I don’t know where to begin but here goes.
My blood glucose control has been dodgy at best for years (A1c around 7-9%). I always found a reason to justify it “medical school, internship,…”. I was never compelled enough to prioritize it over a busy career but that’s what you get for choosing medicine.
I am currently in my residency at a highly demanding program and next year will be (the least consequential) of all. If I postpone it I’d have to wait until I finish my fellowship (at least three years down the road) and I don’t like my odds that way. This seems as good time as any to start planning a pregnancy.
The thing is, I’ve been negligent for so long I don’t even know how to go about controlling it again. I use an insulin pump but I’m so preoccupied I forget to bolus all the time. I use CGMs occasionally and they seem to help a lot. Though chasing highs is frustrating.
I see others having such incredible numbers and I don’t know how they do it. When do I stop birth control? Should I wait until it’s a prefect 6%? What if I have fertility issues? Do I become low carb or keto? Do I have to take a year off? (Very detrimental to my training).
Every time I struggle with my diabetes this website came through for me. What I need to hear is words of wisdom. It’d make me less anxious to jot down my plan for next year.