Quote:
Originally Posted by dbc  When the A1c drifted up to 6.5% after being down at 6% on diet, exercise and metformin for about a year. Doctor's criteria was the 6.5% threshold on an upward trend.
We had discussed starting insulin before, when the A1c was around 6.3% (on a VERY restrictive low carb eating plan). At that time he wasn't in favour because of possible/probable hypo issues. We also didn't know each other well enough at that time, and I suspect he had me labelled as a 'normal' patient who would not apply himself properly to managing things and would therefore be likely to experience hypos. He now knows otherwise and largely agrees with everything I suggest  |
dbc, I overlooked your post earlier. This is exactly what I was looking for -- and your detailed explanation of "why that threshhold" was very helpful! I tried to get my Endo to answer this -- at what A1c would you suggest starting insulin, and she kinda dodged it but I am sure she has a level in mind, too! And I am sure some of that does have to do with concerns over hypos.
Thanks!
