At my last appointment with my Endocrinologist (Endo, for short) on 12/27/11 my A1C was 7.9. That’s not a “bad” number. But it had jumped from 7.1 in September. That’s a pretty big jump. *sigh* I went to my car after the appointment, fighting back tears. I felt so defeated. Like such a failure. And completely irresponsible. I was mad. I was scared. Scared that I’d let myself “go” and that I won’t be here to watch our kids grow up. Scared that this disease that has lived inside me for almost 20 years now is finally going to start taking over, even though I’ve tricked myself into believing I’ve been the one in control of it all these years.
So I decided to make some changes. I started that Chris Powell diet. I started watching my portions and carb intake. I lost 10 lbs (still have lots more to go, but it’s a start.)
My BG (blood glucose) readings were lower. I was able to decrease my basal rates a tad (every little bit helps.) In fact I did that, because I was starting to go too low, too often. And they would hit fast.
So overall I have felt really good about where I’ve been the last couple of weeks/month.
Until I printed out my CGM results this week. It’s one thing to look at the graph on my pump every day and think “That’s a pretty straight line. Good job, Shannon!” but that only tells me a 3, or a 6, or a 12 hour graph (depending on which setting I’m looking at.)
But when you look at over a week’s worth of data … it paints a much different picture. Now don’t judge (*ducking behind my chair*)…. but here’s what I saw this week when I uploaded my data.
An explanation for the non-D’s, each colored line represents a different day. The intent of wearing the CGM is to not only help me predict high’s/low’s and cut ’em off at the pass, but also to look at charts such as the one above and find any trends – am I always running high overnight? Do I shoot up after lunch every day? Am I waking up low every day? Once such trends are established, then it’s as easy as pushing a few buttons to make necessary adjustments to my basal rates, and hopefully get straighter lines. Now, also in a non-D, you would typically stay within that green range. Which is considered “perfectly normal” (I just made that up, btw.) A diabetic will have peaks and valleys, inevitably, based on what day of the week it is or what we’ve eaten, how often we’ve stood up in our chair, etc. (Yes, I’m being a tad overdramatic, but you get my point.) The hope is to stay within that green area as much as possible, though, and have more of a hilly plateau vs the Rocky Mountains. When you look at this chart, you may think it’s not that bad – you can definitely see some trends, and that’s a “good” thing (fixable). What I saw when I saw this chart was “Holy crap.” I hit over 200 every.single.day. I also had a low almost every day, with the lowest in this particular sample being a 43. Ugh. So here this whole time I’ve been thinking “Great job!” when actually I’ve been in the Rockies and didn’t even realize it. 😦 I go back to my Endo next week on the 28th for my next 3 month checkup. He will do another A1C and I am hopoing/praying for a decrease from that 7.9. To show off all my hard work. It’s like a score card. Even though it’s probably not healthy to think of it that way. But in reality it is. It’s the proof that I’ve either succeeded in my diabetes management for the prior 3 months, or if I haven’t. Bottom line. The number will be what it will be. And all I can do from there is try my best to make it an evenbetter number the next time. 🙂