Glucose Issues

What might help is to eat small meals. If you check your blood sugar an hour or two after eating go for a 15 minute walk to help your leg muscles get the sugar out of your blood. Also try to limit carbs from bread, rice, noodles, etc. When you do eat carbs eat some fat and protein with the carb. And eat less carbs before bed and in the morning because of the dawn phenomenon that people who do have diabetes many times have so as to keep the blood sugar in the morning lower.

>My pharmacist said Jardiance could be causing my high glucose and A1C readings.

That's just what Jardiance is supposed to prevent, and I don't know why you're on it in the first place, your A1C at 6.8 does not really justify it.

More than likely it is the metoprolol, beta blocker, that caused your modest rise in A1C.

It is best countered by learning to "count carbs" and switch to a healthier diet. Many doctors assume people can't be bothered and won't stop eating mass quantities of Twinkies and french fries, but that's pretty much what it takes.

>Cardiologist says it is not the meds.
LOL. Cardiologist should spend five minutes with Google or ChatGPT.

@carbcounter Thanks for your response .It is still confusing .Prior to Jardiance my A1C was 6.1-6.3.It had never been as high as 6.8.From what I've read 6.8 is considered diabetes.

I am on a healthy diet ( have been for decades).

Over 6.5 on 2 or more tests is considered diabetes according to this piece.
https://www.mayoclinic.org/diseases-conditions/diabetes/diagnosis-treatment/drc-20371451

Thanks-waiting for the next one in 2 months.

@packh1
You're on a healthy diet, but have you learned to count carbs?
Often you can keep to you diet with little change and just smaller portions and your A1C will fall dramatically with no drugs at all.

But I guess doctors are right, I often meet people with diabetes who have never even been advised to watch their diets, they get drugged up.

But the cause of your A1C is metoprolol*, not Jardiance.
This is clear as the sun rising in the east.

*And diet, and age, and lack of exercise, etc, but metoprolol is the "proximal cause".

@sueinmn I have done experience with predicates and full blown Type 2. Stress can certainly increase A1c. Do you also take finger stick readings? If so, you might look for patterns during the day to see if you can connect any rises to any anything. But J agree with with Celia16. A conversation with your GO and/or an endocrinologist might give you better info and comfort.

@bradycardia Thank you for your thoughts .I just bought a meter system and will track my patterns. Good suggestion.

Don’t be surprised if you have surprisingly higher numbers than you’re expecting to see in the morning hours. Some people experience what’s known as the “dawn effect” where your BG rises in the a.m. And remember, the finger stick reading is just a snapshot of that moment in time. Keep getting the A1c tests as they’re more like a movie showing your average over a 3 month period. You really need to look at both readings to get an overall picture. Your A1c may look pretty good overall, but you may be having some very highs and very lows that average out to an okay A1c, but you ideally shouldn’t be getting extreme readings in either top or bottom of the finger stick readings. (Doesn’t mean you can’t occasionally splurge on pizza or pasta or French fries, but be aware that your numbers are going to go up after such a treat.) The thing to really look out for is getting a peak reading that stays up for hours. Hopefully, if you do occasionally splurge, you’ll get a very high reading, but it drops back down relatively fast. That’s something to get more info on from your GP or endocrinologist.

@bradycardia Thank you for your thoughts.They are helpful.