Author Topic: New a1c  (Read 281 times)

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Offline Lucy

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New a1c
« on: 17 December 2018, 08:46:40 PM »
As you may or may not know, in the last couple of months I’ve been back having at the hospital diabetes team, separately with the consultant, dietician, and diabetes nurse and have been making some hopefully sustainable changes. I saw the dsn last week and she was quite surprised at my meter download, which said 85% of my blood sugars (only really testing premeal, driving, and if feel high/low), were in the range 4-10. Previously I was rarely in single figures. So we did a finger prick a1c and I called today for the results.


2 months ago 76 (9.1%)
Last week 56 (7.3%)


So I was really pleased with that, it’s only really 6 weeks of better bgs so should drop a little more if I sustain it.


*quickly hits post whilst not written a novel*
Type: Lucy.
Lantus and Apidra. Metformin XR, Propanolol

Offline Lucy

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Re: New a1c
« Reply #1 on: 17 December 2018, 08:53:42 PM »
The changes I’ve made are

-started doing click and collect shopping at Asda. So I just buy what is needed and don’t bother with wandering round the supermarket (an activity that really stresses me out).

- followed dietician suggestion to work out some meals I like, that have veg in them, write out the recipes and calculate carbs per portion and write those out. I use the OneNote app in my iPad and have the carbs and instructions for various meals that i often eat written there. I cook for 4 and freeze.

- switched to mainly vegetarian meals. Don’t think it’s helped bgs much I just feel more confident cooking it than meat, and means less planning of what meat goes off when etc.

- swimming once or twice a week for 45-60 minutes a time

- set a recurring alarm on my phone for lantus so I now take it at pretty much same time every day. Upped the dose a bit too.

- switched to the expert meter which has the calculator in to calculate the doses. Means I’ve changed my ratios from 1:10, and am making adjustments for exercise etc. Find changing the setting once then not thinking about it again easier than remembering every time I need to use the new setting.

I think that’s about it. It feels like less work so I’m pleased that bgs have improved. Haven’t lost any weight yet, that’s next on the list...
Type: Lucy.
Lantus and Apidra. Metformin XR, Propanolol

Offline sedge

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Re: New a1c
« Reply #2 on: 17 December 2018, 09:22:13 PM »
Brill Lucy - the Expert meter makes so much, so much easier to do.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Lucy

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Re: New a1c
« Reply #3 on: 17 December 2018, 10:13:07 PM »
Brill Lucy - the Expert meter makes so much, so much easier to do.

Definitely Sedge, I rarely used to change ratios because who wants to do trickier mental maths, or remember a new ratio every time. Now it’s just push a button I was at first looking at it every weekend and adjudting, till I got to point of being in the target ratio at least half of the time before meals. Then I’ve given adjusting it a break as Christmas parties etc, not a sensible time to attempt to make sense of anything.
Type: Lucy.
Lantus and Apidra. Metformin XR, Propanolol

Offline Liam

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Re: New a1c
« Reply #4 on: 17 December 2018, 10:35:32 PM »
Congratulations!

Clearly what you are doing is working for you. It also sounds like you'll be able to do it long term which is just as important.

I think we all know thinks we could do short term that will give us better results but that we just can't do everyday forever. Not getting burnt out is a big part of life as a diabetic for sure.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Online Pattidevans

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Re: New a1c
« Reply #5 on: 18 December 2018, 10:32:44 AM »
Oh excellent that you've got the Expert meter to help you.  I often find when I am testing before a meal people will talk to me and prior to having a calculating meter I often had to say "Look, I'm sorry, I can't give you my full attention right now as I'm trying to do mental arithmetic to decide my insulin dose".  People would stop for about half a minute and then start talking again and I'd inevitably have to start again!
The changes you've made sound very good.  Not sure I could be as disciplined as you.  I love supermarket shopping and always come home with tons of stuff not on my list!  Julian's as bad  with the "Oooh look at this" and chucking stuff in the trolley.  We'd really be prime targets for Gregg Wallace's "Eat well for less" programme.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Liam

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Re: New a1c
« Reply #6 on: 18 December 2018, 01:30:03 PM »
I know what you mean Patti. I always feel rude having to say to someone, I'm trying to count the carbs in this.

