Time in range also goes up to 10 mmol. Personally I set my boundary at 6.5 (but that's just me) and aim for atleast 70%.The current recommendation is 70% in range with no more than 5% of the time in hypo.
The benefits of more TIR are offset by the mental impact on achieving this without closed loop.
If you are 75% in range and 1% high am I correct in thinking you are 24% low ? if that is the case I think you should be addressing that problem first .I am looking at lowering my HBA1c I am 5 weeks into diagnosis. No honeymoon periodI've gone from 25% in range and 36% high. I'm now 75% in range with only 1% high. So pleased I'm making headway. (Some days things just don't seem to work but more better days then bad). My question is to get my level down to low 60's what % in range or average level should I be aiming for?
Wow! Why do you think 10 is fat too high?Time in range also goes up to 10 mmol. Personally I set my boundary at 6.5 (but that's just me) and aim for atleast 70%.
Still think the guidelines of going up to 10 is far too high.
Exactly what I was thinking but you beat me to it !Wow! Why do you think 10 is fat too high?
Have you looked at Libre graphs from people without diabetes? They will spend less than 70% of their time between 4 and 6.5mmol/l. You are trying to achieve something which is unnatural and may lead to diabetes burnout.
I agree that spending long periods of time at 10 or above is not ideal but trying to restrict yourself to less than 30% of your time about 6.5 is crazy.
Take a look at people who have lived for 50, 60 and 70 years with Type 1. They spent the majority of their lives not being able to manage their BG even with a finger prick. Yet, they are still alive.
Twenty years ago, I was diagnosed with Type 1. I was finger pricking for the first 15 years so no idea about TIR.
My current TIR (using the recommended range) is around 80%, my HBA1c is consistently low 40s, I have no complications and intend to keep it that way. And when I talk about complications, I mean physical and mental complications whilst maintaining and very full and active life of which diabetes is a part but does not dictate conditions.
Wow! Why do you think 10 is fat too high?
Have you looked at Libre graphs from people without diabetes? They will spend less than 70% of their time between 4 and 6.5mmol/l. You are trying to achieve something which is unnatural and may lead to diabetes burnout.
I agree that spending long periods of time at 10 or above is not ideal but trying to restrict yourself to less than 30% of your time about 6.5 is crazy.
Take a look at people who have lived for 50, 60 and 70 years with Type 1. They spent the majority of their lives not being able to manage their BG even with a finger prick. Yet, they are still alive.
Twenty years ago, I was diagnosed with Type 1. I was finger pricking for the first 15 years so no idea about TIR.
My current TIR (using the recommended range) is around 80%, my HBA1c is consistently low 40s, I have no complications and intend to keep it that way. And when I talk about complications, I mean physical and mental complications whilst maintaining and very full and active life of which diabetes is a part but does not dictate conditions.
Yes and no. I am certainly getting much higher TIRs with a pump, but the closed loop technology is very keen on avoiding hypos. The pump I'm using aims for a bg of 6.2mmol/L so there is no way I could expect it to keep me under 6.5. (Admittedly that is just one pump, and others are probably different.) And after 4 weeks on the pump I am on 0% below range and 8% over, so I'm very happy, specially as the reason I qualify for a pump is hypos.I'm hoping at some point to be given the opportunity to use a pump, which I think might make the management a lot more simpler!
Thats interesting the pumps aim on avoiding hypos - as you say, maybe not the best if you are wanting tighter control.Yes and no. I am certainly getting much higher TIRs with a pump, but the closed loop technology is very keen on avoiding hypos. The pump I'm using aims for a bg of 6.2mmol/L so there is no way I could expect it to keep me under 6.5. (Admittedly that is just one pump, and others are probably different.) And after 4 weeks on the pump I am on 0% below range and 8% over, so I'm very happy, specially as the reason I qualify for a pump is hypos.
And as a long term (54 years) T1 I can confirm that too many hypos can result in loss of hypo awareness and hospitalisations due to coma. Not fun and one reason why diabetic teams don't like their T1s to aim for very low bgs.
Now I appreciate that the situation may be very different for a new T1 with (hopefully) more residual insulin production, but am still slightly sceptical as to the aim to keep below 6.5mmol/L.
Hi, my suggestion is to aim to start the day lower. Perhaps 4 to 6mmol/L. I generally have a better day if I get that first blood level right.I am looking at lowering my HBA1c I am 5 weeks into diagnosis. No honeymoon periodI've gone from 25% in range and 36% high. I'm now 75% in range with only 1% high. So pleased I'm making headway. (Some days things just don't seem to work but more better days then bad). My question is to get my level down to low 60's what % in range or average level should I be aiming for?
Sorry no I haven't made this clear. I have 76%in range 24% just out of range (10-13) and 1% very high (over 13). I would really like to say below 7 but I've been told this is unrealistic. Guessing it's baby steps.If you are 75% in range and 1% high am I correct in thinking you are 24% low ? if that is the case I think you should be addressing that problem first .
Thank you for this it shows I'm not to far off. My average according to my Libra is 8.5.My last “statistics” were 80% in 3.9-10 with 1% below 3.9, 18% 10-13.9 and the rest above 14. With all of that in mind my last hba1c was 48 so really going up to 10 I don’t think is that big of an issue but each to their own I suppose!
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