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Type 1.5/LADA Diabetes
Told to increase my hb1ac?
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<blockquote data-quote="sgm14" data-source="post: 2285854" data-attributes="member: 517358"><p>> daily average of 5.9 mol/l</p><p></p><p>Are you sure? </p><p>An average of 5.9 mmol/L would give a HbA1c of 35 mmol/mol or 5.3% which I think is quite low. </p><p></p><p>(There is such a thing as having a HbA1c that is too low, but I am not sure exactly what the recommended lower level is)</p><p></p><p>I would suspect you mean a HbA1c of 5.9% which is around 41 mmol/mol or an average of 6.81mmol/L ?</p><p></p><p>If the latter, then it would be around my estimated HbA1c. My consultant commented that my figures might be 'too good', but didn't actually suggest I change anything. I think the worry is that if you are spending a low time close to the low threshold, then you may become hypo unaware, or that it doesn't give you much leeway for when you have a bad day.</p><p></p><p>> On questioning, she said this would prevent hypos.</p><p></p><p>Some people still consider anything below 3.9 a hypo, whereas others understand that some people can go as low as 3 without causing any problems. If your HbA1c has been at this level for a long period and it hasn't caused you any problems and you don't have problems with hypos and your previous consultant was happy with the situation, then I would have thought a consultant who knows you would trump a nurse seeing you for the first time. </p><p></p><p>I don't think there is anything wrong with the nurse's advice and if you are having lots of hypos, it would be good advice, but it may not be necessary in your case.</p></blockquote><p></p>
[QUOTE="sgm14, post: 2285854, member: 517358"] > daily average of 5.9 mol/l Are you sure? An average of 5.9 mmol/L would give a HbA1c of 35 mmol/mol or 5.3% which I think is quite low. (There is such a thing as having a HbA1c that is too low, but I am not sure exactly what the recommended lower level is) I would suspect you mean a HbA1c of 5.9% which is around 41 mmol/mol or an average of 6.81mmol/L ? If the latter, then it would be around my estimated HbA1c. My consultant commented that my figures might be 'too good', but didn't actually suggest I change anything. I think the worry is that if you are spending a low time close to the low threshold, then you may become hypo unaware, or that it doesn't give you much leeway for when you have a bad day. > On questioning, she said this would prevent hypos. Some people still consider anything below 3.9 a hypo, whereas others understand that some people can go as low as 3 without causing any problems. If your HbA1c has been at this level for a long period and it hasn't caused you any problems and you don't have problems with hypos and your previous consultant was happy with the situation, then I would have thought a consultant who knows you would trump a nurse seeing you for the first time. I don't think there is anything wrong with the nurse's advice and if you are having lots of hypos, it would be good advice, but it may not be necessary in your case. [/QUOTE]
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Told to increase my hb1ac?
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