silentsquirrel
Well-Known Member
- Relationship to Diabetes
- Type 2
On Monday I had my bloods done in preparation for meds review and diabetic review. The results have now appeared online, and my HbA1c is 34. Last year it was 36, and the previous few years between 39 and 42. I know this figure would be a cause for much rejoicing among those on diet control or on metformin only, but I have been on insulin for some years, as my signature below says. (It only took me about 7 years to get round to it!).
I am dreading the annual "You must be having too many hypos" lecture. My GP and the consultant (neurology/geriatrics) that I saw last year about my increasing tremor both say I have very good control, but the nurse in charge of T2s on insulin at the surgery says I have very tight control, and she says it in the most disapproving tone she can muster.
I really don't! I would hope my management is reasonably good most of the time, but control, no, and tight, no. I think my management over the past year or two has improved, mainly because of:
1. Changing from Lantus to Levemir, split unequal dose.
2. Prebolusing by 1 - 1.5 hours for breakfast.
and 3. Bolusing 6 - 8 units of NR on waking (without food) to deal with DP. I often don't want breakfast until late morning.
1) was at my request, not their suggestion and I fear they may be very disapproving of 2) and 3).
There are a few things I could try if I wanted to improve my management further, but I doubt if these would make so much difference,
I have very few hypos, almost never below mid 3s, and not long-lasting. Since the change from Lantus, almost no hypos at night. I can only remember one hypo in the past year where my brain was shouting EAT. EAT, EAT. But I don't think she believes me.
My averages on my meter are usually between 6.5 and low 7s, occasionally outside this range. Perhaps my red blood cells die off sooner than average?
A few months ago I saw 3 Time In Range diagrams, one almost perfect, one OK and one not so good - but the point was they were all from people with the same HbA1c. I meant to take a copy to show the Nurse, but was distracted, and have not been able to find them again. Do any of you using Libre or CGMs have any ideas where I might find them?
I am dreading the annual "You must be having too many hypos" lecture. My GP and the consultant (neurology/geriatrics) that I saw last year about my increasing tremor both say I have very good control, but the nurse in charge of T2s on insulin at the surgery says I have very tight control, and she says it in the most disapproving tone she can muster.
I really don't! I would hope my management is reasonably good most of the time, but control, no, and tight, no. I think my management over the past year or two has improved, mainly because of:
1. Changing from Lantus to Levemir, split unequal dose.
2. Prebolusing by 1 - 1.5 hours for breakfast.
and 3. Bolusing 6 - 8 units of NR on waking (without food) to deal with DP. I often don't want breakfast until late morning.
1) was at my request, not their suggestion and I fear they may be very disapproving of 2) and 3).
There are a few things I could try if I wanted to improve my management further, but I doubt if these would make so much difference,
I have very few hypos, almost never below mid 3s, and not long-lasting. Since the change from Lantus, almost no hypos at night. I can only remember one hypo in the past year where my brain was shouting EAT. EAT, EAT. But I don't think she believes me.
My averages on my meter are usually between 6.5 and low 7s, occasionally outside this range. Perhaps my red blood cells die off sooner than average?
A few months ago I saw 3 Time In Range diagrams, one almost perfect, one OK and one not so good - but the point was they were all from people with the same HbA1c. I meant to take a copy to show the Nurse, but was distracted, and have not been able to find them again. Do any of you using Libre or CGMs have any ideas where I might find them?
