Last Thursday the 19th of December, 2013, I went to my follow-up appointment with my nurse practioner (NP) after having blood work done the previous week. I got lots of tests done, but was most eager to get my A1C results. I got lipids, c-protein, full metabolic panel, kidney test, and my A1C. If you’re not diabetic, and don’t know what the HbA1c or A1C is, they are 2 different names for a test that measures the average blood glucose for the last 90 days. Old school diabetics call it HbA1c, and new school call it A1C. The goal for most diabetics is to have a number under 7. This is how diabetics measure their control.
I’ve been what’s called a brittle diabetic all my life. Meaning that my blood sugars have no pattern, and jump from high, to low, to high, to low constantly. You get the picture, right? 2 years ago, before I became a diabetes advocate, my A1C was 11.4. Most of my life I’ve been above 10. With lots of work, determination, and education, it’s been 8.2 or 8.4 for most of 2013. I’ve been working SO DAMN HARD at getting that below 8, and I just could not crack that barrier.
For a year now, I’ve had a Dexcom G4, which has been helping tremendously. My former CDE (who I’m still friends with), and my new nurse practioner (NP), understand how to decode those reports to adjust my pump settings, and fine tune my control. My pump’s config is more complex than it ever has been, and so is my control. I actually understand some of those Dexcom reports now.
When I started seeing the NP in August, after explaining my history, she set a goal of 7.5 for me. MY goal was just to crack the 8 barrier. I wear my Dexcom 24/7, because I feel naked without it, and when I took the 90 day average blood glucose from that and converted it to A1C, it said 7.7, which I was super happy for. When the NP came in with my A1C results and said “you’re gonna be happy, because I am”, I was a little surprised to hear her say it was 7.4!!! I didn’t show much emotion other than satisfaction at the time, but when I walked down the hall my smile was from ear to ear, and I got butterflies. As I got into the car, and started thinking about how freaking hard I’ve been working to get this damn A1C into good control, I got a lump in my throat and tears welled up in my eyes.
I have the paleo lifestyle (specifically author Robb Wolf, who responds to messages from nobody’s like me),Team Beachbody, Tavia Vital (CDE) and Brenda Borkgren (NP), and the diabetic online community (#doc) to thank for the best A1C of my entire life. When I became a Beachbody coach, and then later when I discovered the #doc and started blogging, people started treating me like a diabetes advocate. So as a Beachbody coach and an advocate, I felt a strong responsibility to get my A1C into control, so I could set a good example. So thanks everybody! Now I have a new goal to break the 7.0 barrier. Since a goal without a deadline is just a dream, I give myself the deadline of April 1st, 2014. Wish me luck?!!