Re: New to the Group



"Philski" <philski1usa@xxxxxxx> wrote in message
news:1176664904.006647.36120@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Well....here goes! I was just diagnosed w/ diabetes. Got my first
meter and stuff and was told that my a1c was 12... Is this a "normal"
or usual occurence when just being diagnosed? I have no track record
to go by. Diabetes does run in my family. My mom, brothers and sisters
are all diabetic but I keep in shape and run/cycle weekly. I am 60
soon to be 61 and didn't expect this to be happening when all of a
sudden, I find myself having to watch everything I eat and do.

Hello Phil.. welcome and sorry you had to join us.

Yep, having an A1C of 12 at diagnosis is pretty common for most. The
A1C is basically a snapshot of what's being going on over the past 3mon
to 4 weeks such as how much glucose has built up in your blood.


My meter's first reading is 362 mg/dl but in the past week it has
slowly been ratcheting downward. They started me on Metformin and
Glipizide and this morning's pre-breakfast was at 187 and post
breakfast (2 hours) was 247.

Those are pretty high readings but as you learn what you can and can't
eat and giving the medication you're on time to start working... and with
exercise, your readings will begin to reduce. You didn't become diabetic
overnight.. it will take a wee bit of time to learn whats needed for
yourself
to get your glucose back into non-diabetic range.

What was your meal for those readings?


I am trying to understand what is usual or typical and look forward to
any input you can give me. Does the readings typically come down over
a few weeks?

I do have appointments to meet with a dietician and then an 8-hour set
of educational classes at a diabetes center in Boise.

Thanks in advance for any and all of your advise and comments....

Phil


I'd like to remind you Phil, none of us are doctors here and can only pass
on
our own experience. You should always check with your doctor before making
any changes in your diabetic care. You should be the head of your diabetic
team
and work closely with your doctor. Never be afraid to ask them questions
and if
they aren't willing to take the time to help you.. then find one that will.
You might
have to go through a few to get to one that will work with you.
Unfortunately but
true.

As for testing and your diet, it's great you have an appointment already
with a
dietician. I would suggest that you test often in the beginning to learn
what foods
work for you and which you need to limit. Remember, there are no forbidden
foods
you'll just need to learn to modify and moderate what you eat. Testing
before and
2hrs after you eat will help you get a better idea of what's going on.
Some suggest
testing at 1hr after you've eaten, but since most folks glucose peak around
90mins
after they've eaten, it's a waste and invalid testing at 1hr. Reason I say
this is because
fast acting Insulin is designed to peak at around 90mins-2hrs because T1's
have no
natural insulin left and we rely on injected insulin which is made to mimic
the bodies
natural pancreas effects. If most peaked at 1hr, then injected insulin
would have been
made to peak at that time as well to cover the peak..

I would also suggest that if after a few more weeks you can't get your
glucose lower
then what you've stated above, you discuss with your doctor a short round
of Insulin
to help you reduce your glucose. For a T2, you can use Insulin to help
reduce your
glucose for a short time and once you're in control you can stop the
insulin.

Best of luck and keep asking questions.. you seem to be headed in the right
direction.


--
Reisa, T1
dx-5/00 asd-7/00
Animas IR1250 pumper




.



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