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Old Sep 16, 2023 at 12:53 AM
  #1
 
Do you take meds for your prediabetes? I take a low dose of metformin. But my a1c went even higher to 6.1 now. Last time it was 5.8.

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Old Sep 16, 2023 at 01:44 AM
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My dr added long-acting, once a day insulin to my metformin. Thats the only way i could see what foods affected my blood sugar. Basically, if i go over the recommended 30, 30, 45 gms of carbs, my blood sugar stays high.

Do you have a home glucose monitor? It can really help you figure out what is okay to eat, and how much exercise really helps.
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Old Sep 16, 2023 at 09:30 AM
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I try to keep my carbs down. I have adopted a keto diet and it keeps me in the normal range.
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Old Sep 20, 2023 at 12:25 AM
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I have reversed prediabetes with ozempic/mounjaro. I now have glycated hemoglobin in the 4.8-5.0 range. An excellent result. I am attaching a screenshot of my results graph. I started Ozempic in late 2021.

I also take Metformin, just in case. 1000-1500 mg a day. But that is more for longevity than anything else.
Attached Images
File Type: png Screenshot 2023-09-19 at 10.24.29 PM.png (30.6 KB, 2 views)

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Old Sep 20, 2023 at 12:29 AM
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I also second the advice of monitoring your individual glucose response to meals, exercise, sleep etc. but especially meals and walking after eating. this is really the gold standard to find out how you (and not someone else) react to this or that food or combo of foods/drinks.

I have made small adjustments based on monitoring. For instance, after I once saw a huuuge spike after drinking a lemonade at a party (a spike even though the lemonade was followed by a wholesome meal), I started ordering sparkling water at restaurants and drinking it before and with a meal.

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Old Sep 22, 2023 at 07:22 AM
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I would also suggest asking your doctor about a continuous glucose monitor. I would love to get one but don't qualify because I don't have diabetes. But friend that had them were shocked to find out certain food that they thought were fine... made the glucose spike like crazy. It was a real eye opener and helped them get their numbers down.
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Old Sep 26, 2023 at 09:15 PM
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She did lecture about exercise of
Course. Then she upped my metformin and wnated to give me ozempic but Medicare wonít cover it.

The she suggested bariatric surgery

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Old Sep 27, 2023 at 12:34 AM
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it is horrible how insurance companies would pay for bariatric surgery but not for ozempic which achieves a similar result much more safely and without lifelong impairment. it is simply dreadful.

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Old Sep 27, 2023 at 12:35 AM
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Quote:
Originally Posted by NatalieJastrow View Post
I would also suggest asking your doctor about a continuous glucose monitor. I would love to get one but don't qualify because I don't have diabetes. But friend that had them were shocked to find out certain food that they thought were fine... made the glucose spike like crazy. It was a real eye opener and helped them get their numbers down.
I think Medicare won't cover a CGM for prediabetes. Only for diabetes.

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Old Sep 27, 2023 at 07:34 AM
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A CGM sounds horrible to me. I sleep on my side (either one) and i cant have something on my arm! I hope i never have to have one. Plus all that info might make me (more) crazy.
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Old Sep 27, 2023 at 09:52 PM
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Quote:
Originally Posted by unaluna View Post
A CGM sounds horrible to me. I sleep on my side (either one) and i cant have something on my arm! I hope i never have to have one. Plus all that info might make me (more) crazy.
it would not be where your arm meets the bed

but I hear you about (more) crazy

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Old Sep 28, 2023 at 09:11 PM
  #12
 
I canít get a cgm bc I only have prediabetes. But Iíve increased my metformin and slowly will continue til I get til 2,000mg a day.

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Old Sep 28, 2023 at 11:49 PM
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You are in grad school, right? Maybe when you finish and get a job, you will be on private insurance which will cover Ozempic. Or in a couple of years Medicare might start covering it.

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Old Sep 29, 2023 at 12:19 AM
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True. We shall see

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Old Oct 01, 2023 at 10:54 AM
  #15
 
I have an appt
Tuesday with a bariatric surgeon

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