Decided to stay on meds 3 more months regardless of A1C results...

Jibber Jabber
By Jibber Jabber Latest Reply 2015-03-02 20:29:35 -0600
Started 2015-02-27 16:08:51 -0600

Have been thinking about getting my A1C results this Tuesday for most of the day…Doc wants to take me off if I come in at 5.7 or lower…I am currently taking the lowest dose of metformin once a day (500mg)…but the more I think about it the more I realize that one can not go by just one A1C result…I realize my last A1C was 5.9…and I am expecting this one to go down significantly because my BG numbers have come down significantly…But all of these measurements/test come with a certain amount if "wiggle room"…and A1Cs can be off by as much as .5…so I have decided that if I can duplicate an A1C lower than 5.7 on my next A1C (not the one I just took)…I will go off meds…I am in no hurry and I like to consider all things before making decisions..sometimes I believe I think too much…but I think that 2 consecutive A1Cs under 5.7…would relieve a lot of the stress I am feeling at the thought of coming off my meds right now…My son keeps hearing me refer to my Metformin as my diabetes "crutch"…so he would like to see me off of it ASAP…I reminded him that I am losing at least 10 pounds a month and three months from now at 30 pounds lighter…my insulin resistance SHOULD be better and it MIGHT help me maintain my A1C without meds better…so am I over thinking this or does it make as much sense to you as it does to me…

10 replies

debcox 2015-02-27 23:03:49 -0600 Report

Good job!!!

I got off lantus on 1/28 and with my doctor planned an exit strategy for the metformin. I will continue to take it till my next A1C in May. When those results are in, I will go down to 250 mg of metformin twice a day. In August, depending on my test results, I will either be off metformin or go down to one a day. I am very comfortable with this plan. My BG numbers are great. They are between 85 -95. I am working on decreasing my carbs. I am down to 150 a day.

I think that we are both doing great.

sweetslover 2015-02-27 19:15:42 -0600 Report

I think your caution is wise. I don't consider metformin a crutch. I feel that it is a tool my body needs at this moment. My last A1C was great and I had only been on medication for 4 months. My doctor scheduled another test for 6 months. That will give me plenty of time to see if I am really in control. With the complications I already have, I cannot afford an increase in my BG. I have worried about that when considering going off the met. I take 500 mg. twice a day and my Dr. has not had me decrease it yet. Maybe in 6 months.

Jibber Jabber
Jibber Jabber 2015-02-27 21:28:37 -0600 Report

When I call it my crutch …it is just my way of saying I depend on it to control my diabetes…much like a person with a bad leg would depend on a crutch to walk…my son's way of thinking is unless you lose the crutch you will never really know if you still need it…I agree with him…just not ready yet..

GabbyPA 2015-02-27 18:09:24 -0600 Report

There is nothing wrong with that cautious optimism. One result does not a pattern make. I think you are going to do great and be off your meds soon.

Pegsy 2015-02-27 16:17:42 -0600 Report

I don't think you're over thinking it. Once I get below 6.0 I will start THINKING about tapering off Metformin. I will need to have at least two but preferably three A1c below 6.0 before I will be convinced that I can stop the Metformin. In your case, because you still have weight to lose, you are likely to go even lower with your A1c. Your additional weight loss will likely make a difference. According to my doctor, I don't need to lose anymore weight but my A1c is still above 6.0. I disagree and I think that last 10 lbs. or so could be just what I need to get down to where I need to be. As Gabby stated in another post, getting your A1c below 6 is harder than reducing a higher A1c just like losing those last 10 lbs is harder than the first 10 (or 50, or 100, LOL). I think you are wise to take it slow, watch carefully and be sure.

wildtigger2 2015-03-02 20:29:35 -0600 Report

Be careful with the weight. the tables are not accurate, IBW is being ruled out also. I have had patients that were sicker being the weight they were told to be and got better after gaining 10 to 20 lbs.

Jibber Jabber
Jibber Jabber 2015-02-27 16:21:28 -0600 Report

Thank you…I tend to trust my gut and that is what my gut is telling me…but sometimes the tricks the mind plays influences the gut..and fear is one of those things that can change the way we think about things…that is why I threw up this post…smile…you have been very helpful..

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