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Type 1 Diabetes
What is an acceptable HbA1c ?
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<blockquote data-quote="ann34+" data-source="post: 940981" data-attributes="member: 94348"><p>I agree - i never have thought spikes a good thing - but the thing is how to do it safely long term - you are new diagnosed, possibly may have residual insulin and therefore the other hormones that come with that, and will have ok hypo symptoms . I see you are on the pump, and maybe a vibe is a CGM? </p><p></p><p>without these tools , and also after many years of type one controlled using very basic and inadequate tools mostly, it may not be possible to keep control like this. And as yet only a tiny proportion of Type ones in the UK even have a pump. I wanted one years ago, it was frustrating knowing i could feel a lot better, but without being able to. Here in the uk in the past you would have had to have a private doctor to refer you to a private consultant all on top of very high pump costs.</p><p></p><p>Also, for everyone, this sort of control long term - over many years - entails a great deal of effort , and enormous self control. I am fine until i walk into a supermarket - i have to avoid them completely.</p><p> i imagine more responsive systems will be in soon, hopefully, allowing the sort of control you describ, but their cost will be a problem at the beginning.</p><p></p><p>P.S. re carbs, again, i agree, the 30 CHO meal , max 40 CHO, was the advice given to me years ago! when i was diagnosed the advice was to keep meals about this, 3 meals of 30, or 2 of 30 max and one of 40 and at least 3 or 4 snacks of fruit or plain biscuit of 10 carbs to reach a total around 140 carbs, i strayed when the new advice came in, then came back to this, now a bit less.</p></blockquote><p></p>
[QUOTE="ann34+, post: 940981, member: 94348"] I agree - i never have thought spikes a good thing - but the thing is how to do it safely long term - you are new diagnosed, possibly may have residual insulin and therefore the other hormones that come with that, and will have ok hypo symptoms . I see you are on the pump, and maybe a vibe is a CGM? without these tools , and also after many years of type one controlled using very basic and inadequate tools mostly, it may not be possible to keep control like this. And as yet only a tiny proportion of Type ones in the UK even have a pump. I wanted one years ago, it was frustrating knowing i could feel a lot better, but without being able to. Here in the uk in the past you would have had to have a private doctor to refer you to a private consultant all on top of very high pump costs. Also, for everyone, this sort of control long term - over many years - entails a great deal of effort , and enormous self control. I am fine until i walk into a supermarket - i have to avoid them completely. i imagine more responsive systems will be in soon, hopefully, allowing the sort of control you describ, but their cost will be a problem at the beginning. P.S. re carbs, again, i agree, the 30 CHO meal , max 40 CHO, was the advice given to me years ago! when i was diagnosed the advice was to keep meals about this, 3 meals of 30, or 2 of 30 max and one of 40 and at least 3 or 4 snacks of fruit or plain biscuit of 10 carbs to reach a total around 140 carbs, i strayed when the new advice came in, then came back to this, now a bit less. [/QUOTE]
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