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Type 1 Diabetes
Type 1: Told to run high numbers. Is this ok?
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<blockquote data-quote="catapillar" data-source="post: 1267691" data-attributes="member: 32394"><p>OP is in the uk. Nice guideline 17 1.6.11-12 provide that type 1 diabetics should be supported to test 4-10 times a day or more (with no maximum limit) if there are issues with hypo awareness.</p><p></p><p>[USER=333831]@JoeCo[/USER] If you have got no hypo awareness, then running tight is going to be difficult, that's probably why they are saying stay over 5 because running at 4.4 doesn't give you any margin for error and if you don't notice at 3.4 then you won't notice dropping under 4 and this will just prolong the period when you will be aiming to run higher.</p><p></p><p>Also glucose monitors are allowed a 15% error range. So your monitor reading could be 4.4, but you might actually be 3.7, which won't help your hypo awareness at all. Whereas if your metre is saying you are 5, you could actually be 4.2. Which even according to Schneider is too low to be doing anything for your hypo awareness, really the lowest reading you want to see is 5.2.</p><p></p><p>What's your hba1c? Running at 5-12 for a few weeks will not be doing anything quantifiable to increase your risk of complications. Whereas losing hypo awareness within a couple of months is concerning. Loss of hypo awareness impacts quality of life, you aren't allowed to drive, waking at 3.9 suggests you might be hypo overnight which creates a risk from nocturnal hypos, there's some suggestion that frequent low lows have a long term impact on cognitive function. Being hypo impacts of how you react to insulin/ food for the rest of the day, making your blood sugar management more of a challenge. So any minimal increased risk from running higher for a few weeks (such risk will be infinitesimally small) will be offset by the benefits of regaining your hypo awareness.</p><p></p><p>In terms of estimating your bolus dose, have you done or been offered a carb counting course? Do you know your insulin to carb ratio and how to keep any eye on whether that is the correct ratio? Do you carb count and use things like myfitnesspal and carbs & cals to help you. If you use carb counting you should get away from estimating and be able to be more confident that you have accurately calculated the correct dose. If you haven't done a course, or want a refresher, have a look at the free online course - <a href="http://www.bertieonline.org.uk" target="_blank">http://www.bertieonline.org.uk</a></p></blockquote><p></p>
[QUOTE="catapillar, post: 1267691, member: 32394"] OP is in the uk. Nice guideline 17 1.6.11-12 provide that type 1 diabetics should be supported to test 4-10 times a day or more (with no maximum limit) if there are issues with hypo awareness. [USER=333831]@JoeCo[/USER] If you have got no hypo awareness, then running tight is going to be difficult, that's probably why they are saying stay over 5 because running at 4.4 doesn't give you any margin for error and if you don't notice at 3.4 then you won't notice dropping under 4 and this will just prolong the period when you will be aiming to run higher. Also glucose monitors are allowed a 15% error range. So your monitor reading could be 4.4, but you might actually be 3.7, which won't help your hypo awareness at all. Whereas if your metre is saying you are 5, you could actually be 4.2. Which even according to Schneider is too low to be doing anything for your hypo awareness, really the lowest reading you want to see is 5.2. What's your hba1c? Running at 5-12 for a few weeks will not be doing anything quantifiable to increase your risk of complications. Whereas losing hypo awareness within a couple of months is concerning. Loss of hypo awareness impacts quality of life, you aren't allowed to drive, waking at 3.9 suggests you might be hypo overnight which creates a risk from nocturnal hypos, there's some suggestion that frequent low lows have a long term impact on cognitive function. Being hypo impacts of how you react to insulin/ food for the rest of the day, making your blood sugar management more of a challenge. So any minimal increased risk from running higher for a few weeks (such risk will be infinitesimally small) will be offset by the benefits of regaining your hypo awareness. In terms of estimating your bolus dose, have you done or been offered a carb counting course? Do you know your insulin to carb ratio and how to keep any eye on whether that is the correct ratio? Do you carb count and use things like myfitnesspal and carbs & cals to help you. If you use carb counting you should get away from estimating and be able to be more confident that you have accurately calculated the correct dose. If you haven't done a course, or want a refresher, have a look at the free online course - [URL]http://www.bertieonline.org.uk[/URL] [/QUOTE]
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Type 1: Told to run high numbers. Is this ok?
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