For the past three years, we’ve had Liam’s ranges set at 70 as the low and 180 as the high. We’ve managed to stay under 7% A1C for most of that time, but only 6.9. So, after our last Endo visit I decided to make some changes to our ranges. I changed the low to 60 (because honestly, I’m OK with BG getting to 60, but not below that…so psychologically, I’ve convinced myself that 60 isn’t bad (of course as long as he doesn’t live there). And for my high, I changed the high range threshold to 150 because, in order to maintain around an A1C of 7%, we need to stay at or under 150 as much as possible.
So, that was the psychology that went into my changing the ranges.
The result? Just in the past three weeks since our Endo visit, I’ve brought his 90-day average BG down to 145, from the 150 that it was at our last visit. This means his A1C is around 6.7 right now.
I make this thread to emphasize how much psychology goes into number changes. If we accept 180 as our upper limit, then we will never push ourselves to get lower. By changing the upper limit to 150, I’ve found that I’m more aggressive in correcting his BG’s when they are over 150, instead of waiting until they are over 180. Same with the lows. Because we have more leeway in treating lows, I’m finding that we now have more time to treat lows and this also keeps him lower, longer.
I’ve found having the PHYSICAL REMINDER of those lines to be making a lot of difference in our treatments and it’s helping so far. Yes, we still need to work on the severe lows. Yes, we still need to continue bringing down those highs, but this most recent change I made to his upper and lower BG limits is already proving, for us, to be a great strategy in lowering BG’s.
So, instead of settling for BG’s that are over 180 before we treat, we now settle for 150 and treat if he goes over that. Most of the high percentages we are seeing is due to his nighttime highs which are crazy for us right now. No discernible patterns right now to make any real changes because one night he’ll be high all night and the next night, same variables, and he’ll go low with basal turned off nearly all night.
Anyway, I thought I’d share this because I’ve found the psychology that goes into managing diabetes fascinating and it’s amazing how much better we’ve found we can do if we push the boundaries on what’s acceptable for BG management.