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Diabetes Discussion
Type 2 Diabetes
Is a low HbA1c dangerous in any way?
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<blockquote data-quote="EllieM" data-source="post: 2340381" data-attributes="member: 372717"><p>As a T1, if I get too many hypos I start to lose hypo awareness, so the doctors start complaining once my hba1c goes much below 50. On the other hand, as I'm now self funding a dexcom, I've been able to avoid a whole lot of hypos by having an alarm set at 4.4, and I feel free to try for lower....</p><p></p><p>But T2s typically start out by making massive quantities of internal insulin, and progress to insulin injections because either their insulin resistance goes up to the point where their internal supply isn't enough, or because their insulin producing cells have been worn out by the over production of insulin, or some combination of the two. If [USER=330514]@masonap[/USER] is still producing lots of insulin then coming off injections (those seem like quite small doses for a typical T2, though I realise that everyone is different) might well work.</p><p></p><p>But if his insulin production is now low, insulin is going to remain his best friend. He needs that cpeptide test.</p><p></p><p>And one other possibility that you may not have thought of. The original T2 diagnosis may have been a missed LADA/T1 one. Many doctors don't bother to do the differential T1/T2 test and just assume T2 for older and/or fatter patients.</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="EllieM, post: 2340381, member: 372717"] As a T1, if I get too many hypos I start to lose hypo awareness, so the doctors start complaining once my hba1c goes much below 50. On the other hand, as I'm now self funding a dexcom, I've been able to avoid a whole lot of hypos by having an alarm set at 4.4, and I feel free to try for lower.... But T2s typically start out by making massive quantities of internal insulin, and progress to insulin injections because either their insulin resistance goes up to the point where their internal supply isn't enough, or because their insulin producing cells have been worn out by the over production of insulin, or some combination of the two. If [USER=330514]@masonap[/USER] is still producing lots of insulin then coming off injections (those seem like quite small doses for a typical T2, though I realise that everyone is different) might well work. But if his insulin production is now low, insulin is going to remain his best friend. He needs that cpeptide test. And one other possibility that you may not have thought of. The original T2 diagnosis may have been a missed LADA/T1 one. Many doctors don't bother to do the differential T1/T2 test and just assume T2 for older and/or fatter patients. Good luck. [/QUOTE]
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Is a low HbA1c dangerous in any way?
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