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I have been eating mostly just protein and vegetables. If I eat 100% that way then my blood sugar stays pretty stable. But if I add fruit or legumes, it’s another story. Today I had a plum with my lunch and my blood sugar went up 45 points and didn’t go all the way back to where it had been before it was time for dinner. It was still under 180, so it won’t impact my time in range score, so I don’t know how much to worry about that.
I do know that 13 is really bad. One of the top endocrinologists in my city let me jump her year long waiting list because I had the highest score! I always wanted to win something for having the highest score and now I did! Anyway, when I went she said they if they projected an A1C based on my most recent 14 days of Stelo data I would have a 7.2 so I am figuring it out. But I still have a lot of questions.
As for meds I have a prescription for Ozempic but it took a while to get approval and then a while because the pharmacy was out of it. I am out of town so I will start when I get back.
Replies to "@freyarmr I have been eating mostly just protein and vegetables. If I eat 100% that way..."
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@anonymom3 Since GLP-1 slows metabolism and decreases insulin resistance it will reduce the magnitude of the spikes that you now see eating a plum. The GLP-1 needs to be titrated so it will take 1-3 months to get to an effective dose without major side effects. The .25mg dose just gets you use to the medication. Will need to go to .5mg (and maybe up to 1mg) to get glycemic control. A1c is most important and if it is really 7.2 the GLP-1 should take it down to below 6 once you get to the proper dose. It will also lower fasting glucose.
A second med may be required if your actual A1c is closer to 13 vs <8. Did your doctor mention SGLT2s? These act immediately (no titration) by allowing glucose to pass through the kidneys into urine. Most are expensive but Farxiga (Dapagliflozin) just went generic and is now available for less than $50 for 90 days.