With all the hullaballo coming out of California and the whole No D-Day thing yesterday, I kinda forgot to update the three of you charting my progress on my latest adventures with Not House. For those of you tuning in late, Not House is my endocrinologist. I managed to squeeze in an appointment to get my labwork done before we made like Fivel and went West and returned, jet lagged to his offices. Late.
As much as I loathe the idea that a single number is interpreted as a barometer of success or not-as-much-success (I refuse to call the opposite ‘failure’, that’s not the mentality we need when it comes to dealing with this disease), things are going well in the glycated hemoglobin department. My past three A1cs have showed significant progress, from 6.9 to 6.5 and now to 6.1. That’s awesome. I’m very proud of myself, not for getting my A1c down that low, but for showing progress. Honestly, I would have been okay if that number stayed the same as my last appointment.
(Side note: I’m doing my best to make sure my language does not come off as bragging, but I’m sure someone will interpret this post as such. I’m not bragging. It’s just a number. And I am so much more than that number. We all are.)
I’ve commented numerous times about how the Continuous Glucose Monitor has done wonders for my management. Highs, while they happen, are almost immediately treated and lows, while they happen, are often caught before they get too bad. Sure, there are some days that I can’t correct with enough insulin to get back to my happy place. And of course there are the uber-paralyzing lows that sap the will out of me, but most of my time has been spent in the mg/dL happy zone. And that makes me happy.
As far as moving forward, I have a few things I’m mulling over. I’m strongly considering lowering my high alarm to 180. I figure if I can appropriately correct with 1 or 2 units at 200 alarms, a single unit at 180 should often be enough to handle a lower high alarm threshold. (Low threshold. High alarm. Not confusing at all). My biggest problem with that possible strategy is that I’m dealing with whole numbers with my insulin management. If I could get a pen that would dial up a half unit every now and then, I’d be golden. Yes, this is another vote for the Pump Committee, but they need a few more votes before any laws are passed. Anyway, it’s a thought. There is part of me that doesn’t want to rock the boat, my management has been solid as is and I do worry that lowering my high alarm might put additional stress on me. All of a sudden 170 is something to get frustrated with instead of something to wait and see about.
Funny how having more information, such as the dotted line provided by the Dexcom can increase stress exponentially when, in reality, that data typically forces tighter control and thus, a healthier person with diabetes.
Part two of my “next step” continues to be my diet. Over the past month and some change, with some help from Dayle, I have been adding legitimate vegetables to my diet. Green beans, broccoli, bell peppers, all kinds of green stuff. I’m not a Jolly Green Giant or anything, but I recognize that the stuff I would fall back on isn’t exactly the best continuous policy. I’m not turning into a health-guru, this is just a baby step to being a healthier person with diabetes. It isn’t easy, but I know that I will thank myself later for this.