Why would my doctor suggest an additional diabetes med..

Jibber Jabber
By Jibber Jabber Latest Reply 2015-01-04 18:09:11 -0600
Started 2014-12-31 19:17:01 -0600

My glucose levels NEVER go over 140..and most of the time my two hour post meal readings are in the 120's…I do run high in the morning sometimes..hitting 120…I shut my doctor down when he suggested adding another medication to my treatment…I told him I would rather add another 15 minutes of exercise a day..then he let it drop…is it unusual for a doctor to suggest adding meds with numbers like mine??

20 replies

GabbyPA 2015-01-02 14:45:45 -0600 Report

I am inclined to agree with Jim. It sounds more like a kick back on prescribing meds instead of offering you options. I don't know why he would recommend more meds unless your A1c is higher than your testing numbers are showing. Did you ask him if there was something else that was going on? Like any elevations in other lipid numbers?

Jibber Jabber
Jibber Jabber 2015-01-03 07:21:26 -0600 Report

There was no conversation at all other than him saying I think it is time for more meds and me telling him to blow it out his ear…because I have started a new diet..and I am acutely aware of how the food I eat affects my diabetes..I have been testing 5/6 times a day for the last three weeks…fasting..bedtime…before meals..after meals..random testing…I mix it up everyday…so I have a pretty good idea what my A1c is going to be..my guess is around 6..and THAT is because I was running higher before I started this diet (high by MY standards..I was running perfect according to the laughable ADA recommendations)…my goal for now is 5.5 and I am expecting to be there by the summer…I am VERY type A..I need to be in full control…so I am sure I will do it…I am having my first A1c test on January 16th..it will also be the first time I have seen an Endo since being diagnosed..

TooSweet60 2015-01-02 12:00:18 -0600 Report

Wow! I would be happy with numbers like yours, my los are higher than your highs, and my highs are 2 to 3 times your highs. Im glad you shut him down. My goodness and Im on two meds at the highest dose allowed and insulin. Diet and Exercise too..At your numbers medication was not even spoke of. May I asked what meds you take at this point. I know different docs do different things but diabetes protocol is basic and suited to a persons needs. Maybe a endo would be good idea…wish you well

Jibber Jabber
Jibber Jabber 2015-01-03 07:43:01 -0600 Report

I started at 2000 mg of the slow release metformin…I have since been cut to 1000…(I cut it basically myself and then informed the doctor)…my goal is to lower my numbers until I can stop taking the metformin all together..and just like I cut it in half by myself and then told the doctor three weeks later (after I knew I was doing fine on half the dose he prescribed)..I wont tell him when I go off until I am sure I made the right move..if my numbers go up I will start taking it again…but my goal is to eventually get my numbers down to non diabetic levels…once I am there for a couple of months I will stop my metformin and monitor myself very carefully…may sound arrogant…but I learned very quickly after my diagnosis that doctors recommendations when it comes to diabetes are half assed…

Jim Edwards
Jim Edwards 2015-01-02 11:01:25 -0600 Report

First, change doctors! Really? He wants to add another med because you sometimes hit 140? Heck, I would question any med that he ever prescribed to you. sounds like he may be in bed with his drug rep. running high in the morning? As high as 120! My God girl, I am surprised he doesn't have you rushed to the ER so he can give you more drugs. If my highs were 140, I would not be on any medicine for diabetes.

Jibber Jabber
Jibber Jabber 2015-01-03 07:29:54 -0600 Report

yeah I know…I was expecting a pat on the back and a "that a girl"…but noooooo…I was told I need more meds…lmao…but he must be use to people that hang and live by every word their doctor says..because I shut him down right away..I told him no more meds right now under any circumstances unless he gives me a reasonable medical explanation..He just said okay..thats it…no trying to convince me…no nothing..

jayabee52 2015-01-01 19:27:56 -0600 Report

Good for you Jib Jab

Sometimes a Dr will receive payola from Big Pharma to add a new medication to patients' Rx list. Often they promote the newest medication so the big Pharma company gets paid better when the Rx is filled. (it is not just GPs where that happens but MDs from any and all specialties who do this)

Before I knew this my GP Rx'd a statin med, after the previous bloodwork showed my cholesterol to be (in his words) "perfect". When he wrote the Rx I asked him why? He claimed that it was "prophylactic", and so I filled it and took that statin for several years. That is, until I got on the internet and started reading about statins' depleting of Co-Q 10, a necessary enzyme for heart and muscle health. Dropped the statin like a hot rock. But there were several years i needlessly enriched a Big Pharma co by filling many Rxs.

It is far far better that you try to manage your BG (blood glucose) levels by meal planning and exercise.

