A Week of Blood Sugar Logging.
For the first two or three days, I actually looked forward to logging my blood sugars on the Kevin spreadsheet. I'd take the meter out, queue up the spreadsheet (oddly gleeful about Excel, for the first time ... ever), and plug the numbers into the cells. It was Nerd Number Heaven, and I actually enjoyed it. Now, a week later, it's less novel, but I'm still doing it because I started noticing a few patterns.
And then I realized I was noticing all kinds of stuff.
Like the patterns of when I actually test my blood sugar. On weekends, I don't test as often as I'd like. During the week now, I'm pricking my finger at least eight times a day (usually around 10), but on weekends, I'm barely clocking five. On Saturday and Sunday, there are these long gaps between my pre-breakfast test (not necessarily my fasting one - breakfast usually happens late on weekends) and the lunch test (meals tend to be awkwardly scheduled on the weekends). I also noticed that weekday afternoons tend to be a little blank in the blood sugar testing department, so I've set an alarm on my phone to remind me to test at 3 pm, regardless of what I'm doing.
I also noticed that my blood sugars bump a little bit after every dinner meal - or at least every single one last week. I don't like to make changes after one or two days of a "maybe pattern," but after seeing a dinner post-prandial in the 190's for several days in a row, I remembered that a few months ago, when I was bolusing 20 minutes in advance for dinner (instead of five - ten minutes prior), I didn't see those highs. So this week, I'm pre-bolusing for dinner a little earlier, and hopefully seeing better numbers later in the evening. (And if that doesn't work, I'll probably tweak my insulin:carb ratio for dinner, as that's always been a problem meal for me to nail down.)
Overall, I'm seeing evidence of why my A1C is higher than I'd like: I see a lot of 140s and 150s. A lot. They're the most common numbers I see, aside from fasting blood sugars. And I'm hesitant to correct them a lot of the time because I am uneasy about hitting 40s and 50s. (Double-checking my insulin sensitivity factor is also on my "to do" list, because it's shifted a lot since I was pregnant, and I think I have it set higher than it should be.) But these 140s and 150s are replacing the higher 190s and the 200s I saw a few months ago, so I'm happy to see that things are dropping, if not yet where I'm aiming for. (They'll get there.)
There are things I'm glad I noticed, though. I did notice that my schedule during the week is pretty consistent, and a more consistent day produces better (or at least a smidge more predictable) results for me. Since I wake up with Birdy most mornings, my fasting blood sugar times are between the same 30 minute window every day (7 - 7:30 am), and those numbers are all in a range I'm happy with. And I also noticed that my Dexcom graphs are steady through the overnights, which makes me feel confident in the basal profile I have set to roll in the evening.
What I'm noticing most is that I'm noticing. Logging blood sugars helps me pay more attention to the whole mess. My endocrinologist tells me - often - that logging blood sugars is important for noting trends, and it also helps her get a feel for how things are going on a day-to-day basis in my diabetes. I want to be a "good logger," but I've historically been a terrible one. However, my endo is right, and I'm working to try new(ish) things (aside from the "chocolate shake cure for diabetes" that ended up in my email inbox AGAIN this morning - that spammer has the most magical timing) to lower my A1C while keeping the extreme low blood sugars out of the rotation ... including finally keeping a decent logbook for the first time since the Bird was born.
One person with diabetes can do exactly the same thing as another person with diabetes, and the results may vary wildly. There isn't a perfect system to management, and diabetes is a needy little monster. But ignoring it and apathy aren't options I'm willing to entertain, and I'm confident that these efforts will pay off. I need to continue to solve for why, and to continue to move forward.
(Isn't there a thing ... like an Internet thing out there that says You (we!) Can Do This? Yup.)