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Should I raise my HbA1c
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<blockquote data-quote="phoenix" data-source="post: 843285" data-attributes="member: 12578"><p>Recent analysis of ACCORD is far more nuanced than the original headlines.</p><p>1) few deaths attributable to hypos</p><p>2)intensive-therapy patients had significantly lower rates of <strong>nonfatal</strong> MI, any MI, unstable angina, coronary revascularization, and combinations of these outcomes (relative risks, 0.81–0.87) than those who received standard therapy</p><p><a href="http://www.jwatch.org/na35378/2014/08/07/more-accord-trial-ischemic-heart-disease-outcomes" target="_blank">http://www.jwatch.org/na35378/2014/08/07/more-accord-trial-ischemic-heart-disease-outcomes</a></p><p>If you are older and sicker then the risk of reducing levels to the 5s might be important (might not though have any relevance to T1 at all)</p><p></p><p>I think that the biggest fear is losing hypoawareness .From my own point of view, I think that you have to be honest to yourself about how often hypos occur and at what level you feel them.</p><p>My HbA1c was 5.8% the other day, it's been about that level for several years and my doctor no longer says I am 'trop bien equilibre ; ie too tightly controlled.It's changed to ' impeccable' Having said that I had a brief period at 4.9% and that was too low for me, I realised that I was losing hypo awareness</p></blockquote><p></p>
[QUOTE="phoenix, post: 843285, member: 12578"] Recent analysis of ACCORD is far more nuanced than the original headlines. 1) few deaths attributable to hypos 2)intensive-therapy patients had significantly lower rates of [B]nonfatal[/B] MI, any MI, unstable angina, coronary revascularization, and combinations of these outcomes (relative risks, 0.81–0.87) than those who received standard therapy [URL]http://www.jwatch.org/na35378/2014/08/07/more-accord-trial-ischemic-heart-disease-outcomes[/URL] If you are older and sicker then the risk of reducing levels to the 5s might be important (might not though have any relevance to T1 at all) I think that the biggest fear is losing hypoawareness .From my own point of view, I think that you have to be honest to yourself about how often hypos occur and at what level you feel them. My HbA1c was 5.8% the other day, it's been about that level for several years and my doctor no longer says I am 'trop bien equilibre ; ie too tightly controlled.It's changed to ' impeccable' Having said that I had a brief period at 4.9% and that was too low for me, I realised that I was losing hypo awareness [/QUOTE]
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