God's best to you and yours


Type1Lou 2015-01-01 08:06:23 -0600 Report

Your higher than desired fasting BG's could be due to "Dawn Phenomenon"…something I am still struggling with. There are many discussions here on "Dawn Phenomenon" with suggestions from others about what worked for them. (Go up to the DC Search box in the upper right corner of your screen and type in "Dawn Phenomenon") Sometimes doctors just focus on the symptoms and throw meds at them. Back in the early 2000's, my A1c kept creeping up and my PCP (who was treating my diabetes at the time) prescribed Avandia (even though I was a Type 1 and on insulin). It didn't sound right to me but I took it for about a week until I nearly wound up in the hospital due to low BG's. I then refused to take it. Later he kept increasing my long-acting insulin and advised me to decrease/eliminate my bolus insulin. That did land me in the ER and admitted to the hospital in 2010. I then "referred" myself to an endocrinologist who actually lowered my long-acting insulin dosage and re-educated me about carb-counting and bolus insulin. A year later, I opted to pump insulin. Had I continued to see my PCP for my diabetes, following his advice might have ended my life. Are you seeing an endocrinologist or a primary care physician for your diabetes? I learned that my PCP was not really qualified to handle my diabetes but he couldn't recognize that and just saw me as a "non-compliant" patient.

Jibber Jabber
Jibber Jabber 2015-01-01 11:47:24 -0600 Report

I was seeing my PCP..but starting this month I will be going to the Diabetes clinic…staffed by Endos so all is good…yeah I kind of knew he didn't know what he was doing when he didn't ask any questions when I told him how my fasting sugars were running…he just said MORE MEDS!!!!! and thanks I will look up those posts you suggested ..

lilleyheidi 2015-01-01 01:03:55 -0600 Report

Like Steve, I'm surprised you didn't have an A1c to start things out in the beginning with that high of BG, but since you didn't and since your numbers are responding to the med you are on and to exercise and diet, I think your right in not going on a new med. If when you have your A1c done in January and if it is high, then you may want to reconsider that choice. Best of health in 2015, HUGS, Heidi

Jibber Jabber
Jibber Jabber 2015-01-01 06:30:54 -0600 Report

I didn't have one taken by my Doc because he is a GP..and when I was diagnosed he immediately made an appointment with the Endo at the diabetes Clinic…they are wonderful at the clinic by all accounts (haven't been there yet)..everything for diabetes at one place..they have foot doctors..nutritionist..eye doctors..Endos and everything elese you could possible need in place ..problem is I couldn't keep the appointment my endo made..I had made a quick trip to Houston and was too tired when I came home to do anything..then then doctor cancelled…blah blah blah..sometimes life just gets in the way…I am fine..not worried…my PC told me if anything happens and for some reason this appointment at the diabetes clinic falls apart for me just to go to HIS LAB..and there will be a standing order for A1C bloodwork…

Just Joyce
Just Joyce 2015-01-01 12:13:43 -0600 Report

My first doctor was a GP who was also a Professor at the Medical School he is the one who did my AIC and diagnosed me. He read the paper work I received from the test I had done when my job had a Gala and set up a Diabetes Testing Station.

He would not accept their diagnosis until he ordered the test himself. The one thing I love about my doctor is that he is employed by one of the major hospitals in the city so I have a network of doctors on my medical team and all he does is send a referral.

Jibber Jabber
Jibber Jabber 2015-01-01 17:51:59 -0600 Report

Yes..that is what attracted me to the Diabetes clinic ..it is run by LSU…huge facility…I especially appreciate the diabetes dental services they offer..they ONLY work with diabetic patients…very specialized..and I need work done..

haoleboy 2014-12-31 19:23:07 -0600 Report

your last A1c?


Jibber Jabber
Jibber Jabber 2014-12-31 19:30:28 -0600 Report

I was just diagnosed at the end of October…my fasting sugar at diagnosis was 386…I have not had my first A1c yet..it is scheduled for January…my sugar levels after diagnosis have always been within the ADA target range with the exception of my first week after diagnosis…and for the last 3 weeks have been as I said running no higher than 140..I told the doctor this and he said..and I quote "it is probably time to add another medication"..I looked at him like he was a nut and shut him down…no freaking way..not unless he gives me a solid reason why he feels it is necessary and I agree.

debcox 2014-12-31 23:32:22 -0600 Report

I'm with you on the med increase. Unless I am told the reason and I agree, I'm not adding any medication. My doctor wanted me on a cholesterol med even though mine was not very high, it was under 200. I told her I would think about it. At my next lab, my cholesterol was 203 and she suggested again that I take some medication. I told her that I would decrease it with diet and I did. I lowered it to 171 (32 points) in three months.

I've been steadily decreasing my insulin, 2 units at a time. My doctor asked me not to decrease during December due to the holidays as most people overeat. I told her that I would hold off until tonight. I've actually had some low fasting numbers in the morning (78-82) and almost decreased last week. I told her that I wouldn't decrease unless I had a spell of hypoglycemia. I haven't so I've kept my word.

Even though they are doctors, you know your body best.

Jibber Jabber
Jibber Jabber 2015-01-03 07:59:52 -0600 Report

Doctors just love cutting scripts…I think it makes them feel like they are doing something to help…Frankly I don't give a flying fig newton how my doctor feels…I go there for test and for advice…which I learned very quickly to take with a grain of salt…At this point..I swear as long as I keep my numbers going down..I wouldn't even go at all but I need my scripts…

haoleboy 2014-12-31 20:12:01 -0600 Report

so … you had a fasting BGL of 386 and your doctor did not think it might be a good idea to run an A1c right away?
To be honest … with a fasting blood glucose that high I am surprised your Dr didn't start you off with metformin AND AT LEAST one other medication, but as that ship has sailed and you appear to be responding well to metformin (?), diet and exercise I would also be reluctant to start another med … at least until I saw the results of that A1c..


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