Skip to main content

Posts

About That A1C

What is an A1C test? A1C is shorthand for "HbA1C" or glycated hemoglobin. It is a blood test, usually done by finger prick at modern clinics and hospitals, used to diagnose diabetes and asses how well someone is managing their disease. The A1C value is a number that reflects your average blood glucose (BG) over the course of three months - which is why most patients see their endocrinologist every three months. More importantly, red blood cells typically live over the course of 2-3 months, so the A1C measures the hemoglobin's exposure to glucose over that period. This amount is reflected as a percentage (for mg/dL metrics) or ratio (for mmol/mol metrics). Glucose is a sugar that enters your bloodstream from the foods you eat. In short, the higher your A1C, the more glucose is attached to your red blood cells.

Why is this number important?

It's important to set some guidelines or goals, but the A1C does not paint a whole picture. For example, someone with frequent hyp…
Recent posts

Oahu Trip

I was born and raised on Oahu, HI and am part Native Hawaiian. A lot of people have this common misconception that if you're born in Hawaii, that makes you Hawaiian. However, that simply isn't true. To be Native Hawaiian, is a racial - not a geographical, birthright. Native Hawaiian runs in both my families bloodlines. I just happen to carry more Okinawan and Native American physical traits than the majority of my family members. I have traveled back and forth to Hawaii from Los Angeles many times. Each time I come back to the islands, it feels more like I'm returning "home" than just coming back for a vacation.


Throughout our recent Oahu trip, we met some old friends, shared some laughs, and ate some damn good "ono" (delicious) food. Even though we struggled with toddler tantrums, crazy blood sugars, traffic, and a slight pump malfunction; we still managed to have fun beyond type one. Which is also why I'll try to focus this particular post more o…

Traveling with T1d

Type 1 diabetes doesn't take a vacation even when we need one. Sure, when Coral was first diagnosed, I dreaded packing everything in addition to normal toddler things like sippy cups and diapers. Our first "vacation" with Type 1 diabetes was simple as can be. We took an outer island trip from Oahu to Maui and we stayed at the Sheraton on the Ka'anapali coast. It was awesome! Any hotel with a fridge is a must-have to store insulin and other perishable snacks such as yogurt or milk. A kitchenette is even better. We managed just fine with only her Dexcom G5 and MDI - no pump until April 2017.


Then, we moved from Oahu to California Fall of 2016. Big move, packing was a pain in the butt including moving my two dogs with us. Since living in Cali, we have traveled once back to Oahu to visit family in Fall of 2017 and will soon be headed back again. We plan to visit Hawaii at least once a year. Therefore, any tips I mention below will be based on how I pack whenever we trav…

Fiasp First Try

We finally got our new Endo to prescribe us Fiasp! For those who don’t know, Fiasp (fee-asp) is the latest and fastest mealtime insulin manufactured by Novo Nordisk available in a FlexTouch Pen or vial. It is advised that you take the same safety precautions before using Fiasp as you would any other fast-acting insulin such as Novolog or Humalog. Fiasp is considered a rapid insulin because it contains the addition of niacinamide (vitamin B3) and a formulation-stabilizing amino acid (L-Arginine). B3 increases speed of initial absorption while amino acid aids in the stabilization of the formulation.
Our First Try She was over 300 before dinner - ideal for testing this out. No thanks to "low" binge eating in the car while I was driving after leaving the Spring Festival with a cup full of treats. I didn’t wanna give her a full pre-bolus for the snacks since she ran around so much at the playground, but I stacked her insulin as needed. We were soon on our way to pick up her Fisa…