daisy1 said:Hi Ebony
My last HbA1c was 5.2. The one three months before was 5.3. I am quite happy with that and am not trying to get any lower. I am type 2 by the way.
daisy1 said:Hi again Ebony.
I take Metformin 500mg with my evening meal, eat only around 80g carbs per day and try to do 30 mins walking a day. I lost 3 stone but haven't been able to lose any more for six months and I have another stone to lose.
daisy1 said:Hi Ebony,
I suppose you would call me a 'reduced carber' as I think some people go a lot lower than me. Good luck to you with the pump.
Lynne C said:Hi Ebony
I am Type 1 and my recent HBA1C was 6.6 which pleases my GP no end. I am strict with my diet and go running 4 times a week and walk a lot. Exercise is vital in reducing the amount of insulin you need and making you fitter, plus you feel a lot better about yourself. When you've run up a few hills it tends to put everything into perspective! I've been diabetic for 30 years so I'm not a novice.
Regards
Lynne C
Romola said:I found that very interesting, as I hadn't realised that low bg could be associated with brain damage.
My last HbA1C was 5.9 - and I am expecting the result of the next one next week.
I am T2, and do diet and exercise only.
I follow a low glycemic load approach.
I got shot down on another thread for daring to question the advisability of going in for too much protein, thus risking kidney problems unless you know your kidneys are in good nick.
I recently read that many diabetics don't metabolise fat properly, so the higher fat approach may not be a good one.
I firmly believe that a balanced diet is best - albeit with reduced carbs - and those that remain to be as complex as possible (with exceptions like my nightly piece of chocolate)
iHs said:This is because of hypo awareness not being too good on lower a1c's and possible brain damage caused by low bg levels over a prolonged period.
Dillinger said:iHs said:This is because of hypo awareness not being too good on lower a1c's and possible brain damage caused by low bg levels over a prolonged period.
"Brief or mild hypoglycemia produces no lasting effects on the brain, though it can temporarily alter brain responses to additional hypoglycemia. Prolonged, severe hypoglycemia can produce lasting damage of a wide range. This can include impairment of cognitive function, motor control, or even consciousness. The likelihood of permanent brain damage from any given instance of severe hypoglycemia is difficult to estimate, and depends on a multitude of factors such as age, recent blood and brain glucose experience, concurrent problems such as hypoxia, and availability of alternative fuels. The vast majority of symptomatic hypoglycemic episodes result in no detectable permanent harm." Allen I. Arieff, Robert C. Griggs (1992). Metabolic brain dysfunction in systemic disorders. Boston: Little, Brown.
Recurrent episodes of hypoglycemia were strongly correlated with persistent neurodevelopmental and physical growth deficits until 5 years of age. Recurrent hypoglycemia also was a more predictable factor for long-term effects than the severity of a single hypoglycemic episode. Therefore repetitive blood glucose monitoring and rapid treatment even for mild hypoglycemia are recommended for small-for-gestational-age infants in the neonatal period. (J Pediatr 1999;134:492-8)
Snodger said:I was reading the National Diabetes Audit (I know! the things I do for fun!) and found this interesting statistic:
In 2008-2009 only 28.6% of type 1s got their HbA1c equal to or below 7.5
The equivalent figure for type 2s was 66.6%.
Please, nobody post here saying that that is because type 1s are all lazy or stupid, because I will have to seek you down and kill you. :wink:
Type 1 is a tough gig.
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