Replies to This Discussion

Permalink Reply by acidrock23 on February 4, 2013 at 8:07pm

If you aim at that, you are much more likely to hit it than if you give up and aim at like 60-140 or 120-140 or some other range. I would want to know the exact context and how the endo would approach an "oops." To me, it's not that big of a deal but, at the same time, I will still get pretty wound up about fixing the oopses...

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Permalink Reply by rick phillips on February 4, 2013 at 9:18pm

I have this incredible deal on a bridge for sale. The bridge works some days others not so much. However, if you buy it you may stand on the bank and yell at the bridge all day and see if you can improve operation.

No guarantees of course.

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Permalink Reply by acidrock23 on February 5, 2013 at 4:30am

How's that rick? I'm not talking about yelling at a bridge. With diabetes, you have inputs (food, exercise, stress, phases of the moon...) and outputs (BG readings) and, if things are off, you can either just give up and yell at the bridge or you can think, "hmm, was something off, is there something I can fix next time" and perhaps slowly obtain data to obtain a different result. It's not always better but even a mistake can provide useful data about a ratio or rate that can allow you to make changes. I don't beat myself up if I run outside of what I'm aiming at but keep working at it. I don't work more than a person who's aiming at a different target but I get ok numbers and it probably helps that I'm aiming at a relatively small target.

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Permalink Reply by JohnG on February 5, 2013 at 5:12am

I agree...I spent 20+ years with high BG and was considered none compliant and when I changed my target to a smaller target 70-120 my numbers dropped and my A1c has dropped into normal range for the past 6 years...My doctors also say I'm still none compliant, they think my numbers are wonderful but will not officially approve my methods. I know I can't really maintain blood sugars between 70-120 but the end result is that my BG is in range more than 85% of every day and this = A1c's in the low 5's , I'm still waiting for the Bete's complications, nothing alarming has shown it's face so far....;-)

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Permalink Reply by Brunetta on February 5, 2013 at 5:45am

I think that your endo was giving you the target range for what can be considered "normal"for those without diabetes. my range of "normal" is 70 to 140. With a cgm, relatively low carb (less than 90 grams a day); good exercise, expert temporary basals,and dual wave bolusses as nececessary, accurate carb conting, little stress and a sunny day in winter Ohio, I can get to it. Maybe. But not every day. Definitely not every day.

I agree with Acid:. It's not always better but even a mistake can provide useful data about a ratio or rate that can allow you to make changes. I don't beat myself up if I run outside of what I'm aiming at but keep working at it.

God bless,
Brunetta

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Permalink Reply by Sam Iam on February 5, 2013 at 5:35am

I wonder if any of your Endo's other patients actually do this? I eat ~30g carb / day and correct if over 140. There are still plenty of mistakes I make and situations that can push me out of range. To keep things in perspective PWD I know outside of TuD seem to spend most of their time from 200-300.

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Permalink Reply by Brunetta on February 5, 2013 at 6:10am

Sam I am,Yes, most of the PWD that I personally know outside of TuD are type 2 and 200-300 is "normal" for about 70% of them, unfortunately. The others I know outside of TuD are type one children in excellent control ( 85-130), a few type one adults in excellent control. But most of my type two friends outside the DOC do not test frequently and have no idea. They wait until the 3 to 6 month a1c and " I let the doctor tell me what to do."

God Bless,
Brunetta

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Permalink Reply by Howie767 on February 5, 2013 at 8:08am

200-300? That's insane. I guess they think that's okay. Imagine if your blood pressure was 200. You'd sure as hell take action. For some reason high blood sugars are no big deal with the majority.

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Permalink Reply by Capin101 on February 5, 2013 at 7:09am

80-120 is an admirable goal, but something that is just not possible for me to do. You should ask your endo how to do it and see what he says. I would be very curious of his answer?

60-160 is somewhat achievable if I am doing amazing I may be able to do achieve this control for 2 days in a row. With current technology and standards I usually have at least 1 test (slightly) outside of this range a day.

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Permalink Reply by Danielle on February 5, 2013 at 7:41am

This might not be the perfect or right answer to many...but maintaining some semblance of normal is very important to me. I have a pump, I use a CGMS, but I don't strive for completely unattainable goals. To me, trying to stay between 80-120 all the time would be unattainable if I want to continue the kind of life I have now. Traveling, doing things sporatic...living life. To keep a perfect 80-120 all the time would, to me, mean doing the same things everyday, taking out all variables of life...of living. I don't want poor control. However, I want to live my Life. I don't want to live Diabetes. FWIW my last A1C was 6.7 . Maybe too high to some, but for me...I'll take that, since I know the three months involved in the creation of that A1C was a heck of a lot of fun.

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Permalink Reply by Brian (bsc) on February 5, 2013 at 8:04am

I think there is a difference between a "target" on your pump and where you try to keep your blood sugars most of the time. For many, a pump target of 70-120 mg/dl is quite reasonable, that is the range that your pump will use when calculating corrections. If you are in that range, then no correction. If you are higher or lower, the pump wizard will suggest a correction. But this doesn't mean that your blood sugar is always in that range, far from it.

On the other hand, there is a question (and a very individual one) of where you try to keep your blood sugar most of the time. I think many of us seek to have a blood sugar as close to normal while balancing the risks of hypos and the difficulty of that management. We are each very different and our choices reflect our own bodies and the priorities and choices we make in our lives.

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Permalink Reply by John Thompson on February 5, 2013 at 12:49pm

Hi Don - Actually when I started using my CGM, my endo recommended a range of 80 to 180. He said 80 for me since I tend to drop very fast so 80 would give me enough warning if the blood sugar is in decline. He also thought anything under 180 was too tight a range for me. My A1Cs have been between 5.9 to 6.5 with this recommended range so I consider that successful.

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