We had our quarterly endo appointment last week and my biggest question was how to handle the weird morning schedule at school this year (more on that to come!).
I’m always kind of meh when it comes to Q’s A1c. I mean it is what it is. It doesn’t matter how hard I try or how many sleepless nights I spend trying to keep her in range or how many times we test a day, it never seems to budge. It fluctuates between being at the “top of acceptable” to “higher than I want.”
(And no, it’s really not important what those actual numbers are because every PWD may have a different goal.)
You see, I’m on top of things. I’m really on top of things. I read and research and find ways to get Q the best technology on the market that we can afford. Yet great A1c’s allude us.
I’m not upset by it anymore. It’s not a grade. It’s not an assessment of my parenting skills. It’s not a competitive sport.
But it still irritates me that it won’t budge.
And I usually come away from endo appointments not knowing where we can do better, because we are already doing everything that we can.
(And by the way, maybe you’ll find solace in knowing that a d-mom who appears as on top of things as I am can’t even procure a “good” A1c for her child!)
So at our appointment last week I didn’t hold my breath as the A1c machine made the zzzhuuu zzzhuuu noise as it internally did it’s magic on that drop of blood. I grabbed my phone as I saw on the screen that it was almost done to snap a photo so that I could remember what it was.
And to my surprise it was the lowest A1c I think we’ve ever had.
You’d think I would be overjoyed, but honestly I can’t tell you what was different in the last three months that we haven’t been doing for years.* Five years with diabetes, almost four years with an insulin pump, almost a year and a half with a continuous glucose monitor. We’re still checking blood sugars a gazillion times a day. We’re still reacting to low and high alarms. She still has blood sugars all over the map.
It makes me wonder: How can I replicate this A1c if I don’t know what we are doing right?
I guess we’ll just keep chugging along, doing what we can with the resources we have, and hope for the best the next time the A1c rolls around.
If you want a recommendation on the appropriate A1c for your child, the American Diabetes Association has an opinion.
*If you remember from your college stats class, correlation is not causation. I don’t know if this is the change that made the difference and I really have no way of knowing, but we did start using the new OmniPods right after her last A1c. What I have noticed is that lately she has had less drastic post breakfast spikes (the bane of my existence!) and with the new pods she has had less post-pod change highs. I don’t know if there is something different about the new pods that is helping with pod changes or not. This isn’t an endorsement for OmniPod or in any way medical advice or a testimonial that it will lower A1c’s. It’s just the only observation that I have been able to make that correlates with (not necessarily caused) the lower A1c.
And Another Thing…
American Diabetes Association’s (ADA): Standards of Medical Care in Diabetes—2013
More posts about the continuous glucose monitor