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A comparison of the guidelines for control; NICE, ADA, etc.
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<blockquote data-quote="Margi" data-source="post: 203357" data-attributes="member: 30601"><p><strong>Re: A comparison of the guidelines for control; NICE, ADA, e</strong></p><p></p><p>Well, I'm not Superwoman and I'm not on a pump and I have a very erratic lifestyle, so achieving non-diabetic BS would be completely impossible for me. However, I have had diabetes for 36 years, I have no complications and yes, I do allow my BS to go a bit higher to deal with the extra activity on busy days.</p><p></p><p>Also, some types of physical activity go hand in hand with adrenalin. There is no way to predict which ones and no way to know if the BS will go high or come down. If I'm going to do a 25 mile horse ride (fast), my BS often goes up because my horse is a bit scary at the start of a ride, but I can never be sure of that, so I never inject assuming that that will happen. The first time i do I can guarantee that the adrenalin will choose that day to not appear and I will have to deal with hypos while dealing with Fella. So no, whatever the guidelines say, mine are a bit more flexible, and my life has quite enough challenges in it that I really don't need to view my diabetes goals as one of them. I try to keep under 10 between meals if I can but with my level of physical activity, it's not always possible to do that and not end up hypo. My ideal goal is to stay in single figures, and I'm not too worried about trying to achieve a low test before meals because if it's a bit higher than the NICE target, I simply adjust my insulin to deal with whatever the pre-meal level is. It seems to work. But don't all go off and do as I do, because your doctors and DSNs would have a fit.</p></blockquote><p></p>
[QUOTE="Margi, post: 203357, member: 30601"] [b]Re: A comparison of the guidelines for control; NICE, ADA, e[/b] Well, I'm not Superwoman and I'm not on a pump and I have a very erratic lifestyle, so achieving non-diabetic BS would be completely impossible for me. However, I have had diabetes for 36 years, I have no complications and yes, I do allow my BS to go a bit higher to deal with the extra activity on busy days. Also, some types of physical activity go hand in hand with adrenalin. There is no way to predict which ones and no way to know if the BS will go high or come down. If I'm going to do a 25 mile horse ride (fast), my BS often goes up because my horse is a bit scary at the start of a ride, but I can never be sure of that, so I never inject assuming that that will happen. The first time i do I can guarantee that the adrenalin will choose that day to not appear and I will have to deal with hypos while dealing with Fella. So no, whatever the guidelines say, mine are a bit more flexible, and my life has quite enough challenges in it that I really don't need to view my diabetes goals as one of them. I try to keep under 10 between meals if I can but with my level of physical activity, it's not always possible to do that and not end up hypo. My ideal goal is to stay in single figures, and I'm not too worried about trying to achieve a low test before meals because if it's a bit higher than the NICE target, I simply adjust my insulin to deal with whatever the pre-meal level is. It seems to work. But don't all go off and do as I do, because your doctors and DSNs would have a fit. [/QUOTE]
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