You’ve got to look back to move forward

No, I did not publish my last test results (from October). I was, frankly, dismayed. Since I am going back to my endocrinologist on February 24th, and I have been trying, trying, trying…I am  hopeful that the numbers will be better.

For the sake of completeness and chronology, here were my results from October 2014:

  • Hemoglobin A1C: 8.8% (was 9.0%) [4.8-5.6%]
  • Serum Glucose Fasting: 84 mg/dL (was 114 mg/dL) [65-99 mg/dL]
  • BUN: 14 mg/dL (was 13 mg/dL) [6-24 mg/dL]
  • Serum Creatinine: 0.66 mg/dL (was 0.83mg/dL) [0.57-1.00 mg/dL]
  • TSH: 1.330 uIU/mL (was 1.390 uIU/mL) [0.450-4.500 uIU/mL]
  • Total Cholesterol: 213 mg/dL (was 201 mg/dL) [100-199 mg/dL]
  • Triglycerides: 137 mg/dL (was 167 mg/dL) [0-149 mg/dL]
  • LDL Cholesterol: 124 mg/dL (was 103 mg/dL) [0-99 mg/dL]

What is going on? Some things up, some things down. Overall, very disappointing. And yes, if I look at it, now 5 of the big 8 are in “normal” ranges, but:

  • My A1C inched down ever so slightly. That’s the right direction, but nowhere near where it should be.  I’ll take anything under 7%, to be honest. That would be MAJOR for me.
  • Both my cardiologist and my endocrinologist want my triglycerides to be under 100.  Looks like the Crestor is helping with that, but the rest of my cholesterol numbers are going up.  And my endocrinologist said I am maxed out on Crestor, and there is nothing else medication wise that she can do for me. So (and I knew this was coming), I am going to need to adjust my diet and increase my exercise.

My endocrinologist also showed me the Medtronic graphs of another patient who tests her blood sugars 4-5 times a day.  Her A1C was in the 6% range, and she didn’t have the fluctuations that I have. So…I promised myself that I would get back to testing more frequently (I was testing 1-2 times a day at best).

Plan of action:

  • Increase my exercise.
  • Test my blood sugar at least 3 times a day.
  • Eat better (less red meat, more vegetables, less carbs, less fat).
  • Take my medications every day.
  • Decrease my wine consumption.

Basic tactics that just about everyone should do (except #2).

I guess I’ll find out how well I’ve been doing in a couple of weeks.  Have I been perfect? Of course not! But I have tried. Anecdotally, I have lost 10 pounds since Christmas, I wear my Jawbone Up24 (my Christmas present) daily to track my steps and sleep, I’m eating less snacks, eating a lot more chicken and seafood, drinking wine spritzers instead of wine at night, and not missing my medication as much. I’ve also been wearing my CGM for the last several weeks, which MAKES me test my blood sugar more regularly.

With the increase in exercise, I am getting more lows…and some of those lows have hit me like an oncoming train! I’ve even had to adjust my basal rate down (less insulin is always a good thing).  I’m still experiencing more lows than I think I should, so there’s probably still some more adjusting to do.

Keep your fingers crossed for me! I don’t think my A1C will be under 7%, but I’m hoping for under 8% this time. Please.

 

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Coulda. Woulda. Shoulda.

It’s been a while since I’ve blogged, and I’m guessing that I was feeling subconsciously guilty because I didn’t do all the things I said I was going to do after my last visit with my endocrinologist.

Long story short, I am just very tired of dealing with diabetes. Poor excuse, I know. I honestly thought I had done better managing my BG the last 3 months, but, once again, it has crept up.

The news wasn’t all bad, though. My cholesterol is back to normal levels – YEA! The Crestor appears to be doing the job.

  • Hemoglobin A1C: 8.3% (was 7.9%) [4.8-5.6%]
  • Serum Glucose Fasting: 147 mg/dL (was 84 mg/dL) [65-99 mg/dL]
  • BUN: 16 mg/dL (was 14 mg/dL) [6-24 mg/dL]
  • Serum Creatinine: 0.74 mg/dL (was 0.69mg/dL) [0.57-1.00 mg/dL]
  • TSH: 2.090 uIU/mL (was 1.640 uIU/mL) [0.450-4.500 uIU/mL]
  • Total Cholesterol: 185 mg/dL (was 243 mg/dL) [100-199 mg/dL]
  • Triglycerides: 133 mg/dL (was 220 mg/dL)  [0-149 mg/dL]
  • LDL Cholesterol: 92 mg/dL (was 162 mg/dL) [0-99 mg/dL]

This time, 7 of the big 8 were in range. (Three months ago, it was 5 of 8; 6 months ago, it was 3 of 8). So the trend is definitely heading in the right direction.

My doctor had a very frank talk with me, and said that I am getting enough insulin – that I don’t need to increase my basal rate or my carb ratio. (Which was her diplomatic way of saying that I need to eat better and exercise more).  I knew that, but I didn’t want to face that. But it’s time to.

So here are my goals for the next 3 months:

  • Use my pedometer and walk more. She recommended getting 10,000 steps a day, regardless of how or when I get it. It doesn’t all have to be at one time during the day.
  • Eat better, portion wise and diabetes wise. Less carbs (duh!), leaner proteins, lots more vegetables. (I’m not a fruit fan, so we won’t even make those promises). Nothing I didn’t already know, but I take the easy (comforting) way out too often.
  • Use my CGM more. (I tend to test my BG more often during the days I am wearing my CGM, which will only help me manage everything better).
  • Blog more often so that I have accountability.

If I achieve all of these goals – even just most of the time – I believe my BG and A1C will reflect that, and I should even lose some weight (always a perk). And wouldn’t it be nice to go back in 3 months and have 9 of the 9 in range?

So…deep breaths, game face on, let’s do it!

Wish me luck.