three month clinic appointment - great news

ElyDave

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HbA1C down from 129 (13.9%) to 46 (6.4%). Consultant very pleased.

Only thing is, although he would be happy for me to be on a pump, a performance like that goes against NICE guidelines.
 

noblehead

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Not necessarily so, I think you can still be eligible if your losing your hypo awareness symptoms or having injection site problems, good reduction in Hba1c btw :clap:
 

alohanicky2009

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How did you manage such impressive reduction? My HbAc1 are high 128 % would really like to get mine down as I am trying to get a pump but at the moment I am too high


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mo1905

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Great numbers there Dave. Why do you want a pump so badly ? Not sure if I'd want one really ! If it ain 't broke etc ! Keep it up though !


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ElyDave

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thanks all,

Mo, I think a pump would be more versatile for sport - the ability to really cut back on the basal almost immediately for the long runs/rides, and just suspend completely for shorter stuff. I've gone hypo about 2 hours after a long run and it wasn't pleasant. I think it would also be similar in terms of not being too worried about potential hypos during the day in front of clients etc. If one hypo wipes out a day's work, that's quite a chunk of money down the drain, so if I can reduce that risk even better. I'm aiming for as tight a control as I can manage to be honest.

Nicky, it's a bit bonkers isn't it, you can't get a pump because your HbA1c is too high, me becasue my control is too good. My consultant was saying the NICE criteria are bonkers for people like me. It's based on short term cost rather than long term prevention of complications. To be honest I think DAFNE and pumps should be available for all T1s by choice, which I'm told is the case elsewhere.

The way I got such good control? A very early decision that I'm in charge, not the diabetes, overall I think it's a combination of mental attitude plus starting from a good point in terms of physical fitness. Plus a good streak of bloody-mindedness