Below 100

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I’ve noticed that a lot of diabetes people I follow on Twitter post photos or tweet about their low blood sugars.  Over the last 6 months or so I’ve seen a lot of low posts.  This made me think about my own blood sugars.  I very rarely have a low blood sugar (with the exception being yesterday when I dropped down to 56 and overnight when I was 60-last 24 hours have been a fluke).  In fact, I very rarely go below 100.  Now I also don’t have too many crazy highs either (over 250). Here is a sampling of what some “typical” days look like:

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As you can see, I very rarely go below the 100 mark.  Now, why am I worried about this?  Overall, I would think not having any lows would be a good thing.  However, my hubby and I are hoping to have babies in the near future and with blood sugars consistently above 100, it’s not the best scenario to get my A1C Below-Seven.  I also heard on the DSMA Twitter chat last night that people with A1C’s Below-Seven spend on average around 4 hours under 70.  This is not me.  In fact, when I do go below 100, I usually feel pretty low.  I feel low in the 80’s.  I’ve read that when I’m pregnant, I need to have my fasting blood sugar between 60-90 (in addition to having my A1C Below Seven).  As you can see in the graphs above, I have a ways to go.

I’ve been trying to eliminate any post meal spikes and while I have generally done an okay job of this with pre-bolusing (when I remember), overall I tend to run between 150-200.  My 30 day average glucose result according to my One Touch Ultra is 168 which calculates to an A1C of 7.48-yikes, higher than my last A1C result of 7.3 and moving away from the Below-Seven mark.  I thought my BG target on my bolus wizard could possibly explain why I don’t get below 100 but it’s set to 90-105 so when my bolus wizard goes to correct a high it should be using that range as the target.

Since I need to get my average glucose result down (and in a hurry since my next doctor’s appointment is in a month), I’m going to try basal testing again.  I did extensive basal testing back in the spring, which I think helped me to trust my bolus wizard more and also helped to eliminate huge peaks and valleys with my blood sugars but now I need to focus on getting the fairly straight line lower.  Besides basal testing, I’m also going to try and wait to eat until my blood sugar is in a range that I like.  Hopefully these two actions will help get me lower.

This past weekend, my blood sugars actually did better than normal and I think I can attribute a lot of that to exercise.  My in-laws were visiting and we toured the Lewis-Ginter Botanical Gardens Saturday morning, then hiked through a local path that ran to the river in my area in the afternoon.  Sunday morning, I ran 5 miles for my half-marathon training team then we went to Colonial Williamsburg and walked a lot over the whole day.  I must have logged a ton of miles over the weekend and as a result, my blood sugar was great.  Now I can’t walk that much everyday since I have a full-time job but as the weather cools off some, I’m hoping to take my dog for more walks and continue on with my running and hopefully that will help some too.

Believe you can and you’re halfway there. –Theodore Roosevelt

I believe I can get my A1C Below-Seven so hopefully I’m halfway there 🙂

13 thoughts on “Below 100

  1. You CAN do it! I have to say, getting sugars to hang out in the 80-90 range versus 100+ is REALLY hard, and almost impossible to do without some lows. But I would actually advise against waiting *too* long to eat based on your sugar levels. I’m no doctor, but I found when I was pregnant (as well as when I was working towards getting pregnant) the best way to keep my sugars even-keeled was to eat smaller meals/snacks about every 3 hours. During pregnancy I HAD to eat that way or else I would get sick. Depending on how sensitive your digestive system is, your liver can think, “hey, she’s not eating anything, so let me spit some out some sugar for her to keep going” and it gets you into this loop of carb deficiency. Just my $0.02! Also, I got a really good diet plan from the nutritionist that I followed while I was pregnant, and I got through that 9 months with the best A1c’s I’d ever had – 5.2, 5.7, and 5.9 (let me see if I can dig that up)

    • Oh yeah, that’s a very good point. I just hate eating when I’m higher then I just end up getting higher and I never see my blood sugar get down to 100. Maybe I just need some smaller meals that don’t have as many carbs to get me balanced.

      Your A1Cs were amazing! I can’t even imagine having those numbers when I’m pregnant but hopefully I will. Yes, if you can find the diet plan I would really appreciate it! I’m actually starting a clean eating plan on Sunday (post coming tomorrow haha) to see if that helps my blood sugars at all. It’s essentially what you have said, eating smaller meals 5-6 times per day.

  2. Keep up the good work!! As long as you stay on top of it and be aggressive you can do it!!! I’ve been correcting my blood sugars if it’s in the 150s or higher. And I try to pre-meal bolus. I just got word that my A1c is 6.9…down from 7.2 and 8.2 the time before!!! You can do it!!!

  3. ps. I’m interested in your clean eating. I’ve been Paleo ( I eat meat, veggies, fat and fruit) since last September and I’ve seen a huge improvement….Nutrition is key!!

  4. My BSs were between 8 and 11 all the way through my pregnancy and my son is fine to this day. And he’s 28! However, I did swim 500m every single day until the last three weeks of my pregnancy. You know what does the damage to diabetics (and presumably their babies) is probably not the high blood sugar per se, but the inflammation that is caused by the high BS. If you exercise, you cause your muscles to become inflamed and that sets off your bodies own anti-inflammatory mechanisms, which will deal with any inflammation caused by your BS too (within reasonable limits). If you hypo during pregnancy that’s just as bad as hyper (it can cause brain damage in the adult, let alone the fetus), Keep exercising and don’t be so worried about your BS. Oh and your BS can spike when you exercise without enough insulin in your body, but just correct it, and don’t stop exercising because of it. Spikes are probably not very damaging – that’s what my doc told me.

  5. I think you’re doing fine… consistency is the key, and you’ve pretty much got that. I’d suggest lowering your target ranges (sensor and bolus wizard) ever so slightly; start with 5 mg/dl or so, and see what happens. I suspect that same graph will drop by the same amount. (You could also switch to the Verio meter, which tends to run higher. I’ve heard anecdotally that an unintended consequence is that A1cs lower for those who switch and aim for the same readings). As for avoiding post-meal spikes (or large correction boluses in general), I’m a big fan of the Super Bolus.

    As for your meter average, pay no attention to it. We tend to test more when out of range than in-range (it’s all about the urge and impatience to see it come back to normal), so those “undesirable” numbers carry more weight in the average.

    You’re doing great!

    • Yeah, that’s a great suggestion. I was debating lowering my target range but couldn’t quite pull the trigger because it seemed so low but I think that’s what I need to do to get better.

      That’s true about the meter average. It’s usually been a good gauge in the past on how I’m doing but it isn’t all that accurate, so you are right, I shouldn’t worry too much about it.

      Thanks Scott!

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