A1c Apathy

The number doesn’t matter, but I got my A1c back after another 15 minute chat with my endocrinologist. It’s not great, but it’s not terrible.

Driving through a downpour, the result of a tornado warning in Northern Virginia, I found myself trying to understand what my apathy means for my health. I’m still testing my blood glucose at least four (4) times a day, my Dexcom’s high alarm is still at 180 rather than the default 200 (and I’ve actually been debating the consequences of lowering the high alarm to 160, more on that later. Maybe.

I’m not apathetic about my health and I understand the consequences of my actions if I don’t take things seriously, but I’m facing a conundrum. When the results that typically begin conversations about our diabetes health vary by very small margins despite mountain-moving efforts, it’s hard to get enthusiastic about a 6.8 versus a 6.6. I know my perspective is a little different than other members of the diabetes community because, obviously, I can’t have kids. When you’re planning a pregnancy and living with diabetes, A1c has a bigger meaning. There’s a greater purpose to working for better control when you’re talking about bringing life into the world. But, as a guy, it’s a little bit harder me to find the motivation to work for that .2 or .3 on my bloodwork report. I imagine this problem exists for women that aren’t planning a pregnancy, but I’ll let them chime in as they deem appropriate.

So here I sit, counting down the next 3 months until I go through the paces at my endocrinologist’s office. It’s entirely likely that I need a new voice to help kick things in gear. I got the name of a local Certified Diabetes Educator from my endocrinologist’s office. I may call. I may not.

3 thoughts on “A1c Apathy

  1. Does the Dex let you schedule different thresholds at different times? I have my Medtronic CGM threshold set to 175 in the daytime, and 145 overnight. I figure since I’m not eating while sleeping, I don’t need to set it high enough to avoid postprandial-spike-nuisance-alarms, and it stops me from sleeping for hours at a BG of 170 without knowing. It’s one of the little changes I made after my last disappointing A1c, and it seems to be working for me. Maybe it’ll work for you.


  2. I try not to think that a decimal difference is a big deal. You can only be happy with what you have and the measurements you know you are takin to improve. I can’t be better if I don’t try. There has to be motivation. Thankfully I’ve found that motivation and strive everyday for better numbers. It doesn’t always happen, but its all the effort.



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