New Practice Nurse (and collie)

Just had a D review with the new practice nurse.    
Lipids :-OK under 4 but didn't go into breakdown ( I had them from "bloods"l printout!)
HbA1c :- dangerously low @ below 6 ! WTF!  Couldn't justify but It's advice from "learned researchers"
Can I hand write BG in a diary as she doesn't "get on" with computers  NO I will do a printout summary as with with my stroke injury "I don't do writing" for lazy P.N.s
Kidney function is low ( actually improving!)
So I'll carry on relying on surgery for scripts alone, not sensible advice!

To top it all my Collie pup was so excited to see me back intact that SHE wee'd in my boot STANDING UP
(I don't remember teaching her THAT!) Good aim. all in the boot, none or the patio!

Good to hear about your good figures.  


Certainly made me smile to hear about your Collie pup.  

All the best Jan

Two Collies wrote:Just had a D review with the new practice nurse.    
Lipids :-OK under 4 but didn't go into breakdown ( I had them from "bloods"l printout!)
HbA1c :- dangerously low @ below 6 ! WTF!  Couldn't justify but It's advice from "learned researchers"
Can I hand write BG in a diary as she doesn't "get on" with computers  NO I will do a printout summary as with with my stroke injury "I don't do writing" for lazy P.N.s
Kidney function is low ( actually improving!)
So I'll carry on relying on surgery for scripts alone, not sensible advice!

To top it all my Collie pup was so excited to see me back intact that SHE wee'd in my boot STANDING UP
(I don't remember teaching her THAT!) Good aim. all in the boot, none or the patio!

So if your A1c is dangerously low according to your PN it should be flagged up by the lab which I know will not be the case, as your not on meds you should be in no more danger than a non-diabetic. I've read about T1s being told their A1c is to low but your the first T2 I've seen being told.

WTF indeed

Your HbA1C seems dangerously good to me rather than low ! What is it they actually want ? Also, need video of your dog next time lol !

That's great about your collie; my children can't pee as accurately as that!

On the 'dangerously low' bit I agree, if your definition of 'danger' is being less likely to come to harm. If it's not then that is laughable.

It is, I think, the ghost of the gone but not forgotten ACCORD study; which showed that if you give high risk heart patients drugs for their diabetes that are shown to cause heart attacks then they will have more heart attacks. This is then used by HCPs who don't know what they are doing to justify why their diabetic patients are failing to normalize their blood sugars.

I'm being a bit flippant but that's essentially true; see the arguments for low carbing post here.

A little knowledge etc., etc.,

Best

Dillinger

Well, I'm trying hard to get my HbA1c reading to be as dangerously low as yours!

The thing that worries me most with all of this is that I'm probably gonna have to let my A1c rise next year just so I can keep my driving Licence when it's up for renewal!!

Get a bunch of diabetics who have been morbidly obese for years. All with long term very poor blood glucose control. Many with known heart defects and other serious diabetic complications. Ply them with up to four type two medications and insulin, to ram down BG numbers. When they start dropping like fly's abandon the trial and spread the word, aggressive lowering of BG numbers is dangerous.

This gives the spreaders of misinformation and doom and gloom merchants something to confuse newbies with on diabetes forums and blogs. Of course no mention of diet and change of life style to reverse what many believe to be a lifestyle modern disease. This charade was called the ACCORD trial.

Paul wrote:The thing that worries me most with all of this is that I'm probably gonna have to let my A1c rise next year just so I can keep my driving Licence when it's up for renewal!!

I had same problem last year. My HbA1C was 41. My consultant pretty much said I must be having regular hypo's to achieve such a low number. I told her I wasn't but my driving license is pretty much in her hands. Currently in the process of renewing again as I have LGV so it's an annual worry for me too ! Difficult situation.