Quote:
Originally Posted by Lloyd  I beg to differ.
I have been under 60 once in 6 months (56) and my A1c is 4.9.
I have not been over 140 in about 9 months, THAT is how you achieve great control.
-Lloyd |
I'm with Loyd on this. The popular notion that having a low HBA1c necessitates lots of hypos sounds logical, but actual experience suggests otherwise. I find the exact opposite to be true. The number of lows increases as HBA1c goes
up. This happens because blood glucose becomes more volatile (standard deviation increases) as control deteriorates. The converse is also true. The number of hypos comes down as HBA1c is reduced because control is improving.
The effect of hypos on average blood glucose is also limited. Hypos don't last long because we treat them promptly. On the other hand, highs often last for hours (like when we are asleep).
