Blood sugar today is 78 mg/dl, fasting. Two days before it was 237 md/dl, fasting.
Usually, when sugar spikes out of regular regime the first question we do have is, why it is so? And right now in my mind, what did I eat and how much I did eat? When last time I ate before blood sugar reading? Even I do not convince that blood sugar is response to meal, the amount of carbs I did eat, I still looking back and pay attention, too close attention to the meal I ate before. This is all in our washed brains, connection between meal, carbs, and level of sugar in blood. I do know, I should not take it for granted that my meal, carbs, and level of sugar in my blood in direct connection. Still, I am looking in this direction. We all do.
A few weeks ago my blood work was done and now there are results on my account in hospital. All my blood test reading just nice and smooth, best I ever had. Even Vit D is within normal range. It is all the time low in Fall and Winter. Even cholesterol is good. I little bit TG over the range but not so far from normal level. I used to have TG >900. It was scared. Now it is a little be higher then it must be, but almost good. All just right and good, ..... my A1c=7.9%. Say me why? Just say me, why it is going up rather then down? As I posted before my weight went down for 20 pounds. Why sugar went up? Last blood test A1c7.2%. Now it is 7.9%, why?
There is not so much stress in my life. My Sleep Aphnea is under control. I sleep all night long and my breathing without stopping now. Also looks like my kidney started to work better. I can go to NY Phill, and I do not rush in intermission to take line in restroom. I even do not rush after concert. Just use to go as normal person, no rush, no extra Ladies Room visits. Last check up for BP is also pretty good, practically normal. My asthma is under pretty good control and I usually no longer do have asthma attacks.
So, why A1c=7.9%? Why it is going up rather then drop?
There are many questions. There is no one who will give the answer. I have to find those answers by myself. I try very hard to find them.
As I said, it is in our brain washed mind that we connect blood sugar level with amount of carbs and meal we ate. I try to vanish this from my brain. It is really does not matter, not important values. What is important? Level of sugar in blood is the indicator, there is The Problem, and It must be fixed. If I do not find my way, I cannot survive.
The level of sugar in my blood going down with insulin injection. It works every time, no any exceptions. So, to have blood sugar within healthy range I have to inject right dose of insulin. It does not matter, I need 50 units a day or 400 units a day, just take the dose I need and keep blood sugar under control. It does not matter I do eat 100 carbs or 1000 carbs, I still need to fix it with right dose of insulin, and I can do it with insulin. So, the amount of carbs or the amount of meal, or the weight I do have is really not important. The most important is the dose of insulin, right or wrong.With right dose of insulin blood sugar under control. With wrong dose of insulin blood sugar is too high or too low.
I do not take any short or rapid acting types of insulin. They do not work for me. I tried many times, and finally I just accepted the fact, I should not inject any insulin of these types. Really, what's going on when I inject rapid acting insulin? It force me to eat right away. I am hungry. If I try to skip meal I can lost consciousness. So, right away to take meal. Two hours after injected insulin stop to work, and my blood sugar going up. I have to take another shot, take meal, and .... . Short acting insulin do not control blood sugar level. It simple drop sugar for short time and then sugar going up even higher.
I all the time post, it is not the sugar in blood what is the problem. It is level of insulin in blood and which is available to be used as needed. Short acting insulin fight blood sugar. It attached to the glucose and bring level of sugar down. It still do not provide body with energy to function properly. This is why short acting insulin such as Novolog do not bring long term benefits.
It is different with long acting insulin. This type of insulin stay in blood up to 20 hours. It can be used as needed. The recommendations of developers to take insulin shot at the eve, before bed, one time daily. Also it is presented that it stay in blood up to 20 hours. Logically to ask, how do we know it? What does it mean that insulin stay in blood up to 20 hours? The logic answer is, it does not work in this way. If insulin used as needed it can be used up just within one hour, or stay in blood up to 24 hours. It is depend of the dose of injection and the need of body, the level or stage of diabetes development. So, depending on the need in insulin it can stay in blood even when injected only 20 units, and be out of blood even injected 100 units.
There are studies how many times to take insulin injections, once daily? twice daily? What is better? The answer is also in the need in insulin dose. If the dose is 20 units daily then it is not reasonable to take three shots. If dose is 400 units, it is not possible to take all daily dose in one shot. In study there were no any connection with dose of insulin injection. Only how many times to put needle into belly. Mean-less studies.
