Little Changes to Lower A1C!
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- Опубліковано 13 лип 2024
- Talking about some of the little changes I made in my diabetes management to lower my A1C and increase my "Time In Range"! Being even a little more diligent can make a huge difference for me.
[DISCLAIMER: While I am a Registered Nurse, nothing that I post should ever be taken as medical/nursing advice. Please consult your doctor if you have questions about your individual diabetes management and overall health.]
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You’re 100% right in bringing these forward Danica. I’ve been T1 for better than half a century and will all the amazing tools we have to work with I should be ashamed at how many of these exact topics I could be doing better with. Thanks for the reminder, I’m going to go change me infusion set right now! 🖖
Regarding lows: I'd add that with a CGM, it becomes possible to more accurately estimate how many carbs to use for a low treatment. For example, 66 mg/dL, slowly falling, and suppose that 10mg/dL raise your BG by 60 mg/dL. Then it would make sense to eat maybe ~8g of glucose and wait about 15 minutes to observe how it continues (the body needs ~10 minutes to absorb that glucose). If it starts to raise rapidly, don't do anything else, wait until it stops rising. If the BG was falling slowly, it may end up somewhere at around 100-120 mg/dL after this treatment. And, you just avoided a rollercoaster.
Of course, if the BG is for example 65 mg/dL and falling rapidly, treat it with more glucose. But that "rule of 15" is usually overkill - 15g of carbs will get your BG way too high. And, as I mentioned before, this implies that you have a CGM. If you don't, such "microdosing" is considerably riskier, because you don't see how fast the BG is falling.
My biggest problem is stress.
I'm trying to get my sugars under better control, but my last A1C was 6.4 . I would like to see it at 6 .
I have been a type 1 for 49 yrs.
Hi Lisa, great work on getting to 6.4. Not stressing might be key to helping you get to your A1C to 6.0. Have a chat with your clinical team though so that you do not sacrifice your in range percentage in order to achieve hitting 6.0. Have a great remainder of the year
Each idea you listed involved with diabetic would definitely help me to, even if just a little, lower my blood sugars and keep me in range. Thanks for the common sense approach Your enthusiasm is appreciated.
Thank you for the reminders. I needed this. On same control-iq as you and was getting a little bit relaxed and showing some issues.
Danica: Thank you for your informative and motivational videos. Please keep it up.
Thanks for the tips. Ive been uncontrolled diabetic for 20 years. Just got the Tandem pump. Thanks for the tips.
Danica thank you so much for this video! Everything you said are things I know but needed to hear and be encouraged to follow through and do.
The site changes! I definitely need to implement that!
Loved the idea to set up high and low alerts. I have the 670g and am always in automode and will periodically glance at my BG level, but if I become busy and I don’t look until it is already below 60 or above 180. So I set up alerts and have already noticed how much it helps me keep an eye on rises post eating or dips when I’m busy at work. Thanks!
Thanks for the advice, I totally agree with using small corrections throughout the day really helps. . Watching my carb intake also helps with BS control.
Great ideas Danica. Thanks again.
I was diagnosed a little less than a month ago and this advice has been sooooo helpful! Thank you so much!!!
Thanks Danica, great tips!
Thank you so much for your videos. I have found that you have made Diabetes just a little bit more "Fun?" But really your videos have helped me to do so much better. 58 yrs type 1.5 diagnosed when I was 30 under extreme stress. (no youtube back then)
Thank you for these videos. I’ve had this disease for almost 10 years now and I’m getting so tired of it. Reminds me I’m not alone
I agree with everything you said, and I’ve been doing most of them myself. The biggest ones for me were a tighter range on my cgm and treating highs sooner. That made a big improvement on my A1C.
Great advice!!
Great video Danica! Thank you! :)
Hi Danica, hope all is well with you. Good notes, especially about only loading enough insulin in the cartridge only for 2 to 3 days. I am trying to get my clinical diabetes team to switch me on to Tandem tslim x2 and G6 (I am in UK) but having difficulty convincing them atm so might have to change my clinical diabetes team. Keep up the good work and best wishes for a great week
I'm glad you still alive and well
Great tips!!!!!
grazie ! Thank you for your informative and motivational videos.Me and my son are your fans !
