ideas for the dr?

[cdpm]

hi
I recently received an improved a1c test result of a 6%
from an 8%
and I will be going to the dr's soon
and he will be happy to have me have achieved a number
under 7
which I agree is good
but I would like to see maybe a 5% or 5.5%
so the question is:
how do I get his support to achieve
a better result when the published results the dr follows
is under 7% and they are happy with that?

 

[urbanracer]

hi
I recently received an improved a1c test result of a 6%
from an 8%
and I will be going to the dr's soon
and he will be happy to have me have achieved a number
under 7
which I agree is good
but I would like to see maybe a 5% or 5.5%
so the question is:
how do I get his support to achieve
a better result when the published results the dr follows
is under 7% and they are happy with that?

Generally speaking 'they' don't like 'us' going that low. They get worried that we will have too many hypo's and start to lose awareness. Of course we are all different but it is a valid concern, so I myself wouldn't expect too much help from medical people with trying to get down to 5%.

 

[ButtterflyLady]

hi
I recently received an improved a1c test result of a 6%
from an 8%
and I will be going to the dr's soon
and he will be happy to have me have achieved a number
under 7
which I agree is good
but I would like to see maybe a 5% or 5.5%
so the question is:
how do I get his support to achieve
a better result when the published results the dr follows
is under 7% and they are happy with that?

Well done on your improvement! What kind of support would you need from him? Perhaps you can achieve your goals without him being on board? Or, if you need his support and can't get it, maybe a different doctor would help more? It's a tough one for sure.

 

[cdpm]

Well done on your improvement! What kind of support would you need from him? Perhaps you can achieve your goals without him being on board? Or, if you need his support and can't get it, maybe a different doctor would help more? It's a tough one for sure.

my morning fasting is still over 140 so I would hope for more lantus
and my post meal numbers are too high still
so it seems that my doses are too low
so I would need a dose increase

I don't have a different dr option
the one I go to is a walkin dr
and the other walkin said I should be only
going to one dr about this
not be going back and forth like I was
so had to choose 1 walkin as the same 1 to always go to
im on a waiting list for 3 years now for my own dr

 

[cdpm]

Generally speaking 'they' don't like 'us' going that low. They get worried that we will have too many hypo's and start to lose awareness. Of course we are all different but it is a valid concern, so I myself wouldn't expect too much help from medical people with trying to get down to 5%.

I hope to be different and be one of the few people who
do get help
I guess we'll see

 

[ButtterflyLady]

my morning fasting is still over 140 so I would hope for more lantus
and my post meal numbers are too high still
so it seems that my doses are too low
so I would need a dose increase

I don't have a different dr option
the one I go to is a walkin dr
and the other walkin said I should be only
going to one dr about this
not be going back and forth like I was
so had to choose 1 walkin as the same 1 to always go to
im on a waiting list for 3 years now for my own dr

Hopefully you will be able to persuade him to let you have more of both insulins by using your day to day BG results.

 

[urbanracer]

I hope to be different and be one of the few people who
do get help
I guess we'll see

Ok but bear in mind that (in thr UK) 6.5% is the point at which diabetes is diagnosed so being at 6% is already pretty impressive. My last test was 6.4% and I was told that I shouldn't try to go lower.

 

[cdpm]

Ok but bear in mind that (in thr UK) 6.5% is the point at which diabetes is diagnosed so being at 6% is already pretty impressive. My last test was 6.4% and I was told that I shouldn't try to go lower.

I am pretty happy with the 6%
and was surprised

 

[cdpm]

Hopefully you will be able to persuade him to let you have more of both insulins by using your day to day BG results.[/QUOTE

hopefully

it may go ok
I just always try to strive for better

im making a nice readable copy of my logs
so they can be read better as they are always so short of time
(the dr's)

 

[ButtterflyLady]

Have I done the conversion right if 6% = 35 mmol/mol?

 

[cdpm]

Have I done the conversion right if 6% = 35 mmol/mol?

im not sure
but I think you use the number 18
and either divide it or multiply it
depending on which way you are converting it
from
so 6% would be 6x18
108 I believe?

 

[CollieBoy]

6% = 42mmol/mol per the converter http://www.diabetes.co.uk/hba1c-units-converter.html

 

[ButtterflyLady]

6% = 42mmol/mol per the converter http://www.diabetes.co.uk/hba1c-units-converter.html

Thanks, I had a feeling I was using it wrong but I couldn't work it out.

I think it would be an uphill battle trying to get a doctor to increase insulin to go lower than that level. Is there a reason you need insulin to achieve this?

 

[CollieBoy]

Thanks, I had a feeling I was using it wrong but I couldn't work it out.

I think it would be an uphill battle trying to get a doctor to increase insulin to go lower than that level. Is there a reason you need insulin to achieve this?

My lower HbA1c is due to "brute force & ignorance" HFLC wedded to the HCP reviews not quick enough to catch up with my dropping HbA1c, hence by the time I got my results & had my meds changed, I had already dropped my bloods further

 

[Mep]

that's a great number to have My endo has stipulated the importance of avoiding hypos. But he said being realistic he doesn't think I could get tighter control because of my overall health. I do drop sugar level very quick and get hypos quickly sometimes. He also said for me my safe number is 5 so he wants me above that at all times and not going to bed on less than 8. He's right as every time I drop below 5 I drop very fast and I'm having a hypo before I know it. If you don't have any issues that may place you at higher risk, then hopefully you can get to your hbA1c target. For me I just aim to be below 7.

 

[cdpm]

I wasn't able to get dr support for any improvement of my 6%
a1c despite showing him my everyday numbers of mainly
between 7 and 8
128 to 144
seem to be forced against the wall
as far as improving
a weight loss of over 30 pounds and exercise and low carb
just hasn't done it
are there other strategies?

 

[cdpm]

I really only want my morning fasting down from near 8(144)
to maybe a 6(108)
even though the literature says damages can
occur above an a1c of 5.5
so im very close at a a1c of 6%

 

[ButtterflyLady]

I really only want my morning fasting down from near 8(144)
to maybe a 6(108)
even though the literature says damages can
occur above an a1c of 5.5
so im very close at a a1c of 6%

I'm curious about the literature saying damage can occur above 5.5 because I haven't seen that anywhere. Not saying it doesn't exist, just curious.

 

[tim2000s]

I'm curious about the literature saying damage can occur above 5.5 because I haven't seen that anywhere. Not saying it doesn't exist, just curious.

I think if you convert it to average blood glucose it equates to a number above which Bernstein has mentioned that damage may still occur.

 

[cdpm]

does anyone know how to figure out the amount
of insulin to use at each meal?
I was figuring out my personal insulin to carb ratio
per meal after totally guessing and luckily didn't meet
with any lows or extreme highs
and I wanted to stop guessing
but
went to my dietician/cde trained person today
and asked her for a ratio or sliding scale
just so I wouldn't have to keep guessing
because eventually I may miss and have a low
or bad high
she said they don't use scales or ratios
they figure the insulin out
based on each meal
but I don't understand how
like where do you start?
don't I need something to start with?
I had been squished in so there
wasn't enough time for me to ask