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DSN "Advice" after low HbA1c results
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<blockquote data-quote="ashleyp" data-source="post: 2131341" data-attributes="member: 65073"><p>Afternoon all,</p><p></p><p>I had a query regarding some recent advice I got from a new DSN. I haven't been seeing any diabetic specialists regularly for around 6 years as I was discharged from the service about 1 year after my diagnosis as I self taught how to manage my diabetes pretty strictly and they felt it was no longer necessary for me to continue attending meetings.</p><p></p><p>I still have my yearly HbA1c check up appointments where I get my HbA1c, BP, feet checked, weight etc and also my eyes screened once a year, never had any problems. At my most recent appointment to discuss the results of my HbA1c, I was offered the chance to join the Libre gang. Obviously I accepted and was referred to an initial consultation with a new DSN.</p><p></p><p>She criticised my HbA1c, it was 37, and said it was dangerously low. I keep extremely tight control but did admit by doing so I am more prone to running slightly lower than I would like at points. I train 5 days a week at the gym extremely intensely (both bodybuilding training and post workout cardio) and have found this to be an asset in maintaining good control.</p><p></p><p>This is where I became confused/worried. The DSN said it was essential that my BG levels were in-between 7 and 15mmol every time before I begin in the gym. To me, this is mind boggling. They even mentioned that if it was 15mmol I should check for ketones...Check for ketones? After intentionally making myself that high? It really made no sense whatsoever.</p><p></p><p>If anyone can shed some light on this subject I would love to know more. I am lucky in the sense that my training has no real effect on my BG readings, other than making them drop slightly towards the end of my post workout cardio. For example, I normally start training at around 5-6mmol and before my post workout meal I could be around 4mmol. I would feel absolutely terrible if I was 15mmol and certainly would not want to be weight training. Im quite sure I read you aren't supposed to anyway if you are above 13mmol.</p><p></p><p>Please let me know your thoughts!</p></blockquote><p></p>
[QUOTE="ashleyp, post: 2131341, member: 65073"] Afternoon all, I had a query regarding some recent advice I got from a new DSN. I haven't been seeing any diabetic specialists regularly for around 6 years as I was discharged from the service about 1 year after my diagnosis as I self taught how to manage my diabetes pretty strictly and they felt it was no longer necessary for me to continue attending meetings. I still have my yearly HbA1c check up appointments where I get my HbA1c, BP, feet checked, weight etc and also my eyes screened once a year, never had any problems. At my most recent appointment to discuss the results of my HbA1c, I was offered the chance to join the Libre gang. Obviously I accepted and was referred to an initial consultation with a new DSN. She criticised my HbA1c, it was 37, and said it was dangerously low. I keep extremely tight control but did admit by doing so I am more prone to running slightly lower than I would like at points. I train 5 days a week at the gym extremely intensely (both bodybuilding training and post workout cardio) and have found this to be an asset in maintaining good control. This is where I became confused/worried. The DSN said it was essential that my BG levels were in-between 7 and 15mmol every time before I begin in the gym. To me, this is mind boggling. They even mentioned that if it was 15mmol I should check for ketones...Check for ketones? After intentionally making myself that high? It really made no sense whatsoever. If anyone can shed some light on this subject I would love to know more. I am lucky in the sense that my training has no real effect on my BG readings, other than making them drop slightly towards the end of my post workout cardio. For example, I normally start training at around 5-6mmol and before my post workout meal I could be around 4mmol. I would feel absolutely terrible if I was 15mmol and certainly would not want to be weight training. Im quite sure I read you aren't supposed to anyway if you are above 13mmol. Please let me know your thoughts! [/QUOTE]
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