I had started the hemp protein powder for my amino acid deficiency shortly before leaving, and did not have my new approach figured out before I hit the road for 6 weeks of unpredictability. (Every diet change means a whole new way of doing blood sugar control, and this has certainly been the case with my most recent change.) The combination of these factors meant I had 6 weeks of terrible blood sugars.
Finally home, I've been able to start working on figuring things out, but it takes time, consistency, lots of analysis/changes/experimentation, and patience. Lots of patience.
The funny thing is, my doctor was happier with my A1c of 6.8 than with A1cs below 6.0. He said it meant I am having fewer low blood sugars, and he likes that. I'd have to disagree on that, actually. (I've had the same, if not more, during this time of adjustment.) I think he makes a lot of assumptions based on how things are for his other patients, that are not true for me. At least he was happy. :)
My glycomark was worse than the past as well...again, not unexpected, due to many high blood sugars during this quarter.
Interestingly, my vitamin D (at the completion of the summer months) was a bit low...39ng/mL. I aim to keep it in the 50-80 range. This has been with taking an average of 3000iu's per day, all summer. I was traveling in the Midwest and northeast US this summer, though. I was outside some, but no committed "Vitamin D time". I know that sunshine is way more effective than pills at raising levels. I might need to add in some "laying out" time to my daily routine, to get my levels up...especially since winter is approaching.
My serum B12 level was 949pg/mL. I am happy with that. It had dropped down to the 600s, I believe, at my last visit. I've been taking 1 sublingual B12 per day, sometimes 2 or 3, especially if I miss days.
Everything else looks good. My calcium is in range, even close to the high end of the scale. I think that's funny, since we are told we need dairy for calcium. hehe
My doctor was quite pleased about my retinopathy being gone as well. He said that is evidence of good control without being too extreme. Ha!
We discussed insulin settings a bit. I told him about the protein powder and my re-adjustments because of it. He said fat can affect blood sugars when eating carbs, but protein doesn't. I told him that it has with me! I had good control before, and this has changed everything. It majorly slows down bg rise and fall.
He made an odd statement that if I were adding in protein, I must be eating fewer carbs. I said, no, everything else is the same. He said that I must be eating fewer carbs with the added protein, otherwise I would have gained weight, but I haven't gained weight. Oy vey! (Not sure how to spell that.)
I thought these comments were interesting...about the protein/blood sugars and the weight thing. Apparently for other patients that may be true, but not for me.
But all in all, he seemed very positive on this visit. He said he would have liked for my A1c to be a little lower, maybe 6.2-6.5 instead of 6.8, but he thought overall, it was pretty good. He liked the stability of my nighttime readings very much--that they basically flatline around 100mg/dl, on the whole.
I noticed--and liked very much--that he seemed to finally have accepted that I eat a lot of carbs. He didn't say anything negative about it. He didn't say anything positive about it either, but seemed to accept that I eat a lot of carbs. It was like his resistance was down...like the overall positives with everything were making him be okay with his "problem child" patient.
I kind of toyed with the idea of maybe possibly giving him my book. I don't know....then he might find my blog. hehe. I think I want my health to be put together and my blood sugars great before I let him know about my book. I'd like for there to be no complaints or objections to how I am doing things before I lay myself open like that. :)
He suggested some changes for afternoon and evening blood sugar control and I shared with him what I am working on, my hypotheses, etc. He seemed relaxed, and like he was finally okay with the fact that I really work hard at making changes where they are needed, and that he simply has no idea how to help me...aside from general pointers here and there.
I actually kind of enjoyed my visit today (aside from my own disappointment with my A1c). It seemed like he almost respected the fact that I could have an intelligent conversation about blood sugars and control on a diet that is radically different than the rest of his patients; we could toss ideas back and forth, and I could carry on my research and come back in a few months and let him know what I've found. :)
Grateful for a happy visit. Thanks God. :)