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How low is too low for an HbA1c?
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<blockquote data-quote="borofergie" data-source="post: 219629" data-attributes="member: 33342"><p>It depends what medication you're on.</p><p></p><p>If you're on diet only, or metformin, then the risk of hypos is low, so you can go as low you can. Some people here get beneath 5% without any complications.</p><p></p><p>The risk of hypos is much higher with insulin, so some people choose a higher HbA1c target. However, there are also some carefully controlled T1s here who are life members of the 5% club.</p><p></p><p>The truth is that only you can decide what your ideal target is. You need to weigh up the potential consequences of your HbA1c level against the level of sacrafice you are willing to make. </p><p></p><p>My own philosophy is that I can't accurately calculate the consequences of a high HbA1c, so I choose to minimise the risk of complications by minimising my BG whenever possible (by low carbing and running). Other people decide that risk of complications is low when your HbA1c is 7%ish and so legitimately decide to eat a more fun diet. (Others still would like a lower HbA1c but their broken pancreas won't let them get any lower).</p><p></p><p>A HbA1c of 8% is equivalent to an average BG of 10mmol/l. </p><p></p><p>The NICE Guidelines for T2s (which some people think aren't conservative enough) suggest that your BG should be</p><p> * Before meals: 4-7mmol/l</p><p> * Two hours after meals: less than 8.5mmol/l</p><p>so 10mmol/l on average does seem kind of high.</p></blockquote><p></p>
[QUOTE="borofergie, post: 219629, member: 33342"] It depends what medication you're on. If you're on diet only, or metformin, then the risk of hypos is low, so you can go as low you can. Some people here get beneath 5% without any complications. The risk of hypos is much higher with insulin, so some people choose a higher HbA1c target. However, there are also some carefully controlled T1s here who are life members of the 5% club. The truth is that only you can decide what your ideal target is. You need to weigh up the potential consequences of your HbA1c level against the level of sacrafice you are willing to make. My own philosophy is that I can't accurately calculate the consequences of a high HbA1c, so I choose to minimise the risk of complications by minimising my BG whenever possible (by low carbing and running). Other people decide that risk of complications is low when your HbA1c is 7%ish and so legitimately decide to eat a more fun diet. (Others still would like a lower HbA1c but their broken pancreas won't let them get any lower). A HbA1c of 8% is equivalent to an average BG of 10mmol/l. The NICE Guidelines for T2s (which some people think aren't conservative enough) suggest that your BG should be * Before meals: 4-7mmol/l * Two hours after meals: less than 8.5mmol/l so 10mmol/l on average does seem kind of high. [/QUOTE]
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How low is too low for an HbA1c?
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