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Question: From Fullerton, California, USA: I have had type 2 for 14 years. My latest A1c was 5.7%. I am tired all the time. My doctor says I am in good control so there is nothing to worry about. If I am in such good control, why am I tired all the time? My fasting sugar is always in the 120-160 mg/dl [6.7-8.9 mmol/L] range. I was put on metformin to lower it, but it has not helped. What should I do? The doctor said there was nothing else he could do other than put me on insulin at bedtime. Is that my only option? Answer: I do not think I would pursue the symptoms of fatigue as being associated with your blood sugars. I would recommend you and your physician looking for causes for the fatigue separate from the diabetes. If the hemoglobin A1c stays in the normal range, I am not sure I would add bedtime insulin and risk hypoglycemia and weight gain. If, however, the hemoglobin A1C were to rise, and the fasting blood sugars remain elevated, I would consider adding bedtime NPH as one option for lowering blood sugars at that particular time of day. It is a reasonable consideration. JTL DTQ-20040318171641 Original posting 24 Mar 2004 Posted to Type 2 and Pills for Diabetes

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Last Updated: Tue Mar 07 11:52:05 2006
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