So following on from my piece on what classifies as a hypo (you can read it here) – and the addition of the word “waffy” to the worldwide vocabulary - I thought I’d develop the idea that the patient with diabetes and the medical professionals have different opinions on what is good and what is bad. Again I’ll be basing my thoughts on my slightly messed up thinking following 30-odd years of varying control levels and judgement. I could use medical research and qualified expert opinion but why should I start doing that now?
Before we start I’ve a simple question for the fellow Ds reading this. For the non-Ds don’t give up; hopefully the rest of this piece will give you a delve into the brain of one person with diabetes – as always your diabetes may vary, so this isn’t guidance or the opinion of everyone but it’s mine and the one thing writing down my random thoughts has proven is that others think the same as me. Maybe. Sometimes.
Anyway I promised you a simple question so here it is: What is better to be slightly low / waffy / hypo (4mmol/L or 73 mg/dl) or to be slightly high (10mmol/L or 180mg/dl)?
OK, you don’t have to tell anyone your answer but I’ll guide you through mine. I’ll preface this by saying that I have relatively good hypo awareness and no noticeable complications.
For me it’s going to be the low every time - apart from when driving, operating heavy machinery, unicycling across the grand canyon etc. For years the one judgement of ‘success’ of my 24/7 ‘management’ – lol there’s another lose term, was the score returned by a simple blood test that takes a mean average of my BGs for a long period. HbA1c measures your average BG for the previous eight to twelve weeks. That’s perfect you might think. Surely it’s the easiest way to look at what my ‘normal’ BG is. So for years when looking at the results Consultants (Endos) would look over their glasses at me and say “Hmm, that’s a little high, you need to bring that down”. Simple English you might think but the use of the word high when discussing HbA1c has had a huge influence on my opinion on whether it’s better to be serially-waffy or ‘high’. If I have to bring down my average then I need to get as low as I can reasonably be for a long as I can and also try to reduce the number of ketone-inducing hypers to lift the average to a more normal level.
[AS: Click on the title link above to read the full post on Dave's blog]
As if coming down the side of a mountain on two wheels wasn’t hard enough, thrill-seekers have come up with an even crazier sport – extreme mountain unicycling. Saying this sport is dangerous and difficult is probably a huge understatement.
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