Hello...a quick introduction

By cassiebfit Latest Reply 2014-11-05 09:26:03 -0600
Started 2014-10-30 10:05:34 -0500

Hi everyone, I'm Cassie and I am a Type 1. I am new to this site, which I found this morning while looking for diabetes apps on my phone. I was diagnosed a little over 5 years ago and I just recently started to be more proactive in taking care of myself. In June, I began running and working out more, and I just recently ran my first 5k. I've also tried to make a habit of checking my levels more often and taking insulin after meals.
I had my three-month checkup with my doctor yesterday. My A1c is back up to 11.6 (oof, I know. :/) I am in the process of trying to get a pump, but the request is pending with my insurance. (Honestly, what is the point of insurance sometimes?!?!?) I didn't have to do labs yesterday because my doctor would like me to have a full month of good levels so we can see how my health is when my levels aren't completely out of control.
So that's a little about me. Hopefully this community will help me regain the motivation to stay accountable. (:

12 replies

Type1Lou 2014-11-05 09:09:34 -0600 Report

You seem to be much more active than the average diabetic which would allow you to consume more carbs than the average diabetic. Since carbs are also the main factor in raising your BG, the key is to find the amount that is just right for YOU. (I am not nearly as active as you and considerably older: I allow myself 120 grams of carb per day and my last A1c was 6.6.) Since beginning a work-out program in June, including aerobic and weight-training exercises, I've discovered that my blood sugar will rise after my workout, contrary to my expectations. Gary Scheiner, in his book "Think Like a Pancreas" says "…it is not unusual to experience a blood sugar rise at the onset of high intensity/short duration exercise and competitive sports. This is caused by a surge of adrenalin, which counteracts the effects of insulin and stimulates the liver to release extra sugar into the bloodstream." He goes on to note that, if you notice this happening, you may need to take extra insulin beforehand. Among other qualifications, Mr. Scheiner is an exercise physiologist. I've learned a lot from his book. Pumping will give you more control over both your basal insulin delivery and your bolus needs. And I agree with you that dealing with insurance companies is an ordeal! Wishing you well and better results!

cassiebfit 2014-11-05 09:26:03 -0600 Report

Type1Lou, my levels always spike after a workout…at first it was scary because they would spike and stay high all day until about 3PM and then they would drop and I could eat and an hour later they would drop and this would continue until I ate dinner. Thankfully I was able to talk to my doctor's nurse and we figured it out right away. I think I'm going to have to read that book though, it sounds very interesting. Thank you for the well wishes (:

Neily149 2014-11-05 06:42:50 -0600 Report

Welcome to the group!

Congrats on the 5k, what was your time?

cassiebfit 2014-11-05 07:44:21 -0600 Report

Thank you! My friend and I finished in 37 minutes, 162/163rd out of 337 runners…I was pretty satisfied given that it was a first for both of us (:

kimfing 2014-10-31 10:53:57 -0500 Report

Hello and welcome. glad you are serious about this. I was wondering why you take your mealtime insulin AFTER you eat?

cassiebfit 2014-10-31 11:22:05 -0500 Report

I take it after because I usually don't count the carbs until I've eaten. Often I will plan to eat something and then not eat it or replace it with something else. I go low fairly easy so I don't want to get anything wrong

Silicone eyes
Silicone eyes 2014-10-30 17:16:33 -0500 Report

welcome to the community. Sounds like you are making the right choices. I've been type 1 for 27 years and the best I have ever felt is when I had a good workout routine, that and getting a pump have been the best things I've ever done to get on top of my diabetes. The insurance process is insane, it was about enough to make me need a therapist. lol

jayabee52 2014-10-30 10:13:52 -0500 Report

Howdy Cassie
It is great that you are starting to take better care of yourself. Sorry to learn re your A1c. With work, you will get it trending down.

I am wondering as to what kind of meal plan you are using? Keeping one carbs down will help greatly with your A1c and your need for less insulin.

God's best to you

cassiebfit 2014-10-30 10:32:23 -0500 Report

Thank you! I am really excited to be a part of this community.

I'm currently not on an actual meal plan. I've always been able to "eat what I want," figuratively of course. I am going to be counting macronutrients starting Sunday in an effort to lose more body fat. The program has me eating about 210 carbs per day.

As for my A1c, I know I can get it down, I have before. I just need to get back in the habit of checking my glucose and staying on top of this diabetes stuff.

jayabee52 2014-10-30 10:44:47 -0500 Report

The 210 carbs per day seems a bit much. Usually speaking the carb limit for an active female is about 45 per meal. so that would be a total of about 135 or a max of 145 per day with snacks. Might this "program" be something set up by the ADA? They have a reputation for higher carb allowances.
I had gotten my A1c to 5.5, lost 65 lbs in 5 mo, discontinued my insulin injections and kept my BG levels in a normal range by following a high protein low carb meal plan. I am still on it some 3 + yrs later. If you are interested in this meal plan I can share the link with you upon your request.

cassiebfit 2014-10-30 11:02:48 -0500 Report

Sure, I'd love to look into it. I'm always looking for something that would work.

As for the plan, it isn't set up by the ADA. It's something that a lot of members of a fitness community I'm involved with use though. I eat about 5 times a day (three large meals and two snacks) and with that the plan suggests about 40 g per "meal." Usually my eating habits have me under this range, closer to the 150-180 g per day, and I don't see my eating habits changing from that much.