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Test result disagreement.

Jaylee

Jaylee

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Type of diabetes
Type 1
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Insulin
Hi, I don't normally start threads. But seek consultation from respected Ds.. All types!
I'm T1 on Lantus & Novorapid. I also low carb. Which has never been a hassle for me because of the healthy diet as a kid. Band tours tend to be an issue though. Lol

I had a check up on Monday with a new nurse. (Flu jab included.) I checked out fine at the time but did hit a low half way through the session/consultation of 2.5. (Fully hypo aware. Even during sleep.) I had my bag of stuff & treated my self as usual.. Respectable figure by the time I left surgery. Nurse just thought I looked bored. She hardy noticed.. I can blagg hypo situations well...

I had two missed calls & a text from surgery yesterday urgently requiring me to make an appointment.
I rang back questioning why & the receptionist assured me "there was nothing to worry about."

Within 10 minutes the nurse rang me back.. The concern was my HBA1c is "too low"...

They felt my last HBa thing earlier this year was spot on at 7.4. The test from Mondays session was 6.5.. 48 in new money?
She also suggested lowering my Lantus dose. Which I had a few months ago anyway due to frequent night hypos.. (She was fully briefed on my regime on Monday.)

So, I have lower hypo frequency & lower Hba1c.

Question is. Was I out of order disagreeing with & dismissing her concern?
 
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definitely not.............

good hypo awareness, less hypos, lower HbA1c..................a diabetics dream.................you know your own diabetes better than anyone.........if you alert your team/nurse/GP to the facts, they should be able to relax with your great achievement.........

:)
 
Jaylee said:
I had two missed calls & a text from surgery urgently requiring me to make an appointment yesterday.
I rang back questioning why & the receptionist assured me "there was nothing to worry about."

Within 10 minutes the nurse rang me back.. The concern was my HBA1c is "too low"...

Question is. Was I out of order disagreeing with & dismissing her concern?
Click to expand...

I think you're allowed an opinion and hers is based on guidelines (NICE in UK of course) which recommends an HbA1c below 7.5 without "frequent disabling hypoglycaemia".
I get the impression that some medical staff imagine that all diabetics are stupid, you're obviously not. Take care.
 
Cheers Novorapidboi,

I swang by the docs in the afternoon to book an appointment for 10 weeks time at the surgery & funny enough bumped into the other nurse I know well. To which she opened the same discussion on my results.!!
I can't actually fault these professionals at all.
The odd thing is. I thought I'd slacked a little due to other recent life distractions & thought something more sinister.. Lol
 
My nurses and consultants have always expressed concern at my levels as a type 1 going under 6.5 because of their thoughts of losing hypo awareness...

They are right when my levels have plummeted to under 5.6... I do get too many hypo's when this level comes in.. But I am hypo aware.

I am significantly better off with less hypo's when my levels are above 6.2. Those figures apply to me as an individual only though
 
[QUOTE="Jaylee, post: 641022, member: 101136"

I had two missed calls & a text from surgery yesterday urgently requiring me to make an appointment.
I rang back questioning why & the receptionist assured me "there was nothing to worry about."

[/QUOTE]

Apologies for being way off topic. It is related to something you said.

I recently had a heart echo cardiogram and a message was left on my phone to call my surgery to have the results read out to me from my notes.

This turned into "make an appointment with the GP, but there's nothing to worry about". Frustrating because I'd suggested making an appointment to coincide with the results being available and now I was having to wait another week to see the GP. I didn't whinge too much but did say that It's a funny thing to say, come to see the GP, but there's nothing to worry about.

The GP phoned within 5 minutes to tell me that the results had been sent on to a cardiologist, "but there's nothing to worry about". So now there's a two week wait.

To be fair they are trying to keep me informed and manage my anxiety at the same time, I'm having a Total Knee Replacement in November and that's all I'm worried about really, I don't want anything delaying that procedure, I've waited over ten years as it is.
 
graj0 said:
Apologies for being way off topic. It is related to something you said.

I recently had a heart echo cardiogram and a message was left on my phone to call my surgery to have the results read out to me from my notes.

This turned into "make an appointment with the GP, but there's nothing to worry about". Frustrating because I'd suggested making an appointment to coincide with the results being available and now I was having to wait another week to see the GP. I didn't whinge too much but did say that It's a funny thing to say, come to see the GP, but there's nothing to worry about.

The GP phoned within 5 minutes to tell me that the results had been sent on to a cardiologist, "but there's nothing to worry about". So now there's a two week wait.

To be fair they are trying to keep me informed and manage my anxiety at the same time, I'm having a Total Knee Replacement in November and that's all I'm worried about really, I don't want anything delaying that procedure, I've waited over ten years as it is.
Click to expand...

No worries at all Graj0.

Personally? I would focus on your knee operation too. This would aid mobility and fitness. (Apologies back. I'm assuming a dodgy knee would affect the aforementioned a little?) Ten years is a long time to wait for a new knee!
 
If the lower Hba1c isn't at the expense of more hypo's then I can't see any concerns, make it clear to them that your hypo's have reduced and you still have good hypo awareness symptoms Jaylee, as this is always a concern for HCP's.
 
noblehead said:
If the lower Hba1c isn't at the expense of more hypo's then I can't see any concerns, make it clear to them that your hypo's have reduced and you still have good hypo awareness symptoms Jaylee, as this is always a concern for HCP's.
Click to expand...

Pretty much the point I made to both nurses.. Though I don't think the hypo I had in the surgery on Monday helped, even though I demonstrated (as ever) awareness & could be dealt with it in a calm manor...
The night hypos I was having earlier this year are gone with great morning BS results..

I'm certainly not one to ruin the great relationship I have with these professionals. Especially the new nurse which I initially got along with swimmingly on my first encounter! ;)
 
they are taking an interest in your health, which in any form, is great................

you seem to have a good rapport with your team, which is good, I too have a good relationship with mine...........

I doubt everyone could agree they do.......:(
 
Jaylee said:
Pretty much the point I made to both nurses.. Though I don't think the hypo I had in the surgery on Monday helped, even though I demonstrated (as ever) awareness & could be dealt with it in a calm manor...
The night hypos I was having earlier this year are gone with great morning BS results..

I'm certainly not one to ruin the great relationship I have with these professionals. Especially the new nurse which I initially got along with swimmingly on my first encounter! ;)
Click to expand...


Getting on top of hypo's is important Jaylee and you certainly seem to have done that going by what your saying, the Monday episode I wouldn't worry about, as much as we try to avoid them it's going to happen form time-to-time and it's typical that yours happened in your clinic appointment.

Keeping a good relationship with your diabetes is important IMHO, that's not to say you have to agree with everything they say but it's good to leave on good terms, much like every other social encounter in life :)
 
You're in the right, in my opinion. They're worried about frequent hypos. So long as you're ok on that front then there's nothing to worry about. They're probably not used to T1s having such good HbA1c results - only 1 in 20 do!
 
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