I am in a situation that I find rare. I have known I am on a track towards diabetes for at least 9 years, and possibly as many as 20 years if you go by the first time it was mentioned as a possibility. As such, I have tracked my sugars and gotten A1C tests during many years when someone else may have had no clue as to what their blood sugars were doing. My fasting numbers have always been acceptable (until very recently), so without a history of hypoglycemia and three rounds of gestational diabetes I would never have given it a second thought. However, I have been warned by many doctors that diabetes is in my future and, therefore, am aware of my blood sugar condition. Which is getting worse. I am (and have always been) a very healthy weight and stay pretty active. My diet isn’t ideal, but is better than most and is good enough that my doctor is impressed (she says she can’t believe I have such good numbers and that I must be really diligent about what I eat). However, I am not currently considered diabetic, only prediabetic. That was rather rambling. Here is my question:
- Do I just watch my BG numbers get worse and worse until I cross the magic threshold and get labeled ‘diabetic’?
I don’t have anything left that I can really manage on my own. I am taking metformin, I eat as low-carb as I can manage, I stay a healthy weight, I stay active. Yet my fasting numbers are always above 100 (and I’ve had occasional numbers above 126). And my after meal numbers are getting to be high regularly (as in sometimes over 200 and often over 140 mg/dl). Do I just keep watching or is there a better path? As far as I know I am not insulin resistant, I just make too little insulin. My fasting c-peptide values are sometimes below the ‘normal’ level or, at best, at the very lowest limit of ‘normal’, My A1C has been hovering just under 6.0 for the last 5 years.
Thanks for listening! I hope someone has some insight into this. I feel like I just am watching a train wreck about to happen and there is nothing I can do about it but wait for it to happen. Rather frustrating!