When I was diagnosed with T1D 60 years ago it was a different world. I had a common feeling even now that I was the only person 15 years old in the world with T1D. Blood sugar tests took two days in the lab for results. I used urine tests to see if sugar was spilling into my urine. Diet Rite was the only sugar free soda. I was taught the pyramid system for my meal plan. I was participating in many music activities in my home town of Houston, Texas. My internist was a brilliant man who taught me that taking daily injections would not interfere with my music. I was a happy young T1D.
My daily activities ware: Rise early; do a urine check & wright the result down; take a shot of Lente and Regular insulins & wright down the amounts and time; Waite thirty minutes for the insulin (from pork and cattle) to be absorbed & then eat breakfast; walk to school with sugar cubes in my pocket in case of a low, do another urine check before lunch & eat lunch; have after school rehearsals, lessons, more evening rehearsals around town and then home for supper after another urine check, evening shot of both lente and regular insulins. If there were reactions, I wrote it down, all the urine checks were written down. All of these records were taken to my doctors appointments for discussions, recommendations for improvements in exercise-meal plans-and changes for my insulin amounts. HgA1C has not been developed.
My written records were my life line for daily, weekly, and monthly adjustments from my doctor.
Skip to today. Rise early: check CGM & calibrate with blood meter check; set pump with Humalog insulin for breakfast bolus; have breakfast; check BG before lunch & calibrate CGM before lunch bolus; check BG before dinner and calibrate CGM before dinner bolus; check BG before bed and calibrate CGM for the night. Get up early and do it all again. Print out weekly blood meter records for study and needed adjustments to bolus and basal settings.
Suggestions for all of us: 1. Keep records for adjustments to routine: 2. Records include daily exercise, food, and insulin amounts with times taken: 3. Records are information to refine our actions – it is not a graded activity. I have not gotten it right yet and I am still a happy person. My A1C has never been over 7 since the test has been used after the DCCT ten year study was completed about forty years ago. I have no complications from diabetes.
Patience, persistency, and an occasional outburst of civil disobedience. Establish good habits and in your future you will not have to even think much about what your are doing to take good care of your self; it will be done habitually.