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Have you been told not to test your blood sugars?
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<blockquote data-quote="Member496333" data-source="post: 2148438"><p>This will be in no small part because glucose actually <strong>is</strong> up and down all over the place when you have metabolic dysfunction. Self-monitoring should be a means to gauge trends over time rather than obsessing over the individual readings. This is exactly where HbA1c fails - in isolation it tells us nothing about hypoglycaemia or hyperglycaemia, only the mean average of the extremes. It also tells us absolutely nothing about insulin.</p><p></p><p>Don't misunderstand, it is by no means a useless tool, but used on its own it is a very blunt instrument. It is also an indirect measurement and can return erroneous results in some individuals. It also won't highlight diabetes until it's already too late - if HbA1c was all it's cracked up to be by some doctors, the world probably wouldn't be in the midst of a metabolic meltdown.</p><p></p><p>On the wider topic (not aimed at yourself) - if someone chooses not to self-test themselves then that is of course fine, but since this topic is discussing other people being told not to test, I take umbrage when that is exactly what happens. To advise people not to test their own glucose shows a fundamental misunderstanding of diabetes and its implications on long term health. You are of course entitled to your opinion.</p></blockquote><p></p>
[QUOTE="Member496333, post: 2148438"] This will be in no small part because glucose actually [B]is[/B] up and down all over the place when you have metabolic dysfunction. Self-monitoring should be a means to gauge trends over time rather than obsessing over the individual readings. This is exactly where HbA1c fails - in isolation it tells us nothing about hypoglycaemia or hyperglycaemia, only the mean average of the extremes. It also tells us absolutely nothing about insulin. Don't misunderstand, it is by no means a useless tool, but used on its own it is a very blunt instrument. It is also an indirect measurement and can return erroneous results in some individuals. It also won't highlight diabetes until it's already too late - if HbA1c was all it's cracked up to be by some doctors, the world probably wouldn't be in the midst of a metabolic meltdown. On the wider topic (not aimed at yourself) - if someone chooses not to self-test themselves then that is of course fine, but since this topic is discussing other people being told not to test, I take umbrage when that is exactly what happens. To advise people not to test their own glucose shows a fundamental misunderstanding of diabetes and its implications on long term health. You are of course entitled to your opinion. [/QUOTE]
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