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BG levels on a carnivore diet
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<blockquote data-quote="HSSS" data-source="post: 2627877" data-attributes="member: 480869"><p>I think you are taking the advice <strong>your</strong> dr/practice/ICB has give <strong>you</strong> and are trying to make this the norm. It’s not always the case. We’ve discussed this before.</p><p></p><p><u>Bgl in the 4’s</u></p><p>Mild excursions below 4 are totally normal in those unmedicated with hypoglycaemic drugs barring rare conditions. I’m not sure where you’re getting that 4’s are unhealthy etc. Every source I’ve seen shows it as the lower end of the normal experience. Why shouldn’t we aim to be as close to normal as possible, assuming we aren’t having harmful hypos?</p><p></p><p><u>Goals</u></p><p>Also you are only quoting selected parts of ng28. <a href="https://www.nice.org.uk/guidance/ng28/chapter/Recommendations#blood-glucose-management" target="_blank">https://www.nice.org.uk/guidance/ng28/chapter/Recommendations#blood-glucose-management</a>. 53mmol is not the only or baseline goal. </p><p></p><p>1.6.7 For adults whose type 2 diabetes is managed either by lifestyle and diet, or lifestyle and diet combined with a single drug not associated with hypoglycaemia, support them to aim for an HbA1c level of <strong>48</strong> mmol/mol (6.5%). For adults on a drug associated with hypoglycaemia, support them to aim for an HbA1c level of 53 mmol/mol (7.0%). <strong>[2015]</strong></p><p></p><p>and even if your goal is 53, there is this too</p><p></p><p>1.6.10 If adults with type 2 diabetes reach an HbA1c level that is lower than their target and they are not experiencing hypoglycaemia, encourage them to maintain it. Be aware that there are other possible reasons for a low HbA1c level, for example deteriorating renal function or sudden weight loss. <strong>[2015]</strong></p><p></p><p><u>Driving</u></p><p>The dvlc minimum is only applicable to those on specific medications that can cause hypos. Otherwise millions of metabolically healthy people would regularly be breaking the law as 3.9 is not unusual. There is no requirement or expectation to test unless on those diabetes medications either. Also you can drive above 4mmol but below 5 if you’ve taken a snack and are not recovering from a hypo This is specified for insulin users</p><p></p><p><a href="https://www.gov.uk/diabetes-driving" target="_blank">https://www.gov.uk/diabetes-driving</a></p><p></p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/795538/inf188x2-information-for-drivers-with-diabetes-treated-by-non-insulin.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/795538/inf188x2-information-for-drivers-with-diabetes-treated-by-non-insulin.pdf</a></p><p></p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/834451/inf294-a-guide-to-insulin-treated-diabetes-and-driving.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/834451/inf294-a-guide-to-insulin-treated-diabetes-and-driving.pdf</a></p><p></p><p><a href="https://www.gov.uk/guidance/diabetes-mellitus-assessing-fitness-to-drive#diabetes-treated-by-medication-other-than-insulin" target="_blank">https://www.gov.uk/guidance/diabete...etes-</a> Which says for sulphonylureas and glinides for groups 1 (car) use should practise appropriate glucose monitoring at times relevant to driving (presumably as per insulin users).</p></blockquote><p></p>
[QUOTE="HSSS, post: 2627877, member: 480869"] I think you are taking the advice [B]your[/B] dr/practice/ICB has give [B]you[/B] and are trying to make this the norm. It’s not always the case. We’ve discussed this before. [U]Bgl in the 4’s[/U] Mild excursions below 4 are totally normal in those unmedicated with hypoglycaemic drugs barring rare conditions. I’m not sure where you’re getting that 4’s are unhealthy etc. Every source I’ve seen shows it as the lower end of the normal experience. Why shouldn’t we aim to be as close to normal as possible, assuming we aren’t having harmful hypos? [U]Goals[/U] Also you are only quoting selected parts of ng28. [URL]https://www.nice.org.uk/guidance/ng28/chapter/Recommendations#blood-glucose-management[/URL]. 53mmol is not the only or baseline goal. 1.6.7 For adults whose type 2 diabetes is managed either by lifestyle and diet, or lifestyle and diet combined with a single drug not associated with hypoglycaemia, support them to aim for an HbA1c level of [B]48[/B] mmol/mol (6.5%). For adults on a drug associated with hypoglycaemia, support them to aim for an HbA1c level of 53 mmol/mol (7.0%). [B][2015][/B] and even if your goal is 53, there is this too 1.6.10 If adults with type 2 diabetes reach an HbA1c level that is lower than their target and they are not experiencing hypoglycaemia, encourage them to maintain it. Be aware that there are other possible reasons for a low HbA1c level, for example deteriorating renal function or sudden weight loss. [B][2015][/B] [U]Driving[/U] The dvlc minimum is only applicable to those on specific medications that can cause hypos. Otherwise millions of metabolically healthy people would regularly be breaking the law as 3.9 is not unusual. There is no requirement or expectation to test unless on those diabetes medications either. Also you can drive above 4mmol but below 5 if you’ve taken a snack and are not recovering from a hypo This is specified for insulin users [URL]https://www.gov.uk/diabetes-driving[/URL] [URL]https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/795538/inf188x2-information-for-drivers-with-diabetes-treated-by-non-insulin.pdf[/URL] [URL]https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/834451/inf294-a-guide-to-insulin-treated-diabetes-and-driving.pdf[/URL] [URL='https://www.gov.uk/guidance/diabetes-mellitus-assessing-fitness-to-drive#diabetes-treated-by-medication-other-than-insulin']https://www.gov.uk/guidance/diabete...etes-[/URL] Which says for sulphonylureas and glinides for groups 1 (car) use should practise appropriate glucose monitoring at times relevant to driving (presumably as per insulin users). [/QUOTE]
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