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Another HbA1c!

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I will go for 5.6
 
I'll go for 5.8 - best of luck Alan! 🙂
 
Just good wishes, I'm not guessing as I'm too jealous - no that's not fair, brilliant results which you clearly deserve! 5.5??
 
Are you the only Type 1 on here in the 5s or are there others, just as a matter of interest?
 
And the winners are...Jennywren, Natailie123 and nomorecakes! A very respectable 5.4%! :D All the other readings were good. Cholesterol was above 4 but he said he wasn't worried as the ratio was good, kidneys fine, BMI excellent, I've lost 3kg since last visit 6 months ago, so we had nothing much to talk about really! He did look at my injection sites and suggest changing them for a while - said I may need to reduce insulin doses as I could need up to 20% less. I didn't think they were that bad, but there again I only tend to see mine and he must see hundreds!

Right, I think I'll go out and buy some cake and beer! 😉
 
And the winners are...Jennywren, Natailie123 and nomorecakes! A very respectable 5.4%! :D All the other readings were good. Cholesterol was above 4 but he said he wasn't worried as the ratio was good, kidneys fine, BMI excellent, I've lost 3kg since last visit 6 months ago, so we had nothing much to talk about really! He did look at my injection sites and suggest changing them for a while - said I may need to reduce insulin doses as I could need up to 20% less. I didn't think they were that bad, but there again I only tend to see mine and he must see hundreds!

Right, I think I'll go out and buy some cake and beer! 😉

Wow! You are cured 😱 Please pass on your secrets 🙄
 
And the winners are...Jennywren, Natailie123 and nomorecakes! A very respectable 5.4%! :D All the other readings were good. Cholesterol was above 4 but he said he wasn't worried as the ratio was good, kidneys fine, BMI excellent, I've lost 3kg since last visit 6 months ago, so we had nothing much to talk about really! He did look at my injection sites and suggest changing them for a while - said I may need to reduce insulin doses as I could need up to 20% less. I didn't think they were that bad, but there again I only tend to see mine and he must see hundreds!

Right, I think I'll go out and buy some cake and beer! 😉

Wow thats fantastic, well done :D
 
Alan fantastic hbA well done your great 😛
 
And the winners are...Jennywren, Natailie123 and nomorecakes! A very respectable 5.4%! :D All the other readings were good. Cholesterol was above 4 but he said he wasn't worried as the ratio was good, kidneys fine, BMI excellent, I've lost 3kg since last visit 6 months ago, so we had nothing much to talk about really! He did look at my injection sites and suggest changing them for a while - said I may need to reduce insulin doses as I could need up to 20% less. I didn't think they were that bad, but there again I only tend to see mine and he must see hundreds!

Right, I think I'll go out and buy some cake and beer! 😉

Well done Alan! Glad you came out of your consultation up beat.

I am intrigued about something though.

Did your consultant ask you how many hypos you have? Did he give you the lecture of more than 1 a week is too many?

Have you been having a lot of hypos? If you have, do you feel it's impacted your hypo awareness at all?

Only asking because I got a roasting at having a HbA1c of 5.9% at my last consultation and I was having roughly 1 hypo every other day and was told this was far too many and that if I continued my hypo awareness would gradually get worse and worse. I was given my result as 5.9% and was overjoyed, but after my consultation I came out feeling as low as I've ever felt since diagnosis. You may remember my post about my experience back in February.
I was told to get my HbA1c up between 6.5-7.5% and reduce my hypos to 1 per week, as the aim for my next meeting.

Just interested about how consultant's opinions and take on things may vary. 🙂
 
Redrevis - I've heard you speak about the telling-off you got for your amazing A1C before and it drives me slightly mad. I know from my own experience that having a hypo almost every day for any length of time will certainly affect your warning signs. I went for many years continually being told I was having too many (and agreed that I was). I was fortunate that I did not lose them to any great extent and they always kicked in eventually, though at times it was more in the low 2's than in the low 3's. The thing which aggravates me is that telling someone off for having too many hypos does not help them, and neither does it change the target range to aim for. I've had have far far fewer hypos in the last year or so than in perhaps the previous 10, but I'm still aiming for the same narrow window (in fact a slightly narrower window. Not had an A1c for a while and doubt I'm in the 5's but I'd hope to have my best result for a few years when I have my review in a month or two.

Alan - what ever was the reason the Consultant gave for saying your doses might be so far out (given your exemplary levels). Was it just to give him something to say?! 🙄
 
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Well done Alan! Glad you came out of your consultation up beat.

I am intrigued about something though.

Did your consultant ask you how many hypos you have? Did he give you the lecture of more than 1 a week is too many?

Have you been having a lot of hypos? If you have, do you feel it's impacted your hypo awareness at all?

Only asking because I got a roasting at having a HbA1c of 5.9% at my last consultation and I was having roughly 1 hypo every other day and was told this was far too many and that if I continued my hypo awareness would gradually get worse and worse. I was given my result as 5.9% and was overjoyed, but after my consultation I came out feeling as low as I've ever felt since diagnosis. You may remember my post about my experience back in February.
I was told to get my HbA1c up between 6.5-7.5% and reduce my hypos to 1 per week, as the aim for my next meeting.

Just interested about how consultant's opinions and take on things may vary. 🙂

He did ask me about hypos but was happy that I could explain why I had them - basically when my insulin needs change when I started stepping up my running and it's difficult to predict how much this needs adjusting. My hypo awareness is pretty good - I can feel symptoms starting at around 3.8-4.0 and haven't had any severe ones that I wasn't able to treat quickly and easily. My HbA1c was 5.9 last time so it has come down by 0.5%, but he didn't seem unduly worried - I think he trusts that I know what I am doing and not taking any risks or anything. Certainly didn't get an ear-bashing! I was reading something the other day which said that two hypos a week constituted 'regular' hypos and I've certainly had weeks where I have far exceeded that, but most of the time maybe one or two a week. The thing is, you try to calculate your insulin doses properly every time, but sometimes just one unit wrong can mean a hypo and that is very difficult to get right all the time. I think some consultants want it both ways - if your HbA1c is a little high they want it lower, but if it is nicely in range (like your 5.9%, which is excellent) they worry that you are trying too hard - almost as though it's something you shouldn't actually be able to achieve!🙄
 
Alan, that's fantastic news. Well done, I'm hoping to get into the 5% club soon too, but strangely, my gp thinks that's too low?

Donna :D
 
Alan, that's fantastic news. Well done, I'm hoping to get into the 5% club soon too, but strangely, my gp thinks that's too low?

Donna :D

There was a study done a while ago (ACCORD) that seemed to show that people who achieved an HbA1c below 6.0 were more prone to heart attacks. However, the findings did not take into account that many of the participants were using a drug called Avandia, which has now been banned as it was found to...increase the risk of heart attacks! The problem with a lot of these studies seems to be that they don't always compare like with like, so the findings fir one group of people can't be applied directly to another. Jenny Ruhl has written a recent blog about this:

http://diabetesupdate.blogspot.com/2011/06/avandia-is-sufficient-to-explain-excess.html
 
Great link Alan. Thanks!
M
 
Interesting link, Northe thanks. A congratulations on the HbA.
 
Well done Northey!!! You are such an inspiration.
 
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