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I am pretty new to this community at Health Central but, if you know me from outside of this site you know that I have been struggling with my diabetes management for quite some time. If you don't know, now you know!
For pretty much the past year I have been on a quest for a lower a1c. It has not been an easy one, I can tell you that much. I joined a gym last September and even hired a personal trainer. (Well that was because I was getting married, but that is besides the point, and it helped me along my quest too.) I changed my diet about a gazillion times, First buying the book the LOW GI Diet Revolution in December which gave me food choices that I haven't had before which were much better for my blood sugars. It seemed to be working well for me, my blood sugars were more in range during the day but I was still very high at night and into the morning.
Another factor were the lows and rebounding highs after gym work outs. Frustrating was not even the word. ...
F or years, physicians and patients have trusted the A1C lab test to judge if a patient's diabetes is well-controlled or not; diabetes physicians and diabetes organizations have urged people with diabetes to get their number under 7 (or in some cases, even lower). A1C, also called hemoglobin A1c, and sometimes abbreviated HbA1c, measures the amount of glucose that's hooked to hemoglobin in red blood cells, and gives an estimate of how the blood glucose has been doing the past 2 to 3 months.
But until recently, the possible use of the A1C test to diagnose diabetes has been considered a no-no. Diagnosis of diabetes has been based almost exclusively on fasting blood glucose values of 126 mg/dl (7 mmol/L) or greater. Symptoms (if present), fancy glucose testing with oral glucose tolerance tests, family history, positive tests for urine glucose, and elevated A1C values have all been considered supportive of the diagnosis, but if the glucose isn't 126 or more, the diagnosis cannot be...
When I read Gina's post regarding planning for a diabetic pregnancy , it was a trip down memory lane for me. Very timely as well, since I'm starting to think about my next pregnancy! Obviously, having already traversed the challenges of a pregnancy complicated by type 1 diabetes, I'm feeling confident that I can do it again.
There were several practices that I had to master during my preconception and pregnancy phases, which I believed helped me to keep my blood sugars stable and my A1C below 6%.
First of all, restricting my carbohydrate intake was key, especially during the morning hours. We all have dawn phenomenon going on to one degree or another, and pregnancy hormones make the morning insulin resistance worse. Thus, restricting my carbohydrates to 15 grams at both breakfast and my morning snack helped tremendously. Also, during my pregnancy, I discovered how much better I felt when I ate eggs for breakfast, rather than cereal or o...
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