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.
- Passed my urine test (Microalbumin/Creat Ratio) - which was borderline before and now well below the threshold. Will keep an eye on this.
- 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.
- Triglycerides/HDL ratio still below 2.0 - I don’t care much about the rest.
- 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:
- 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.
- 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.
- 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.
- 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.
- 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.
- Eating less vegetables.
- No more tennis on Friday with ex-NCAA tennis buddy #7.
- 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.)
- 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. =)