About a year ago I trialled a method to flat-line my blood sugar graph. This is based on thinking that not only higher than normal average blood sugar is bad, also the after meal spikes are detrimental.
The method involves working out how much insulin one needs to inject at each meal to flatten the spikes, as well as how much to inject to control the body’s ongoing glucose manufacturing activity. Then one needs to inject a little more insulin, so that the sugar content of the blood is always trending down. To stop sugar from going too low, one needs to eat a controlled amount of carbs at regular intervals, e.g. a date, or a glucose tablet.
Basically it’s insulin needle in one hand, sugar in the other. Alternate all day. Prick and eat.
I managed to get a near normal HbA1c: 5.2%. You healthy pancreas people have a number in the high fours.
Proudly, like a school kid with a good report card, I did a show and tell of my nice result to my endocrinologist.
She had a fit.
Diabeasts are not to have these numbers. Around 7 is better.
She obviously has secret knowledge that high blood sugars are good, and so are spikes. Or that the risks of low sugars – sudden death – outweigh the risk of high sugars – eventual loss of limbs, blindness, heart disease etc followed by an early death. This then is expected, and fits the normal course of the disease.
And that is the problem in the weird world of type 1.
Who and what to believe.
There are no certainties to grab hold of and work from. Not even the underlying assumptions of the disease and it’s management are clear, let alone agreed on.
Carbs are good. Carbs are bad.
Fat is good. Fat is bad.
Sugar is good. Sugar is bad.
Fruit is good. Fruit is bad.
Dairy is good. Dairy is bad.
Cholesterol is good. Cholesterol is bad.
High blood sugars are bad. Low blood sugars are bad.
Flat-line is good. Rollercoaster is bad.
The flat-line method didn’t work for me. Sure, I got good results. But it seems pointless to inject insulin for one’s cup of coffee in the morning to avoid it’s spike, then go for a walk, only having to stop every 15 minutes to check blood sugar and eat sugary food to avoid passing out. Because walking enables more uptake of blood sugar by the body.
Is high blood sugar a cause or a symptom?
Sometimes I despair of all the crap.
Frankly, I feel much better with higher blood sugar. Makes me sleep like a baby.
Radical doubt, of everything that is said or written about diabetes, is my way of staying sane.
It ain’t necessarily so!😤