I'm sitting here, thinking. I am looking at the lab orders I have for tomorrow mornings fasting blood work. I am focusing on the letters A1c. It's the first lab order -- of course it's in alphabetical order. All I can think about is 'first is the worst'. Since the summer, I have had to devote more time to school and thus, less importance on the D. Is there anyone else out there nervous about their A1c? I think I have reached D burnout. I need someone to tell me that my A1c does not tell the entire story.

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Comment by acidrock23 on January 25, 2012 at 5:01am

Do you have a guess as to what it will be? I always sort of suck it up and try to go into A1C w/ really clean blood, basically game the test, get my BG into the 70s and flat for the test and do the best I can to get the best number I can. I have no idea if it actually works although some of my higher tests that I can remember correlated with higher BG at the time of the blood draw?

Did school go well? If you were successful at that, it probably is sort of worth it to have a bit less focus on D.

My "off period" corresponded with a couple of other big changes for a 39-40 year old to be doing, losing a bunch of weight and studying Tae Kwon Do *very* hard with strong instructors who pushed me a lot. Putting the two together (lots of Gatorade fighting off hypos with very little knowledge about what to do with it...) got me up to 7.7 for one test, then 7.2, then I said "$%&# it" and got a pump which made a big difference. One of the instructors looked at me the first time he saw me after I got it (I skipped one class to make sure I knew what I was doing and didn't kill myself or cause a distraction...hee hee...) said "you look a lot better" after looking into my eyes. Sort of eerie but I felt better instantly on the thing which, in turn, made it easier to accomplish my goals?

Comment by Niko on January 26, 2012 at 12:25pm
I don't think your A1c tells the entire story, but it certainly gives you the average of the amount of glycosylated hemoglobin over a period of time. It is the best long term number we have.

The problem, of course, is that you can have a good A1c by alternating highs and lows since the number is just an average. That's why I think striving for as flat of line as possible on your CGM if you have one is also a worthwhile pursuit. If I can control my bloodsugar enough to keep it within a set range of high to low first (ie level) then I can next work on reducing the range overall. Eliminating the yoyo, so to speak.

But your real question is with burnout. I think we all get that, or at least I do. In that case I try to just keep the status quo and wait things out. And hope things don't get too out of control. I also try to remember that tomorrow is a new day, and it is not falling off the diabetic wagon which is the problem, but rather refusing to get back on.

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