6.18.2008

3 Month Follow-up

An important tool for monitoring glucose control in diabetics over a period of time is the A1C test. The test measures the percentage of hemoglobin A1C molecules that have glucose attached to them - showing the average glucose (blood sugar) level over the past three months. The American Diabetes Association recommends an A1C of <7%.

When Janie was diagnosed on March 12th, her A1C was 10.7% (mean blood sugar level of 275). She was given another A1C at her 1 month follow-up, it was 9.6% (mean blood sugar level 240). A 7% A1C would correlate with a mean blood sugar level of 170.

Janie has her 3 month follow-up on Friday, she'll have her third A1C. I feel like I have a final coming up! I am so anxious to see what her percentage is, to see how under control we have this thing. I don't expect her to be at 7%, but I want to be a lot closer then 9.6! I really want a 7, but that's not realistic yet. I mean... she's only been diagnosed for three months. The highs "recorded" from before being diagnosed are just now leaving her system (those particular cells are dying off).

Janie's appointment is at 9:00a. Jacob has gymnastics at 10:00a. Karin and Greg (Mark's sister and bil) will be in town visiting. I wasn't going to go to the appoinment at first, was going to take Jacob to gymnastics, but I can't NOT GO. I'm too involved. The thought of not going to one of her appointments just doesn't settle with me very well. So, I think we'll all pile into the van and head down to the diabetes center. Oy, wish us well.

Enough about that... says the Queen of Ellipses.

Another tool we use is a log. It's important to track information so we will notice trends, triggers, etc. I am ANAL about her numbers. The spreadsheet I use to track her blood sugar numbers/insulin doses/foods eaten/exercise/occurrences of highs & lows/stresses, etc is huge. Here's a screen capture...



It's a bit blurry, but you get the idea. I had to cut off the right side of the capture where my comments field is. I jot down notes from the day... exercise, how lows were treated, what may have caused a high, stresses, etc. It's all a bit nuts, but I feel better having all this information. We're still learning how her body usually reacts to certain circumstances.

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