Re: Do UK paramedics not leave copy of treatment information
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