I know that the more immediate dangers of diabetes are in the lows and we should be targeting to avoid severe lows. However, we have proof that long term, the goal is reducing A1c. I have also noticed that I feel much healthier and much more "human" with blood sugars and A1cs in the normal-ish range. It's not a feeling that I noticed until I was able to do it fairly reliably with the help of my CGM, but I do notice a difference. I used to feel that my endo and I were on the same page with treatment goals and process, but this week, I found that to be opposite. I was very excited about my 6.9% A1c, and my much more stable numbers. My hypo awareness has actually increased, and my CGM works well. I was expecting him to also be happy about my success and instead, he said nothing positive about my A1c, decreased my correction insulin, increased my DIA, and raised my night time target back to 140. He said that he thought my corrections were to radical, even though I recently tested my ratio and found it to be very accurate and it confirmed my DIA of 3 hours. He said he wanted to increase the DIA to 4 hours to reduce the risk of stacking, which I rarely see a problem with unless I intentionally override the pump suggestion. I am also questioning the overnight target. Especially since getting the CGM, I have seen the overnights as a place to really get a jump. It's a long period of time to effect the A1c, it means not starting the day on a rollercoaster, and it means feeling better and having an easier time getting up in the morning. I do have regular "lows" below 70, but they aren't severe. I have always just accepted that some amount of lows are unavoidable, but the endo insists that the goal is to avoid all lows at all cost. I know that every individual is different, but am I completely out of line here? Am I being overly ambitious in my goals, or is he just afraid to let me try?