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    Re-Controlling Blood Sugar
    spderbes1 posted:

    After discovering I had Type 2 about a year ago, I went on Metformin and Januvia, and for awhile followed a healthy (er) diet. Over the months, I drifted off the wagon somewhat, being less vigilant about both diet and daily meds. I'm starting over again, and have an appointment to see my endro in about a month. Since my blood sugar is up over 200 agian, I'm wondering if I can get it down to mormal again simply by resuming the diet, and taking my pills everyday, or do I need something stronger (insulin?) to get it back down that far, and then maintain with the diet and pills? Not trying to get anything over on my Dr. (the A1C test will tell the tale anyway), just trying to get a head start. Thanks in advance.
    flutetooter responded:
    Every time you eat more carbs than your pancreas can create insulin for, your blood sugar goes up and more insulin producing cells in your pancreas die because your Janumet keeps causing your beta cells to produce more and more insulin until they burn out. At that point you will need insulin because your pancreas just can't produce enough to cover the carbs you keep eating. If you still don't watch your carbs at that point you will need more and more insulin intil your kideys fail and then you will need dialysis. In other words, watch your diet and be very strict now.
    If at first you don't succeed, try, try again!

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