Highly recommend getting an appt with a younger endocrinologist. Your PCP can refer, or you can self-refer. They are more open to some of the new treatments and drugs if that's what you need. Depending on where you live it can take at least 2 months to get in. In the meantime, I highly recommend cutting way back on carbs and going with a high protein, high fiber diet to try to get BS levels down. Very damaging to heart & other organs to have BS that high every day. A good Endo should be able to help you get that leveled out.
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