Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
July 28, 2001
Question from Brisbane, Queensland, Australia:
I am a 40 year male who was diagnosed two weeks ago and is being treated with metformin. My blood sugar has been between 14-26 mmol/L [252- 468 mg/dl] during that time, and my Hb1Ac is 10.3%. With my Hb1Ac at that level, should I be doing anything other than diet and exercise?
The hemoglobin A1c represents the average daily blood sugar over the previous three months. Two weeks of therapy will not change the value greatly in that short of time. However, the initial value of 10.3% is approximately 4% above normal.
I would suggest that metformin might be a reasonable first choice for therapy, and it is important to follow your progress. If you can bring glucose levels down into the normal range, that is great. If they plateau at a level above target, additional therapy can be added.