D
That may be true but, being in the Diabetes Daily (from which I concluded), the article only mentioned diabetes.Hmm, Helen, that may be true within the diabetes parameters but an extremely low A1c can surely be a cause of other issues, not necessarily associated with hypo's or diabetes. I was reading about it recently and an A1c lower than 4 (it specifically stated in the 2s or 3s) can be a sign of something serious.
Yes Helen, of course, I mentioned it not as an insult or criticism but purely so others could give a thought to the fact that a too low A1c is not necessarily a good thing.That may be true but, being in the Diabetes Daily (from which I concluded), the article only mentioned diabetes.
The hypo risk goes for everyone on insulin, especially mealtime insulin, including type2's. And type1's are more likely to use gcm/flash, but it's still a very small minority that does.I think the risk of hypos applies mostly to T1s, who are more likely to be using some form of CGM?
As far as I know both type1's and type2's can dump glucose from their liver. The difference is that exogenous insulin holds a much bigger risk of misdosing and thus deeper hypo's than tablets. A type2 on insulin has the same problems as a type1, I think. It gets real difficult for the 3C's, who don't have liver dumps of glucose to save them.But assuming our liver/pancreas has some function, presumably we can recover more easily?
How much of a risk is it?
I so agree! It's a shame they won't give everybody a CGM though, how can they expect us to try to predict what we need to do by randomly pricking our fingers every few hours, it's such an ancient method.I expect a lot of disagreements on this but I think A1c is a load of cobblers that shouldn't be taken too seriously, at least if you have CGM/FGM that will show you exactly when your levels are where you want them to be and when they're not. Averages are unreliable and can easily be tweaked to suit your argument despite not actually reflecting it if you look at the raw numbers that you can see with your CGM/FGM. This whole obsession over A1c will probably looked back on as a headscratcher once CGM/FGM is the norm and there is proper analysis over how our levels are affected by what we eat and inject and so on rather than just saying you're doing well because your average falls within an agreed upon range with no concern for how that actually happened.
I so agree! It's a shame they won't give everybody a CGM though, how can they expect us to try to predict what we need to do by randomly pricking our fingers every few hours, it's such an ancient method.
Doctor’s report!
Ok, he’s happy that I’m not having hypos and apologised for the nurse’s cackhanded way of expressing concern. I was right though, I’m only one of two patients at our practice using Libre, so they really have never seen that control this good is even possible. We had quite a long chat about it, apparently one of the big concerns with people who have been T1 as long as I have is that they lose hypo awareness, but mine is still good. He’s happy that I keep well above legal limits to drive and ride, and that I know that a single dextrose tablet will raise my BG by 0.6mmol, so I can adjust it very quickly if I need to. I left him with a list of the books I’ve been referring to with a brief synopsis of each and how it’s helped. He’s totally behind my low carb eating, too.
Cholesterol - while the nurse had said it was high (6.2 total) he agrees with me when I pointed them out that the total:HDL (3.1) and HDL:triglycerides (0.6) ratios are absolutely spot on perfect. He said he wasn’t going to even think about “inflicting” (his word) statins on me, despite NICE guidelines that all T1s should take them as a preventative because I simply don’t need them. @bulkbiker - thanks for all the papers and stuff you’ve posted about statins, I went in well prepared for the statin battle!
At the end of our meeting he said I should train to be a diabetes specialist nurse and that there was probably funding available for (ahem) mature applicants...
Please do, then move to Friesland NL and become my DN!At the end of our meeting he said I should train to be a diabetes specialist nurse and that there was probably funding available for (ahem) mature applicants...
Sorry my post was a little out of place forgot where I was.
Not really just me being silly and posting in the wrong thread basically about the depressive effects on my blood sugars of having to increase my prednisolone. They have gone way up.Did I miss something interesting?
Aw, that sucks, mate. Sending a virtual hug, for what that’s worth!Not really just me being silly and posting in the wrong thread basically about the depressive effects on my blood sugars of having to increase my prednisolone. They have gone way up.
Agree. There are some blood conditions that affect the glycation process that the test measures, such that either the blood does not absorb the glucose at the expected rate, or the blood cells die off prematurely. Some types of anemia can give this problem. Sufferers of these conditions need to ask for the alternative test that the labs can do, but it is not a standard test that GP's provide. Not sure what that test is called. Anybody? Think it is described hereHmm, Helen, that may be true within the diabetes parameters but an extremely low A1c can surely be a cause of other issues, not necessarily associated with hypo's or diabetes. I was reading about it recently and an A1c lower than 4 (it specifically stated in the 2s or 3s) can be a sign of something serious.
Agree. There are some blood conditions that affect the glycation process that the test measures, such that either the blood does not absorb the glucose at the expected rate, or the blood cells die off prematurely. Some types of anemia can give this problem. Sufferers of these conditions need to ask for the alternative test that the labs can do, but it is not a standard test that GP's provide. Not sure what that test is called. Anybody? Think it is described here
https://www.ncbi.nlm.nih.gov/pubmed/8114262
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