Tag Archives: A1C

The Viscious Cycle


I am fortunate enough to see a fabulous endocrinologist.  She is the ideal doctor.  I know this because I have seen many doctors in four different states over the last 20 years, I have been blessed and been challenged and after the birth of my second miracle I knew I had to find the perfect doctor to see me through the next phase of my chronic illness.  She is so ideal, so educated, so perfect that everyone wants to see her and therefore I only see her every 5-6 months (most diabetic check-ups are every 3 months, so I see the CNP in between visits.)  Monday was the day!  My appointment with Dr. Amazing!  After six months at the gym, leveled out meds for my thyroid and depression, better eating habits and more blood sugar checks, I was excited to see if my hard work had paid off!  My A1C dropped .5 points which is good, but not great, not what I had hoped, less than what I expected.  Everything else (eyes, kidneys, thyroid, pump sites, fingers, toes) looks fine.  Everything is still what I have to work at every single day.

Dr. Amazing and I discussed the changes I had made, adjusted my pump settings, set some goals, etc.  She was explaining how diet and exercise does no good for weight loss if it is not backed up with the right amount of sleep and too much stress.  Well, great.  Isn’t that fabulous?  I have been at the gym three times a week for the past six months and have not seen enough changes because of sleep and stress?  Seriously!  And let’s remember, I am one blessed gal.  Should not be stressed about anything.  I will work more on that today.

I spent the rest of Monday trying to rationalize everything and come up with a plan.  It is simple, or so it sounds.  Check my blood sugar more, reduce stress, get enough sleep.  Doesn’t everyone do that???  So, 2am comes along and I get up to check my blood sugar and it is 54.  Time for a snack, another blood sugar check and my normal one hour to get back to sleep.  Here the vicious cycle continues!  Trying to perfect the blood sugars….blood sugar goes low…..lack of sleep…..causes more stress…….no weight lost…..more stress….higher blood sugars….less motivation to constantly do the right thing…..Only I can break the cycle.  Only I can have a more positive attitude with each high or low blood sugar, with each pump problem, with each time my 3-year-old throws a fit as we are getting to the gym.  Only I can choose to put back on the Continuous Glucose Monitor and be annoyed by beeps and a zillion blood sugar checks to lower my A1C.  Only I can check my blood sugar, change my pump, eat the right thing, exercise enough, pray enough, be grateful for research and changes and medical advances.  Only I can hold onto hope while behaving as if this is how it will be.  For the rest of my life.

Monday was National Diabetes Awareness Day.  As I sat in the waiting room for Dr. Amazing surrounded by unhealthy and grumpy people (seriously depressing),  I imagined what it would be like to begin my appointment with her saying “Mendy!  Good news!  There is a cure!  Leave your pump and glucometer and stress at the door and begin your new life!”  I can see this so clearly.  One day….





Public Service Announcement


Every year at the end of July I think back to 1991 and what I was feeling before I was officially diagnosed with Type One.  So, today is my public service announcement.  I wish everyone knew the signs of high blood sugar!  Do your part to please share them, know them and be aware of them!  Type One Diabetes is diagnosed in children as young as 2 months and even adults can be diagnosed, but usually it is kids or teenagers.  It is not hereditary!  There is nothing you can do to avoid having Type One/ Insulin Dependent Diabetes.  So many people confuse Type One and Type Two Diabetes.  Please don’t be one of them!  If your pancreas is not making enough insulin to keep your blood sugars at a normal level, you have Type One.  If you have health problems or weight issues and a chance to lower your blood sugar with exercise and diet and it works, you have Type Two.

There is nothing like seeing a 2-year-old with an insulin pump and a pump tube (that take the insulin from the pump into the body) taller than he is to KNOW we must continue working towards a cure!  There are stories every week of children whose lives are taken much too early simply because their blood sugar went too low or too high at the worst time possible.  When a child is diagnosed, their blood sugar could be anywhere from 200-500, or higher.  As a normal person with a working pancreas, your blood sugar is always between 80 and 130 no matter if you just consumed a bottle of water or a strawberry shake.  The goal of someone with Type One is to maintain the most normal blood sugars, without going too low or too high.  Ahh, it sounds so easy!

Warning signs of Insulin Dependent Diabetes* includes, but is not limited to:  Excessive thirst, frequent urination, exhaustion, inability to regulate body temperature, odor in breath, unexplained weight loss, blurred vision.  A simple blood test can tell you what your blood glucose/blood sugar is at this exact moment and an A1C test will tell you what your average blood sugar has been during the past three months.

*For more complete information and all medical references, please visit the Juvenile Diabetes Research Foundation website

As we approach my Type One Anniversary date I look forward to sharing more of my story.  Until then, here’s to all those newly diagnosed patients and parents and their worries and fears.  Here’s to all those who are living happy, healthy lives thanks to insulin!  Here’s to you and the life you might be able to save knowing the warning signs!