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Type 1 Diabetes
DSN "Advice" after low HbA1c results
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<blockquote data-quote="Antje77" data-source="post: 2131380" data-attributes="member: 372207"><p>That only makes sense when you go hypo during or after gym regularly. It's a rule of thumb to advise to start on the higher side (although 15 sounds pretty ridiculous unless someone needs an ambulance every time they work out). Rules of thumb are there as starting points, not the law.</p><p></p><p>My last one was 36, and after some questioning my internist was happy with that and put in my notes that the low hba1c was acceptable because I keep very tight control most of the time, never had a hypo requiring assistance and understand very well how my diabetes works (at the moment).</p><p></p><p>I think most of it has to do with the knowledge of the consultant. If they have learned low hba1c=hypo's galore and haven't much experience with reading CGM/Libre data I can see where they're coming from.</p></blockquote><p></p>
[QUOTE="Antje77, post: 2131380, member: 372207"] That only makes sense when you go hypo during or after gym regularly. It's a rule of thumb to advise to start on the higher side (although 15 sounds pretty ridiculous unless someone needs an ambulance every time they work out). Rules of thumb are there as starting points, not the law. My last one was 36, and after some questioning my internist was happy with that and put in my notes that the low hba1c was acceptable because I keep very tight control most of the time, never had a hypo requiring assistance and understand very well how my diabetes works (at the moment). I think most of it has to do with the knowledge of the consultant. If they have learned low hba1c=hypo's galore and haven't much experience with reading CGM/Libre data I can see where they're coming from. [/QUOTE]
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DSN "Advice" after low HbA1c results
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