I've never had a meter that did any of that but understand the idea and have the same sort of experience using my pump.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline GrammaBear

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Re: New a1c
« Reply #7 on: 18 December 2018, 04:36:16 PM »
Congratulations Lucy on making such positive and helpful changes in your diabetic routine.  I am happy for you.  Your meter sounds like it is really a neat device.  Keep up the good work.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.3% ~ Sep 2018

Online Pattidevans

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Re: New a1c
« Reply #8 on: 18 December 2018, 05:24:22 PM »
Quote
I've never had a meter that did any of that but understand the idea and have the same sort of experience using my pump.
Your pump does the calculations once it's received your BG doesn't it Liam?
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Liam

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Re: New a1c
« Reply #9 on: 18 December 2018, 06:23:29 PM »
Maybe I worded that badly. I meant I never had a meter that did the maths, but having a pump that does means I understand how it would work.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline himtoo

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Re: New a1c
« Reply #10 on: 18 December 2018, 07:52:14 PM »
great work lucy .................keep up the effort -- it is worth it long term !!
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6) 04/18 46 (6.4)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline sedge

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Re: New a1c
« Reply #11 on: 18 December 2018, 10:17:37 PM »
Hee hee hee @Lucy (Maybe considering the date that should be ho ho ho ?)  Whilst no current pump actually calculates adjustments to our hourly basal rates - they all have the priceless TBR facility- so while we have some temporary glitch - we can slap on whatever + or - base rate for a small or a lot of hours to see if it helps - and if it's evidently a terrible choice, cancel it PDQ and adjust it and try again as many times as we need to just in hours rather than days or weeks.  Even easier when the pump matches the Expert meter and is also a Roche cos we don't even need to touch the pump itself to do it, as they 'talk' to each other.

Now do you completely 'get' why eg Patti and I love that make so much?- even when my actual model frustrates me so much sometimes - the features I DO like still outweigh the snags.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Online Pattidevans

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Re: New a1c
« Reply #12 on: 18 December 2018, 10:50:26 PM »
Sedge, when I was speaking to Liam I was referring to the fact that he is now the the Medtronic Pump As is EDUADAD.  Mike showed me it when we met in Bristol.  In some ways it’s the same as ours, but it’s the pump rather than the meter than the does the dose calculations given the current BG and the carbs.   Although actually it is our pumps that do it, but they  are more interactive.  Anyway really glad Lucy has a decent meter that does it.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Lucy

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Re: New a1c
« Reply #13 on: 18 December 2018, 11:13:04 PM »
There is one thing I dislike about the expert meter. I keep getting “electronic error e57”. I called the helpline and they said it must not be kept near electronics or it will not work properly, and to keep it away from phone, laptop, etc. Not sure how that’s supposed to work eg walking to work I have my phone in pocket and laptop in bag so where am I supposed to put the meter then?

When I saw the dsn we also discussed some strategies for being more spontaneous with swimming or other activity... so far I’ve only been going an hour after dinner and realistically I would want to be able to be more flexible. Haven’t tried it yet but hoping to this week.
Type: Lucy.
Lantus and Apidra. Metformin XR, Propanolol

Offline sedge

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Re: New a1c
« Reply #14 on: 19 December 2018, 04:44:08 PM »
If they have to be near one another I'd plump for the lappy bag since the lappy will be turned off completely whilst carrying it about - not on standby or anything able to go in or out of it.

As long as there's a bit of padding between the sections of the bag, eg the part where you stick the mains or 12v lead, plug and transformer is separate from the actual machine with plenty of room for a meter strips and bodger - if the meter case itself is padded enough the contact prongs on the elec plug can't hurt it.  I presume you turn your lappy AND your meter off after use, with the on/off switches, rather than using up battery power on either of them to time out?

Interestingly the Insight meter is much the same, especially when plugged in to recharge.  So when recharging on the same side table as both our phones in the house immediately next to where we both sit usually.  So when my meter is caseless to plug in to recharge overnight it has to be separated from the little stack of two caseless phones.  So we either move eg Pete's wallet, a spectacle case or a nearby ashtray (even if people don't smoke, the more presentable sort are kind of ornaments - so useful for used strips and odd little bits of detritus to save you walking into the kitchen with every bit that appears in a day, just empty it once daily.)  You obviously don't answer the phone or make a call in the 60 seconds it takes to test blood and do calculations.  At work - it went in my top drawer and my phone in my handbag on the floor in the kneehole under my desk.  Grief - first one I ever had in 2007 when they came to our D clinic they cost the NHS over £54 each - and no computer equipment or phone will ever take priority over my LIFE. So - you just have to find a way, and that's that mate.

My handbag still contains my life - money, cards, any paperwork I need that day personally, tissues, lip balm - small mirror, comb - even evening bags always had to be big enough to contain a packet of 20 fags, lighter and the car keys in addition to my cut down detritus, ever since some date in 1997 before I was diabetic! (they all spoil the line of a formal man's jacket)  The first meters for personal use were like the size of a shortened and thinned housebrick so they're absolutely tiny now in comparison and nowhere near the onus they used to be.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4