[davef]

A question for the gurus.

I'm aware of the risks of high BG and that to try avoid risks of complications that BG's need to be controlled.

I believe that have been managing my numbers well, my averages are:

14 day 94.7 Std. Dev: 0.76
30 day 96.4 Std. Dev: 0.91
60 day 97.3 Std. Dev: 0.96
90 day 97.7 Std. Dev: 1.02

This week I seem to be doing very well at keeping my numbers down. I have been keeping my FBG around 95 and in general I'm around 81-90, post prandial numbers have not gone above 120

The last 3 evenings I have dropped to 64.8, 66.6 and 68.4. I feel fine at that level. So here's my question, I'm wondering if continuing to dip below 70 each evening poses at risks/problems for me?

[morrisma]

Dave,
I think the risk is in frequent hypos resulting in yo-yoing to much higher numbers. Not to mention the dangers inherent in a hypo. As long as that's not causing a bounce, alls great!

Your numbers are quite enviable! Time for you to get your own radio show: Get diabetes, control diabetes, get healthy as a result!
Mike

[fgummett]

I agree David... those number look great to me. So long as you have tested after a carb load to see how you cope... as in not going very high and then a reactive low I say, "keep up the good work!"

[fgummett]

If you check out the IDF Guidelines... I posted recently they state,

Large controlled clinical trials have demonstrated that intensive treatment of diabetes can significantly decrease the development and/or progression of microvascular complications of diabetes. Furthermore, intensive glycaemic control in people with type 1 diabetes or impaired glucose tolerance (IGT) lowers the risk for cardiovascular disease. There appears to be no glycaemic threshold for reduction of either microvascular or macrovascular complications; the lower the glycated haemoglobin (HbA1c), the lower the risk.

[Scrabblechick]

Wow, Dave! Your numbers are AMAZING! Any doc would be turning somersaults over those numbers! Good job!

[Evermont]

Your numbers look fantastic to me. If I were you, and my numbers starting looking "too good", I might talk to doc about cutting the Metformin dosage. Ramp up the diet and exercise if needed to compensate at first. Just keep doing what you're doing - maybe relax things just a bit if it helps you settle into a good long-term lifestyle. Hats off 2 U dude!

[MJB]

Originally Posted by Evermont

Your numbers look fantastic to me. If I were you, and my numbers starting looking "too good", I might talk to doc about cutting the Metformin dosage. Ramp up the diet and exercise if needed to compensate at first. Just keep doing what you're doing - maybe relax things just a bit if it helps you settle into a good long-term lifestyle. Hats off 2 U dude!

When my numbers came down, very similar to yours, my doc reduced the Met to one 500mg daily.

[babySlon]

Hi

14 day 94.7 Std. Dev: 0.76
30 day 96.4 Std. Dev: 0.91
60 day 97.3 Std. Dev: 0.96
90 day 97.7 Std. Dev: 1.02

Those numbers - what do they mean?
is it a different way to calculate sugar?
my #s are 4.3-5.7 before/after

[xMenace]

Originally Posted by davef

The last 3 evenings I have dropped to 64.8, 66.6 and 68.4. I feel fine at that level. So here's my question, I'm wondering if continuing to dip below 70 each evening poses at risks/problems for me?

You appear not to be on insulin, so actually going hypo shouldn't be a concern. I don't know what the Enap is though.

Who made up this magic number 70 anyway? And meter variance says a 64 is equal to a 70 anyway.

Continue as you are I say.

[slipperyelm]

Hey, MJB, when your doctor lowered your metformin, were you then able to maintains such good numbers, or did they come up a little?

The units of measurement are different, babyslon, between how you measure and how davef is measuring. Most of the world uses millimoles per liter (mmol/L), while milligrams per deciliter (mg/dL) is the standard in the standard used in the U.S. (Gotta at least give USAers credit for not reporting in dry ounces per quart or something like that, as they do with everything nonscientific!)

Your numbers, 4.3-5.7 equal 77-102 (Wow! Excellent!) using the same system as Dave. Because there are so many USA people on this site, you will often see number like his posted. Just divide those numbers by 18 to see what they are equivalent to in the units you are familiar with. So davef's 97, for example, would equal a 5.4 to you.

[fgummett]

David has converted his numbers to mg/dl as used in the USA (and not many other places). But I believe he also uses mmol/l as you seem to do There is a converter available on this forum page. I see it over on the Right under, Site Navigation.

So David's average of :
94.7 mg/dl becomes 5.26 mmol/l
96.4 mg/dl becomes 5.36 mmol/l
...and so on.

[slipperyelm]

Oh yeah, I had to look up Enap, too. It's a heart med, something for left ventricular insufficiency?

Dave, you are in Ireland? How accomodating of you to post in mg/dL for us. They say "When in Rome, do as the Romans do," but on the internet, we're in Rome and everywhere else at the same time!

[davef]

Thanks all.

The Enap is for my slightly elevated BP.

I did post my numbers on the USA measurements, but I do meter in mmol/L as Frank and Slipperyelm have explained just divide by 18. At this stage I'm fairly bi-lingual and feel with the fact that so many members are in the USA it's probably more helpful for me to post numbers in mg/dL. Sometimes if I'm not lazy I'll post both formats.

Think I'll keep on keeping on and maybe next month if things are still going well I might ask Doctor about reducing Met to 500mg once a day, my inclination (could wrong) would be to take it at night to keep morning numbers in check.

[Kim_in_TN]

EXCELLENT numbers! I would lean towards decreasing meds as well. That is my goal if I can get my dedication back in tact! *hangs head in shame*

[davef]

Ok, a quick update, I dipped to an all time low of 59.4 mg/dL. (3.3 mmol/L) yesterday evening. That was a little too low for me, so it's something I will be watching more closely, may eat a few more carbs at lunch time but with the way things are going I'm hoping to reduce my meds next month at my next doctor visit

Thanks for all the replies.