Weeks ago I posted on both Twitter and Facebook that I had accomplished what I thought was impossible. In just 3 months I brought my already decent A1C down an entire percentage point to 5.8! This beats my previous record of 6.2 which was my first A1C on the pump.
A few people asked me how I was able to do this. The major component to my new found glycemic perfection was my new CGM. I have been able to see how all kinds of things affect my blood sugar, especially foods. I had no idea what some things (like pizza) were doing to my blood sugar! I was honestly shocked and appalled that I was letting my post prandial blood sugars spike up so high. And I didn’t even know it was happening! To fix this problem I’ve actually cut out a few things. Or modified them at least. For example, I have always loved bagels! But now that I am able to watch my blood sugar spike up after one I’m not really a fan. However, I have discovered a great alternative. Whole wheat bagels! They are packed with fiber which is great for the heart and the blood sugar. Instead of an intense spike, I slowly creep up a little and my blood sugar tops out at a much lower level. The same goes for bread and pasta. You will not find white bread in our house anymore!
I really think the other major reason why my A1C has improved so much is that I’m not as scared of lows, especially at bed time. Before getting my CGM I was constantly worried about going low and not waking up. If I had any hint that my blood sugar might drop even close to low, I would eat something. Now, I feel more comfortable going to bed with a lower blood sugar as long as I have a flat line. My CGM does a pretty good job of yelling at me until I wake up and test! All this being said, I was having some more frequent lows. For some reason right before dinnertime was the worst spot. And I was still having some lows overnight here and there. However, I’ve done some basal testing and fixed things up a bit. Most of those lows are gone and my blood sugar average is still in the range of a 5.8 A1C. Hurray!
I definitely cannot stress enough how useful this CGM has been for me!