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!

6 comments:

  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!

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  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.

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  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.

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  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.

    AND...

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

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  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.

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