Technically my endocrinologist appointment was on Monday, so not exactly in the new year, but close enough.
And as I predicted, my A1C went up.
I just can’t — okay, okay, never say can’t — I pretty much have the hardest time ever keeping my A1C stable. Never mind getting it to drop down again.
Okay, so what did my A1C go up to? you might be wondering. Well, I don’t normally like to talk about A1C results, but since I talked about my last one (6.6%!), I might as well share this one so you have some kind of context.
My A1C was 7%.
I know, right? I’m upset (not really) because it went up to 7%. A year ago I would never have even dreamed that my A1C could ever rise to 7% because at that point, I was simply trying to get down to 7%. So clearly you can see that in 2014 my entire vision of what my diabetes management could or should look like turned on its head.
And I like that.
It was sort of cool to be a little miffed, a touch chagrined, a pinch nettled at the thought of having an A1C resting at 7% because OMG HOW MANY YEARS DID I FIGHT TO GET OUT OF THE 8S?!
ABOUT A BILLION THAT’S HOW MANY.
What? Exaggeration is my spiritual gift.
Anyway, I knew it was going to go up. I overcompensated a bit with some lows in November and it took me awhile to dig myself out of my penchant for overzealously changing my basal rates every goddamn day. Seriously I either don’t touch my basal rates for two months or I’m tweaking with every new blood sugar reading, and usually multiple basal rates at once. Oh I went low in the morning? Well then I should change my overnight basal rate, my bolus ratio at dinner, and heck, maybe my bolus ratio at breakfast too just to make sure I won’t drop? And that does not really make for a very happy diabetes, let me tell you.
I also talked with my endocrinologist about my gut problems. Basically I’d had gastrointestinal distress (that’s putting it delicately) for awhile and decided to go gluten-free. It helped. Except for not quite. I still had “episodes” and I couldn’t figure it out because I definitely was not getting cross contamination for some of them. She said that it’s possible that going gluten free was just moderating the side effects of Victoza, and that perhaps increasing the dose in late July was the reason. Victoza in type 1 PWDs is still a bit of a mystery, after all. So she recommended I go back down to 1.2mg, which I did during June and July with no problems, and then after a few weeks, if it seems like my mystery episodes have subsided, then I can try reintroducing gluten. If the mystery episodes still happen then we’ll know it’s not the Victoza. And if reintroducing gluten doesn’t cause any episodes, then we’ll know I’m not really gluten intolerant. And if reintroducing the gluten does cause problems, then we’ll know it’s not the Victoza and I have a gluten intolerance of some kind, since I have thus far tested negative on the blood test for celiac. (Yes, I know there can be false positives.)
As with basal rates, I tend to want to try everything all at once. Throw the entire pot of (gluten free) spaghetti against the wall to see what sticks. So having my doctor give me some guidelines for pacing things and setting expectations is really helpful. I don’t really mind being gluten-free. It’s a little annoying but I like most everything gluten-free that I’ve had, except for pizza.
Gluten free pizza is horrendous. I wouldn’t subject even my worst enemy to gluten free pizza. It’s just terrible.
But overall I’m feeling pretty good. If I could resolve my tummy troubles and get my A1C back under 7%, that would make for a great start to the new year.
How are you feeling these days?