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(almost) Six Months After That 13.2 A1C DX



My thoughts 6 months after DX:

  • some of my lingering worries based off decades of brainwashing around my cholesterol and diet are gone now that I've maintained a good triglyceride/HDL ratio for a good number of months and "despite" eating what I have been eating and do not really do much to move my HDL (i.e. my triglycerides are low)
  • do not know if I can, but really want to do better on my A1C and dial in my diet and physical activity - working smart, not just harder (right now, I'd give myself a C- on the working smart side of things; clearly a passing grade, but nothing to be proud of and so much more to learn, keep learning, correcting, etc. it boggles my mind in a good, fun way. just unfortunate it is in the context of such a serious condition.)
  • drastically reduced diet soda consumption (I know it shouldn't matter, but I'm okay with it)
  • protein consumption matters far more than I thought (i.e. I can eat too much protein, no question in my mind at this point)
  • portion control matters
  • eating only when hungry is far more difficult than I had anticipated, even when I anticipated it being potentially difficult, all relatively speaking (this is a #firstworldproblem of enormous size)
  • as a game and worst-case-scenario of sorts to help with A1C estimates when missing PP numbers or even for missing spikes in general, I have been playing with my data by adding extra spike values not based off an actual reading, calculating the estimated A1C, comparing to lab numbers, then adjusting the spike value, and seeing how that closed loop converges vs. not - all for fun, no extra credit involved, but no extra work involved either

All of the standard disclaimers apply - everyone is different, what works for Luke may not work for Leia, observing A leading to B doesn't prove anything, there is no cure, etc.


[ my boilerplate below, slightly updated, as usual ]


[earlier] had some mild but clear symptoms for a few months, did some exercise, symptoms went away; but was worried enough to see a doctor given what I had read online about diabetes; diet up until this point was LOADED with carbs (200+ grams of carbs per sitting quite common) and close to 100% restaurant, fast food, and all-you-can-eat catered food and snacks. DX'd with Metabolic Syndrome ages ago, but no symptoms, didn't pay attention or make changes. BAD MOVE. Last FBG on record was 83 on 2012.09.17.


2015.05.28 DX'd A1C at 13.2, FBG at 194 - The Wake Up Call !!


2015.06.08 [11 days after DX] FBG mostly in 80s, all below 100


2015.06.27 [~1 months after DX] A1C at 9.8 & FBG at 88

2015.08.28 [~3 months after DX] A1C at 6.0 & FBG at 87

2015.09.28 [~4 months after DX] A1C at 5.7 & FBG at 95

2015.11.21 [~6 months after DX] A1C at 5.6 & FBG at 83



Diet: low-to-moderate carbs; eat a ton; love my fats, especially given my love of hard boiled eggs, all kinds of cheeses, nuts and meat; though I try to get a lot of veggies in too; personally have found that the amount of protein does matter; much more mindful of overeating and also try to only eat when hungry; not strictly following any given LCHF, Paleo, Atkins, or Diet X, but learning from all of them and trying to figure out what works best for me over time


Exercise: daily mild, but deliberate walking, or 80-100,000 steps per week on average, extremely light strength training, occasional but well beyond recreational intensity tennis; intimately familiar with HIIT and various exercise vs. training routines, but not going down that path for now


Medication: have never taken any medication for diabetes or non-diabetes; I realize this may change significantly over time


Weight: as of 2015.08.28 roughly at 190 pounds, down from an all time high of ~245 around 8/2013 this is technically the lightest I've been in since at least March 7, 2005 (the earliest records I have) - as a 6' male, given my activity level, athletic exposure, and genetics, need to figure out a reasonable steady state given my muscle mass, sustainability, and age; though more recently, given a number of the strength baselines I've used over decades, I really should turn to the good old fashioned hydrostatic torture test or better (DEXA scan), or maybe just keep track of my waist size. =)


On sustainability, it's way too early for me to tell. Ongoing homework, understanding, measuring, corrections, experiments, etc., especially given the progressive nature of this disease.


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