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Great HbA1c result but got told off for it...

NicoleC1971 said:
I am type 1 and doing keto too (except last weekend when hangover sent me back to carbs!) so yours is a great inspirational story to me and getting pretty nromal bgs all the time is awesome. I too have a nip of lucosade if needed but generally find that my bgs are smoother because I am not eating a huge pile carbs then taking lots of insulin and getting timing/dosage wrong!
I do not know any other type 1s who get great HBA1c results without coping with rollercoaster blood sugars (the libre is also a good tool for showing that rather than just the mean average of your bgs you are spending lots of time 'in range' ) when they eat the standard high carb diet.
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Stepping off the “sugar rollercoaster” is what’s made the massive difference - small carbs, small doses, small corrections.
 
NoKindOfSusie said:
Let's think up some new slogans for diabetes specialists I'LL GO FIRST.

"Defining a new low point in the quality of medical practice"
"Making all other fields of medicine feel better about themselves"
"Toying with the already-fragile psychology of really sick people"
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No 1 has to be the winner.
 
NoKindOfSusie said:
Let's think up some new slogans for diabetes specialists I'LL GO FIRST.

"Defining a new low point in the quality of medical practice"
"Making all other fields of medicine feel better about themselves"
"Toying with the already-fragile psychology of really sick people"
Click to expand...
Ah, to be fair, my specialist and dietician at my hospital clinic (where I recieve my primary diabetes care) are pretty cool. This was just the practice nurse at my GP surgery who clearly didn’t have a clue about diabetes management, and certainly not the insight and better control you get with a CGM. She’d have exploded if I’d have bothered telling her I was low carb too...

And she certainly wasn’t prepared for me to argue back, think she’s used to patients who just meekly do as they are told :D
 
Mel dCP said:
As long as you’re getting enough energy from fat and protein to fuel yourself, you can do what you like. It’s YOUR diabetes.
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46ONX.gif
 
I’ve got visions of some battleaxe knocking on my door and insisting I take less insulin by confiscating it. Or shoving chips down my neck...
 
Well done - I wish I could match your results!
I have been T1 for over 60 years now - still here - no complications - so must have been doing something right for a long time!
As for Diabetic specialist nurses - I now refuse to talk to any at my surgery because after a visit lots of years back I was told to stop testing BG so that they could reduce the quantity of test strips and insulin as (QUOTE) it would save the surgery prescription money (COSTS).
I stood up and told her not to be such an idiot and walked out. *I was followed in to the main reception area and then lectured about the fact she new more about my condition than I did and that I should follow instructions. My reaction was to inform her that she was ignorant and was a danger to patients then really swore at her telling her to F##k off - go back to training so she could learn what a total pratt she was. A couple of people in the waiting area made appreciative comments and others complained to the surgery about the language which I used.
2 weeks later I received a letter informing me that if I ever expressed my feelings so bluntly ever again I would be removed from the practise.
My advice , for what its worth, Trust your hospital consultant when he explains the reason for an instruction, use a similar but cautious approach to Hospital Diabetic Clinic Nurses and Local GP's but surgery DSN's must be treated with extreme scientism when you get an instruction which is wrong (like the info you were given) just refuse to have any further contact with them and if they ask why just tell them you do not want to be given any more incorrect information.
Do not loose your rag like I did!
 
Provided you are happy with your weight and your waist size is good, then given you are getting no hypos and have type1 rather then type2 I consider you have done very well.
 
Mel dCP said:
I’ve got visions of some battleaxe knocking on my door and insisting I take less insulin by confiscating it. Or shoving chips down my neck...
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Great work on the A1c @Mel dCP . :cool:

I'm surprised. Your practice nurse considered dropping your insulin... I've alway been told to snack more to compensate. :banghead:
 
bulkbiker said:
Brilliant results well done feel free to rant away you'll only get support here.

Re the cholesterol numbers. If , as I do, you follow the belief that the important ratio is trigs/HDL and it should be below 0.87 yours is 0.285 which is completely amazing.
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Bulk... can you explain the maths of that result for me please
 
rab5 said:
Bulk... can you explain the maths of that result for me please
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Sure divide trigs number by HDL result . You want the answer to be be 0.87 or lower.
There's a long and involved explanation about the benefits of triglyceride levels being low and HDL being high and it can be used as a proxy for "better" cholesterol levels. Do you want me to dig out some bits on it for you?
 
ringi said:
Provided you are happy with your weight and your waist size is good, then given you are getting no hypos and have type1 rather then type2 I consider you have done very well.
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Thank you! I’m just overweight, with a BMI of 25.5, but that’s coming down, so I’ll be back in the green on that front soon!

@Paul520785 thank you, it always means a lot to know I’m doing ok from a T1 veteran. Well done on standing up to that DSN, though! This wasn’t even the DSN, just the practice nurse, my DSN at the hospital is T1 herself and very forward thinking; all my team there are. I’m just following the DAFNE guidelines I spent a week learning at the hospital diabetes centre, so it’s not like I’m going spectacularly off-piste with it. My consultant and dietician know I’m eating a ketogenic diet, and as long as I keep a close eye on my levels, they’re happy with that too. They’ve seen what a massive improvement it’s made to my general health as well as my diabetes.
 
Since I started on the Insulin pump mine has been around 45 (2 years and a bit on the pump) and 2 weeks back at my reveiw I was told I am now eligible for the Libre on prescription but my DSN wants me to have a CGM for a week or so to make sure my HbA1c is not through having hidden hypo's. I maybe having hypo's during the night as I was when I was using the Libre for 4 month at the end of last year, but I thought I had addressed the matter but hey ho. Maybe you should ask for the Libre trail OR a CGM trail for 5 days or so?

Good luck and keep us informed
 
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