Damsel in dis Dress wrote:

Thank you, Lee. I'm so confused and frightened. I'm very frustrated that
my blood sugars, while lowered from earlier in this process, are still
unacceptably high by my standards. By my doctor's standards, they're
magnificent! :-( I believe that I need a medication change, but she
doesn't agree. I hate to be literally controlled by someone else because
we have different goals. Especially when I believe that my goals are more
beneficial than hers are.

Bernstein thinks we should have completly normal bg readings... aiming
at 85 all the time.

The folks over on asd seem to think good readings are 100-110 fbg, 140
1-hour postprandial and 120 at 2-hours. I've adopted these goals
myself. Maybe I'll move to Bernstein's goal at a later time, but rather
than drive myself nuts, I just want to aim at reasonable goals. My fbg
is still way out-of-wack, got to work on that.

A friend of mine used to work in public health on indian reservations
and they considered bg consistently under 200 to be good control.

Even Bernstein says for folks who've been running high a long time, they
start with an initial goal of 160 or 180 and move the target down
gradually to prevent the person feeling hypoglycemic due to having
adjusted to really high blood glucose levels.

So theres a wide variety of goals for bg. If you and your doctor
disagree about your goals, that's where you need to start discussing and
negotiating. Figure out what you your goals should be to start. Get to
that level, get it controlled, and then you can worry about improvement
later.

It's just like losing weight, you can have mini-goals before the ideal
goal.

The main bit is to not give up - this is your quality of life you're
fighting for here.


I'm also frustrated about not being able to lose weight.

That will come with the bg control. And it will improve the bg control
too.

You will get there. I will get there too.


--
As you accelerate your food, it takes exponentially more and more energy
to increase its velocity, until you hit a limit at C. This energy has
to come from somewhere; in this case, from the food's nutritional value.
Thus, the faster the food is, the worse it gets.
-- Mark Hughes, comprehending the taste of fast food