This was the basis of my earlier rant - that it should be a focus on reducing lows and not reducing A1C, but I guess for the doctor the A1C is still a leading proxy.
This is interesting and good to know. When I am making treatment decisions and I know there is a probability of failure - like doing yard work where I am not sure of the exercise intensity and deciding how many carbs should I eat / what temp basal to run - I typically err on the side of going low as opposed to going high.
I probably will keep doing this, but now I have pause to realize that as I get older I may be introducing a CVD risk and I may want to eat more doughnuts before doing yard work.