This morning's appointment with Carrie went very well! I got there on time, despite a team of tree removal workers from the city blocking our driveway as I was on my way out.
I tested right before the nurse checked me. My glucometer read 113, the office's glucometer read 103. My thyroid is finally in the normal range, which means no more fluctuating medication doses! 100 mcg seems to be just right for me now! All the rest of my lab work came back normal too and she was happy to report that.
And the number I've been waiting to reveal...
As you may remember, my Dexcom Studio software was figuring my average blood sugar was around 108 (5.4 A1C), and I was sincerely praying that was true. I really thought I would be in the 5s! However, I couldn't remember how accurate its calculations were for my last appointment and A1C, so now I'm happy to be able to note this.
My last A1C was 6.7 (146 mg/dl).
My current A1C is....
6.0 (126 mg/dl) !!
Dr. B puts a 126 average blood sugar at 5.7 %, so that's nice!!
I'm happy that there has been a good amount of progress. Carrie was pleased to see that my numbers were looking great, even with a few spikes from hormones/over-corrections. She really had no other instructions, but made note of my low carb intakes (and had no objections), remarked that we're in a better place health-wise to start having kids, and said she'd see me in 4 months (so seems I'll be seeing her every 4 months instead of 6, which is fine. 3 times a year is better than 4, right?).
So now I've determined to choke up on the reins even more. I will reach the 5s by February, and I've figured out a few things I need to do in order to reach that goal (or do better):
Basal checks - because of those strange highs I was having, which I chalked up to hormones, I adjusted my basal rate some. I increased my injections of 5 units up to 8, and even up to 10 overnight. I've since brought them back down to 8 due to some overnight lows, but I'm not sure if I should bring them down even more or not. That means I need to do some basal checks and make sure I have my dose where it needs to be. My meal and correction boluses seem to be okay for now, so I'll leave them be.
Lowering my high alert on my Dexcom - In order to tighten my control, I need to start anticipating when my number may go higher than I want it to go. My high alert tells me when my number reaches the maximum value I set, and it is currently set to go off if my number reaches 140. However, I would like to start preemptively treating numbers before they get that high. I think my next high alert setting should be 130, and then down to 120 (which is the lowest it can be set). My ultimate goal is to keep my numbers between 70 - 120 as much as possible.
Expand my low carb recipe book - While I have some great recipes I've been able to make this past year, I'd really like to make use of the resources I've been able to find since joining some great low carb groups on Facebook. I know there are a ton of recipes out there that are just waiting for me to find them and try them, and I'm excited to be able to try new ways of making the same old foods!
Well, that's all I have for now. I'm going to go relax and rest a bit. I'm running on 4 hours of sleep and have a tiny sore throat.
To God be the glory!