Thank you for this video. My son is T1D, diagnosed at age 2 and he’s 9 now. We are always looking for new ways to help lower his A1C.
That's really great advice! Unfortunately, I don't have a CGM or a pump so everything is guesswork with my basic glucose meter which has no tracking on it but I really like the advice about waiting the full 15 minutes and not freaking out just cuz you're a little bit low but I always have to go with how I'm feeling since I don't have any arrows to tell me whether I'm trending up or down. I would love to see a video on some healthy tips that you have to help with blood sugars coming down maybe you've done that one already like how much exercise or foods that are really good for that. Big hugs!
Good video... Good information...
Can you give any helpful tips to help understand carb counting? Helpful tips for Tandem tslim pump suggestions
I'm on MDI and I use the Diabetes M app it keeps up and subtracts active insulin since I don't have a pump and in my state with my insurence I can't get one.
my a1c is way worse then it was because of quarantine, ty for the tips !
Happy 17th diaversary!
Hi, I really like your videos! They're very informative! This question is not concerning lowering A1C. It's concerning where to wear my pump while sleeping to avoid the error message "out of range'. I'm on the Tandem T-slim with ICQ & DexCom G6. I wear my CGM on my under arm ( closer to my armpit) and my pump site is on my abdomen. My Dr tells me I don't have much 'real estate' to have both on my abdomen due to scare tissue/incision. I typically wear my pump clipped to the center of my bra or bralette. I recently have been getting numerous error messages. I've tried clipping it to my bra straps or the band on the side but it's not comfortable and often falls off, which causes problems sleeping. Do you have any suggestions where to wear it to avoid the errors. I've been type 1 for 3.5 years (LADA). Thank you!
I've recently been approved for a pump - been MDI for about 4 yrs. My last A1C in December was 7.0. After a perfect day yesterday I blew it...shouldn't have had dessert tonight - I'm at 240 now and going straight up :(
Awesome cool 😎 😎
Ugh, I wish I had a cgm. I feel it would be so useful
I’m a newly diagnosed type 1. Any advise on how I can figure out how much correction to take ?
Yeah your right but how do I motivate my self to do that
Do you still have control IQ? I haven't downloaded the upgrade yet. I'm curious if you still like it.
Hello, I'm a RN and i'm currenlty looking into getting certifed. I did have a couple of questions regards the process and what your experience has been. I tried going to blog link but Goggle doesn'et allow it do to a site alert. What would be the best way to get in direct contact with you. Thanks.
I have had diabetes for 46 years and I am having difficulty losing weight and getting my A1C down. I also have gastroparthesis and gluten intolerance. I am trying not to eat between meals and drink more water. It has been 3 days and so far so good. I am walking 5km a day so that is helping too.
hi there, I have been a nurse for 5 years and I feel like I have 1000hrs of diabetic education... does my acute care nursing experience count ? how do i prove the 1000hrs?
Waiting 10-15 minutes is so hard 😫 (especially when your hungry)
Pre bolus doesn’t work for me I crash
Maybe your basal is too high. 15 minute prebolous shouldn’t cause you to go low unless you’re using a super fast acting insulin like fiasp. Otherwise you were probably already heading low before taking the prebolus
I went vegan and stopped using Artificial sweetness too and gluten
WOWOWOW that’s forreal goals
Sup!
cant believe u still think carbs and grains are part of a balanced diet. so out dated.
🤣 I hope you’re not a diabetic! You should know all diabetics are different, and GRAINS and CARBOHYDRATES are good for you! And also a part of a healthy diet. I’m 17 and this is what my nutritionist said too! I would eat grain with gluten in it but I’m also a celiac so I substitute with oats, flax seed and other things.
@@cayden6807 most nutritionists are out dated too. veggies and lean meats and very small amount of complex carbs is all u should eat. Grains and simple carbs are bad for anyone.
@@cayden6807 try it watch how much better u feel, and how much more effective insulin is.
Yes maybe It works for you and if so great! I eat little complex carbs because of me being a celiac, and a pickey eater. I actually have a small elevation of my cholesterol because of me being on gluten free diet for almost a year now. So I have added a lot more omegas to my diet . It’s just a matter of opinion and each individual person. I respect your opinion though.
Everything in moderation