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Message: <blockquote data-quote="pmtbrew" data-source="post: 793857" data-attributes="member: 162438">I've read this thread with great interest, since being diagnosed in August with a A1C of 112mmol/mol (~12%), I managed to get it down to 46mmol/mol in December and now its down to 37mmol/mol (the fact that I restrict carb intake and exercise for around 10hrs a week does not enter into the equations)Quick bit about me, I'm 38 and have a BMI of 23 so I don't fall into the 'normal' range for diabetics (the first question I ask when I see someone new is how many patients they have seen like me). The nurse has advised me to remove gliclazide (40mg/day), which I've tried but the A1C jumps up to 50mmol/mol by the third day (with an average of 2hr cardio exercise) so I have went back on the gliclazide very quickly and its taken almost 2 weeks for the levels to return back to normal (I use a Freestyle Libre so have enough data to see short term changes in blood sugars).Having looked into the NICE guidance and the primary literature (some of them), the recommended levels for a diabetic (48mmol/mol or 5.5%) has a risk of developing complications greater than 1 (more likely) so I do not understand why the levels are not lower (I would say 37mmol/mol should be the target as the risk approaches close to 1).One point that has not been made yet is the age of the diabetic, I have another 50 years (hopefully) to deal with my diabetes, so any increase risk would affect me more than a diabetic in their 60's. I'm going to try to see if I can argue the case because of my age, I need to be allowed to have a tighter control of my blood sugars in order to prevent any complications later in life, I have my appointment on the 19th March so will come back with the outcome.</blockquote>

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