O
Owen
Guest
It was not my intention to present this as frightening observation. I think working outside the paradigm that low is good, does present a possible catalyst for debate. Its also the risk of silent heart attacks that is common place for diabetics. These happen without the alarming pain and many people don't realise that they have had one. I think my concern is that with a mixed group of diabetics receiving differential therapy, there is a risk of peer pressure causing people to expect unrealistic BM's. I quite often see people saying how disappointed they are at having a high reading in the 6's. This is a good BM. Below 48 HbA1c is good. 5, 6, even 7 is good. 37 HbA1c for an insulin not good. Average of 4.5 mmol not good because to achieve this you have to be regularly hitting hypo levels. Plus if you are waking at 4.5, then you are likely to have been too low for a proportion of the night. Pumping is less of an issue as these balance the insulin in a more refined way. Other hypo inducing therapies do give similar risks though. The amount of patients I attend that have no idea where their BM is at, is sadly very high. More often Hyper than Hypo but I have been to a few that are hypo and then tell me they often feel like that.
