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Is there something like too low HbA1C?
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<blockquote data-quote="keithd01" data-source="post: 2043148" data-attributes="member: 505358"><p>For the past 5 years my HbA1c has never been above 6.3 (sorry, still using old money) and have been told that that my diabetes control via insulin pen was excellent. Now, having changed medical practice, I am told that my HbA1c is too low and that I am hypo-unaware! Looking back over the last 5 years, on average I have a low blood sugar, I.e below 4.0, once per month, and an incidence of a reading below 3 of about once every 4 months and these are usually as a result of activity. I am aware of hypos because it physically manifests itself with the usual symptoms, but these symptoms only appear when sugar falls to about 3.7 - so I am NOT hypo-unaware. I adjust my insulin (Mixtard 30) dose based on my glucose reading and am now told that this is wrong too! I am told that I MUST stick to a fixed dose irrespective of glucose reading. This seems wrong to me, and basically makes me ask the question 'why bother doing a glucose test 'cos you ignore the result anyway!' What do others think?</p></blockquote><p></p>
[QUOTE="keithd01, post: 2043148, member: 505358"] For the past 5 years my HbA1c has never been above 6.3 (sorry, still using old money) and have been told that that my diabetes control via insulin pen was excellent. Now, having changed medical practice, I am told that my HbA1c is too low and that I am hypo-unaware! Looking back over the last 5 years, on average I have a low blood sugar, I.e below 4.0, once per month, and an incidence of a reading below 3 of about once every 4 months and these are usually as a result of activity. I am aware of hypos because it physically manifests itself with the usual symptoms, but these symptoms only appear when sugar falls to about 3.7 - so I am NOT hypo-unaware. I adjust my insulin (Mixtard 30) dose based on my glucose reading and am now told that this is wrong too! I am told that I MUST stick to a fixed dose irrespective of glucose reading. This seems wrong to me, and basically makes me ask the question 'why bother doing a glucose test 'cos you ignore the result anyway!' What do others think? [/QUOTE]
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Is there something like too low HbA1C?
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