Quote:
Originally Posted by BlueSky  I think an HBA1c goal of 6.0% is a good standard to set. But don't get too upset if you don't achieve it.  I agree with the nurse in that rising from 5 to 7 overnight is really not that bad. But if you are having difficulty covering breakfast and you find that your BG is continuing to rise in the morning, adding some NPH into the mix could help improve your control. An HBA1c of 6.6% corresponds with an average blood glucose of 8.8mmol/l. So you must be going high at other times of the day. It may be useful to consider what other opportunities there are for making that improvement. And have fun doing it!  |
Wow - I didnt realise 6.6 corresponded to such a high average, 8.8 really is high and leads my mind down the road of thinking its the timing of my boluses i might need to work on. and probably cutting back on coffee wouldnt be a bad idea.
im not too bad with mornings, yes im definitely insulin resistant in the morning but like you i have a light low carb breakfast - i normally have a pot of unsweetened greek yogurt with nuts and seed and a teeny bit of dried fruit. i think its around 20g carb and if my blood sugar is 6 before i take 1.5 units which takes me back to 6 again later, or if im a bit higher i take 2 units which pretty much does the same thing; so i guess im alright with that but could probably do with looking a bit more closely at what im doing an hour after i eat and timing shots a little better if necessary.
its such an ever changing set of goalposts, you're just getting used to your latest routine then your body reacts differently and you have to re-adapt again and again - keeps you on your toes. and its really helpful to have everyones advice. i think on this one i am going to work with what i have for the next 3 months, get an HbA1c, if I havent brought it down a little then find a physician that is willing to prescribe NPH!
thanks
