(no subject)

[willowisp]

Today I went for my first diabetes checkup in six months, and also my first with this new doctor. They do things a little differently there -- they take a blood sample first and process HA1C while you wait for the doctor. Today's was really bad -- 7.7. Diabetics are supposed to aim for 7.0 or lower. I don't think she actually believed me that my last one was 5.something. Everything was running high today; fasting blood sugar of 147 (it should be closer to 100), temp of 98.6 (I'm usually 96.8) and blood pressure of 127/71 (usually closer to 110/70).

I'm not sure what's going on with the HA1C. I've been exercising more regularly than ever, and not eating more than before. I do have one or two guesses. Dr Vimmerstedt had me start taking all three Metformin in the morning since I kept forgetting to take them, and maybe doing so doesn't keep enough in my system for the whole day. Or maybe it has something to do with my being so tired recently. Last time I was this tired was when I couldn't keep any food in me, and my body went haywire blood-sugar wise then as well.

I'm not just going to sit back and theorize, mind. I'll be taking my blood sugar multiple times per day and watching for any trends. If I do notice it getting higher at night I'll try to remember to take the Metformin in two doses, one in the morning and one in the afternoon. I'll try to walk faster, and watch what I eat. Hopefully before I see the new doctor again in June I will have my blood sugar down to the 140s after a full meal rather than while fasting. I'm just stunned that the HA1C was this high.

Most of the day was spent mulling over this morning's news and sleeping. I need to find out why I've been so tired recently.

Comments

[mycroftca.livejournal.com]

Worst hemoglobin A1C that I've seen yet in my practice was 15.9, so you are doing much better than some. Keep working at it, it's worth it in the long run.

[turnberryknkn.livejournal.com]

Could be the metformin-all-at-once, depending on how it washes out of your system after you take it, leaving you with too little at night. Luck.

[tyee.livejournal.com]

You also might look at what you've been eating lately. When you were first diagnosed, you were being very careful about simple carbohydrate intake and making desserts with malitol or other sweetners that don't cause spikes in your blood sugar. Lately you've mentioned in your journal lots of things like cinnabon clones and cake with sugar and sugary frosting, and eating a bunch of the blood oranges and such. I'm not saying you should *never* have those things, but you need to be careful. I'm glad you are going to monitor your blood sugar more closely through the day again.