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why does normal Bg make me feel hypo?
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<blockquote data-quote="phoenix" data-source="post: 648161" data-attributes="member: 12578"><p>All I can add to what MushyPeaBrain says is a couple of things.</p><p>It is worth bearing in mind that if a person has high levels and continues to have high levels, then any background retinopathy will progress anyway.</p><p>The advice is normally that if you have been running higher levels for some time and particularly if you have some background retinopathy then it is very much more prudent to reduce levels gradually. Blood pressure, not smoking and dare I say it cholesterol levels are all also said to be important.</p><p>Here is the link I normally give about this <a href="http://www.diabeticretinopathy.org.uk/retinopathyprogression.htm" target="_blank">http://www.diabeticretinopathy.org.uk/retinopathyprogression.htm</a></p><p><strong> NB, I've now looked back at Marie's first post, I would point out though they are writing about initial levels that have been in the 9% (75mmol/mol) region for some time rather than levels of 58mmol which was Marie's initial HbA1c.</strong></p><p> </p><p>Nevertheless, from personal experience I would still now lower things gradually. I went from an HbA1c of less 8% at official diagnosis of T1* to one of 4.9% . Loud cheers, the 4% club! At the time I thought this was the best thing to do. However, though I had no retinopathy at diagnosis , I developed background retinopathy during this period. The ophthalmologist was concerned with me developing it with an HbA1c so low . I now know that the consideration of early worsening is the reason he made me have more specialised regular checks ( had to have fluorescein angiograms each time) It was just this year , over 7 years later, that he has returned me to the normal testing regime. My vision is fine and has been thoughout . So may be he was over cautions I don't know. He's a very experienced ophthalmologist but as he said he doesn't see many people with that sort of level and he did think it was a possibility.</p><p> </p><p>Diabetes is a long term condition. Gaining control and learning how to manage it is important and it's very natural to want to do it as quickly as possible It is a cliché but it is probably better looked on as a marathon rather than a sprint. .</p><p> </p><p>* (long story, it was slow onset, I'd had it from about three years before)</p></blockquote><p></p>
[QUOTE="phoenix, post: 648161, member: 12578"] All I can add to what MushyPeaBrain says is a couple of things. It is worth bearing in mind that if a person has high levels and continues to have high levels, then any background retinopathy will progress anyway. The advice is normally that if you have been running higher levels for some time and particularly if you have some background retinopathy then it is very much more prudent to reduce levels gradually. Blood pressure, not smoking and dare I say it cholesterol levels are all also said to be important. Here is the link I normally give about this [url]http://www.diabeticretinopathy.org.uk/retinopathyprogression.htm[/url] [B] NB, I've now looked back at Marie's first post, I would point out though they are writing about initial levels that have been in the 9% (75mmol/mol) region for some time rather than levels of 58mmol which was Marie's initial HbA1c.[/B] Nevertheless, from personal experience I would still now lower things gradually. I went from an HbA1c of less 8% at official diagnosis of T1* to one of 4.9% . Loud cheers, the 4% club! At the time I thought this was the best thing to do. However, though I had no retinopathy at diagnosis , I developed background retinopathy during this period. The ophthalmologist was concerned with me developing it with an HbA1c so low . I now know that the consideration of early worsening is the reason he made me have more specialised regular checks ( had to have fluorescein angiograms each time) It was just this year , over 7 years later, that he has returned me to the normal testing regime. My vision is fine and has been thoughout . So may be he was over cautions I don't know. He's a very experienced ophthalmologist but as he said he doesn't see many people with that sort of level and he did think it was a possibility. Diabetes is a long term condition. Gaining control and learning how to manage it is important and it's very natural to want to do it as quickly as possible It is a cliché but it is probably better looked on as a marathon rather than a sprint. . * (long story, it was slow onset, I'd had it from about three years before) [/QUOTE]
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