Tuesday, December 18, 2012

Good News/Bad News

When I was diagnosed with T2 Diabetes on August 22, 2012; my doctor and I set a goal to get my HbA1c Glucose percent below 7. At that time, I was 7.2.
 
My approach upon being diagnosed with Diabetes is to take it very seriously and to get motivated and beat this thing into submission by managing it instead of it managing me. I educated myself and read everything I could find on the disease; its symptoms and how to manage it effectively.
 
By the end of November I had eliminated foods from my diet that elevate my blood glucose at the 1 hour mark after mealtime beyond 140 and at the 2 hour mark after mealtime above 120. Due to this testing I found that anything containing rice or potatoes really shot my glucose up into the stratosphere and so these were eliminated. Wheat products were eliminated. Anything white (white bread, white flour, white pasta) were eliminated. 
 
In addition, I started a program of weight loss; consuming less than 1500 calories per day until I get myself to my goal weight of 200. When I started, I weighed 250. My wife; God bless her golden heart, (I love her so much!), went on the same diet with me and has also lost a copious amount of weight.
 
The Good News – is that my latest official HbA1c percent came back from the doctor at a 6.1!! That’s right! I was elated. My cholesterol numbers were just excellent, and walking out of the doctor’s office I felt like THE MAN! I got this thing managed! Just keep doing this consistently and make sure my glucose does not get elevated beyond certain limits and becomes battery acid in my veins and I can do this!
 
The Bad News – Yesterday and again today, as I was dancing because I thought I had this thing licked -my foot neuropathy seemed worse than before. I thought that just could not be happening since my numbers are doing so well; but the fact is that my feet are getting more numb, more tingly and more concerning to me. So I did some research and found…
 
Think of it this way. Each time a diabetic consumes carbs, their sugar levels rise above normal. When this happens they may suffer glycation damage—the damage sugar causes to microscopic blood vessels. This leads to the degeneration of nerves that are fed by these microscopic blood vessels. Hence diabetic neuropathy.
Fasting blood sugar levels miss these events, because after an eight-hour fast we find that many diabetics’ blood sugar levels normalize. A1C levels may also miss these spikes, because they take an average of blood sugar levels over time—they do not identify what happens on a day-to-day basis with blood sugar.
As a result many supposedly “well-controlled” diabetics still develop neuropathy, and other diabetic complications that can be prevented.”
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http://www.thefootsurgeon.com/neuropathy.html
Among the most common complications of diabetes is neuropathy. Unfortunately, even with your blood sugar in good control, neuropathy may occur. In fact, over time, this will occur in up to half of diabetics. Once diabetic neuropathy occurs, it almost always gets worse. Currently, there is no agreement on why it occurs, and there is no medical treatment to prevent it.”
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http://www.phlaunt.com/diabetes/16162153.php
Neuropathy is a word which means “sick nerves.” It is an early complication of diabetes which starts to occur in people who have blood sugars most doctors dismiss as “normal” or “mildly pre-diabetic.”
Because nerves are damaged by the “mildly” elevated blood sugar levels that most doctors ignore, almost one half of people with Type 2 diabetes already have detectable neuropathy by the time they have been diagnosed with diabetes. Many other people who are never officially diagnosed with diabetes but have higher than normal blood sugars also get “diabetic” neuropathy. It may be a major cause of the impotence so common among men in their 40s and older.

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Shit! Shit! Shit! Have another visit scheduled with my doctor on Thursday morning. Will discuss with her and figure out what to do next. Looks like I have more to do to stay ahead of this disease!

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