Hi and welcome to the Diabetes Forum! First I'm going to answer your questions by their numbers, so here goes:
#1 Yes, you can probably control your blood sugar with diet and exercise and keep it within the normal range. When they say "diet", this means don't eat a lot of carbs like bread, pasta, potatoes, rice, anything made with flour or sugar. Exercise, especially cardio, helps use up the glucose running around in the blood. So, both of these can really help control blood sugar. (Glucophage is metformin, usually the very first medication prescribed for newbies. It is very effective with diet and exercise especially and useful for those who are insulin resistant.) Please note that you won't know what your blood sugar is unless you test.
#2 I think it's reasonable for him to see how your blood sugar is after weight loss. Extra weight does affect blood sugar.
#3 Hmm, yes and no. The A1c is only an average of blood sugar over about
90 days, so it could be a person's blood sugar might be very high and then very low and the A1c would be the average. It could also
be a person's blood sugar that is pretty much even, not rising too much or falling too much, just the opposite of the other case which is like a yo-yo. And some people seem to always have a higher fasting number but more normal numbers during the day. Others may have "normal" fasting results but higher numbers during the day. So, there may not be a definitive answer to that.
#4 Since you have diabetes in your family and your blood sugar results have been elevating over several tests, your blood sugar will most probably always be a health issue and need to be controlled in some way. You are probably insulin resistant which means your body still makes insulin as it should but for some reason the body's cells are not allowing it to do its job and that is to help the blood sugar circulating in the body get into the cells to be used for energy. So if the blood sugar is not being used by the cells correctly, it's still circulating and showing up as high blood sugar when a blood test is taken. You might be able to control your blood sugar within normal limits by just diet and exercise (I did that for almost 8 years.). If you stop the diet and exercise or change it in some way, your blood sugar would probably rise as mine did. I was hit by bursitis and then sciatic nerve problems which prevented me from doing all the cardio and walking I was doing and my blood sugar started to rise, so I went on metformin but I continue eating low carb. Of course, if you lose weight and your blood sugar is 'normal', then you would test daily to see how your blood sugar is. Everyone is different.
#5 If I were you, I'd get a blood sugar meter. Your insurance will cover it if your doctor prescribes it. Once you get the meter, you would get a monthly allotment of test strips. Or, you can buy one on your own. No one needs a prescript
ion to buy them but the test strips can be expensive to buy, which is why having a prescript
ion helps. Walmart sells its own brand called ReliOn and there are several models, so you would buy the starter kit with the meter and some strips and then you would just buy the test strips after that.
You cannot be mad at yourself because you cannot change your family genes. Diabetes is on my mom's side of the family and we three children all have blood sugar problems/diabetes. I also saw my fasting results rising over several years but since my blood sugar was never over 125, my doctor never said I had diabetes. It was always "watch your diet" and she gave me the American Diabetes and American Heart Associations handouts. They didn't help. They didn't say simply that carbohydrates will raise my blood sugar. In fact, the ADA's recommendations will actually keep your blood sugar high unless you take medication to keep it down.
For a valuable source of information and reference on all things related to diabetes, I would recommend Diabetes Solution
by Dr. Richard Bernstein. He is a type 1 and a medical doctor. He also has a section in the book on food and recipes.
And here is a link to a site with lots of information about
blood sugar. There is a search box that is useful there, too. www.phlaunt.com/diabetes/
I'm glad you posted! Don't worry about
asking questions because that's how you learn!
Laniediabetes moderatordiabetes type 2 controlled by diet and exercise and
very low carb way of eating
Post Edited (LanieG) : 5/29/2016 12:08:44 PM (GMT-6)