Finding better tools for managing T1D
In case you weren't aware, I'm a PWD (person with Diabetes) and was diagnosed with Type-1 Diabetes in November 2000. So, thirteen years ago, and change.
In the time I've been a diabetic, I've tested my blood glucose levels, sometimes several times a day, and I've injected myself with insulin with each meal and basal insulin every night before I go to bed.
Doctors have a way to determine the quality of a diabetic's control. It's a glycated hemoglobin (or HbA1C) test and it basically tells your average blood sugar levels for the most recent four to twelve weeks. The goal for most diabetics is 5.5% to 7.2%. Those with not-so-good control will end up with higher numbers.
My last HbA1C test was in October and was 9.1%. Today, I got tested again and came back with 7.2%. I guess my increased work is paying off.
I saw a new endocrinologist today and he is encouraging me to get a Dexcomm continuous glucose monitor (CGM) which will test blood sugar levels every few minutes, detect trends, and alert you when those trends indicate you may be going too high or too low.
I've looked into a CGM in the past and it seemed like (a) insurance companies don't like them because they represent expensive ongoing costs (a sensor that sits under your skin has to be replaced a few times per month.) and (b) I wasn't convinced the technology had matured to the point it was worth getting. o
My new endocrinologist also discussed some possible drug therapy to help me with some insulin resistance issues I've been experiencing lately. He is an avid runner and has personally dealt with Type-1 Diabetes himself for most of his life, so I appreciate that we share a few things in common.