Many studies have only one reasonable meaning, money in grants to be collected by studies.
Usually, when sugar spikes out of regular regime the first question we do have is, why it is so? And right now in my mind, what did I eat and how much I did eat? When last time I ate before blood sugar reading? Even I do not convince that blood sugar is response to meal, the amount of carbs I did eat, I still looking back and pay attention, too close attention to the meal I ate before. This is all in our washed brains, connection between meal, carbs, and level of sugar in blood. I do know, I should not take it for granted that my meal, carbs, and level of sugar in my blood in direct connection. Still, I am looking in this direction. We all do.
A few weeks ago my blood work was done and now there are results on my account in hospital. All my blood test reading just nice and smooth, best I ever had. Even Vit D is within normal range. It is all the time low in Fall and Winter. Even cholesterol is good. I little bit TG over the range but not so far from normal level. I used to have TG >900. It was scared. Now it is a little be higher then it must be, but almost good. All just right and good, ..... my A1c=7.9%. Say me why? Just say me, why it is going up rather then down? As I posted before my weight went down for 20 pounds. Why sugar went up? Last blood test A1c7.2%. Now it is 7.9%, why?
There is not so much stress in my life. My Sleep Aphnea is under control. I sleep all night long and my breathing without stopping now. Also looks like my kidney started to work better. I can go to NY Phill, and I do not rush in intermission to take line in restroom. I even do not rush after concert. Just use to go as normal person, no rush, no extra Ladies Room visits. Last check up for BP is also pretty good, practically normal. My asthma is under pretty good control and I usually no longer do have asthma attacks.
So, why A1c=7.9%? Why it is going up rather then drop?
There are many questions. There is no one who will give the answer. I have to find those answers by myself. I try very hard to find them.
As I said, it is in our brain washed mind that we connect blood sugar level with amount of carbs and meal we ate. I try to vanish this from my brain. It is really does not matter, not important values. What is important? Level of sugar in blood is the indicator, there is The Problem, and It must be fixed. If I do not find my way, I cannot survive.
The level of sugar in my blood going down with insulin injection. It works every time, no any exceptions. So, to have blood sugar within healthy range I have to inject right dose of insulin. It does not matter, I need 50 units a day or 400 units a day, just take the dose I need and keep blood sugar under control. It does not matter I do eat 100 carbs or 1000 carbs, I still need to fix it with right dose of insulin, and I can do it with insulin. So, the amount of carbs or the amount of meal, or the weight I do have is really not important. The most important is the dose of insulin, right or wrong.With right dose of insulin blood sugar under control. With wrong dose of insulin blood sugar is too high or too low.
I do not take any short or rapid acting types of insulin. They do not work for me. I tried many times, and finally I just accepted the fact, I should not inject any insulin of these types. Really, what's going on when I inject rapid acting insulin? It force me to eat right away. I am hungry. If I try to skip meal I can lost consciousness. So, right away to take meal. Two hours after injected insulin stop to work, and my blood sugar going up. I have to take another shot, take meal, and .... . Short acting insulin do not control blood sugar level. It simple drop sugar for short time and then sugar going up even higher.
I all the time post, it is not the sugar in blood what is the problem. It is level of insulin in blood and which is available to be used as needed. Short acting insulin fight blood sugar. It attached to the glucose and bring level of sugar down. It still do not provide body with energy to function properly. This is why short acting insulin such as Novolog do not bring long term benefits.
It is different with long acting insulin. This type of insulin stay in blood up to 20 hours. It can be used as needed. The recommendations of developers to take insulin shot at the eve, before bed, one time daily. Also it is presented that it stay in blood up to 20 hours. Logically to ask, how do we know it? What does it mean that insulin stay in blood up to 20 hours? The logic answer is, it does not work in this way. If insulin used as needed it can be used up just within one hour, or stay in blood up to 24 hours. It is depend of the dose of injection and the need of body, the level or stage of diabetes development. So, depending on the need in insulin it can stay in blood even when injected only 20 units, and be out of blood even injected 100 units.
There are studies how many times to take insulin injections, once daily? twice daily? What is better? The answer is also in the need in insulin dose. If the dose is 20 units daily then it is not reasonable to take three shots. If dose is 400 units, it is not possible to take all daily dose in one shot. In study there were no any connection with dose of insulin injection. Only how many times to put needle into belly. Mean-less studies.
Many studies have only one reasonable meaning, money in grants to be collected by studies.
via Ravenvoron
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