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I've been told to increase HbA1c to improve hypo awareness
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<blockquote data-quote="ann34+" data-source="post: 938505" data-attributes="member: 94348"><p>Hi, Dancer, you do not say how long you have been diagnosed Type one, , but i have noticed you are only a few years younger than me, are insulin sensitive like myself, use not much more insulin than i do, and are on the pump. Hypos can cause all sorts of problems, one of the commonest being sometimes not so stable on your feet, and even slipping or falling whilst hypo.</p><p>If you have had type one 35 years plus, women in our age group who are long term Type ones are much more likely to have a hip fracture than other women of a similar age, (the figure is 10x more the last time i discussed it, but that took in type one women overall i think, even those more recently diagnosed - i will have to check ), and also more likely not to recover so well as a non diabetic woman. Until a few years ago this serious complication of type one was not much known about , it is getting more coverage now especially as it is realised that lower BMD affects a lot of younger Type ones. Some doctors are doubtful whether good control is necessarily protective of breaks</p><p>In older women, especially those who have no other complications at all , the dangers of going a bit higher for a while and then raising your HbA1c in order to try to regain hypo symptoms are seen as few, and absolutely necessary if your DEXA scan results are poor. I disagree with some posts, as each type one has to look at their own individual circumstance - also it may be you cannot get all your symptoms back - i cant - sometimes they are there, sometimes not - but then R.D.Lawrence, the famous diabetologist, wrote a piece in a medical journal - i still have it - about how hypo symptoms were often lost in even quite poorly controlled very long term diabetes - it just may not be possible with the tools currently available. The bones are a complex part of the endocrine system and how things pan out may also be affected by your genes and other drugs you may have used long term, but your age and sex is probably why your consultant is so concerned. I had a hip fracture when in my 50's - it is far worse than anything you could imagine long term, and also increases your likelihood for early OA. Your doctors are helping you. I too always had good control but i was not on the pump even though i had asked many times, and was not aware of minor hypos. I did not qualify because i did not need assistance - at that time the dangers of even a minor slip for older type one women were not known. I would keep to your doctors advice short term at least, and ask for a DEXA scan asap, then go on from there and discuss it all again.Best wishes</p></blockquote><p></p>
[QUOTE="ann34+, post: 938505, member: 94348"] Hi, Dancer, you do not say how long you have been diagnosed Type one, , but i have noticed you are only a few years younger than me, are insulin sensitive like myself, use not much more insulin than i do, and are on the pump. Hypos can cause all sorts of problems, one of the commonest being sometimes not so stable on your feet, and even slipping or falling whilst hypo. If you have had type one 35 years plus, women in our age group who are long term Type ones are much more likely to have a hip fracture than other women of a similar age, (the figure is 10x more the last time i discussed it, but that took in type one women overall i think, even those more recently diagnosed - i will have to check ), and also more likely not to recover so well as a non diabetic woman. Until a few years ago this serious complication of type one was not much known about , it is getting more coverage now especially as it is realised that lower BMD affects a lot of younger Type ones. Some doctors are doubtful whether good control is necessarily protective of breaks In older women, especially those who have no other complications at all , the dangers of going a bit higher for a while and then raising your HbA1c in order to try to regain hypo symptoms are seen as few, and absolutely necessary if your DEXA scan results are poor. I disagree with some posts, as each type one has to look at their own individual circumstance - also it may be you cannot get all your symptoms back - i cant - sometimes they are there, sometimes not - but then R.D.Lawrence, the famous diabetologist, wrote a piece in a medical journal - i still have it - about how hypo symptoms were often lost in even quite poorly controlled very long term diabetes - it just may not be possible with the tools currently available. The bones are a complex part of the endocrine system and how things pan out may also be affected by your genes and other drugs you may have used long term, but your age and sex is probably why your consultant is so concerned. I had a hip fracture when in my 50's - it is far worse than anything you could imagine long term, and also increases your likelihood for early OA. Your doctors are helping you. I too always had good control but i was not on the pump even though i had asked many times, and was not aware of minor hypos. I did not qualify because i did not need assistance - at that time the dangers of even a minor slip for older type one women were not known. I would keep to your doctors advice short term at least, and ask for a DEXA scan asap, then go on from there and discuss it all again.Best wishes [/QUOTE]
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I've been told to increase HbA1c to improve hypo awareness
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