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14 months after DX

Bishop

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14 months after DX

 

I missed my 1 year lab appointment so I went in early this Sunday morning and got my results back this afternoon.

 

In short:

  1. Passed my urine test (Microalbumin/Creat Ratio) - which was borderline before and now well below the threshold. Will keep an eye on this.
  2. A1c is now 5.7. Ironic how I thought my previous 5.5 was too high and how I’m thankful it’s “only" 5.7 this time around. I had concerns tied to my significant FBG rise over the last 1-2 months. More on that below.
  3. Triglycerides/HDL ratio still below 2.0 - I don’t care much about the rest.
  4. My glucose meter comparison with lab number on FBG - more or less the same.

My big homework assignment this time around was tied to the sudden, clear rise in FBG. I created a journal entry for it a few weeks or so ago:

 

There has been a rather sudden and sharp rise in my FBG numbers (10-15 point rise - see graph). While many variables are in play, the main difference I’ve noticed which correlates with the sudden rise, has been a change in my daily activity. I now try to jog between 3-4 miles about 5 or 6 times a week, first thing in the morning. This started out without paying much attention to intensity, but after a scare, I started to pay more attention to intensity, at least in terms of how I feel and what my fitbit is telling me my HR is.

 

So more recently, this is a very slow jog, almost a walking pace, and I’ve been extremely mindful of keeping the pace around 13 minutes a mile, which is not easy to do. A part of this motivation to go extremely slow is tied to a concern around over-training, cortisol, stress, etc. At this slow pace, I feel great and it seems to be okay in terms of stress (fitbit heart rate monitor, while not that accurate, shows my HR as in a safe zone).

 

The other variables off the top of my head:

  1. Working out first thing in the morning vs. late at night. I’m a night person and used to do any sort of workout after work and in the evenings. This shift to doing a 5k jog every morning, first thing after getting up and taking an FBG reading, is different.
  2. Not eating anything before the jog. I’m actually not hungry then. At all. But perhaps I should be eating something. I’ve been experimenting with taking a single serving of a Vega One All-in-One Nutritional Shake (which I’ve used many times over the past year for other reasons) - we’ll see if that makes any difference. Still feels odd to eat when not hungry. But perhaps it is “messing with my metabolism” - though it would be good to actually measure my metabolism to confirm.
  3. Still doing a lot of restaurant eating and that involves new places. And even with repeat visits, there is quite a bit of exposure with regard to hidden sugars and such.
  4. Perhaps the running is increasing my appetite? I don’t feel that it does, but perhaps that’s causing me to eat far more than I realize.
  5. No more gym - I didn’t do much there other than walk on the treadmill for 60 minutes, but perhaps the strength training I did do - no matter how little - helped.
  6. Eating less vegetables.
  7. No more tennis on Friday with ex-NCAA tennis buddy #7.
  8. The earlier trend was there around the time A and B returned and I got back on their diet and eating habits. (Skipping sugar and grains and staying more on the lower carb side, which they are pretty good about respecting.)
  9. Increase in weight. Increase in abdominal fat. First notch on belt vs second notch. Maybe 10 pounds?

In any case, I have tried to back down on intensity in terms of per mile pace and not working out every morning or every day/evening. We’ll see. Figure this out and dialing it in is fun in a twisted way. =)




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