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Type 2 Diabetes
Type 2. HBA1C is now 37
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<blockquote data-quote="KennyA" data-source="post: 2737714" data-attributes="member: 517579"><p>Hi</p><p></p><p>I don't think an HbA1c can be too low in the wqy you're thinking - and 37 is bang normal anyway. </p><p></p><p>Hypos are extremely rare in T2s without glucose lowering medication. It seems from recent CGM data that lots of people (diabetic and non-diabetic) go "low" quite often, and the liver naturally self-corrects. Without the CGM data it probably wouldn't be recognised as anything to do with blood glucose at all. </p><p></p><p>I've had just the one hypo that needed some intervention in 14-15 years T2 diagnosed and undiagnosed - which I brought on myself through not eating plus alcohol, and it's something to avoid. My infrequent short term dips into 3s and 4s correct naturally, and don't compare. </p><p></p><p>People do get what are called "false hypos" at higher BG levels. These seem to happen when a person drops from a (very) high BG to a not-so-high BG. The liver detects the<u> fall</u> in BG, and doesn't care that the BG level is still comparatively high - it just rings the alarm bells and dumps a bit more glucose. I remember having these - I'd feel better after a cup of milky coffee with a couple of sugars in it, but all that really did was to make the problem worse.</p><p></p><p>Having succeeded in reducing your BG you've reduced the risk factors for a lot of complications related to having high blood glucose - things like neuropathy, nephropathy, and retinopathy are all caused and made worse by high levels of glucose in the blood. I wouldn't advise deliberately raising your BG just to convince your nurse you should stay on Mounjaro. I'd hope the nurse would take the view that things are going well and should continue. Don't forget that metformin and mounjaro are prescribed for different purposes.</p></blockquote><p></p>
[QUOTE="KennyA, post: 2737714, member: 517579"] Hi I don't think an HbA1c can be too low in the wqy you're thinking - and 37 is bang normal anyway. Hypos are extremely rare in T2s without glucose lowering medication. It seems from recent CGM data that lots of people (diabetic and non-diabetic) go "low" quite often, and the liver naturally self-corrects. Without the CGM data it probably wouldn't be recognised as anything to do with blood glucose at all. I've had just the one hypo that needed some intervention in 14-15 years T2 diagnosed and undiagnosed - which I brought on myself through not eating plus alcohol, and it's something to avoid. My infrequent short term dips into 3s and 4s correct naturally, and don't compare. People do get what are called "false hypos" at higher BG levels. These seem to happen when a person drops from a (very) high BG to a not-so-high BG. The liver detects the[U] fall[/U] in BG, and doesn't care that the BG level is still comparatively high - it just rings the alarm bells and dumps a bit more glucose. I remember having these - I'd feel better after a cup of milky coffee with a couple of sugars in it, but all that really did was to make the problem worse. Having succeeded in reducing your BG you've reduced the risk factors for a lot of complications related to having high blood glucose - things like neuropathy, nephropathy, and retinopathy are all caused and made worse by high levels of glucose in the blood. I wouldn't advise deliberately raising your BG just to convince your nurse you should stay on Mounjaro. I'd hope the nurse would take the view that things are going well and should continue. Don't forget that metformin and mounjaro are prescribed for different purposes. [/QUOTE]
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