November is National Diabetes Awareness Month.
I’ve known this for several years, dating back to when I started geocaching. Though the campaign was actually a couple of years old, Groundspeak (the owners of geocaching.com) partnered with Unite for Diabetes to manufacture and distribute 20,000 trackable tags. When I see these, I still pick them up and move them.
In 2007, a geocoin to commemorate the first United Nations World Diabetes Day (Nov. 14) was released and there were many of these coins delivered. You can now actually purchase these coins (of which I own one).
Back then, though, I never took my own diabetes seriously.
It’s been a while since I’ve updated here about my battle. I’m doing this on the blog and in a more public setting, as I’ve noted in past posts, to keep myself honest and to have accountability about taking this a tad more serious than I’ve done in the past.
So far, it works out well.
In fact, at my last doctor’s appointment, my A1C, which is the long-term look at my numbers was a 5.9, which is extremely solid compared to what I had been in the early part of the year. That allowed my primary physician to lop off one of my medications, which was super awesome to me.
It’s changed a little recently and I’m wondering where to go with it. As I read more and more about daily numbers and things like that, it seems like the goals doctors give patients differs. I have a hard time finding definitive numbers to aim for, so I can only go by what the diabetes educator I see says, as well as my primary. Those numbers are basically an 80-140 before a meal, and anything below 180 a couple hours after eating. That should, theoretically, get be to 7 or below on my A1C.
Now, that being said, there was a sign at the place where I go for my appointments that showed the following:
2-hour post meal:
- Age 50 and younger: <140
- Age 50-60: <150
- Age 60 and older: <160
What this didn’t say, however, was if this was for a person without diabetes (who might be on the border) or if this is what diabetics should aim for. Because if these numbers are where I need to be, then I may have to go start taking that other medicine again.
See, my goal always has been to avoid any thought of insulin. So, if I need to try that other medicine again to keep me level, so be it.
As of the last day or so, according to my glucometer, I’m about 80 percent in range, and 20 percent high. That is alarming to me, as I had been in the 100 percent in-range category. My average reading is 126, which is higher than it was a month or so ago, when I was down in the 110-115 range. Now, these are also the numbers averaging the past 14 days, so it can and will go up and down, depending on the day and week.
The mornings have been the real culprit. I’ve been as high as 155 (Nov. 3), and I’m not eating a ton of stuff the night before. I’m keeping within my dietary limitations and following what I am supposed to be doing. However, the past week or so I’ve been pretty sick. So add some cold medicine and everything else into my body, and it’s possible that is playing games with things. But that’s for the past week.
If you go back to Oct. 1, I’ve been high (so above 140) at my morning check 18 times. That’s way too much for my liking.
It’s not that I haven’t been high in the mornings before. Look at Aug. 10-Sept. 10 and there were six instances of having a high count in the morning. However, they were not bunched with others and seemed to be kind of abnormal hits.
Now, when I get them, they are a bit more grouped, say 3-4 days in a row of high counts.
I’ve discussed this with my health care folks and they’ve explained different aspects of why this can – and does – happen. It has to do with some things I don’t fully grasp, but basically it’s something your body does to get glucose when you go an extended time (so sleeping) without eating etc. I am on a eating six times a day thing now, so I have breakfast, a mid-morning snack, lunch, a mid-afternoon snack, dinner, and an evening snack. I count the carb servings and all that.
A few things to note – as softball has ended, my activity level is OK, but not as much. So I need to start getting more and more active, even if that means just going out for more walks. Also, if you look at the rest of my readings (I usually check 3-4 times per day), and starting at Oct. 1 again, I had one number that was out of the normal range. So it seems like I am staying on the right path, but need to figure out the morning readings a little better.
I plan on having a few more posts about diabetes this month as I have been figuring other things out. It’s all a learning process for me and as I continue to push forward, I know there will be things I continue to work on. I won’t be perfect, that’s for sure, but I have goals and things I know I need to work on. The best I can do is keep plugging along and working toward a better result.
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