Week 113, June 21st, 2010

And that was it! Trial is now over, the 2 years now elapsed. We cannot say right now if we are going to take part in the follow-up extension (3 more years, 2 controls a year), but I plan to keep posting the A1c and BG values as I have done it so far. Later on perhaps I'll summarize on our impressions, but all in all we have not sweated with diet, and we did yes all the needed corrections. We've been measuring BG more in this last stretch as we had some stubborn days. Some told me that they were growth spurs. Other than that, no changes from the previous posts. Thanks to all that followed the blog, you've been a most graceful public. Yet, keep watching the page, I'll be posting values every 3 months, and of course any other news of interest.

Figures:

week 3 June 10:
BG 90 days average: 139.1 - A1c from BG: 6.6% - A1c from lab test: 6.7%
Total BG tests: 583 - 110 days average: 5.3 tests a day
Bolus insulin shots: 375 - 110 days average: 3.4 shots a day
Average Bolus corr. per day: 13 units x 15 = 195 grms Carbs per day
NPH insulin total units per day average: 38.3

week 1 March 10:
BG 90 days average: 132.1 - A1c from BG: 6.4% - A1c from lab test: 6.8%
Total BG tests: 443 - 90 days average: 4.9 tests a day
Bolus insulin shots: 296 - 90 days average: 3.3 shots a day
Average Bolus corr. per day: 11.9 units x 15 = 178 grms Carbs per day
NPH insulin total units per day average: 34.0

Week 97, Mar 1st, 2010

Figures:

week 1 March 10:
BG 90 days average: 132.1 - A1c from BG: 6.4% - A1c from lab test: 6.8%
Total BG tests: 443 - 90 days average: 4.9 tests a day
Bolus insulin shots: 296 - 90 days average: 3.3 shots a day
Average Bolus corr. per day: 11.9 units x 15 = 178 grms Carbs per day
NPH insulin total units per day average: 34.0

week 2 December 09:
BG 90 days average: 130.3 - A1c from BG: 6.3% - A1c from lab test: 6.4%
-That's correct, ONE point down-
Total BG tests: 477 - 90 days average: 5.3 tests a day
Bolus insulin shots: 265 - 90 days average: 2.9 shots a day
Average Bolus corr. per day: 10.9 units x 15 = 163 grms Carbs per day
NPH insulin total units per day average: 30.4

Week 96 or 97 - Preliminary post - A1c = 6.7%

I don't have the nice chart yet, as I'm behind entering the values in the XLS. But I've got the last A1c from the lab: 6.7% . This was done on first week of March. When I finish entering the data for the last 3 months average prior to that date, I'll post the BG average, corrections/tests a day, and the A1c from the BG average. Anyway, I just wanted to pass on the A1c. Diet not regimental as usual. Plus 2 weeks vacation with grandma and stay-overs at friends house in between.

Week 85 - Dec 12, 2009

Figures:

week 2 December 09:
BG 90 days average: 130.3 - A1c from BG: 6.3% - A1c from lab test: 6.4%
-That's correct, ONE point down-
Total BG tests: 477 - 90 days average: 5.3 tests a day
Bolus insulin shots: 265 - 90 days average: 2.9 shots a day
Average Bolus corr. per day: 10.9 units x 15 = 163 grms Carbs per day
NPH insulin total units per day average: 30.4

Last post we committed to tighten up controls, because A1c had jumped from 6.8% to 7.4%. Well, no diet as usual, with a bit better control now A1c is down to 6.4%

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).

Already updated - September 20th or so

Just to avoid wasting your time visiting and seeing no news, I'll be posting -say- every 3 months, when I have the latest A1c values. Next post is due then by September 20th or a little after (depending on when the data reaches my hands). The little yellow mark at the bottom of the chart, is the day of the last A1c (6.8%).

So far from the last post the BG average is:
- 10 days 121.
- 30 days 121.
- 90 days 128.

There were a couple of "eat as you please" birthdays parties with lousy correction (no correction at all in one of them, insufficient correction in the other) where I thought the BG meter would blow in pieces, but to my surprise it was just around 330-340. Corrected with 4 units of fast acting, 3 hours later back in the 65-100 range, and staying there as usual. Those were the highlights of these last 3 months.

I add here the last chart , which will be updated in the next post. I'll be deleting this post, as it'll be redundant when next (permanent) one comes on line.

Week 64 - More figures. Almost a year now

First of all, we made the A1c, so I'll post the figures for June:

week 2 June 09:
BG 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

week 2 May 09:
BG average: 139.1 - a1C from BG: 6.6 - a1C from lab test: Not done yet
Total BG tests: 389 - 90 days average: 4.3 tests a day
Bolus insulin shots: 223 - 90 days average: 2.5 shots a day
NPH insulin total units per day average: 20.0

- Some conclusions: The month between week 2 of May and week 2 of June, looked like we got BG down a bit more. However, A1c did not go down as much as we expected. 6.8% is an average of BG of 144. We have to consider also that he's growing, that ADA recommendation is less than 8%, and he's been eating like any other kid in the block. Next post I'll run a full year comparison.