Man deep in thought with charts behind him

My Diagnosis

On November 13, 2018, I went to the doctor for a check-up and to get my labs drawn. Due to other health issues, I have my labs drawn on a fairly regular basis. Up to this point, I have never had an issue with my glucose reading.

The start of my type 2 diabetes diagnosis experience

The labs drawn this time were not fasting. To be honest, I wasn’t even thinking about it when I woke up early and had a little bit to eat for breakfast. I was honest about it when the doctor asked and he said that it wasn’t a big deal. When I reviewed the labs on the doctor's mobile app, I saw that my glucose was 157. Based on what I ate, time since I last ate, and a little research online, I knew that my sugar was a little high. The only symptom I had at this point was frequent urination which made me wonder if I had a blood glucose issue, but with my other conditions, this wasn’t out of the norm for me.

My first A1c test

My doctor never called about my sugar and I went back six months later on May 14, 2019 for another check-up and lab work. I brought up my glucose, which I told my doctor seemed a little high, even for not fasting. He agreed and ordered an A1c test. When the test resulted, I was a little shocked when I read my A1c was 9% and my average blood glucose was 212.

As expected, I received a call from the nurse at the doctor’s office letting me know of the lab results and they were calling in a prescription for Metformin. I was put on 500mg twice a day. In my mind, this was going to be the cure I needed and I made changes that were no better than my previous lifestyle.

My second A1c test

I returned to my doctor on October 15, 2019. Now I was at a new doctor that was closer to my house, but still through the same company. This made it easy because they were able to access my medical records on the spot. I had my A1c checked again, and also requested to have my insulin level checked. On top of that, my doctor ordered an insulin auto-antibody and glutamic acid decarboxylase 65 antibody test.

My A1c, after what I thought were positive changes, was now 9.4% and my average blood glucose reading was 223. After a quick review of the past months, I figured out what I did wrong. My insulin and insulin autoantibody levels were normal and my glutamic acid decarboxylase 65 antibody test was only slightly elevated. I mainly wanted these other tests taken to understand if I was in need of insulin due to lack of production, or if insulin was not the main issue.

Today: Dealing with my ongoing type 2 diabetes experience

Since October, I have not had another A1c drawn. With the holidays coming up and some vacations, I knew it was going to be near impossible to do what I needed to do to lower my A1c. I know that isn’t an excuse, but I also know myself and had to make realistic goals. Now that the holidays and vacation are over, I have made much better food choices and began to exercise again. I also start started testing different foods and beverages to see how they affect my blood glucose readings.

I know it is important to make lifestyle changes right away, but you also have to know yourself and make reasonable goals. I am treating lifestyle changes like a marathon rather than a sprint. More power to the people that can make many drastic changes to their lifestyles, but I know I am not one of them. Knowing this about myself will keep me from failing or feeling like a failure when I do slip up, which I will do because I am human.

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