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How low is too low for an HbA1c?
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<blockquote data-quote="NewdestinyX" data-source="post: 223266" data-attributes="member: 35544"><p>Grazer,</p><p>Caleb's answer is exactly on target. Phase I covers meals - quick bursts of sugar into</p><p>System and phase II is working to bring us back to fasting levels. Oddly the first kind of insulin that doctor's recommend is slow acting when really the fast acting more directly addresses the initial needs of a T2. I think the 'one shot a day' seems like the easier 'sell' to the patient. I echo Unbeliever's reticence about docs. Though there is so little risk in injecting insulin it still galls me that our doctors don't just shoot straight with us. There are so many legal issues to fear these days that docs have to practice medicine 'defensively'. It's such a shame.</p><p></p><p>Caleb - you're 100% right again about reaching a stage in pre diabetes where all weight gain just stops no matter what you eat. Exactly what happened to me. Then when starting Lantus I wanted those perfect am fasting numbers. I got them but at the expense of halting my weight loss, regaining some weight and 70's(low 4's) before lunch and dinner. There's just no way to beat Dawn Effect - as all humans secrete cortisol to make the liver dump glucose into the blood in the early am to wake us up. It's a natural process. Just in diabetics it's like eating a candy bar that you didnt eat and now need insulin for. I treat wake up highs like any other meal with carbs. I take a shot of the Novalog upon waking. There's a reason the instructions on Lantus and Levemir say titrate up until fasting is <110 upon waking. If you shoot lower in am it creates the weight gain potential and hypos later in the day. I learned the hard way.</p></blockquote><p></p>
[QUOTE="NewdestinyX, post: 223266, member: 35544"] Grazer, Caleb's answer is exactly on target. Phase I covers meals - quick bursts of sugar into System and phase II is working to bring us back to fasting levels. Oddly the first kind of insulin that doctor's recommend is slow acting when really the fast acting more directly addresses the initial needs of a T2. I think the 'one shot a day' seems like the easier 'sell' to the patient. I echo Unbeliever's reticence about docs. Though there is so little risk in injecting insulin it still galls me that our doctors don't just shoot straight with us. There are so many legal issues to fear these days that docs have to practice medicine 'defensively'. It's such a shame. Caleb - you're 100% right again about reaching a stage in pre diabetes where all weight gain just stops no matter what you eat. Exactly what happened to me. Then when starting Lantus I wanted those perfect am fasting numbers. I got them but at the expense of halting my weight loss, regaining some weight and 70's(low 4's) before lunch and dinner. There's just no way to beat Dawn Effect - as all humans secrete cortisol to make the liver dump glucose into the blood in the early am to wake us up. It's a natural process. Just in diabetics it's like eating a candy bar that you didnt eat and now need insulin for. I treat wake up highs like any other meal with carbs. I take a shot of the Novalog upon waking. There's a reason the instructions on Lantus and Levemir say titrate up until fasting is <110 upon waking. If you shoot lower in am it creates the weight gain potential and hypos later in the day. I learned the hard way. [/QUOTE]
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How low is too low for an HbA1c?
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