Hi @sugarshy,
This might be an artifact of the Accord trial.
On this trial, they put people with diabetes on intensive treatment attempting very tight blood sugar control by upping medication (more insulin, more sulfonylureas -- probably leading to more swings and more hypos). The outcome was that people did worse on intensive treatment.
Consequently, this was interpreted as diabetics doing worse on tight blood sugar control and communicated to HCPs.
However, I believe normal blood sugars achieved on lchf/keto are very different from those achieved by intensifying medication. So, in my mind nothing to worry about.
By the way, congrats on your HbA1c -- great result and well done.
As I understand it taking hypoglacemic agents such as insulin or sulphonureas is taking the glucose out of the blood and into the micro and macro vessels whereas low blood glucose achieved through diet and lifestyle means you have turned off the overflow tap of glucose and not merely widened the drain.Indeed, although proponents of the overflow hypothesis posit that this is because heavy duty hypoglycaemics forcibly push glucose from the blood into the tissues where it does most of its damage. Not a factor with Metformin of course. But yes you’re right, this probably explains where the misplaced concern comes from.
It is possible that the OPs GP is thinking of type 1 diabetics where such a low HBA1c would indicate periods of hypos with those attendant dangers...
Agree with all above here. Those results are very good. Did you get any kind of explanation, why your results NOT was something to cheer over?
Have you had your blood pressure checked with a 24 hour monitor rather than just at the surgery?No, she seemed shocked at the 34 to the point that it seemed she was annoyed!
Have you had your blood pressure checked with a 24 hour monitor rather than just at the surgery?
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