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Type 1 Diabetes
How Many Hypo's Is Too Many?
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<blockquote data-quote="NicoleC1971" data-source="post: 1906333" data-attributes="member: 365308"><p>To answer the OPs question, the number of hypos you are prepared to tolerate has got to be a personal thing based on how much of an impact they have on your life. </p><p>I am on a pump and low carb so there tends to be less over dosing going on but keeping on top of carb ratios is the way to go and it is a great sign that your body is responding to exercise by needing less insulin. I do not believe that hypos are the price I must pay to have a good mean average (HBA1c); I could not live my life having daily hypos or living in fear of them. My HBA1c is not great though and I know I need to cartch the hypers quicker! </p><p>I just don't think I will ever be able to have a perfect set of rules for ratios etc. even with a pump that can adjust these things in time blocks so get frustrated when those not living with type 1 suggest that this is just a matter of data management. It probably is at the level of a workiing pancreas that makes real time adjustments, but I don't have the capacity to Think Like A Pancreas beyond the crude basics.</p><p>I think the new cgm/flash monitoring tech will help us record and adjust dosage better so that we look at 'time in range' as a metric rather than HBA1c (I guess that is a modal average rather than the mean average). Looking forward to getting my fsl this week to do some basal testing then back to test strips in between to manage that cost!</p></blockquote><p></p>
[QUOTE="NicoleC1971, post: 1906333, member: 365308"] To answer the OPs question, the number of hypos you are prepared to tolerate has got to be a personal thing based on how much of an impact they have on your life. I am on a pump and low carb so there tends to be less over dosing going on but keeping on top of carb ratios is the way to go and it is a great sign that your body is responding to exercise by needing less insulin. I do not believe that hypos are the price I must pay to have a good mean average (HBA1c); I could not live my life having daily hypos or living in fear of them. My HBA1c is not great though and I know I need to cartch the hypers quicker! I just don't think I will ever be able to have a perfect set of rules for ratios etc. even with a pump that can adjust these things in time blocks so get frustrated when those not living with type 1 suggest that this is just a matter of data management. It probably is at the level of a workiing pancreas that makes real time adjustments, but I don't have the capacity to Think Like A Pancreas beyond the crude basics. I think the new cgm/flash monitoring tech will help us record and adjust dosage better so that we look at 'time in range' as a metric rather than HBA1c (I guess that is a modal average rather than the mean average). Looking forward to getting my fsl this week to do some basal testing then back to test strips in between to manage that cost! [/QUOTE]
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