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. ...
U ntil recently, the A1C test was not recommended as a means to diagnose diabetes. But that's changed.
For years, physicians and patients have been advised to use the hemoglobin A1C test (also called "HbA1c" or more recently, "A1C") as a tool to monitor diabetes control. As is well-known, the A1C test measures the average blood glucose level (BGL) over several months. If your A1C is elevated, then it's safe to assume that your average BGL has been high. There are potential glitches in the logic, however, if your A1C is normal: your A1C might be normal because your blood glucose has been normal throughout the past few months, or your A1C might be normal because you have had lots of elevated BGLs, and lots of hypoglycemic levels, and the highs and lows balanced out.
(Parenthetically, there are also a few very rare situations where the A1C might be inaccurate: abnormal hemoglobins fouled up some of the early assays and caused falsely-elevated values; on the other hand, problems with ...
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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