D
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It's 10 here too.
When I read blood sugar 101,
She seems to prove that damages occur after 7.8.
From her research into the studies done.
My Libre says I'm in range 10 percent of the time.
It's 10 here too.Not sure what the system is in Canada but professional medical staff here usually think up to 10 is in range. What are you aiming for? What time in range does your libre show?
Aiming to be within 8 anytime I measure/scan.Not sure what the system is in Canada but professional medical staff here usually think up to 10 is in range. What are you aiming for? What time in range does your libre show?
Yes I maybe am I aiming for too tight of a control.My T1D guitar buddy uses a pump, and he has been advised to only take intervention if his levels exceed 21 mmol/l or drop below 8 mmol/l. These are his in range values for his control and he has followed them for at least the last 15 years that we have been gigging together,
I am a T2D and not an insulin user, but whenever I was in hospital for repair, I too was subject to the same regime and was expected to only control between 8 and 15mmol/l anything outside this range was cause for concern by nursing staff. I am used to control between 4 and 8 outside of NHS land.so it was a shock for me. My current doctor wants me to be controlling to meet an HbA1c of 56 or above so again I differ in opinion as to what my control regime should be, It seems that the HCP's use a different set of values than us mere mortals.
So you may be expecting an unrealistic control regime of yourself and it may help your peace of mind if you can alter your personal goals to ones that are realisticsally achievable. Starving yourself is not going to help you in the longer term. and is not giving peace of mind and tranquility either.
There are several studies that show that insulin users using tight control of bgl levels actually had a shorter lifespan and or a lessened quality of life and it seems we can reduce bgl too low for natural bodily function. I am no expert, but there is evidence that you might benefit from a less tight control regime.
And I just ate/drank my 2nd meal- a bit early- it was 2 cups of ensure(2 bottles) . It's already- within 30 minutes- setting off the silly alarms at 9.4 with the up arrow. Geesh. I had to have 2 as the calories won't be alot with just the 480 from the c9ttage cheese earlier. And I also took 27 units of trurapi!!!!That’s only a little over a rise of 2. So although it’s higher than I would expect for a 0 carb meal it’s not a disaster. How quickly did it come down?
I have no idea how much of your own insulin you are still making but as a T1 when I eat carbs I expect my bg to rise before my insulin can bring it down. The limits you are using (less than 8) would be unachievable for me. I don't know what your team told you when they financed your cgm but I can't help feeling that your aims may be unrealistic. For an insulin controlled T1 (no insulin of their own so not necessarily the same as a insulin controlled T2) I believe the guidelines for good control are 70% within range of 4 to 10....And I just ate/drank my 2nd meal- a bit early- it was 2 cups of ensure(2 bottles) . It's already- within 30 minutes- setting off the silly alarms at 9.4 with the up arrow. Geesh. I had to have 2 as the calories won't be alot with just the 480 from the c9ttage cheese earlier. And I also took 27 units of trurapi!!!!
I think your own personal struggle to get within range is a pointer to why the limits are wider than for non diabetics. Insulin treatment is not perfect, and not an exact science. The time delay between the injection and the insulin taking full effect makes dosing difficult to predict and not easy to correct if found to be 'out'.I believe they said 4 to 10.
With an a1c goal of 7.
I never understood tho why are diabetics given goals so much higher than normal numbers?
My lab says 5.5 is normal for the a1c. Why are we given such higher numbers when there is already such a risk if complications. It can't always be to avoid hyos as many are not on insulin or hypo causing meds.
i see from other postings you have recently made in other threads, that this thread is your gloomiest, so I am optimistic that you do actually know what your action plan should be, and that this thread is a safety valve for you. So my response to your question above is that you could instead think about the complications you will avoid by climbing back into the driving seat of life, and taking control of your journey. The doctor may or may not catch up with you, but primarily we are the drivers and its up to us.Sad
Wondering what my complications will be.
Time in target-What does your time in range look like?
Your HBA1c is good, and it sounds as if at the moment you are only getting small rises after meals which should be causing minimal damage. So it is unlikely you are heading for major complications. Your expectations of yourself given your need for insulin and your other problems finding suitable food feel too high, and as a result you are creating worries over trying to achieve the impossible perfect profile. do remember even non diabetics will have rises in blood sugar after eating, and these will sometimes be above 10.
perhaps start a post asking about timing of your rapid insulin before meals. I don’t take insulin so can’t advise you, but could it be that you could tweak it to take the insulin slightly earlier so that it is ready to work as your food is absorbed? Please don’t try this without taking advice from someone who actually knows if it’s right though.
When I was using toujeo I was taking 160 units but not reaching the Dr set goals.I have no idea how much of your own insulin you are still making but as a T1 when I eat carbs I expect my bg to rise before my insulin can bring it down. The limits you are using (less than 8) would be unachievable for me. I don't know what your team told you when they financed your cgm but I can't help feeling that your aims may be unrealistic. For an insulin controlled T1 (no insulin of their own so not necessarily the same as a insulin controlled T2) I believe the guidelines for good control are 70% within range of 4 to 10....
Some diabetics need literally 100s of units of insulin per day to achieve control, so 27 units is not necessarily a lot. People's insulin needs can vary massively. I have no idea what yours are but a doctor should be advising you on that, and also on what ranges ypur should be aiming for with your libre.
I'm not sure how to focus on the hba1c? Does that require a focus on daily numbers to do that?Well I’m not on insulin, but the majority of people I see who are on here are advised to set their targets higher than that. Yes, insulin can be tweaked to give you a lower base blood sugar, but the risk is that you then go hypo. A hypo puts you at much greater risk of harm than the occasional blood sugars higher than 8 (but lower than high teens).
perhaps you could consider relaxing your targets a bit and focussing more on the HBAic as a long term indicator of how you are doing,
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