I've officially joined the < 6 club: 5.8 A1C

Wow that’s great. Good for you and WTG!
I’m still at around 7. But that’s much better than 10 or 11.

Hey! Congratulations! It sounds like this has been a long-term goal and you HIT IT! That is wonderful.

My lowest was 4.9 during my first pregnancy (16 years ago; no CGM, no pump, testing non-stop) – my perfectionism got the best of me. It was unnecessary. My second pregnancy 6 years later was high 6s, low 7s (again, no CGM, no pump). Both babies healthy and both around 7 pounds.

I’m still low 7s with CGM but have eliminated a lot of night time lows (replacing with night time highs) and would like to bring those down. I think if I can do that, I’ll join you in the 6s club. I would like to do that. Thank you for the inspiration! Jessica

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PS - for the potential new diagnosis, I would add that CGM’ing can be an additional exorbitant cost, even with insurance coverage. With all of this guy’s life changes, the cost element could be adding to his reticence. I am relatively new to it (within a year) and am thrown by the co-pays, co-insurance, deductibles that I continue to be hit by. I will easily pay $2000 out of pocket for CGM this year and that is with Cadillac health insurance. It’s crazy. Jessica

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I totally agree, the dx itself is a big emotional blow to get past even without the expense, especially if you’re approaching the age where your parents’ policy doesn’t cover you any more. Even 20-somethings who have had T1 since they were kids run into problems around this age, having to take ownership of it themselves literally (costs!) as well as figuratively (exiled from the pediatric endo they may have been seeing for years, parents no longer overseeing things etc). The transition can drive a lot of young adults into episodes of denial, insulin rationing, emotional problems.

I was a bit older—28—and that certainly helped because I was already a self-sustaining adult (in theory anyway!), though it was still a big shock. But at least I didn’t have to deal with sticker shock. The tools sucked compared with current insulins and tech, but they also meant it was a lot cheaper. I don’t for a minute blame the guy or his parents for their resistance.

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Nice job. I’ve been at it for 35 years without dipping into the 5’s, so maybe 36 will be my lucky year also. Congratulations!

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Wow! Fabulous - I’m finally under 7 but would so love to be at 6! Alas, lots of hypos and then some peaks. I’m seriously reducing carbs, but I’m a fairly physically active person ( mountain hikes) so sometimes it can be complicated… don’t need to lose more than 4 lbs or so but if only I could “lose” some of my a1c!!

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Great to see you back in the community! :grinning:

I’ve ridden a lot of miles on a mountain bike in years past. Back then I lived in the San Francisco Bay Area and have cycled on most of the back roads and trails in San Mateo and Marin Counties.

Do you use a pump? Can you zero temp basal before planned exercise? I didn’t do any of this during my cycling career and just carried a lot of glucose tabs and gatorade. Not advised.

Congratulations @DrBB!! So impressive. I’m like @fredvegas, I’ve been at it one year less than you, so maybe I’ll join you in the club next year!

I tried usung a pump twice… but it was not a solution for me. Despite turning it off one hour before hiking, my bs level plummeted 45 minutes into a hike (always steep at the beginning). Now, I use toujeo (went back to it after a relatively disastrous 3 months with tresiba) and fiasp. When hiking, I sometimes just skip the breakfast fiasp (1unit) and eat my low carb seed and nut ‘bread’ as we start on up. That is the only way I can avoid bad hypos… when I bike, even around here where it’s impossible to escape hills, I don’t have as many problems - especially since getting an e- bike :joy:

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I’m not on FB so I can’t comment on that, but of all the online forums for whatever, I’ve always liked this one for the high signal:noise ratio…

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My new GP suggested Jardience to me, but all the research I found said it was for t2, and my endo has never brought it up, so i kind of dismissed it. Any neg side effects from it?

The big concern for T1s is, as always, hypos. That’s why it’s still off-label for us, but I think it comes down to a judgment call with your endo as to how good your control and time-in-range are, whether you have a CGM, etc etc. I’m kind of a star patient with mine, so she was comfortable letting me try it. Even so, started me off at a minimal 5mg/day to see how it was going, and eventually we titrated that up to 20. No noticeably negative side effects except maybe having to urinate a bit more often, but at my age that’s kind of happening anyway…

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My old endo offered it to me at one time , she said she was expecting it to be approved for type 1’s soon anyway, that she had a few type 1’s on it. She was also a type 1 herself.

Ask your endo what they think, they might be more up to date about it.