Sometimes it happens that the result of GG is unpleasantly high. It seemed that you were the most disciplined patient: you ate right, always did the injections on time, lived according to the regimen and approached physical exercises in all seriousness. First question: what to do next if such hard work did not give the expected result?
We all hope to see a good hemoglobin A1C. But hope and expectation are completely different concepts. You worked and hoped to be a winner at the end of the marathon. We understand. But … the first thing you should realize after receiving unpleasant news is 1. you did everything in your power, 2. there are factors that are very difficult or impossible to influence, 3. if you scold yourself and try to tighten up or vice versa relax to the extreme in connection with an unsightly result — the situation only worsen.
Take a deep breath, calm down and soberly assess the situation. What could have caused the bad performance?
- Have you been nervous a lot lately (exams, sessions, work reports, your mother-in-law suddenly arrived)?
- Did you rejoice a lot? Do not get it confused. Pleasant stresses are also stresses. Did a girlfriend get married or did you become an uncle or aunt? Or … did you fall in love? All this is also a powerful effect on the nervous system.
- Did you have trouble sleeping?
- Did you happen to get sick?
This list can be continued for a long time. See how it was possible and whether it is possible to influence at all in those situations. Remember it and move on.
After analysis, there comes a moment when you need to realize that results are not the end of the world. Of course, first of all you need to think about health.
Now plan your next steps.
- Make a list of the things that let you down before your latest hemoglobin A1C.
- Discuss these points with your doctor and think over a strategy.
- Review what your compensation is based on, maybe something has changed. Check the sensitivity coefficient and carbohydrate coefficient, analyze your sugars at different periods of time (especially night), track how effective your insulin is.
- Consider using new tools to compensate for diabetes: insulin pumps, using a continuous glucose monitoring system, etc.