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Type 2 Diabetes
What is the optimum target for HbA1c ?
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<blockquote data-quote="Unbeliever" data-source="post: 238593" data-attributes="member: 30851"><p>Didn't mean to frighten anyone but it is a fact that my levels went from about 11 to 4 meter readings not HBA1C] overnight .because of a change of medication and! suffered a massive retinal bleed as a result.</p><p></p><p>I had been wrongly referred to the eye clinic with[ before the days of annual screening] only mild background retinopathy. my doctor had relied on his trusty old lens. I was seeing a consultant prior to discharge when the bleed was discovered, It was all vey well documented to the point where the actual day could be pinpointed.</p><p></p><p>That was four years ago. despite , I believe , the best possible care , the condition does not respond to treatment, or only temporarily. A massive improvement to my levels in the last year also caused furher problems. I recently thought there had been a breakthrough when he leakage appeared to have stopped but it has now begun again. In the past year I have had procedures every 4-6 weeks. </p><p>There is nowhere left to laser in my left eye and the steroid injections only last a month or so and I can't have them indefinitely.</p><p></p><p>My doctor was absoluely thrilled for me when my levels fell overnight and stayed that way . Until the visit to the eye clinic when the side effects of this sudden reduction were discovered.</p><p>Apparently anyone who has been undiagnosed for a while, as I was risks side effects of some kind when levels are reduced too quickly. I know I am not alone in having suffered in this way- it is fairly common. Often things right themselves after a time but not always.</p><p></p><p>There is a real possibility I could lose my sight completely. If I can save anyone else from this by issuing a word of warning I feel obliged to do so. </p><p></p><p>My GP , at he time , although he had been treating diabetics for several years had never encountered this result before but the hospital saw it as commonplce. </p><p></p><p>As I said I didn't mean o alarm anyone unneccessarily but this forum is supposed to be about our own acual experiences which may benefit others. We must all make up our own mnds.</p><p>of course it is an excellent thing to reduce one's levels but if the body has been used o running at very high levels for some time it is understandable that a sudden dramatic drop could be harmful</p><p>surely?</p><p></p><p></p><p>I jus feel an obligation to menion my experience when someone speaks of driving down levels urgently</p></blockquote><p></p>
[QUOTE="Unbeliever, post: 238593, member: 30851"] Didn't mean to frighten anyone but it is a fact that my levels went from about 11 to 4 meter readings not HBA1C] overnight .because of a change of medication and! suffered a massive retinal bleed as a result. I had been wrongly referred to the eye clinic with[ before the days of annual screening] only mild background retinopathy. my doctor had relied on his trusty old lens. I was seeing a consultant prior to discharge when the bleed was discovered, It was all vey well documented to the point where the actual day could be pinpointed. That was four years ago. despite , I believe , the best possible care , the condition does not respond to treatment, or only temporarily. A massive improvement to my levels in the last year also caused furher problems. I recently thought there had been a breakthrough when he leakage appeared to have stopped but it has now begun again. In the past year I have had procedures every 4-6 weeks. There is nowhere left to laser in my left eye and the steroid injections only last a month or so and I can't have them indefinitely. My doctor was absoluely thrilled for me when my levels fell overnight and stayed that way . Until the visit to the eye clinic when the side effects of this sudden reduction were discovered. Apparently anyone who has been undiagnosed for a while, as I was risks side effects of some kind when levels are reduced too quickly. I know I am not alone in having suffered in this way- it is fairly common. Often things right themselves after a time but not always. There is a real possibility I could lose my sight completely. If I can save anyone else from this by issuing a word of warning I feel obliged to do so. My GP , at he time , although he had been treating diabetics for several years had never encountered this result before but the hospital saw it as commonplce. As I said I didn't mean o alarm anyone unneccessarily but this forum is supposed to be about our own acual experiences which may benefit others. We must all make up our own mnds. of course it is an excellent thing to reduce one's levels but if the body has been used o running at very high levels for some time it is understandable that a sudden dramatic drop could be harmful surely? I jus feel an obligation to menion my experience when someone speaks of driving down levels urgently [/QUOTE]
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What is the optimum target for HbA1c ?
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