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Type 1 Diabetes
Type 1: What are your HbA1c test results?
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<blockquote data-quote="Deleted member 99312" data-source="post: 2215174"><p>Yes I know hypos can be dangerous and that is of course what the NHS are concerned with. However, they should look at the data in the proper context. Someone could have an HbA1c of 5.5% and have tight control with few hypos and no serious ones (like myself). Or, someone could have 5.5%, or 6.5% like yourself, but fluctuate wildly from very low to very high. HbA1c is a very blunt instrument and doesn't in and of itself give the full picture, it is just a very simplistic and limited measurement. </p><p></p><p>Accordingly, in my opinion, any professional who makes the blanket statement that (say) 5.5% is too low, but 6.5% is fine, is not doing their job properly. And the thing is they don't have to guess! Because we go in there with our electronic meters with the memory bank full of all the data from our testing, they upload it to their computer and it shows exactly what numbers we've had and how good or bad our control is. </p><p></p><p>Of course, if I had 5.5% but was getting loads of hypos all over the place, it would absolutely be proper for them to say "hang on a minute, this is no good, you need to stop aiming for such low numbers because you're having all these hypos". But for someone who is disciplined enough to have good tight control? They should be saying carry on what you're doing, this is good. </p><p></p><p>6.5% is fine but AFAIK is not low enough to guarantee not having complications. It equates to an average blood sugar level of around 7.8 which many of us would be uncomfortable having for long periods. For a few hours after a high carb meal is one thing but to average that all the time is arguably not ideal.</p></blockquote><p></p>
[QUOTE="Deleted member 99312, post: 2215174"] Yes I know hypos can be dangerous and that is of course what the NHS are concerned with. However, they should look at the data in the proper context. Someone could have an HbA1c of 5.5% and have tight control with few hypos and no serious ones (like myself). Or, someone could have 5.5%, or 6.5% like yourself, but fluctuate wildly from very low to very high. HbA1c is a very blunt instrument and doesn't in and of itself give the full picture, it is just a very simplistic and limited measurement. Accordingly, in my opinion, any professional who makes the blanket statement that (say) 5.5% is too low, but 6.5% is fine, is not doing their job properly. And the thing is they don't have to guess! Because we go in there with our electronic meters with the memory bank full of all the data from our testing, they upload it to their computer and it shows exactly what numbers we've had and how good or bad our control is. Of course, if I had 5.5% but was getting loads of hypos all over the place, it would absolutely be proper for them to say "hang on a minute, this is no good, you need to stop aiming for such low numbers because you're having all these hypos". But for someone who is disciplined enough to have good tight control? They should be saying carry on what you're doing, this is good. 6.5% is fine but AFAIK is not low enough to guarantee not having complications. It equates to an average blood sugar level of around 7.8 which many of us would be uncomfortable having for long periods. For a few hours after a high carb meal is one thing but to average that all the time is arguably not ideal. [/QUOTE]
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Type 1: What are your HbA1c test results?
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