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I have a few new stories I've collected over the summer:

“Eat right, move more, and lose weight.” If you’ve been diagnosed with type 2 diabetes, these are probably some of the first things your doctor suggested you try to help manage your blood sugar. But if lifestyle changes aren’t enough or your diabetes worsens over time, medications will be needed to keep your blood sugar in a healthy range.

In addition to injectable insulin and a growing number of oral medications, non-insulin injectable medications have recently come to the market and may help you stay in better control of your diabetes. So, how do you know which one is the best for you? It all depends on your specific situation. The first step is understanding the basics so you can have an informed conversation with your doctor.

We’re bringing experts from across the country to you with a series of virtual educational events to help you and your loved ones live well with type 1 diabetes. Meet and learn from new speakers, engage with other families and individuals with T1D and expand your knowledge on topics important to you – all from the comfort of your own home. To stay up-to-date on the latest and greatest in T1D treatment options, view the educational resources provided by our national TypeOneNation Summit sponsors.

Just before 7:30 a.m. on June 22, Southwest Airlines flight 370 lifted off from McCarran International Airport, climbing westward over the Las Vegas Strip with Captain Bob Halicky at the controls. Banking north, the twin-engined Boeing 737-700 with the airline's ubiquitous blue, yellow and red livery leveled off at its cruising altitude of 40,000 feet for its flight to Seattle-Tacoma International Airport.

For the passengers on board, it was a normal flight, landing twelve minutes early. But Halicky, a 59-year-old Las Vegas resident, had waited nine years for this opportunity. It was the first United States commercial flight with a pilot with insulin-treated diabetes at the controls, according to the American Diabetes Association, a milestone years in the making.

If you have type 2 diabetes, you probably began your treatment with lifestyle changes and oral medications. For many, these treatments are enough to control blood sugar, also called blood glucose, for several years. However, for other people, these options aren’t always enough. Your blood sugar may still be elevated, even though you’ve made healthy changes to your diet and exercise routine and are taking your medication as prescribed.

For some people with diabetes, oral medications alone aren’t enough to control blood sugar levels long term. You might wonder why your medication isn’t working anymore and what your next options for treatment are. While there are several treatment possibilities available beyond oral medications for diabetes, it’s important to talk with your doctor about your unique medical history and circumstances. Your doctor can help put a treatment plan together that will fit you best.

Whose blood sugar readings have been on kind of a rollercoaster this summer, defying all odds to establish a steady pattern...

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"Whose blood sugar readings have been on kind of a rollercoaster this summer, defying all odds to establish a steady pattern..."


Election years with the Wuhan virus floating around can do that to a person.
Used to be you could turn off the news and not have to deal with the nonsense. Now
you have to turn off the news, sports, weather, traffic, most computer websites, your
phone, your other phone and not read mail that comes from any of the legion of
groups want you do what they want - generally involving sending them your funds so
they just eliminate the middle man.

Stress can impact blood sugars. I have controlled my diabetes going on 24 years with
diet, exercise, Metformin, Glimeridide and recently Januvia. The last visit to the
doctor had an elevated A1C - but the exercise routine I had developed went to heck
by the closing of the gym. Walking was a help - but somehow or other walking into
the kitchen lead to other activities which were less helpful.
Since the gym reopened, there have been improvements in blood sugar again. Will they
be enough to avoid taking injections? We will have to see. But going to exercise does
lower stress for me - and I feel better and eat less.

Anyway - enjoy the mid-September life and may your blood sugars be less erratic.
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I do wonder when it will become difficult or impossible for me to fully control my blood sugar. My A1C ticked over into "Hey do something about that" roughly ten years ago. It took me most of that time to rebuild a much lower stress and much more healthy life.* My A1c, cholesterol, and triglycerides are all in optimal ranges. I still have a ways to go to reduce overall body fat. What I'd really like is to trade that body fat for muscle, which is hard for women and middle aged people, of which I am both. Nonetheless, I keep working at it. It appears to me that there are some modest shifts in that direction, though it will probably take several more years of working at it to get to where I'd like to be. Nothing crazy. My first goal is just to get to 25% bodyfat from where I was last year at 28%. I doubt I'll ever get even remotely close to 20% body fat.

But I know that age affects all things, as does injury and ill health, which can happen to anyone and the chances accrue over time. So I keep wondering at what point I will return to chatting about unhealthy A1c and blood sugar levels with my doctor. I am hoping it is when I am over 90, but we'll see.

ThyPeace, aiming to do a weightlifting competition at 99, a 5k at 100, and go skinny-dipping at 101.

*DH and I starting working on health and nutrition, but though he made progress, I found that I could not. Eventually we both changed jobs, he moved so that we could live together rather than having a commuter marriage (which had to wait until his kids were grown). We reinvested the saved time and stress in more sleep, building better nutrition, and getting more exercise. So far he has lost more than 70 pounds.
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... though it will probably take several more years of working at it to get where I'd like to be

And that's a healthy realisation. One of the sobering messages that resonated with me a while back was "You grow up until your thirties...... and then you grow old". So, if all you wanted was to be where you are right now in, say, 5 years time, you'd have to work at it. If you want to improve...... well, you REALLY have to work at it. Don't even mention about maintaining sufficiently over the long haul if you have any specific age related goals.

I follow a couple of fitness/lifestyle focused endocrinologists on Facebook....Karl and Spencer Nadolsky. I've mentioned them here in the past in the context of "exercise as medicine" but their pages/blogs provide a plethora of tips on eating, training and well as stuff of a more academic nature.
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