Despite my closeness to the program and presumed good habits my HbA1c has been rising steadily after years of it being fairly constant. HbA1c can vary from test to test but I became alarmed when my HbA1c hit 6.0% (it was as high as 6.1% when I started) and reviewed my carb intake carefully. Sure enough, I found instances of needless carbs (e.g. stealing french fries off my grandson’s plate - at 11 years old he is just now paying attention to what I do but is a long way away from taking it seriously), Additionally, thinking that a weekly basketball session (about 60 minutes of actual play) and half-hearted resistance training would keep me in shape was wishful thinking and the refuge of the blissfully ignorant.
So, I rededicated myself to watching my carbs, doing 30 minutes of cardio 5-6 days per week plus hitting the weights a little harder. Since HbA1c reflects your average blood glucose over a 3-month period, I did this for three months to measure the effect. Well, today, three months later I got my results. My HbA1c is back down to 5.3% and almost to goal (5.0%).
This latest test also provides a baseline for another experiment. Most of you know I like to serve as a "guinea pig" for various things (stool tests, CGM devices, et al). So when my HbA1c hit 6.0% I also worked with my cardiologist (a vegan to be sure but always willing to look at the science and help me experiment) who, after considering several options, gave me a prescription for empagliflozin (Jardiance 10mg), an SGLT2 inhibitor. Essentially, it prevents your kidneys from reabsorbing filtered glucose and you literally pee the sugar out. It also has good science behind it for additional pleiotropic effects that improve cardiovascular outcomes (as with any drug there are also downsides). I’ll report back in another three months.
No one here is a big fan of drugs but I do like to experiment. I have loads of questions about blood sugar, insulin resistance, etc. and am about to engage the area’s leading endocrinologist on metabolic distortions (hope he is not a traditional practitioner locked into "endo orthodoxy"). Let’s see where this goes!