5.23.2007

Can I have a new report card please?

I am tired today, not necessarily of diabetes but just in general. Over the last year after my A1c was more "normal" than it had been in over 9 years, I started noticing a new trend with symptoms of high glucose: I can't fall asleep if my sugar is too high or don't sleep nearly as well. Does anyone else have highs keeping them oddly awake or preventing a good sleep? Well, I am assuming that because I have better control over my glucose and a better A1c than I did for most of my adolescent and early twenties years that this is the only reason I am noticing this now (greeaaaat) .

For some odd reason it is very easy for me to let my sugars run too high or higher than ideal while I am asleep. I can't even remember the last time I actually woke up in the middle of the night just to test my glucose, and I only test it late if I happen to be awake which usually means I am out drinking with friends or I'm awake because it is high.

The latter explanation is why I am tired today. This week (or month) I have been slacking on tight glucose control before and during bed and now I am tired from letting my glucose sit around 200 for long enough to prevent a normal bed time last night. Since it was 1 am I decided to confirm the high and sure enough - 207. I was awake another hour when I finally just resisted the urge to fidget and forced my self to lie down in bed and breathe deeply. For fun I gave myself a quick bolus of 1 unit hoping it would help me fall asleep sooner.

Sigh. I don't know why I do that; I am good about testing when I wake up, before I eat, when I am out, before I drive but its as though once 9 or 10 PM rolls around my mind and body resist doing what I know I need to do and I slack.

One "good" thing came out of my high-insomnia last night: I uploaded my meters and pump to the MiniMed CareLink site for the first time since...oh far too long! And rediscovered just how fun it is to be able to run all those reports about trends or daily carb use, or pretty much anything you can think of it can generate, I mean its really cool! In all my excitement I sent an email to my doctor to let him know that I finally did it and asked if he wanted me to print certain reports for my appointment next week or what he preferred. He responded this morning with what to do and then the last line of his email was "Your A1c was 6.9 - FYI" ( I had gone in for the blood work last week for my appointment with my Endo next week).

I am pleased with this result but a little disheartened because it is up a small bit from last February and I bet its because of the night time highs and my unmotivated attempts to fix/control/prevent them.

I'll tell you what it is about this most recent A1c result - its a damn grade, and because I did better on the same "test" three months ago I feel as though I failed it this time. So silly, I know. But its true. I will admit I thought it was a little higher from noticing the increased restless nights since February but I also hoped that I was wrong.

I am glad to hear this today versus next Thursday and be bummed about it the entire day and the following day, which just won't do because its Taylor's rehearsal dinner and wedding next Thursday and Friday; I wouldn't want the damn grade ruin it for me, so there is a positive about that last sentence of his email.

So, one week until the actual Endo appointment where I am sure we will talk of the lack of bed time testing, the rehearsal dinner, and Taylor's wedding!! No matter how tired I am, I am not too tired for enthusiasm about that!!

3 comments:

Scott K. Johnson said...

I too don't sleep as well when my BG is high. I just think the body doesn't work as well as it should when things are "out of whack".

I find it hard, after being so "good" all day, I let my guard down a little bit at night too. I think I just get tired of dealing with it all.

That is an excellent A1C, but I can understand the disappointment too. But - you are doing many things well with an A1C like that. Feel good about that!

Shelly said...

I give you so much credit having to cope with diabetes I just started watching an 8 year old with diabetes and he is so smart about it. I am still learning everything. I admire him so much for handling it as well as he does.

Jenny said...

I can't sleep at all with a high blood sugar. I have 4 injections a day but have to make it 5 if I am high. I dislike A1cs! Well done on 6.9. 6 point anything is great!!!