If you are a type 1 with an A1C that low that means you are running lower than maybe you need to be periodically during the day. For type ype 2s 5.3 is great but they may not go low in blood sugar counts as much since they work hard at maintaining 90-110 throughout the day through diets, oral meds and sometimes insulin.
Even if you as a type 1 and have an A1C at 6.5 that is the target and also means your bloodsugars are not dipping to low such as below 80 to much throughout the day. Some Dr.s may get alarmed if a type 1 patient is showing a 5.3 A1C.
Check on google the recommended A1C for type 1. The Endocrinologist study I believe says that 6.0 is the absolute number to be at. Some studies mention that 6.0 is a little low and has little benefit to a type 1 in comparison to 6.5.
My Internest loves the fact I am at 6.50 and does not encourage a lower number probably because he knows I will go low based on activity and my doses.
Each body is different and as long as you feel good and are over the lows to a great point the 5.3 is working. That number though to me sounds like a type 2 number .
Hi Gomer, We helped and helped and helped Damondj in the last 12 months. I even gave him a shopping list! He self medicates. 20 years is a long time. I cannot say anything else. Time would be spent well if DamondJ goes back in time of all the posts we have ever done and it is all there for him. Nothing has changed. He has to change and group up with his Dietitian and Dr. Maybe he is addicted to eating sweets and it is a seperate eating disorder or he hates himself. One of the 2. I feel bad that he has not come to terms with this or has had a setback if he was making progress.
Hi Jimbobway! The post I read was from a year ago when you were anon! My post above this one was based on old news. Sorry about that. I read through the posts and you had updated us 30 days later with an improvement and now look :-)That is great news. Cogratulations, you have a grip on it now. Very happy for you.
look out for the sauces on the Asian food ! They are extreemly high in sugar content. Most Diabetics cannot tolerate it. Just go for the lean proteins, veggies and moderate fruits and some whole grains for now. Be sure and keep the portions moderate and bump up the exercise. You will be surprised what happens when you follow the diet to a tee and become real active. Night and day. Good Luck.
dfreyer, your right, Lantus does feel like it has a slight peak before it levels out. It really is supposed to just control your baseline needs for insulin. Once you get adjusted again that peak should not be as noticed as it may be now. Your blood sugars will be to level to feel like their is a peak or top of it's time curve. Just an opinion I am thinking your dose will be reduced. It is hard to sleep at night worried about a low. I know it is great now that I adjusted to the point I can sleep with no problems and my 2:00 am testing has gone by the wayside for now.
Good luck. Let us know what the Dr.says. You never know, it may be as simple as adding the snack before bed.
Hi dfryer. The Dr. answered this one well. I am also on Lantus as a type 1 Diabetic. Are you a type 1 or type 2? If you are a type 2 on insulin maybe the treatment is to aggressive at this point which could be causing the lows?
You may have lost weight or increased your exercise? Are you off the bad carbs all of a sudden? If any of those answers are yes, you may need an adjustment. Do you take the Lantus at night before bed or in the morning? I had problems when I lost 31 pounds I really had to reduce my Lantus. I take it before bed and it was kicking in big at 2:00 am. I had to add a night time snack and test during the night every 3 hours and cut it back since I had a range the Dr. gave me depending on my weight fluctuations and eating habits and exercise habits over a six month timeframe and not a daily sliding scale by any means. It was all based on A1Cs and weight and changes.
Best to log your blood sugars fasting, at meals, 2 hours after meals and at bedtime and for a while at 2:00 am. Fax results to the Dr. along with activity and what you had at meals and snacks. This way the adjustments can be made. I would say 2 weeks is all it would take.
I am glad you will be seeing the Dr. and having everything checked out. I know my Dr. is very concerned if I am having to many lows. Keep in mind though, I take another insulin with meals, a little touchy and a challenge until everything is ironed out.
We are all so different but nothing better than having Diabetes to where we are controlling it and it is not controlling us and getting in our way to much.
I look forward to your information about why some of us tend to go off tract at times when we have had enough!
One difficult task for many is to find a routine that works each and every day and sticking to what ever works best to keep the complications related to Diabetes at bay.
We know that the more we do correctly each day, the longer we will live. Knowing that, and practicing what it takes daily is the challenge among all of the other daily distractions and being able to balance everything out.
Sometimes it seems like an impossible task especially with long hours at work and less time for exercise and eating right.
I am fortunate that I finally did get my type 1 Diabetes under control perfectly after 35 years and no complications related to Diabetes when under average to good control. I lost 35 pounds and made the diet correct now with more veggies and salads and only other types of carbs when exercising. I only focused on this to the degree of getting it exactly right when I was off work and had time to change my total lifestyle to make it work. Now I am back to work and made my changes work along with it.
