Hello all, I am a new member here. Before I ask my question, I will share my story (it's long, feel free to jump to the end for my actual questions lol):
I began my diabetic adventure 9 months ago (October 2016). At diagnosis, I had an A1C of 13.4 and a fasting glucose of 340. This was surprising to me, as I was slightly overweight, but had always thought of adults getting diabetes as being on the larger side (I am 5' 5" and at the time was about 154 lbs).
My (former) primary care physician sat on a referral to an endocrinologist for several weeks, but I wanted to care control of my health immediately, so I did a LOT of research (some of which led me here, in fact, but I only recently joined), and modified my diet greatly and introduced exercise into my life for the first time in years.
When I finally got in to see my endo, I was titrated to a Metformin regimen of 1000 mg/day, and given Humalog with instructions to take it prior to each meal. He also sent me in to get a C-Peptide measurement, as well as test for autoantibodies - he thought, by looking at me, that I was likely going to be diagnosed LADA.
My C-Peptide results came back right in the middle of the acceptable range, and I showed no signs of any of the 3 autoantibodies, at which time I was officially diagnosed as Type 2.
I continued with my medication, diet, and exercise regimen, and by January of 2017, had my 2nd A1C tested at 5.5%. My endo began speaking with me about titrating up my metformin dosage and cessation of insulin. I argued that the results seemed to speak for themselves, and that the current plan of treatment was working well and, because the drugs were not inconvenient for me, I saw no reason to alter the treatment. He agreed, and I continued on.
The last time I saw my endo was for another quarterly follow up in April 2017, and my A1C had dropped again to 5.1. I had introduced weight training to my exercise regimen, in addition to the cardio I had been performing up that point, and had experienced a 2 hypos in February while I figured out how to balance it with mealtimes. The hypos concerned my doctor, and he asked me again how I felt about either going strictly with a larger dose of Metformin and cessation of insulin, or utilizing Januvia instead of insulin.
I maintained that the hypo incidents I had had were well monitored and treated (the lowest I went was 55, mid workout - I stopped activity and treated immediately), and rare exceptions, and that I feel that the results are hard to refute. He agreed to continue treatment as it has been, and we have lengthened the time between our visits from 3 months to 6 months. He also suggested that I might consider allowing my A1C to be a little higher, I believe mostly because he was concerned regarding my hypo events.
Gauging by my average readings these days, I believe I am on track for another < 5.5% A1C if all continues as it has been. I have not had any other hypo events since February, and am feeling great.
My current weight is around 145 lbs, and my post-prandial readings are typically below 140 mg/dL.
What, exactly, does remissions mean? Does it mean that if I maintain a healthy lifestyle, I will be able to eat more carbs, or is it simply keeping a diabetic diet (low carb) and maintaining a healthy lifestyle without the use of medication?
For those who are in remission, how long after diagnosis did you achieve this, and how did you know that you had reached it?
Thank you for your time.
Next Discussion: BLACK VEINS »