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Message: <blockquote data-quote="oldgreymare" data-source="post: 2564032" data-attributes="member: 20373">I was diagnosed about 15 years ago and had poor control for the first 10 years (HBAc1 65-80). Since self funding a Dexcom G6 CGM , I've managed to get this down to  43-48 and mostly 65-70% in range, but still rather more of a rollercoaster than I would like. Mostly sticking to low carb helps. I had my regular appointment with my endo recently and our conversation was regarding my pattern of nighttime lows. He made the observation that in long standing Type 1s, he worries much more about the risks associated with hypos than the risks of developing/accelerating complications. Although definitely linked to higher BGs, the onset and severity of "diabetic" complications can sadly be a bit of a lottery and is also influenced by lifestyle, genetics, etc.   Treating diabetes with injected insulin even with a pump is basically using an erratically timed sledgehammer to crack a nut, hence the guidelines are currently set conservatively to try to minimise the risks of too many hypos. Probably as the use of CGMs becomes more standard, there may be revisions to set tighter targets in the future. So if you're still complications free, sounds like a great starting point to see if you can improve your control going forward. Have you been offered a Libre? Tried a DAFNE course? Pragmatically changing to a healthier lifestyle may not be sustainable if you don't enjoy it - work out how to incorporate fun too!</blockquote>

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