Tuesday, April 26, 2011

my endo appt

The day had finally come...the endo appt. I was dreading. My last appt. didn't go so well. I knew my A1C was on the rise, but my last visit left me upset with an 8.1. Yikes. How did I let it get that bad? This is coming from someone who faced my diagnosis head on and brought it from an initial 12.8 to under 6%. I know I have to let that go and just work harder to bring it back down, but it's hard not to be disappointed in myself.

So today I went in fully expecting it to be the same or worse. I am still surprised by it...a 7.4. Now that is in no way ideal, but it's much better than an 8.1. I told her my numbers still weren't great and I feel like I'm hovering in the high range more often than not, so I didn't understand the drop in my A1C. I explained to her how I stay high after meals and I think my ratio needs changing, so I went from a 1:15 to a 1:12. It was weird to see all that extra insulin on board when I bolused for lunch...I don't know why, but it makes me nervous when I have more than 4 or 5 units on board. I also lowered my sensitivity since my correction doesn't seem to be working very well either.

I sometimes wonder how my stress level affects my blood sugar. My job is somewhat demanding...and there are lots of deadlines. I like being busy and being challenged, but I don't think my body deals well with any kind of stress. I unknowingly tense up! There was even a point when my blood sugar used to drop soon after leaving work, so I knew stress had to be an issue. But how do you measure stress? I guess when your hormones are out of whack, all you can do is play around with basals.

I'm happy about my lower A1C, but I still have a lot of work to do!


  1. Too bad there's even stress worrying about A1Cs. Glad you brought it down and have some peace of mind. You always sound like you're working hard -- both at work and on your diabetes!

  2. congratulations on lowering your hbA1c, how awesome!

    stress is a really tricky one - very difficult to measure...and difficult to avoid. but i think if your life is in a routine, then you could try adjusting basals and see how it patterns out.

  3. That's a really fantastic drop! keep up the good work! I am with you on the stress part. It really screws me up in ways that aren't measurable. I don't know what to do either.

  4. Wo-FREAKIN-Hooo Girl. You must be ecstatic with your drop. That is wonderful. I like how you are already focused on improving it. You will get there. Keep up the great work.


    I cannot even imagine how stress adds into it...well I can, but how to adjust for it must be difficult at best.

  5. Awesome Job on Your A1C!

    I agree, Stress and D don't mix. One of those things we really can't anticipate enough to adjust for, which makes us more stressed. What a viscious cycle, any-who, u take it easy, and relish in the decent A1C! Cheers.