Diabetes Alert Day (cont.)
If your blood sugar by monitor is 140 to 155, there's a bit of bad news to that. Blood sugar readings on the monitors tend to be lower than what we will get in the lab. The reason for that is that the monitors check whole blood, or the red stuff you see. Blood sugars are actually in the serum and that's what the lab checks. So the blood test will probably come up 5% to 10% higher. To be certain, the doctor will probably order a hemoglobin A1c.
If you're seeing your highest blood sugars are at bedtime, you may want to play around with the calories you take at night. Typically most of us consume most of our calories at dinner, or at least in this country. You may want to switch that to having a larger lunch or an afternoon snack and smaller dinner. You also may want to adjust your exercise program, if you're exercising in the morning but your sugars are high in the evening, switch your exercise program to the evening hours.
As far as when your doctor will start you on medications, I can't answer that.
Weight loss has the opposite effect. Weight loss, especially reduction in fat around the person's belly, helps improve sugars. But weight loss in any form will help diabetes and blood sugar control. One of the easiest ways to do that is to reduce your calorie intake by 500 calories a day, so you don't have to calculate how many calories you take every day, just eliminate 500 from your diet. That should lead to a 1 to 2 pound weight loss per week. Losing weight will improve your blood sugars.
As far as the C-peptide goes, I don't know under what circumstances the test was done. Time and time again I've seen the C-peptide test done wrong. If someone is trying to diagnose you with type 1 diabetes, a C-peptide test may help. But there's still a lot of overlap and the test may not give you any information. A GAD (glutamic acid decarboxylase) antibody, anti-insulin antibody or islet cell antibody is the profile you want to look at to determine whether someone really has type 1 diabetes.
Unfortunately, I'm still questioning the diagnosis of type 1 diabetes based on the small amount of information you gave me. It is unusual to be diagnosed with type 1 at such a late age, although it can happen. There are type 1s that are diagnosed later in life -- they are assumed to be type 2, but it's later discovered they're type 1. They don't really fit the profile of the classic type 1 diabetes and they are LADA (latent autoimmune diabetes in adults), or type 1.5 diabetes.
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