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November 21st, 2009
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We found 9 result(s) that match your search "lowering A1c":

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Lowering my A1c is my diabetes priority at the moment. I'm ready to bump down from the 7.3% that I've been stuck at for the last six months. I'm looking to get back under 7% and head towards 6.5% to achieve another "lowest A1c of all time." But today it hit me that lowering my A1c is really taking a toll on me.

 

Not only is it increasing my diabetes stress to do everything right (or at least the majority), but it's also creating a domino effect with quite a few other aspects of my life. Things that are "tolerable" but when combined make me wonder if it's worth it. I feel like I'm always in a state of "weighing the consequences:" do I try harder to lower my A1c or do I tolerate the 7.3% and avoid the ill effects?

 

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Yesterday I bought a tiny notebook and began my new logging routine. So far (even though I'm only two days in), I've done pretty good with keeping track. I've settled on logging the time, blood sugars, both Humalog and Lantus insulin injections, low treatments, and any strange foods (like a chocolate shake).

 

I haven't noticed any trends, but then again I'm only two days in. The biggest thing I've noticed is that I jump high after most lows (my habit of overtreating). I doubt that I'll stop overtreating so I think the best way to handle that is to judge my insulin after the lows more accurately...which means actually thinking about the carbs and low combo instead of just (under)guessing on the dose.

 

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Yesterday's endo and CDE appointments left me with plenty of new techniques that I'm ready to put into practice. Even though my A1c finally bumped from 7.3% (which I'd been stuck at with the pump for over 6 months) to a 7.1%, I know that I can do better. And despite the better A1c, I'm not seeing the types of patterns that I prefer to see. So here are all the tips that I'm setting into motion over the next weeks.

 

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This morning I have my first ever "pump class". Ever since I was diagnosed, I have been on a multiple daily injections routine, so needless to say, I am a little nervous about this class. I am not really sure what to expect. I was told to be there from 8-12 and that lunch would be provided. Although I am nervous, I am also excited to learn about this new way to take care of my diabetes.
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I don't remember worrying about sugar, except at Christmas time when my family would send sugar free candy that tasted horrible. However, I vividly remember the day I officially learned to count carbs. It was an "Insulin Intensive Management" class that focused on insulin to carb ratios, lowering A1c's, and reading labels correctly.

 

My dad and I both attended with several other kids and their parents. It was in the same office as my regular endo appointments. The nurse was new, different, not so exciting. I don't recall being thrilled to be there.

 

We started out with some "pretend" foods like pastas, vegetables, and pizza. We put together meals, counting the carbs and calculating our insulin needs. Reading labels was a breeze. Even calculating was easy. Carb counting was for the birds!

 

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After the picnic last night, I was extremely tired. It'd been an incredibly long week, we'd just played all kinds of games, and to top it off my blood sugar was low. So I ate some fruit and mixed nuts hoping I wouldn't have to eat anything heavier right before crashing into my bed. But my blood sugar wouldn't come up, it seemed to only be dropping. I drank juice and ate crackers, intently watching the CGMS to tell me when it was rising.

 

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I'm interested in the high fructose corn syrup (HFCS) debate, which has been in the news again. I believe it probably is a factor in the "epidemic" of obesity and type 2 diabetes.

 

I thought the Corn Refiners Association's ads this fall (here & here  were a touch defensive. Can you say "the lady doth protest too much"?

 

What I missed until now was the hilarious YouTube backlash at these ads. Watch this, or this or search for HFCS and peruse dozens of videos.

 

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My latest A1c was 7.3. I'm feeling very neutral about it. It's neither high nor low to me. My goal is still 6.5, so the disappointment of being so far off from that is bothering me. But overall, I know that 7.3 is still down from where it was before (7.6) and in a moderately good range for me.

 

I know that getting below 7 is one of the hardest things to do, if not the hardest, so I can't be too hard on myself. It's very frustrating though that it is so hard to get there. Why can't this be a little easier? Or why can't I be a little better at getting things right? I know that I don't do everything right (I'm human!), but I also know that my slip-ups are exactly why my A1c is 7.3.

 

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So I was at work the other day and one of my co-workers and I had the, "diabetes talk". Let's just say she acted as if she knew all about diabetes. I was sitting there humoring her as she dove into topics of nutrition, exercise, and stress. And right as I was about to completely tune her out and continue what I was doing, she caught my attention with a few words that I HAD NEVER heard associated with diabetes. Chromium Picolinate.
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Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
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