25. Oktober 2011

Plan of Action needed

My A1c has been in the high sevens for quite a while now and while I am overall satisfied with my "compliance" and control, I'm eager to get to the next level of blood glucose control. Especially with my eye doctor appointment coming up in January, I want to be able to say "I really am doing everything that's possible". Because in case of a discouraging result I don't want to have to start working on my control when I am scared and frustrated already.

I think that a large part of my A1c has to be accounted to post-prandial spikes as those high's are the ones I don't catch. Unfortunately, before I can get started on tuning the distance of the space-time events "bolusing" and "eating" to give my insulin a head start, I have to guarantee that my basals are ok and that my bolus factors and correction factors are ok. (I think they are, but I need to check.)
My next blood work is scheduled for mid November. I guess I can figure out the prerequisites until than although I hate basal testing.

So the plan of action is as follows:
  1. Check your basals. Check your factors. Tweak if necessary. Complete task until November 16 (date of blood test).
  2. Vary time delay between bolusing and eating until post-prandials are in range. Complete task until January 26.
But this planning is of course the easy part. Everything's easy in theory. The hard part is: Start logging again. Be disciplined. Don't guestimate. Eat regularly. Try again, every day. Start now.

Hopefully this decleration of my goals will help to keep me accountable. I'd like to have smaller steps in my plan, like things to do or to improve for every week or so, but I'm not sure how to do that.

By the way, does any of you have experiences with fat-protein units? Is it worth the effort?

1 Kommentar:

  1. You can do it!!!! Your plan of action sounds perfect - check the basals first, then work on bolus timing. I know it's not easy, but you've taken the first step! You can do it!!