Replies to This Discussion

Permalink Reply by Peetie on June 19, 2011 at 8:49am

So good to hear you had a better day. Hope today is another. :)

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Permalink Reply by lotsofshots on June 19, 2011 at 9:27am

Me too.

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Permalink Reply by MissKitka on June 19, 2011 at 10:54am

Gary,

Myself and some diabetics I know would call you a 'sensitive' and the old term was brittle. It's a pain for sure. I am like you in that I always seem to be on the edge of something, a high, a low, or a bad mood. Many of us have to stay as consistent as far as activity, insulin, and food every day, as much as possible. High protein has helped several of us stay steady and steady, no matter what the number, is the secret for feeling better. I consider protein my Superglue.

Don

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Permalink Reply by Ron Doyle on June 19, 2011 at 10:54am

Take a break and relax. I don't get it are you just trolling? If this is a true person with this issue, I suggest getting your A1C higher than 6% and you will feel better. After 52 years I disagree strongly with the below 6% is good ideology, I am happy and feeling good between 6.1 and 6.9, which is my goal. But that's just me.

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Permalink Reply by Gerri on June 22, 2011 at 11:57am

Gary is not trolling. He's expressing distress over a real issue. Take a break & relax is much easier said than done. If only we could do that with the things that upset us.

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Permalink Reply by yank on June 23, 2011 at 2:35pm

I agree here with Ron. As a long term type 1 myself (56 years now) and as an RN (not a CDE though) I feel you need to get that A1c up to between 6.0 to 6.5 or so. And give it some time there for your body to get acclimated to this level. For me personally, when my sugars get that low (as you've mentioned you walk around with 40's and 50's) I start to "tunnel vision" and get agitated real easily, just ask my support person (we affectionately call them type 3's).
@ Ron--Have you looked into the study that the Joslin Clinic is doing for type 1's with over 50 years of living with diabetes? I'm a Medalist and am involved with it. Contact me directly if you'd like more info...

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Permalink Reply by April on June 24, 2011 at 4:31am

Each human being is an individual and we all react differently.

I suspect that Gary's body reacts differently than yours does. He has been very clear in this discussion that his body feels best within a very narrow range of BG and "getting his A1C higher than 6" may well put him out of the range where his body feels comfortable. For example...an A1C of 6.1 means your AVERAGE glucose is 140. I think he said he felt best beween 80 and 120....

We are all different...I am very, very senstive to changes in my thyroid levels. My doctors call me an "outlier." A number of doctors DENIED I could even be having symptoms due to thyroid issues.

I truly empathize with those who are "outside the norm." Hang in there Gary and keep searching for science based answers for your symptoms.

Anni

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Permalink Reply by yank on June 24, 2011 at 5:38pm

Sorry Anni, but a 6.1 A1c is not that high. It's more like 6.5 equates to 130-135, so your 6.1 would be a bit lower. The Society of Endocrinologists recommends an A1c of 6.5 or less, while the American Heart Assoc. recommends an A1c of 7.0 or less. Recent studies have shown that type 1's who try for the really lower readings (much below 6.0)are finding themselves in trouble. This is due to the fact that to get that A1c that low, you need to be too low too often.

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Permalink Reply by Natalie ._c- on June 24, 2011 at 5:49pm

Well, statistically-minded scientists aside, in real life, the A1c doesn't correlate to anything, except as it works in the individual. Different people glycate differently, and my 4.8 when I would have been diagnosable by modern criteria with FBGs of 138 and 131 certainly doesn't correlate with what another person may be getting. And my 10.7, when I was running entirely above 400 for MONTHS doesn't relate to the "correlation charts'" 258 (or so) at ALL.

The only REASONABLE advice if you're not a statistic is to aim for the lowest A1c you can get without undue incidence of hypoglycemia. For some people, that's going to be 6, and for others it's going to be 8. The A1c is a LOUSY diagnostic tool; its only advantage is that you can use it to compare yourself with yourself in previous times. Everyone should have a personal A1c goal, but it doesn't mean anything in terms of average BGs.

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Permalink Reply by nel on June 24, 2011 at 7:06pm

Am I living proof ??? Average A1C's less than perfect for the years this test has been available ...and Natalie , I hold it the way you mentioned : compare yourself to one's previous times . 28 years plus with d .and NO complications ...I have STOPPED comparing myself to many out there ....and I want Gary to feel OK too .

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Permalink Reply by yank on June 27, 2011 at 11:16am

You're absolutely right!!! It is, after all, just another tool for us to use to maintain control is all. I personally try and stay between 6.0 to 6.5. I am doing fine there and have found that if I try to go lower, I'm having too many lows is all. I don't do strenuous exercising, but low to moderate works for me. While doing this, I can lower my basal and that works for me. It might not work that way for others. And yes, I agree with you to work for the lowest A1c without undue incidence of hypoglycemia, but I was concerned that Gary might be exhibiting signs and symptoms of too low an average BS is all.

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Permalink Reply by yank on June 24, 2011 at 7:37pm

I did some research, and I see where you are getting your A1c of 6.1=140. That is from the older DCCT charts, which are a bit dated now. Mine comes from the eAG charts (plasma calibrated meters) which puts a 6.5 A1c @135. I knew I had the right number when I first replied, but I didn't know where you got yours. Now I do...

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