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Diabetes Soapbox - Have Your Say
Great HbA1c, Very Disappointed!
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<blockquote data-quote="LittleGreyCat" data-source="post: 1645839" data-attributes="member: 6467"><p>I think some of the confusion may because certain words have a different context to Health Care Professionals.</p><p>"In remission" to an HCP can mean that all symptoms of the condition are no longer apparent with no medication being taken.</p><p>In effect, "Whatever you are doing is working so well I can't even tell that you have the disease. No need to waste your time on surgery visits. Go forth and sin no more.<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" />".</p><p>To us combatants down in the trenches, remission means that we no longer have the condition and don't have to take any special measures related to that condition.</p><p>Two very different views.</p><p></p><p>Apart from the Metformin, I think I am in "HCP remission" at the moment, and I am pretty sure I could hit the numbers without the Metformin. However there is enough indication of extra benefits from Metformin that I would prefer to keep taking it. I am, though, absolutely certain that I am still diabetic.</p><p></p><p>The bottom line is that with "normal" numbers the danger of health complications due to poor blood glucose control have been massively reduced and should be on a par with non-diabetics. So effectively in remission if not cured.</p><p></p><p>The potential hidden flaw is if some of the systemic damage is due to elevated insulin, not elevated blood glucose. That is, if you are maintaining your good BG numbers by running high insulin levels. This is one reason why I am taking an interest in Insulin Resistance at the moment.</p></blockquote><p></p>
[QUOTE="LittleGreyCat, post: 1645839, member: 6467"] I think some of the confusion may because certain words have a different context to Health Care Professionals. "In remission" to an HCP can mean that all symptoms of the condition are no longer apparent with no medication being taken. In effect, "Whatever you are doing is working so well I can't even tell that you have the disease. No need to waste your time on surgery visits. Go forth and sin no more.:D". To us combatants down in the trenches, remission means that we no longer have the condition and don't have to take any special measures related to that condition. Two very different views. Apart from the Metformin, I think I am in "HCP remission" at the moment, and I am pretty sure I could hit the numbers without the Metformin. However there is enough indication of extra benefits from Metformin that I would prefer to keep taking it. I am, though, absolutely certain that I am still diabetic. The bottom line is that with "normal" numbers the danger of health complications due to poor blood glucose control have been massively reduced and should be on a par with non-diabetics. So effectively in remission if not cured. The potential hidden flaw is if some of the systemic damage is due to elevated insulin, not elevated blood glucose. That is, if you are maintaining your good BG numbers by running high insulin levels. This is one reason why I am taking an interest in Insulin Resistance at the moment. [/QUOTE]
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