Post Edited (Phishbowl) : 3/24/2007 10:48:54 AM (GMT-6)
I am sorry to hear about your disappointing results. As a type 2, I don't know much about how you control your BG levels, but it sounds like you are doing all the right things. Walking those stairs alone would probably kill me . Did your doctor have any suggestions? Maybe changing up your diet would help you to not have swings in your BG levels?
According to my A1c to BG conversion chart, your average BG level is 187-so maybe you need to change your medication schedule a bit? (Of course, I don't know anything aabout managing type 1- but these are the things I would consider if my A1c started to rise.)
Here's another thing I've learned - my January A1c was a 5.2 which equates to an average of 87, but my meters (One Touch Smart, and One Touch Ultra2) were consistently reading about 10-15 points lower, and I was forcing myself to carb-up to keep from going low- which I didn't need to do.
All the best to you
Phishbowl, I'm so sorry you're going through misery with those numbers, especially when you're doing everything you're supposed to be doing. I'm no one to be offering advice because I'm new at this and I'm not on any meds, but it just makes sense to me if the endo doesn't think you need to change the meds or the schedule, I would change what you're eating because what else is there to do? I'd eat fewer carbs and more vegetables, no matter what the 'official' diabetic diet says. What I don't understand is if carbs drive b.s. up, why would you have a diet of 55% carbs? I think that's high for any diet actually. I would eat more portions of veggies to replace the carb. You can get carbs from beans and they have more fiber. It sounds like you're getting a lot of exercise, so that's great. And unless it reacts badly with your meds, I'd also have a glass of white wine at dinner. Good luck.
Post Edited (Phishbowl) : 3/25/2007 8:24:12 PM (GMT-6)
I hear you on the doctor-carbs connection. Just about everybody that I am sent to spouts the ADA requirements as if they are written in stone.
AS a newly diagnosed diabetic, I followed every recommendation of the diabetes dietitian to the letter- I gained weight, the graph of my BG levels looked like the Alps- I was tired and cranky all the time. The more I read, the more I knew I was in BIG trouble and it was getting worse- so I took matters into my own hands, retooled my diet and exercise and came up with my own plan based on the insulin-resistance diet (which worked the best for me). I tried the ADA diet, South Beach phase 2; Bernstein; weight watchers; Rosedale; Rozien and Oz; and insulin-resistance before I found the plan that suits me best. Using- insulin resistance where I pair one carb (15gr) with one protein (7 gr), I can enjoy whole grain carbs such as bread and pasta; winter squash and almost any fruit without messing up my blood sugar.
When I went back to the diabetes dietitian and reported my results, she told me that it was not possible for me to gain weight on the plan she gave me and that I clearly did not understand how to weigh and measure my food properly. Or perhaps, I was under-reporting what I was eating???? I was so mad- I pointed out to her that my PhD is in protein biochemistry and that I was such a star in the metabolism courses that I was paid by the department to tutor the medical and nutrition students that couldn't get the required Bs to move on in their programs. Oh yeah- I was paying for that bad advice (125.00/hr) because my health insurance doesn't cover food counseling for diabetics- go figure!
I don't know where you live, but here in Ohio I can get a pasta made by Dreamfields that tastes really good and has just 5 net carbs per serving (1 cup for most of the shapes). I have eaten 3 portions at one time as an experiment (OK I love pasta with sauce!)- with no additional protein to balance it, and my BG didn't budge- they have a website where you can order if you can't find it locally.
I'm sure you'll find the way to get your numbers in line- keep smiling and nodding at the so-called experts- and walk your own path - to success.