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diabetes control

3/21/2014

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is your diabetes <<controlled>>?  oh, how i DESPISE that question.  

--at this minute?  i'm 110, so, uh, yeah, i guess.  but my blood sugar 2 hours ago was 251 twenty minutes after i ate an apple for breakfast although yes, i did take insulin for it but insulin takes 2 hours to do its business, so, uh.... and a few days ago it was 53 after i ran six miles, and in five minutes it may start climbing 3 mg/dl per minute because you are stressing me out...

--I HAVE T1D and IT IS NEVER CONTROLLED.  BROKEN PANCREAS, remember?

--are you blaming me, by insinuating that i should be able to control it?

--is this some sort of judgement of me as a person?

how does one even begin to answer?

the ADA recommends an A1C goal of 7%, which you likely know thanks to your endocrinologist, family doctor, eye doctor, and anyone in the medical field or studying to be in the medical field. 

let down last fall after a visit with my endocrinologist and yet another A1C over 7%, i compiled a list of my A1C results, and found that they have always been in the 7-8% range post-teen/college years when, frankly, i remember A1Cs of 9 and 10%. 

extremely disheartened, i looked to see what others were actually achieving. 

IMMEDIATELY, I KNEW I NEEDED TO SHARE.

25,000 people with type 1 diabetes reported their last A1C to GLU.

less than 8.0--- 48%
less than 7.5--- 32%
less than 7.0--- 17%
less than 6.5--- 8%
less than 6.0--- 2%

average A1C--- 8.4%

my take-home message: keep plugging away, but don't give yourself an F for failure if you don't get to 7% or below.  sometimes the goal and what can be achieved are not one and the same.

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