I've been on this board for about a year and a half now and, like many of us, what has struck me is the wide variety of diabetic experiences represented here; the YMMV is one of our truest acronyms! But one thing in particular has struck me, and I've sort of drawn a conclusion that I'd be interested to hear if others share.
There is a current post that talks about I believe keeping fasting numbers between 90 and 95. I've even seen people post they try and keep their blood sugar between 90 and 95 (just picking that number as an example) all the time! When I read that I wonder, "how do they have that precise a control?" On the other end of the spectrum there are posts from people who have numbers on a regular basis spiking up into the 300s with no observable reason or even worse people who ping poing from extreme lows to extreme highs and have experienced both EMT type hypos and DKA level hypers multiple times. When I read that I feel a lot of compassion but I wouldn't be human if I didn't feel a tiny bit of relief it wasn't me.
Me, I'm somewhere in the middle. As I talked about in another thread, I'm currently experiencing a glitch of high numbers which I believe is attributable to my switch in basal brand and a needed dose adjustment. Aside from that I generally go along with morning numbers from 70 to 115, post prandials from 110 to 135. Periodically I have either too high or too low numbers, some of which I can explain, some of which seem totally random.
From the months of reading this board, I've come up with a theory that we can certainly do a lot to control our numbers: correct doses of insulin, (I'm focused mainly on insulin users in this question), lowering carbs, exercise and vigilence. But I also think that there is some kind of unknown factor that I just call "the luck of the draw". I have a couple friends who are on outdated insulin regimens, pay little attention to their diets and have decent A1Cs. I also know there are people on here who do everything to control their blood sugar and it's still a moving target. So it seems to me some of us have some unknown quality (genetic?) that gives us good management or keeps us struggling (what used to be called "brittle").
What I'm wondering is how great a part of the equation this "je ne sais pas" is. We all make choices in what we are able or willing to do to manage our diabetes and live our lives. I, for example eat moderate, not low carb for my own reasons, but I also totally believe in Bernstein's Law of Small Numbers. I absolutely respect the success people have attained with Bernstein. But what about those people who eat very low carb and still struggle?
What do you think? How much of our diabetes can we actually control and how much is "the luck of the draw"?