I still haven't heard from the endocrinologist and I'm just about ready to jump out of my skin.
I've spent quite a bit of time the last couple of days thinking about what I can do to get my blood sugar under better control. My last A1c was 7.1, a marked improvement from my January test but not close enough to the short term goal of 6.5 I've set. It does show that I'm on the right track, though, and that's encouraging.
After I had my little pity party Thursday I hitched up my big girl panties and was ready to beat the ever loving hell out of the Diabeastie. Where's my whip? Oh yeah, I don't have one so I guess I'll have to approach this differently. How about using common sense, planning, and forethought to gain the upper hand? How about putting to work the knowledge I already have and gaining more to help me overpower the dreaded creature? Yeah, I think that's a better plan.
In light of that, here are some of the things I must do/changes I must make to better manage my blood sugar:
Test more frequently - Depending on what's going on in my life, where I am, what I've eaten, and how I feel, some days I test only 3 or 4 times. Most days I test more often but when I've eaten something that's likely spiked me I'm more inclined to skip testing. I don't want proof that the 15 units of Novolog I shot weren't nearly enough for the two plates of food I ate so I just go on about my business. Trust me, that doesn't work well. I've returned to the test schedule that served me well as long as I faithfully kept it. I'll test before eating and drinking when I first get up in the morning, before each meal and two hours after starting the meal, before going to bed, when I eat something new to me, and when I don't feel good or feel like something is "off". And I'll do this... Every. Single. Day. That's 10 tests on a good day. A bad day will mean 15 or more. At about $35 for 100 test strips it isn't cheap but it's a lot cheaper than a hospital stay, losing my vision, or having a leg amputated. To help with this chore, I've ordered 500 test strips to keep me going for a little while.
Multiple Daily Injections - Since a pump isn't financially feasible for me and haphazardly shooting when I think about it or when my glucometer freaks out over a high number isn't a good idea, I'm going to continue my MDI schedule with a little tweaking. Yes, it's something of a pain in the butt - I have to faithfully test, remember to take my glucometer and insulin everywhere I go, eat soon after shooting rapid acting insulin and for the amount for which I've shot, remember to take my basal insulin at the same time each night, and (arrgh, the worst part of all!) accurately count the carbs I eat. But MDI, when conscientiously performed, can produce very good results. Or so I'm told.
Count carbs - I admit I'm one of the worst carb counters out there. In the beginning and for quite awhile after my initial diagnosis I ate fewer than 20 grams of carbs most days, often eating 10 grams in an entire day, and if you aren't eating carbs, what's there to count? It was easier and quicker to eat a very low carb snack and pronounce it "about 2 grams of carbs" than it was to learn exactly how many grams of carbohydrates are in a serving of something, measure or weigh to get that precise serving, and then consume just that serving. And that worked fine for awhile but I quickly needed insulin and still didn't properly count my carbs. Yes, I've been a horrible carb counter but I do know how to count carbs and I do it well most of the time. I simply need to be more faithful about it. So Friday I dug out my carb counting books, found a good food scale, and started putting them to use. No, I don't like it and yes, I can think of a lot of things I'd rather do than memorize carb counts of my favorite and not so favorite foods. But it is what it is.
Exercise more - This is another tough one because, well...I don't like exercise. However, I've increased the physical activity I get and it's already made a difference in weight and blood sugar so more should help. At least in theory. I don't have a gym membership. I just walk around the neighborhood and use my exercise DVDs. I simply need to do those things more.
So, the above things basically are my whip and I plan to fiercely use it!
I'll try to post updates on this now and then. Life is pretty hectic right now and I don't have as much free time as I'd like. At any rate, this week's menu will be posted later tonight or tomorrow. It's a good one!