That’s amazing! The power of exercise to keep us sane, in addition to keep some power in our carcasses! I’m getting back to moving more, but still run out of steam too quickly. I love swimming and have a friend who has helped me get back into the water. Building stamina up slowly.
I hope you are left with some blood after all that blood work! Remember to hydrate afterwards. I had an MRI on Saturday and neglected to hydrate afterwards. I had ridiculously high BG all afternoon and into the evening and only realized much later that dehydration was contributing to the problem.
Thanks for your help and suggestions today. This group and people like you have helped me so much!
I’m confused. I expected an HbA1c near 7% with Covid, long Covid and a kidney infection. My time in range has been poor in my opinion, with Clarity showing an estimate of 6.4.Suprize suptrize test yesterday 5.4%.
This increases my opinion that TiR is more important than HbA1c. Here’s the 90 day Clarity report.
Somehow Dexcom is not showing the very high highs I experienced when I resorted to IM injections to bring these down. They were high enough that I developed some floaters.
My strategy of using higher carb numbers than actual, doubling that for an extended bolus and doing fairly aggressive corrections at 3 hours postprandial has helped.
I see my endo tomorrow. I don’t want to change pump settings as I hope this will settle down soon.
Endo was pleased with everything. I think I must be his favorite patient because he knows I make every effort to be close to normal. He and I have shared studies. Today he pulled up the one on the glucose sensitive insulin.
When I was leaving the lady that set my next appointment gave me a gift bag with a month of G7s:flushed:
I’ve found that A1c’s are a good indicator, but I’ve always trusted and relied on the GMI, when combined with SD and COV, as a better indicator, particularly when taking into account multiple time periods 7, 14, 30, and 90 day. I particularly like to look at the slope of the line of these. That said, your take on how you’re doing is important to take into account. But, revel in the victory demonstrated by your numbers! There are too many other things that can happen and…one ahhh crap can wipe out a 1000 atta-boys…if you let them!
The A1c is an average of your blood sugars over time, approx. 120 days due to autoglycosylation of blood cells. The CGM measures actual blood sugar. Different factors can affect each, including illness. The CGM will tell you day to day progress, like TIR. If you have a lot of highs and lows, then the A1c will give you a lower reading. TIR is a better correlate to A1c, since the less circulating glucose the less autoglycosylation.
Insulin sensitivity would only matter in that you would take less insulin to control highs, and lower risk of severe lows.
Regardless, both are great results.
Mike
