I thought this was an excellent article. It was shocking, but at the same time not surprising. I became a diabetic decades before the new technology. At home glucose monitors weren’t available until I was 30 and I became a diabetic when I was 8.
I took one shot a day until I was 30. I was more careful about what I ate until I hit the teen years. I remember eating huge banana splits with fries. In my early 20’s I remember eating multiple donuts, and I remember being very thirsty.
I kept this up until my eyes started flashing when I was 30. Once told I had the beginnings of retinopathy, I went to a endo and had my first ever A1c. It was 10. I think many people diagnosed with diabetes don’t let it interfere too much with their lifestyle until their body is affected. If they are very lucky lowering their A1c’s can reverse their diabetic complications.
Once I got below 7 I started healing, once I got to a non diabetic A1c, everything eventually healed and the complications stopped happening.
At 69, and having had type 1 for 61 yrs, I feel very good and have no complications, except for two heart stents. Maybe my years of horrible control caught up with me, I am not sure.
For years now, I have really watched what I eat. I don’t even indulge with birthday cake at my birthday. The only time I eat a forbidden treat is when I am low. I almost never give insulin in order to indulge. I gave up pizza years ago and I no longer eat regular desserts.
I would say that my life is somewhat compromised, but not having a high A1c is extremely important to me. I do miss not being able to go out to dinner, but the food we make is very tasty and extremely healthy. We both enjoy being thin.
I am also very fond of control and of doing medical research, so once I realized I could somewhat control my outcome, I became a very good diabetic.
After the faulty ACCORD study was released, I had two doctors try to convince me to raise my A1c. I refused because a very low A1c has served me very well.
I haven’t had a doctor try to tell me how to control my diabetes in 30 yrs. They only look at my A1c’s.
My present GP is retiring and I need a new doctor. When I interview them, I will tell them about my A1c history, and explain that all I need from them is insulin prescriptions. How can they argue with me?
61 yrs with no complications, except for 10 yr old heart stents and high LDL. Raising my A1c isn’t going to lower my 116 LDL. I can’t imagine having a doctor trying to control my diabetes. That would be ridiculous.
I don’t bottom out with lows and very seldom need help. I feel very fortunate.