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Message: <blockquote data-quote="Juicyj" data-source="post: 2743643" data-attributes="member: 53162">Hello [USER=397875]@Zinadane[/USER] Insulin sensitivity can change with the weather, I find summer vs winter mine changes, Summer tends to open the blood vessels more, allows for quicker insulin absorption, winter does the opposite, sometimes it can be highly noticeable and sometimes not - however then combine that with an insulin whose efficacy has diminished and this is more pronounced, it may well be that Fiasp isn't as effective now as it's been previously, but that's a chat with your team to review as they may well want you to try a different insulin.I tend to chase stubborn highs with exercise as that get's things moving for me as well as lots of fluids.  I also get that your disappointed with your HbA1c but mine is around 53 despite getting a time in range of around 75-85%, my DSN seems to feel pleased with my TIR and not so bothered about my HbA1c, so I have taken my foot of the gas in regards to using HbA1c as my guide and use my TIR more now.</blockquote>

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