68M here. On Ozempic and Actos. I can feel lows coming on and counter them with carb consumption. This can lead to spikes and more lows. Yesterday I took a fall during an approaching low. This got my attention. I’ve asked my doc again to let me cut my actos dose on a trial basis. My theory is that it will allow me to eat healthier thereby avoiding dangerous lows. My doc is reluctant because A1C has gone from 9.2 to 6.2 in a year so per labs the current system is working. Has anyone gone through a similar experience out there and have advice?
If this has worked so well reducing your A1C, I would rather experiment with the "dose" of carbs/food than that of the meds. It is a rather fiddly balance between diet, meds, and exercise to get right.