it’s a thin line between good and bad . . .
Saturday, October 2nd, 2010Oh brother, what a week. After returning from the hottest week on record spent in Los Angeles with my kids, the phone call about my results from 5 long days of wearing a Continuous Glucose Monitor (CGM) finally came, and the news wasn’t what I expected. The conversation went something like this:
“Kathy, your HA1C (hemoglobin A1C) was high.”
“Oh? Well, I’m not surprised. How high was it?”
“8.7.”
And I thought: OMG, in the years since we’ve been able to measure average sugar levels carried by blood cells, I’d never had a higher number. I felt AWFUL. Actually, like I was really a bad person and deserved some type of punishment. This . . . despite the fact that I’d been closely monitoring my blood sugars almost every 2-3 hours during the time I was awake, and trying to fight rising glucose level readings. Truthfully, I was terrified, even before the nurse’s phone call. I wondered if, for some unknown reason, I’d started to become what they call “insulin resistant.” Not a good thing when you have to take insulin 24/7 and try to thrive on it!
But then, my thoughts bent on the why’s and ways to problem-solve them were startled by the nurse’s next comment: “We can’t include you in the Type 1 Study.”
WHAT???? My heart thudded. Me, a virtual poster girl for “talk with me and be inspired about how to live well with–and in spite of–diabetes?” I was positively horrified. But there it was: I didn’t qualify for the study. I was . . . in a word . . . rejected!
It wasn’t the high HA1C that booted me. The study’s goal is to analyze how much impact the timing of insulin prior to 3 major meals/day impacts control. In my case, being small (5 ft tall when cheating), I’ve learned to try to control my blood sugars and try to avoid big ups and down swings by eating very small amounts of food throughout the day. This works a little better for me than eating a few medium-large meals each day. So, yeah, I’ll admit I’ve known my eating patterns are a little outside the norm. And it turns out that study participants need to eat a lot more carbs at each mealtime than I typically do. So I understand this issue and my (gulp) disqualification from the study.
That reasoning, I can take. The abnormally high HA1C, not. Monday I’m off to the gym. Punishment or reward? It’s such a thin line. Only time will tell.
B well. B happy. Until next time, Kath

