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Is a good HbA1c all that matters?
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<blockquote data-quote="pavlosn" data-source="post: 682575" data-attributes="member: 22572"><p>I don't think I have an answer that will satisfy your question. </p><p></p><p>As a t2 who is on Metformin only and so at a low risk of hypos I personally like to keep a tight rain on my levels and generally aim to be under 7,8 at one hour post prandial under 6,7 at two hours and under six at all other times. As I also stated I usually like to keep the two our rise of any meal within 2 mmol. These targets are stricter than NICE guidelines but I find I can meet them so I aim for them.</p><p></p><p>The 7,8 mmol ceiling is not arbitrary, I use it because there are studies that suggest that at sugar levels below that threshold internal organ damage is minimized. So I prefer to stay above this level for as little as possible.</p><p></p><p>I hope that even in a roundabout I have answered your questions.</p><p></p><p>The reason I differentiated between t1 and t2 is because I do not know if it is realistic for a t1 or insulin dependent t2 to aim this low because of the increased risk of hypos</p><p></p><p>Regards</p><p></p><p>Pavlos</p></blockquote><p></p>
[QUOTE="pavlosn, post: 682575, member: 22572"] I don't think I have an answer that will satisfy your question. As a t2 who is on Metformin only and so at a low risk of hypos I personally like to keep a tight rain on my levels and generally aim to be under 7,8 at one hour post prandial under 6,7 at two hours and under six at all other times. As I also stated I usually like to keep the two our rise of any meal within 2 mmol. These targets are stricter than NICE guidelines but I find I can meet them so I aim for them. The 7,8 mmol ceiling is not arbitrary, I use it because there are studies that suggest that at sugar levels below that threshold internal organ damage is minimized. So I prefer to stay above this level for as little as possible. I hope that even in a roundabout I have answered your questions. The reason I differentiated between t1 and t2 is because I do not know if it is realistic for a t1 or insulin dependent t2 to aim this low because of the increased risk of hypos Regards Pavlos [/QUOTE]
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