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Should you aim for a higher HBA1c? How would you do it? How do you make sure that your overall BS rise is restricted to a few percentage points.?
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been thinking about this one. my post meals would have a tendancy to be higher if i mess with my I:C ratios, but if i increased my target pre-meal BG from say 4.5-5.0 to 5.0-5.5...? thereby not putting myself at risk of pre-meal hypos.
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Originally Posted by klpants Forget what the "specialists" say or at least take with a pinch of salt. You are much more likely to avoid all the beautiful diabetes complications with a lower A1C. An A1C of 6.2 doens't neccessarily mean you are always having lows! If your BS doens't go lower than 3.4 then I wouldn't worry about hypo unawareness. I think the reason the docs will say A1C is too low is that they are used to seeing so many patients with A1C's over 7.5 so 6.2 just "seems" low to them.
I've noticed the tendancy amongst UK doctors to overreact if you have good control or wanting to acheive the best control you can and say things like "are you obsessing about your control"!!
Wouldn't the docs and nurses rather see you with an A1C of 6.2 and living a good life (of course not always being in a hypo state) than 16.2!!?  |
youve got the uk docs spot on there!!! the nurse said they arent used to seeing a D with such a good A1c in the clinics here!
and "obsessing about good control" was actually one of the specialists comments!
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Originally Posted by Chris Graham I would get a new endo. Keep up the good work! |
wish that were an option here, but sadly ~ only a choice of one!
i quite honestly dont feel that i should be concerned about myself having hypos, (aware yes but not concerned!)
i spend more time fighting to keep my Bg's rocketing after meals. my carb counting is fine. post prandials are mostly back in range.
thanks for all your support as usual
