Step 6

Step 6: Ask for help. Nobody knows my diabetes experience better than me, but that doesn’t mean I’m the only one with ideas. Other people can help, too, by providing insight into diabetes, information about what’s in the food I eat, tips for exercise, and encouragement.

Lisa’s been asking me for a while how she can pitch in. I really don’t know what to suggest—she already gives me a lot of support and encouragement—but I love that she’s willing to help.

Today I met with my endocrinologist’s nurse practitioner. We discussed how to improve my A1c, attenuate the wild swings in my blood glucose when I exercise in the afternoon, and generally get me more confident in my own diabetes self-management plan. We were on the same page from the beginning of my appointment, when he asked me what I wanted to focus on. Me: “Well, I slide into lunch almost low, then I feel like I have to go very high before exercise, when I often drop 100-200 mg/dL in an hour. So, I was hoping to focus on noon to 7PM.” Him: “Great! That’s the part of the day I wanted to start with, too.”

I mentioned that I was unhappy with where I’ve ended up—with my A1c, not my accomplishments—so we talked a bit about how I got here. “Last year, training for the Ironman was so important that I tolerated a lot of highs that I didn’t really like just to make sure that I could get the work done. I think I got too used to being high—and had so many large drops—that I started to feel comfortable in the 200s. I feel like I need to reset a bunch of things.”

So that’s what we’ll be doing: getting back to basics while accommodating my training. We’re starting with an afternoon basal test soon. I considered trying today, but my pre-lunch BG was only 78 mg/dL (4.3 mmol/L). We will also be reviewing my data online, which is kind of exciting.

For the first time in a while, I’m hopeful that I can make some positive changes that stick. As I told my NP, if doing an Ironman taught me any lessons, it’s that putting my head down and just doing the work everyday eventually makes an impossible task achievable.

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