I am sure a question from many would be how do you get it right and how do you make the time to get it right. It can be overwhelming and at the same time when blood sugars are above the normal ranges a person most likely does not feel well in the first place in order to drag themselves to make the corrections. Let's hope that with positive attitudes and desire to feel great, the drive to make it right will happen.
normal BP is 120 or less now. 137 is considered a little high like David mentioned. My blood pressure varies a little. My Dr. said whenever I am at the store with a machine to test my BP and let him know my findings next time I see him. When I am at his office my number is at 137 to 140 but they also know when being tested at the Dr.'s office the number could come in a little elevated.
The best number is below 120 which is now considered normal. 112 is great. See the Dr. to figure out why 112 is causing your husband to feel bad. It could be that the blood sugar is now closer to normal levels and feels unfamiliar and bad compared to the blood sugars your husband used to have.
My blood sugars for a long time seemed to run an average of 140-150 which for me felt normal and now that I am around 80-120 most of time it did feel different at first and I had to adjust to feeling different. It took about 3-4 months to work my way out of that feeling of rather hyper in comparison. Now that I have made those adustments I know immediatly when my blood sugars are higher and it feels terrible when I am over 160 a couple hours after a meal.
See if your husband is getting the bad feeling a couple hours after a meal if his blood sugar shoots up slightly before coming back to 112.
I have an example of what activity can do to blood sugars. I am type 1 on insulin. If I plan to clean house I cut the insulin back by about 2-3 units. I start cleaning the floors, vacuming etc.... I do all these things and it takes about 2.5 to 3 hours to do a good job. Even cutting back the insulin the blood sugar drops totally which means I have the oj on hand throughout everything. I will also say that even at dinner on a day that I clean house I still can have the dips all the way through the night which means less insulin at meals and even more carbs.
Usually by the next morning I take normal doses of insulin. The body loves activity. It is a big part of the whole picture. I honestly think through your workout routines now and changes since you first talked to the Dr., your meds will go down and while that happens just stick to lean protein, veggies and moderate fruits and moderate whole grains (not whole wheat) and tons of salad and you may see an entire change going on with the treatment.
I use the UP and UP meter from Target and the tests come out to about .32 cents a peice to maybe .36 cents when the strips are not on sale. The numbers show higher than the other meter I used but that is fine because I am more aggressive with my treatment and still avoid lows.
Keep drinking the water for kidney function. Kidneys love water! The water is not a problem that has an adverse effect on treatment of Diabetes ( at least I have never heard that after 35 years being Diabetic) and I do know that you have to keep flushing the protein from the kidneys. Kidneys in Diabetics can be effected by to much protein so anything you can do to flush constant is best. When the urine is close to clear you are drinking enough water.
Log your blood sugar tests fasting, 2 hours after a meal and before the next meal and bedtime. You can even test at 2:00 AM just to be sure you are not having high blood sugars during the night. Right around 110 all night is great. Part of getting my A1C corrected was to test durning the night for a month and finally after years of being a little forgetful that overnight we still have 8 or 9 hours to account for in overall blood sugar control (24 hr), I finally got it right and A1Cs are right for me being type 1. Just a suggestion. It really takes focus to get foods and exercise and meds correct. Once the Dr. sees what you have done I predict he/she will be amazed at the progress!
I would be sure to test blood sugar before the workout because in my case my sugar drops after 20 minutes to 1/2 hour and sometimes up to an 80 point drop. I use a small carry bag for chilling juice ( a cooler bag) and I put an ice block in it and 2 small bottles of Simply brand oj ( I just keep those bottles full of oj at all times) and use as needed.
Your blood sugar will drop more from the fitness for sure. The body tissues and muscles get major absorbtion of insulin escorting sugars into the cells burning the sugar to energy. It all happens rather quick especially when your on meds to help the process along.
Also be careful not to overcorrect with the juice and end up wih high blood sugar after the workout. Start with about 6 oz. if juice and check blood sugar when you get home to be sure you did not exceed about 120.
Always, when in doubt drink the juice. That is my Dr. always told me. I am a type 1 and can probably feel the insulin reaction coming on a little different than you but if you donot have the juice along for whatever you are doing it can be dangerous.
Also before you workout it may not be a bad idea to carb up a little. The body like a snack before a work out for something to burn off .
Keep us posted. You never know you maybe working your way off meds by eating right and working out and losing excess weight. Monitor with your Dr. carefully.