When I needed 2 start Insulin after oral medications had quit working, my family doc referred me 2 an Endocrinologist. After being interviewed, almost interrogated, he gave me a couple of choices of how 2 manage my diabetes. 1 was a standard insulin control, the other was a "Strict Control". Strict
Control required more effort & more consistency. Being a nearly anal person, I opted 4 strict control & a BG avg of 80. I test be4 every meal & know how many units of Insulin I need 4 a certain # of Carbs. Currently it's 1 unit/8 grams of carbs. My BG averages 83 & my A1c has averaged 6.0 for 2 yrs.
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I have found that to and keep my diabetes under tight control and my A1C levels below 6, I must monitor my blood glucose levels fasting in the morning and 2 hrs after lunch and supper and before my bedtime snack. That way I can plan my meals and snacks to keep my blood sugar levels within range.
I'm an Insulin dependent diabetic, & while insulin use dropped my A1c into the 7's, I wanted to be closer to normal. My Endocrinologist worked with me to find how many grams of carbohydrates would need one unit of insulin. Since then I have calculated the exact amount of insulin needed to keep me in the high 70's to low 80's by the time of the next meal. I calculate immediately after a meal & take my insulin After the meal. For the past year, my A1c average has been 5.9. A bonus to this tight
control is my LDL, VLDL & triglycerides have dropped into a below average range & my HDL has risen from 38 to the high 50's. If you choose to work with your Endo, you have to make absolutely sure that your meals are spaced equally or you can have hypoglycemic episodes that pose serious health risks.
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