Green Light.

images-12I didn’t have that far to go.

When my A1C came back at 7.1% in July, I could see not only from the lab result but also from my Dexcom graph that I was hovering just above my goal of an A1C under 7%. The nurse practictioner was very encouraging that I was very close to getting my A1C where it needed to be to conceive a child, and that it would probably only take some small modifications in insulin and in my habits (::cough:: bolusing early ::cough::) to snag that coveted A1C.

I was groaning about how far away my next appointment was (in all honesty, it was the standard 3 month wait) so my NP offered to order a A1C lab for me that I could take in two months, instead of waiting the full three.

Well, the date for the lab draw finally arrived on September 19, but I hemmed and hawed about whether I actually wanted to go in after all. Recent travel and my latest PMS cycle wrecked havoc on my blood sugar, spiking my blood sugar worse than I had seen in a long time. I wasn’t sure if getting my A1C done would be helpful or just a discouragement.

After another week, and with much more stable blood sugars, I finally decided to get it done. The lab tech said that the labs close at 8pm, so when that came and went, I didn’t think I would hear anything that day after all. But at 11:30pm, an automated email from my clinic arrived in my inbox, telling me I had a new message in the patient portal. I logged in, checked my test results, and found this:



Now, I have to admit, it was sort of anticlimactic to see the A1C result I have been waiting for just as I was about to go to sleep. I sort of mumbled to my husband, “It’s 6.9%” before turning off my phone and rolling over to go to sleep. Looking back, I wish I had waited until my next appointment because there was no hug or high five or way to go waiting for me, even though I knew what this number meant. This was the first time my A1C has been under 7% without the aid of other diabetes medications (that means, no Victoza) and I found out in my pajamas.

The next morning I did get a message from my NP telling me good job, and that it was great to have the A1C under 7%, on the way to 6% as I prepare to conceive. Of course, I immediately freaked out, wondering if I had misunderstood everything and that I needed to be at 6% or less in order to get pregnant. I ended up emailing not only her back, but also my endo and Jenny Smith from Integrated Diabetes Services, to make sure I had the stamp of approval. Well, I did.

I never thought so many people would be involved in this decision. Such is the life of a type 1 diabetic, right? But I found myself suddenly incredibly anxious, wanting to make sure that everything was good to go. I suppose this is the beginning of all that pregnancy worry and stress I keep reading other moms-to-be talking about regarding their blood sugar and their babies health. I never imagined I would start thinking about that before I was even pregnant!

In the end, yes, I have been given the “green light” to try to get pregnant. So, you know, stay tuned, I guess.

My next endocrinologist appointment is on October 26 and I will hopefully be even lower. Clarity’s 14-day A1C predictor has me sitting at 6.4% so I’m very hopeful for where I’ll be, and even more hopeful for where I can stay!



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One Response to Green Light.

  1. I’m glad you have gotten your ‘green light’. Does this mean your stopping bc now, or going to wait until it’s steadily been below 7?
    I don’t mean to sound discouraging at all, but I just want to point out that my endo said it should be below 6.5 for at least 3 months before we actually conceived.

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