Tag Archive | A1C

One Thing to Improve – Diabetes Blog Week Day 3

Diabetes Blog Week Day 3

Our instructions:  Yesterday we gave ourselves and our loved ones a big pat on the back for one thing we are great at.  Today let’s look at the flip-side.  We probably all have one thing we could try to do better.  Why not make today the day we start working on it.  No judgments, no scolding, just sharing one small thing we can improve so the DOC can cheer us on!

This one was easy for me to pick.  One thing I would like to do better is help my guys dose their insulin BEFORE eating.  We do try to do this, but it is REALLY REALLY hard.  Partly because it requires planning.  Mostly because it is almost impossible to convince a hungry  person he should wait 10-15 minutes after calculating carbs and dosing insulin to eat.

When the little guy was diagnosed, we were given these instructions:

1.  Check blood sugar

2.  Dose insulin for food based on carb count, including any correction dose for high sugar

3.  Take the first two numbers of the blood sugar reading.  This is how many minutes after taking insulin you should wait to eat your food.  (for example, if blood sugar is 130, you would take insulin and then wait 13 minutes to eat)

The reason for doing this is that insulin takes 30-90 minutes to get working and even reach its peak in your system.  Taking the insulin before eating avoids blood sugar spikes after your meal or snack.  Ultimately, doing just this one thing can  help lower the A1C result, a definite goal for us.

Sounds great.  Simple to calculate.  Easy to recognize the benefit.  Difficult to implement in real life.  Especially with a kiddo who’s convinced he is “starving” and is watching his brother and sister scarf down their food while he waits.

So, this is what I’d like to improve for us.   I know with a little work we can get much better at this.

I’d really love to hear how this goes for others.  I’m sure we aren’t the only families struggling with this issue.

It Gets Better

My son was diagnosed with Type 1 last July, while we were on vacation in Florida.  After reading the stories of others, I consider ourselves lucky.  No DKA and  we only spent two nights in the hospital.

When he was discharged, I remember driving away from the hospital with an overwhelming sense of panic.    I felt so helpless.   Only two days spent learning how to keep him alive.  It didn’t seem like enough time.  All of the information was spinning around in my head.  I could only think to myself  “How are we going to do this?” Of course, I didn’t say that out loud.  I didn’t want to scare him.  I didn’t want him to feel the fear I was feeling.

It didn’t even matter that my husband of 9 years had Type 1.  I felt like I knew nothing.

He was starving.  He begged for something besides hospital food, but I wouldn’t even consider fast food drive through because I didn’t know the exact carb counts of the food.  (duh, you can look them up)

He fell asleep on the hour drive to my mother-in-law’s house and instant alarms went off in my head….Is he high?  Is he low?  Should I climb into the back seat of the rental car and check his sugar?  I felt so out of control.

On the radio, a song played and she was singing my thoughts…

“Can we pretend that airplanes in the night sky are like shooting stars?  I could really use a wish right now, a wish right now.”

I would have given anything at that moment for one wish….

It’s been nearly 10 months since his diagnosis.  Now, things seem normal.  We are calm.  We know what to do and when to do it.

Today, he had his quarterly endo appointment.  The hour drive in bumper to bumper traffic stunk, but the 6.4 A1C result was worth it.  When I heard the number, I smiled.

A lot of days I feel like a failure.  I fault myself for the highs and lows.   I blame myself for miscounting carbs or underestimating the impact of exercise.

But today……today was good…..I’m still smiling!