I am a type 1 diabetic and have been for 23 years. I have a pump and usually use a Dexcom CGMS (right now I am appealing the denial of my request for sensors). I just got my latest A1C and it was wayyy to high (10.1 YIKES!). In the last few weeks I have been focusing on having better blood sugar numbers, but it looks like it hasn't affected my A1c yet. I know it takes time, but my numbers aren't in the normal range very often.
I exercise a good amount in the evenings (5 mile walk/jog 3 times a week, pilates/strength stuff for 1 hour 2 times a week, in addition to this I walk the dogs a minimum of 1 mile every day) and am a pescaterian, but I mostly eat vegetarian and concentrate on whole foods and try to stay lower carb.
I tend to go to bed with high numbers, take a correction bolus, and wake up with a normal number that just seems to trend up during the day.
Here's what I have been doing lately to try and figure things out and get things back in line:
1. I am taking my boluses 15-30 min before I eat,
2. I have been inspired by the TAG forum and have been taking square wave boluses to cover my fats/protein,
3. While I exercise 6 days a week (usually in the evenings), I am making a concerted effort to add an additional 20 min of high intensity intervals on the ellip in the mornings
4. I know I need to test my basal rates, and I am starting that tomorrow morning, since it's my exercise rest day
5. I have started logging everything again (food, exercise, blood sugars, temp. basal rates for exercise, etc.)
Here's the thing I can't really control - I have a highly stressful job and normally work 6-7 days a week. I work from home and we are in the middle of a remodel so that is just added stress.
If anyone has thoughts about what I else I should/could be doing, I'd love to hear it!