{"id":1930,"date":"2019-10-05T16:56:00","date_gmt":"2019-10-05T16:56:00","guid":{"rendered":"https:\/\/reversingdiabetes.xyz\/blog\/2019\/10\/summary-of-my-results-thus-far\/"},"modified":"2022-04-27T18:03:52","modified_gmt":"2022-04-27T22:03:52","slug":"summary-of-my-results-thus-far","status":"publish","type":"post","link":"https:\/\/reversingdiabetes.xyz\/blog\/summary-of-my-results-thus-far\/","title":{"rendered":"Summary Of My Results Thus Far"},"content":{"rendered":"<div class=\"imgdivmain\"><img decoding=\"async\" class=\"alignnone\" src=\"https:\/\/reversingdiabetes.xyz\/blog\/wp-content\/uploads\/2019\/10\/summary.png\" alt=\"Summary Of My Results Thus Far\" width=\"206\" height=\"206\" border=\"0\" \/><\/div>\n<p><b>last updated 17 AUG 2020<\/b><\/p>\n<p>Before my first fast, I was on 100 total u of insulin; 40 units of basal once a day and 30 units of bolus twice a day. I did not have good control; though I wasn\u2019t testing regularly, my spot checks were often over 200 mg\/dL, sometimes over 300. I began that fast on 30 u basal, no bolus, but low bG readings had me off entirely by the time I ate again. During that fast, I also began weaning Lasix until I was down to 1\/4 dose; my BP kept dropping and the lymphedema in my legs and feet was disappearing.<\/p>\n<p>It took several days eating before my bG rose over 200, my designated cut-off for insulin. I wound up needing 30 u TDD to keep bG in a good range, 20 u basal and 5 u bolus twice a day.<\/p>\n<p>Because I\u2019d begun walking with kitties during my fast, I believed I might have regained flexibility. For years, I\u2019d been wearing long, denim skirts that I could put on over my head; this was the only way I was able to dress myself. The week after my first fast, I tried to put panties on and could reach to do so. Excited, I ordered a pair of yoga pants off of Amazon; when they arrived, I realized I could put them on by myself also. I was able to dress myself in normal clothes, except for needing help with the sock on my bad leg. I felt like a real person again, instead of a patient.<\/p>\n<p>After my second fast (cut short because I felt poorly due to weaning prednisone), when I added insulin back, I wound up on just 20 u TDD. I realized I only needed insulin after 4 days of eating, so decided to fast weekly, 3 days fasting, 4 days eating OMAD, usually the RBS.<\/p>\n<p>After my third fast, I took no insulin; highest my bG spiked postprandially was under 160. Sept 22 was the day I took my last shot of insulin.<\/p>\n<p>As I began my fourth fast on September 30, 2019, I announced that I was no longer on insulin. This had occurred in under 2 months; incidentally, I\u2019d lost over 10 pounds. And I could put on that other sock.<\/p>\n<p>On Dec 2nd, I donated my insulin to <a href=\"https:\/\/iflusa.org\/get-involved\/\" target=\"_blank\" rel=\"noopener\">Insulin For Life<\/a>, a charity that provides insulin to T1s in third world countries.<\/p>\n<p>Over the holidays, with house guests, I ate 8 days in a row and my bG gradually ran back up to 200. With no insulin, and pharmacies closed on Christmas Day, I had no way to fix this except by fasting it back down, which I did.<\/p>\n<p>I never got near 200 again.<\/p>\n<p>Several more fasts and I\u2019d weaned the prednisone entirely, after over a decade of adrenal insufficiency that had left me bedridden without meds. At the next endo visit, she gave me a half ACTH-stim and my cortisol went through the roof; my adrenals were back.<\/p>\n<p>We then developed a plan for weaning liothyronine, which I was off of by the next time I saw her; repeated TSH tests make her happy; my daily temperatures and feeling well without it make me happy.<\/p>\n<p>Then, for the heck of it, I weaned DHEA, resulting in no hormones whatsoever, just metformin. I had this idea that I could have a fully functioning endocrine system again.<\/p>\n<p>After my 5.5% A1c, I was asked if I planned to stop metformin, and I didn\u2019t think so. But I\u2019ve since had several hypoglycemic instances and did. Given my Libre still reported nice numbers after a few weeks off metformin, and I was off prednisone, liothyronine and even DHEA, at my next appointment, the endo discharged me.<\/p>\n<p>I have since achieved an even lower A1c of 5.1% on absolutely no diabetic medications at all. While this is quite good enough for me, some of the previously diabetic people I know have achieved A1cs actually below 5% and I wonder if that\u2019s in my future. Could I see a number that starts with a 4?<\/p>\n<p>My A1c history is reported below, taken as a screenshot from my patient portal.<\/p>\n<div class=\"imgdivcenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone\" src=\"https:\/\/reversingdiabetes.xyz\/blog\/wp-content\/uploads\/2019\/10\/a1cgraph.png\" alt=\"Summary Of My Results Thus Far Graphically\" width=\"950\" height=\"575\" \/><span style=\"align: left; text-align: left;\"><i>My A1c a few weeks in was 8.1%, down from a high of 11.9%. In Nov 2019, on no insulin, just metformin, it was down to 6.7%. In May 2020, it was down to 5.5%, officially out of both diabetic and prediabetic range. Shortly thereafter, I had a couple of genuine hypos and stopped the metformin. In August 2020, on no diabetic medications, my A1c was 5.1% <\/i><\/span><\/div>\n<p>The patient portal gets upset trying to graph the individual results from a lipid panel, so I\u2019ll just report that my triglycerides before starting were 312; a few weeks in that had dropped to 193. I wanted to wait before trying meds, but In November, it was still 206. Realizing that as long as my adipose was releasing triglycerides, this number wouldn\u2019t go down, I agreed to start Vascepa with the result that my May 2020 reading was 111 and in August it was about the same at 107. While the lab reports &lt; 175 is &#8220;in range,&#8221; I&#8217;d like to see it below 100 and would *really* like to see it below 60.<\/p>\n<p>This page will be updated regularly as I proceed.<\/p>\n<p>To really understand how significant these changes are, one needs to be conversant with my <a href=\"https:\/\/reversingdiabetes.xyz\/blog\/my-medical-history-a-decades-long-descent-into-illness-that-began-with-insulin-resistance\/\">medical history<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>last updated 17 AUG 2020 Before my first fast, I was on 100 total u of insulin; 40 units of basal once a day and 30 units of bolus twice a day. I did not have good control; though I wasn\u2019t testing regularly, my spot checks were often over 200 mg\/dL, sometimes over 300. I [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1931,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"off","ocean_gallery_id":[],"footnotes":""},"categories":[59,60],"tags":[],"class_list":["post-1930","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-beginnings","category-my-journey","entry","has-media"],"yoast_head":"<!-- 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