So I just got back from the endo. Some good news, some not unexpected bad news, and some changes in meds.
First, bad news - My a1c was 6.7
That's the "not unexpected" part. I've been getting cortisone injections in my neck for treatment of a pinched nerve. The cortisone has done wonders for the pain and numbness I was experiencing, but it's played havoc with my BS. I've been running 150's fasting and 160 - 200 post meals. Not good, but not much I can do about it, and the pain relief was worth it. Last aic was 5.7, which I wasn't happy about either. Goal is to get back around 5.3, which is my best ever.
The Good News: compared to a year ago, my HDL cholesterol is up 19 points to 64 and my triglycerides are down 46 points to 69. LDL was about the same - a little over a hundred, so I still need to work on that. All other labs were dead smack in the middle of the normal range.
My post meal numbers had been slowing inching up, so I talked to the endo about switching my meds.
We're adding byetta and backing the metformin down to 1,000 mg /day and switching from glumetza (expensive) to regular 'ol generic ER metformin.
Hopefully, the reduction in the metformin will relieve the intestinal issues and I won't have too many side effects from the byetta.
First byetta shot will be tonight.
Also, my Vit D count was still low, so we're going to do the 8 week mega dose treatment again. I did it earlier in the year, but I still came in at a 24 (normal range is 32 to 100)
So, all in all, not too bad - considering. Hopefully the cortisone effect on my blood sugar will wear out soon (without a reappearance of the pain) and things will get back on track.
And if I drop a few pounds from the byetta, well that will just be icing on the cake.
