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I've been told to increase HbA1c to improve hypo awareness
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<blockquote data-quote="ann34+" data-source="post: 939165" data-attributes="member: 94348"><p>Hi, Lucy, i think that the advice to raise levels short term to try to regain hypo symptoms, seems reasonable to me , especially given someone has had breaks before and has osteoporosis. I only know i was given the advice, for various reasons, including falls prevention - maybe the reasons are different in Dancer's case. There is a lot in the research showing that falls and slips increase in older people generally, and even more so in diabetics, for a whole lot of reasons, one of which may be not quite 100% attention when mildly hypo , and falls/slips can lead to breaks.</p><p>i myself only had a minor slip on some papers on the floor when i broke my hip, and DEXA did not even show osteoporosis, only osteopenia (Type ones - young and old, men and women - have been found to have altered bone turnover, and some of the bone changes do not, apparently , even show up on DEXA scans.)</p><p>The advice i have been given to raise HbA1c to still only just over DCCT intensive control levels , as i have no complications and am older, seems good to me, especially as so little is clear cut at present. I would like a CGM but this is not possible, it is not an ideal world.</p><p></p><p>Until my break my HbA1c averaged 6% to 6.4% for the over 20 years that the test was offered, (the HbA1 and the fructosomine tests were the earlier tests and they were in the normal range also ) and for some years my HbA1c was lower, in the 5's, , when i had more hypos on human insulin.</p><p>My own view is that maybe another reason for advice to try to stop hypos could be connected to one of the recent suggestions i.e. - that too much circulating insulin itself could be one problem, especially as Type 2s also have bone problems but of a different type. But if i have understood some of the research ideas, lack of ones own insulin may mean some complex beta cell signalling is faulty - i dont know, not qualified enough to understand, see 2008, 2014 research, and 2015 discussion, be interested to know what you think</p><p><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518333/" target="_blank">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518333/</a></p><p><a href="http://link.springer.com/article/10.1007/s00125-014-3338-1/fulltext.html" target="_blank">http://link.springer.com/article/10.1007/s00125-014-3338-1/fulltext.html</a></p><p>2015 full text discussion if you google Diabetes and Hip Fractures: an Important Underrepresented Topic in the Related Literature Marks R* Department of Health and Behavior Studies, Teachers College, Columbia University, USA * Published: May 06, 2015</p></blockquote><p></p>
[QUOTE="ann34+, post: 939165, member: 94348"] Hi, Lucy, i think that the advice to raise levels short term to try to regain hypo symptoms, seems reasonable to me , especially given someone has had breaks before and has osteoporosis. I only know i was given the advice, for various reasons, including falls prevention - maybe the reasons are different in Dancer's case. There is a lot in the research showing that falls and slips increase in older people generally, and even more so in diabetics, for a whole lot of reasons, one of which may be not quite 100% attention when mildly hypo , and falls/slips can lead to breaks. i myself only had a minor slip on some papers on the floor when i broke my hip, and DEXA did not even show osteoporosis, only osteopenia (Type ones - young and old, men and women - have been found to have altered bone turnover, and some of the bone changes do not, apparently , even show up on DEXA scans.) The advice i have been given to raise HbA1c to still only just over DCCT intensive control levels , as i have no complications and am older, seems good to me, especially as so little is clear cut at present. I would like a CGM but this is not possible, it is not an ideal world. Until my break my HbA1c averaged 6% to 6.4% for the over 20 years that the test was offered, (the HbA1 and the fructosomine tests were the earlier tests and they were in the normal range also ) and for some years my HbA1c was lower, in the 5's, , when i had more hypos on human insulin. My own view is that maybe another reason for advice to try to stop hypos could be connected to one of the recent suggestions i.e. - that too much circulating insulin itself could be one problem, especially as Type 2s also have bone problems but of a different type. But if i have understood some of the research ideas, lack of ones own insulin may mean some complex beta cell signalling is faulty - i dont know, not qualified enough to understand, see 2008, 2014 research, and 2015 discussion, be interested to know what you think [URL]http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518333/[/URL] [URL]http://link.springer.com/article/10.1007/s00125-014-3338-1/fulltext.html[/URL] 2015 full text discussion if you google Diabetes and Hip Fractures: an Important Underrepresented Topic in the Related Literature Marks R* Department of Health and Behavior Studies, Teachers College, Columbia University, USA * Published: May 06, 2015 [/QUOTE]
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I've been told to increase HbA1c to improve hypo awareness
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