Ordinary Maine

Since January I have developed a passion for living by the numbers. Back in January I decided it was in my best interest to start taking care of myself and my diabetes. I was motivated by some discouraging numbers (blood glucose readings in the 300s) which left untreated would lead to all kinds of aliments to include kidney failure, and stroke. With two kids and a wife I did not want to leave on such a bad note.

Each day I test my blood glucose 4 times. That is before breakfast and dinner and two hours after the first bite of each meal. This allows me to just how well the medicine I take in conjunction with the food I eat effects my blood glucose levels on a daily basis. My doctor, and yours too, looks at the results from a test called a hemoglobin A1C. This result give your a pretty accurate three month average for your blood glucose levels. In January I was well over 12. That would translate into an blood glucose average that most would understand of 298.

In order to reverse this trend I needed to change the medicines I take and increase the amount of exercise I get on a regular basis. The first part was easy. After talking with a few diabetics and using a little bit of my biochemistry background from college I asked my doctor about Byetta. This medicine is a GLP-1 inhibitor that boosts insulin production in the pancreas, slows the rate at which food leaves your stomach and also slows down the liver's production of glucose. If you are a diabetic remember this class of medicines, as they are the future of treatment. After taking this medicine for two months I was feeling a lot better and able to work on the second change.

Starting on April 21st, 2009 I began walking and counting my steps with a pedometer. I joined the website walkertracker.com (username tjbessey) and aimed for 10,000 steps a day. After about a week, I learned that the guidelines for moderate exercise have changed a bit and now suggest a goal of walking 3000 steps in 30 minutes or 100 steps a minute to meet the new government guidelines for moderate exercise. Just that one change in my walking routine helped me get from 258 pound down to 248 pounds from April to early June of this year. At my June check in my doctor reported that after three months on Byetta (in conjunction with metformin) my A1C had been lowered to 6.4 which translates into an average blood glucose of 137. If you saw my weekly blood glucose graphs around the time that I started walking, you would be impressed with how much of an effect exercise has on the equation. Talk about some motivation.

After my trip to Texas at the beginning of June I decided to step things up a notch. Since early June I have focused on speed walking or nordic walking a 5k five times a week. For me a 5 k is 6,773 steps at 29 inches per step. It takes me approximately 49 minutes to reach that goal. That coupled with some slight diet modifications and strict compliance with my prescriptions has lead to a loss of another 20 pounds and last Friday my doctor informed me that my A1C average has dropped again to 5.8 for an average blood glucose of 120.

Not only do I feel great, but I am starting to look a lot better too. I also learned today that my fatty liver, a condition I have had since college, is starting to reverse itself. My doctor's words were more to the effect of better than normal function. That is very encouraging. So tomorrow I will take part in the 2nd Annual St. Ann's Episcopal Church 5k in Windham, Maine. I won't be running, but I will be participating. As someone who has never been in a road style race, I am very excited.

The only other thing of note is my doctor's advice when it comes to medicine. While I take two diabetes meds, I also take Omega 3 Fish Oil, a multi vitamin, a B12 supplement and a baby aspirin. Each time I see my doctor he stresses that the most important pill I take on a daily basis is the 83 mg baby aspirin. It is funny to know that the cheapest pill I take is also the most important to my future.

I hope you all have a great day tomorrow. I know I will.

Tony