Do UK paramedics not leave copy of treatment information?

iHs said:

Diva

An a1c of 4.9% is DANGEROUSLY VERY LOW for a type 1. Its no wonder that you are having so many hypos. I know that you dont want to make your complications worse but controlling your blood sugar levels the way you are doing it is not good either. Ive been type 1 for 46 years and the vast majority of my a1c levels have all been around 7%. Yes I have had carpal tunnel syndrome which was operated on and yes frozen shoulders which lasted a while and also a touch of background retinopathy but other than that my life with diabetes is quite good. The lowest a1c that I ever got just one time was 6.4% but that also resulted in lots of lows of 2.?mmol and majority of bg levels being 4mmol and 8mmol. I've now got an insulin pump after my consultant gave me a friendly but firm telling off asking me why I was trying to compete with someone who didn't have diabetes.

If you look at BDEC it will give you a good idea on how to go about using correction doses of insulin and also although many people will need an inbetween insulin to carb ratio (like 1.2u to 10g) this can still be worked out by altering the amount of carb that you eat.

Just be well ok

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diva19871987 said:

iHs said:

Diva

An a1c of 4.9% is DANGEROUSLY VERY LOW for a type 1. Its no wonder that you are having so many hypos. I know that you dont want to make your complications worse but controlling your blood sugar levels the way you are doing it is not good either. Ive been type 1 for 46 years and the vast majority of my a1c levels have all been around 7%. Yes I have had carpal tunnel syndrome which was operated on and yes frozen shoulders which lasted a while and also a touch of background retinopathy but other than that my life with diabetes is quite good. The lowest a1c that I ever got just one time was 6.4% but that also resulted in lots of lows of 2.?mmol and majority of bg levels being 4mmol and 8mmol. I've now got an insulin pump after my consultant gave me a friendly but firm telling off asking me why I was trying to compete with someone who didn't have diabetes.

If you look at BDEC it will give you a good idea on how to go about using correction doses of insulin and also although many people will need an inbetween insulin to carb ratio (like 1.2u to 10g) this can still be worked out by altering the amount of carb that you eat.

Just be well ok

Click to expand...

Hi, I have been told be my GP it should be higher but I have always thought I was aiming for glucose levels near non diabetics levels and the more close the better? I want to eventually be in control and avoid the hypos but it is such a tight balancing act to follow to prevent diabetes complications. I must admit Ive had type 1 for 12 years and only when I found out i was pregnant did i really take any care with it. I also had carpel tunnel which was operated on and thank god it hasnt come back! I do hope one day I will be able to control my levels with ease and cut chances of any mre complications without the need for help from others.

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iHs said:

Hi

If you look at the NICE criteria for getting an insulin pump, you will easily qualify for one on 3 points, complications, hypos and anxiety over trying to keep your bg levels ok. If you are not under a hospital consultant ask your GP to refer to you one.

Insulin pumps take a while to get used to but most people who use them do say that hypos are a lot less or much easier to manage. Many will work with cgm as that is where the future is heading with pumps.[/quote
I have akways thought the criteria to a pump would be sereious health problms like bliness, If I have considereable time sepending to correct sugars counly i ask for this.

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jopar said:

My ambulance service hasn't dispensed with paper yet! As had them out for hubby last Tuesday morning and got the normal paper copy, as to how quick a report gets to his GP couldn't say... As to what his doctors says about hypo's, well as we'll both T1's and tend to see our surgery DSN at the same time I pretty good at dobbing him in, so she's never had to say oh I've seen you had the paramedic's out for an hypo!

A 4.9% HbAc I'm not surprised that you suffer lots of hypo's, your hypo awareness must be pretty well trashed...

The actual non-diabetic range for HbA1c is is anything from just under 4% to 5,7%, 6.5% is given as a good range to be in for the diabetic, because when all our different HbA1c's are plotted on a chart they produce a U shape with 6.5% at the bottom, if then plot complications from hypo awareness through to long term complications there is little to gain from pushing control levels too fair below the 6.5% as not only does hypo's increase, the severity of the hypo, and hypo unawareness is more likely which all impact on quality of life of the diabetic... So it's a kind of balancing act we play...

But for the T1 diabetic the HbA1c is isn't always the best indicator to what sort of control we have, because what ever the figure is we really need to look at day to day control, what sort of hypo's and Highs are being suffered... So it's important to have a standard division to give the range of control... I've got an HbA1c of 5.7% and an SD of 1,2mmol/ml so I've got a pretty tight range of control, but I do have an insulin pump...

Can I ask are you just under a GP for your diabetic treatment or do you also go to a consultant at the hospital?

Because if you are just under your GP care, I think that you should request to be referred to the hospital consultant, as then you can discuss your treatment, what's going on and perhaps discuss whether a insulin pump might be more suitable and more helpful for your control

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