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:
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 🙂