Ah, the dreaded A1c. It is just a number, and we place such great faith in it as a measure of our success. But it is a cr*ppy measure, only accurate to 10%. And the worst thing, it stands out there some three months in the future, a future goal out sometime in the future, never giving us clear daily measures that help us with the dozens of individual decisions we make everyday. It is so much effective to develop short term measurable goals. Those help you make changes. Choose a goal of logging and improving your carb counting and bolus regime to always get your blood sugar under 200 mg/dl 2 hrs after a meal. Then, when you are successful, recognize your achievement and “move the bar.” Then try for under 180 mg/dl.
Over time I’ve decided that all my tests, my A1c, all my meter readings. They are just “data.” I almost don’t even consider them valid measures of my control. What really matters is how well I take care of myself. Did I follow my diet, count my carbs, take my insulin properly? If I do all those personally, then the result is “just the result.” If the number is bad, the number is bad. I can’t beat myself up for doing the best job possible. Stuff just happens and I need to recognize and congratulate myself for doing the best I can even if my body does not behave. Because in the end, that is what really matters.
Leave the A1c to “please” your doctor. It should confirm what you know about your control. Turn to other sources of information to improve your control. And please remember, the A1c and meter readings are just a number, it is not a valid measure of how good you are doing on your control efforts and it certainly is not a measure of how good a person you are.
