I have a great endo. She doesn’t lecture me and actually answers questions that help me improve my glucose numbers. She just reminded me that further reducing time below range is the priority. I’m moving and she’ll be greatly missed.
So plan for finding/dealing with a new endo, 1) come prepared with TIR goals from international consensus 2) if TIR is not acceptable, find a different endo, 3) if endo won’t prescribe FIASP for an insulin pump, find a different endo, and 4) if told HbA1C is too low a) find a different endo and/or b) remind endo that HbA1C follows BGs and low/high BGs cause damaage and/or c) stop testing for HbA1C and use estimate from AGP report (0.7% higher than blood test).
All I got from almost 20 years under the hypo scared Internal Med docs and endos is peripheral neuropathy and retinopathy. And 10 years since starting insulin, a lot of offsetting high and low BGs. Now that I have the tools to run near non-diabetic BGs, I will continue using them to the fullest.