I had a medical appointment yesterday, which in itself is not remarkable, but that revealed a very good result.
I should back up a step and explain that, since about June of last year, I have altered my approach to managing my physical maladies, adopting a very low-carb diet(1) and following an intermittent fasting schedule(2) along with ramping up my physical activity. These changes flowed into the fact that I also started taking a pair of antidepressants in October that helped clear my head so I could focus better on what I am trying to do. Finally, in December I started taking Trulicity in addition to insulin and metformin
When I got out of the hospital a couple of years ago, my A1C was 8.5 and my blood glucose was running in the 450s mg/dL (yes, I am aware of how dangerously high that all is). At my last appointment, my A1C was 7.1 and my blood glucose average was around 180 mg/dL.
Fast forward to yesterday, and after about 9 months of focused effort, my A1C has dropped to 6.6 and my blood glucose average sits at around 161 mg/dL.
The moral of the story is that, if you are suffering from similar issues to mine, there are methods to overcome the obstacles those issues present. The right combination of medications, diet, and exercise can pay huge dividends in a short period of time and offer the promise of remission if not recovery.
(1) I try to keep my daily intake of all carbohydrates between 20 and 40 mg a day and do so by avoiding all sugars, modern grains (basically, anything containing wheat or rice), and manufactured foods. In general, I also try to keep the foods I consume in the low Glycemic Index range (below 55). Foods called Brassicas (broccoli, cauliflower, cabbage, and the like) are great for this.
Understand this kind of diet can be a huge adjustment, and if you decide to try it, there may be a period of transition where you experience symptoms similar to coming down with the flu. Also, if you have other health issues, be careful not to make them worse by following this diet. Be sure to consult your health care provider as you move forward.
(2) There are as many opinions on intermittent fasting as there are people who try it, and I don’t have a specific recommendation of where to start, but in general, the idea is to limit your calorie consumption to a narrow window once or twice a day. For me, this means usually eating one big meal between 2 and 4 and another smaller meal about an hour before bed (this helps level out overnight blood sugar spikes). These meals can vary somewhat based on my daily schedule, but in general results in there being at least 12 hours and as many as 16 hours between caloric intakes.
This method of eating helps encourage your body to take advantage of its already extant biological pathways that are part of the “feast and famine” experienced by our ancestors. Doing so helps our bodies use calories more effectively and, once you get into the habit, often results in eating less.