After returning home from a short trip to New York last month, I got a cold or virus of some sort and my heart rate went completely out of control. On one of my runs my HR monitor indicated I ran for miles with a heart rate of over 200. At one point it actually showed a reading of 249. This, I know, is absolutely impossible, but it made me worry enough to go to the doctor. My doctor sent me to get a bunch of tests done including a stress test and some blood tests.
Worried that these tests may interfere with my marathon plans, and since my heart rate seemed to be getting back to normal after a couple weeks and a change of the HR belt (I took strap from my old Garmin 305 forerunner), I decided to put off all the tests until after the marathon.
So on Monday, still high from my marathon results, I went to do the blood test that I had been putting off. The tests included a TSH test to see if the abnormal heart rate was connected to my thyroid gland. Apparently this is a standard test for people with type 1 diabetes, but somehow I never had it tested.
My blood sugar was high that morning (250 – another problem to deal with) so I wasn’t surprised when my FBG result of 251 came in. I was happy to find out my thyroid gland was fine. I was also happy to see my cholesterol was good thanks to my medication – LDL 73.2, Non HDL 87 and HDL 84.6. This morning after coming back from a 4 mile run I checked to see if any more results had come in. They had, and among them was the one result I was dreading – my HbA1c.
For the past few months I’ve been having a very hard time keeping my blood sugar under control, especially during the night. I had been sick a couple times, but that wasn’t it. I haven’t changed my diet and my running has been steady for months. No matter what I do 4 out of 5 mornings I wake up over 150 (many times in the 180-250 zone). I’ve tried to increase my basal Lantus dose but find myself going low during the day, especially when I run.
So I should have been prepared for another disappointing result but somehow I never am. Last time I tested, I was very disappointed with an HbA1c of 6.8%. But today was worse. My HbA1c is back up to 7%. I know that this is considered normal for diabetics by many doctors but to me it’s a step backwards and a sort of a confirmation that I have a real problem with my blood sugar control.
I didn’t really need the blood test to tell me that I was having a problem since I check myself often enough to know. My numbers are fine during the day and since I follow a low carb paleo diet this makes sense. But I don’t understand what happens when I go to sleep and I really don’t know what to do about it. It seems that if I go to sleep low, I hypo in my sleep, and wake up high and feeling like I’ve been hit by a train. If I go to sleep a little high, I wake up much higher. The Lantus dose doesn’t seem to help.
All of this has left me frustrated and a little desperate. I’m not really sure what to do. My endo seems to think I need a pump (and a CGM which my insurance won’t pay for). I just don’t know.