are usually able to find a well-tolerated medicine when needed.

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timescolonist /  🏆 15. in CA

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