Not a good day for Buckley!
Started off well, got my lab results from my last HbA1c 5.9%, first ever foray into the 5% club, this was after a pump malfunction and resultant ketoacidosis several weeks ago which caused a long wave of high blood sugars. So the 5.9% was a nice surprise.
So I stand there being self congratulatory "Well done Buckley, you've got this diabetes thing licked,see all the effort over the years has paid off blah blah, you are walking, talking artificial pancreas of a man"
I look down to see a letter on my door matt,
"Dear Mr Buckley,
Unfortunately your recent diabetic eye screening has indicated Diabetic Maculopathy, further tests are required, potential treatments included laser therapy, injections may need to be discussed etc."
Back down to earth with a bump!
Eye site complications are one of my biggest motivators for tight control so to say I'm abit annoyed is an understatement.
I sat with the technician who did the tests two weeks back and we looked through the images of the back of my eyes together, they looked fine, previous early retinopathy had healed was no longer visible.
The tech even stated they were the healthiest eyes he'd seen on a long standing type in a while. Vision was fine, could read the smallest letters on the snellen chart easily.
No bleeds, no floaters, just a minute dot of what looked like exudate and the sheen that young people have in images of the eyes had faded quite markedly from last year, so I left feeling a little old, mourning my wasted youth, but certainly not fearing diabetic maculopathy.
I really wasn't expecting this letter! I'm hoping it's nothing too serious and they are just being proactive as I know the screening programme here is top notch.
Anyway screw diabetes, my fault for letting my guard down!
Some questions for you guys though.
I'm 31,devastatingly handsome,modest,control is pretty tight. Postprandial/standard deviation could be tighter. Intend to get a CGM and play around with bolus timings to improve here.
Type 1 for 20 years, teen years were rubbish, always took my jabs, tested once a day, average HbA1c 7-8.5. 8 years ago, I started reading Bernstein and Schneider, got a pump 4-5 years ago, grew up HbA1c has been great for the last 7 years.
I'm pretty active, do my 300-400 minutes of cardio a week, resistance exercise four times a week. Resting heart rate is around 50bpm
Eat pretty clean, only issue I seem to have is my blood pressure is a higher than I would like, Stage 1 hypertension a few times during the days 130/90-150/85 quite often. Other times it's fine.
I know high blood pressure is a risk factor for maculopathy, so other than low sodium, exercise, what else can I be doing to lower my blood pressure.
Should I really be considering blood pressure medication at my age?
Could it be genetic?
I do find the world an infuriating place, perhaps mindfulness meditation or joining the priesthood?
Any advice greatly appreciated.