Diabetes Self-Management Blog

In 10 days, I go to the endocrinologist for my quarterly checkup. I’m sure that all systems (my endocrine system, of course) will, relatively speaking, be fine. And here, today, you’re reading my pronouncement: I’m predicting that my HbA1c will be 6.4%.

Now, that’s a little higher than it’s been for the past two or three visits, but I doubt it will have risen much over the three months between my last doctor’s visit and the one coming up. I’m adding a few tenths of a percent to compensate for the holidays.

No, wait. OK, that’s a lie. I do doubt that my HbA1c will not have gone up even more over the past three months. I know that it probably will not have, but I feel that it should have, and I can’t really trust that it hasn’t.

Confused? Right. So am I. But I’m confused most of the time. Crap, now I’m rethinking my decision to write this week’s blog post about my HbA1c.

Me: Don’t even blog about this. You’re going to jinx your HbA1c by predicting a good number.

Me: But you’re predicting a good HbA1c because it’s been in the low 6% range every time you’ve had it tested over the past year and a half. Things haven’t changed that drastically.

Me: But you’ve had troubles with your insulin pump lately, your infusion sets. You bolused for several meals when the canula wasn’t subcutaneous. Do you remember those days? Your blood glucose got stuck in the 200’s? You tried and tried, but for some reason there was nothing you could do.

Me: You were afraid of overbolusing, because you’re never sure that some of the insulin didn’t get into your system. That’s a tough call.

Me: Yes. Remember, though…because now you’re veering off into talking about insulin pump problems…remember that you said in an e-mail three days ago that you didn’t want to blog about this topic? No “insulin site problem” blogs this time around? Now you’ve gone and started the ball rolling. Nice. And with deadline? Too late to turn back.

Me: Right, you didn’t want to blog about this because you’ve blogged about it before. Your readers are probably sighing. “Bor-ing.”

Me: Right, but remember, also…

Me: Yeah, remember also that those pump site problems, infrequent as they are, that when they cause a few days — even more than a few — of higher blood glucose, that it is not going to undo months and months of good self-management. You’ve banked quite a lot of really good days. And when…

Me: They’ll tell you at the endocrinologist’s that you have no ketones in your urine. Your blood pressure is OK…

Me: But what about your lack of going to the gym?

Me: You still walk the dog, walk without the dog, and so on.

Me: Yes, but you’ve also become a homebody. Lots of car time over Christmas and New Year’s.

Me: But you’ve been eating healthier meals, thanks to your wife.

Me: Look. You’re just not wanting people to call you out on your bad habits, nor do you want them to think you’re trying to write somewhat clandestinely about all of your good habits. You’re confused.

Me: But you know that. Life’s confusing, diabetes is confusing, and you’re probably fixating on your HbA1c to avoid some other problem you don’t really want to face.

Me: Well, are you?

Me: Are you?

Me: Are you?

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Comments
  1. 6.4, nice. Even a brief excursion to 6.8 ville once and a while isn’t going to call out the guards. After my first 4 months on a pump, my A1C went from 7.3 to…7.3. I was kinda bummed, especially the pump BG averages were down around 130. Ah ah, so I went CGM and found rises sometimes occuring up to 5 hours after a meal, due to fats and proteins, I figure. All my A1C “overhead” was occuring precisely during those times that I wouldn’t normally check blood, especially from 10 p.m. until morning. I’d wake up with a BG of 120 or less but now I see it had steadily risen during the night, breaking around 2:30 and heading slowly downhill. Same with After breakfast and before lunch or midday. I was logging up to 8 total hours a day above 180. So now, with All Things Revealed, if my A1C doesn’t improve, it’s diet and discipline and only myself to blame. We’ll see.

    Posted by Peter Mead |
  2. Dang Eric… Chill. Even if your HbA1C is higher, you just outlined all the reasons why… so… you know how to get it back where you want it to be. If you know the reason for a problem, you know the solution.

    From the above commentary… I’d say your REAL problem is simply that you waited too close to deadline to start your blog, anf that was what you were really worrying over. But you know what? A blog is really supposed to be talking something out, and that is exactly what you did.

    Posted by Ephrenia |
  3. Hah! Sure enjoyed your blog! I do appreciate your honesty. Your interchange with yourself sounds like me. Glad to know I’m not the only one who goes on and on like this. It IS confusing and sometimes I AM confused. Getting the pump has made life so much easier but certainly has not solved all the problems. Keep being real! Thanks.

    Posted by Sharon |

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