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Why Do Type 2's, Who Have EXCELLENT Fbg, Continue To Take Their Diabetes Meds? Why Don't They Stop The Meds, Once They Achieve Success?

A DiabetesTeam Member asked a question πŸ’­
Annapolis, MD

I am wondering because my own Endo seems to think I would benefit from meds (even though I am prediabetic and slowly turning things around without them). Anyways, if I could turn things around much quicker on meds and then quit the meds, once they worked-I would go on meds, in a heartbeat. Does this scenario ever happen? Or- do you enter "Hotel California" when you start diabetic meds? Thanks

March 29, 2024
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Answer Summary

Members shared their experiences with diabetes medications after achieving excellent blood sugar control, with the overwhelming consensus... Read more

Members shared their experiences with diabetes medications after achieving excellent blood sugar control, with the overwhelming consensus being that most people stay on their meds because there's no reliable way to measure how much the medication is actually contributing to their success, making it risky to stop once control is achieved. Several members described their personal journeys, including one who reduced insulin from 100 to 22 units daily through weight loss and lifestyle changes, another who learned the hard way that stopping all medications led to dangerously high A1C levels, and others who successfully reduced their A1C from prediabetic ranges through diet and exercise alone, proving to their doctors that medication wasn't immediately necessary. A recurring theme was that diabetes is a lifelong condition influenced heavily by family history and genetics, so while some can manage with lifestyle changes alone, many need ongoing medication support, and the decision to reduce or stop meds should be made gradually and carefully with medical guidance rather than all at once.

A DiabetesTeam Member

@A DiabetesTeam Member people do go off and on meds but most go on them and just go with it

Your specific question about "why don't they go off when they get excellent numbers" is, the doctor may be reluctant because there is no way to effectively gauge how much the med is actually doing for you so may not want to risk losing control once again by stopping the meds

You could take an educated guess. I mean if you are on low dose (500mg/day) metformin and your numbers are excellent probably a safe bet you will handle it

But if you are up at 2000mg a day is that the difference between "excellent" and "over the moon"?? You just don't know

March 29, 2024
A DiabetesTeam Member

@A DiabetesTeam Member Congrats for being in a better place and able to lower one of your meds! Thanks for sharing your story. It is impressive that you changed your diet on your own but also sounds like diet alone was not enough to deal with some of the genetic factors that placed you at higher risk. I was able to lower my high blood pressure med also by changing my diet and talked my doc into lowering my statin dosage (but am lucky to have some good genes).

There are many people who struggle to afford their meds (and/or healthy food) and it is heart-breaking to think that $10.00 over the limit, prevented you from getting what you needed sooner. I'm so glad a social worker was able to help you get the medical care you need!!

I went for a while in mid-life without health care because the cost of ins was beyond my means and remember the sense of security I felt when I got coverage under the Affordable Care Act. I guess I have a love/hate relationship with medicine; I want it if/when I need it; but not until.

April 3, 2024
A DiabetesTeam Member

Correct,unless we are as disciplined as Hkc we need to continue with meds mine is currently reduced..... So I'm sticking to diet and meds for nowπŸ€”πŸ‘πŸ€—πŸ™

March 29, 2024
A DiabetesTeam Member

@A DiabetesTeam Member, since going to the doctors last year, lost about 60lbs but they cautioned me not to lose any more weight- reason given was I needed some fat because I am getting older. Still trying to figure that one out.

Diet used tp be the biggest portion white rice- viand - vegetables now vegetables- viand- brown rice, drink as much as 4-4.5 liters of water a day, walking exercises started at 3T steps and now averaging 8-11T steps 3-4 times per week weather permitting. Still trying to get my daily BS down every morning. Take care and if I get better resilts, I will advise the team.

April 6, 2024
A DiabetesTeam Member

Morning becky5
Thanks so much 😊
Information is power as well as helpful.
Happy Friday

April 5, 2024

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