Thursday, October 8, 2009

Week 74 - a1C from the lab - Sept 14


First the figures:

week 2 September 09:
BG 90 days average: 132.9 - A1c from BG: 6.4% - A1c from lab test: 7.4%
Total BG tests: 400 - 90 days average: 4.4 tests a day
Bolus insulin shots: 274 - 90 days average: 3.0 shots a day
NEW LINE: Average Bolus corr. per day: 13.4 units x 15 = 200.8 grms Carbs per day
NPH insulin total units per day average: 29.2

week 2 June 09:
BG 09 days average: 132.4 - A1c from BG: 6.4% - A1c from lab test: 6.8%
Total BG tests: 388 - 90 days average: 4.3 tests a day
Bolus insulin shots: 263 - 90 days average: 2.9 shots a day
NPH insulin total units per day average: 23.6


Now the conclusions: HUGE difference between the lab's A1c and the 90 day average. Last days the BG average was climbing steadily (travel, uneven meals, etc.), I think that this climb, plus perhaps some unchecked time spots (like 3 PM and 3 hours after dinner), might account for the difference.

Until next A1c we are adding two extra checks, one at 3 PM (we were doing 12 PM and 6 PM only), and the other at 2.5 hours after dinner.

Plus, we'll be a bit more aggressive on vial changes: we already had 2 -two- vials that even being within expiration date where not correcting, the first one we were slow in changing it (blaming a few things before the vial itself), the second one we were slow as well (cannot be the vial again!). Anyway, end result we had twice a couple of days struggling with stubborn highs.

Other than the surprise of the A1c at 7.4% after 3 months with the usual averages (see graph), no other events worth of comment. No colds, no sickness, life as usual. So, we'll do a bit more controls (to see if those missing checks are that important) to see if we can lower the next A1c.

We might do a half way check to see if the tendency goes the right way. that would be end of October (45 days after the last A1c).