The Illusion of complete diabetes control


diabetes control 300x291 The Illusion of complete diabetes controlWhen I was doing some research for this piece, this Image popped up on one of my Google searches and I had to steal because it somewhat epitomizes my thinking.

My question to you is do you truly believe that you control your diabetes or does it control you?

Yesterday I spent the day registering a bunch of lows regardless of what I did to correct. The funny thing is that I did not change anything to my daily routine.

How many times have you had this happen to you?

Have you had days where it does not matter what you did, you just could not control the highs or lows.

Does diabetes  really just sit back like Dr. Evil and wait till you are lulled into a false sense of security only to spring up and glaringly remind you who is actually in charge.

Does diabetes wait until you pat yourself in the back for working so hard in the gym and sticking to your low carb diet and wag a finger in your face ala Dikembe Mutombo. (Dikembe was one of the greatest  basketball centers and shot blockers to ever play the game, he was notorious for taunting his opponents by waving his index finger after each successful block)

Personally I believe that there is no formula for achieving  100% diabetes control if there is such a thing but whatever processes used to maintain some level of control have to be sufficient otherwise we are all on a count down to a complication filled life.

That having been said my words today are not intended  to dissuade anyone from what works for them, quite the contrary my intention is to portray this fact.

Achieving complete diabetes control is  an impossible endeavor mainly due to the unpredictable nature  of the disease.

Recently I was chatting with a fellow diabetic who proclaimed that they had  achieved a sub 5.5% Hba1c level.  Predictably I was elated at the news.

While my personal best hba1c has been 7.1% It has always been a goal of mine to go even lower. Every diabetic knows that the hba1c is considered the yardstick for diabetic control and it is the number at which most treatment programs are based. A sub 6% hba1c is considered a great measure of diabetic control.

My brief moment of elation was somewhat shattered however when he went to explain that the reason his Hba1c was so low was because he had been experiencing occasional severe lows in the past few months.

A classic action reaction problem, Yes his hba1c was great yet the reason behind it was not tight control but a reaction to uncontrolled blood sugar levels.

What then does one do?

Forget trying to achieve perfect diabetes control, it is an illusion..

While the debate still rages on between long term effects of tight vs less restricted diabetes control, with some arguing that there is only marginalized benefits of strict control.

Remember one does not have to strive for complete diabetes control because it is fool hardy. All it takes for a diabetes management program to be effective is staying within the acceptable ranges.


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  1. I try to limit my bad days to be only bad moments. I trouble shoot immediately to try to fix crazy bs. Bad moments can sometimes just happen… I blame weird stuff to laugh it off and try to recover, like strong- or weak gravity. Or aliens (a personal favorite!). Addressing it soon makes damage control easier.

    • Aliens Hahaha Funny but so true Jolly. Sometimes regardless of what you do there is days when things just seem to go wrong. Usually I just hope to have more better days than bad days, that is the diabetes reality we a living in. I just do not like to see those of us and I know a few who in their nature just have to push for perfection, in detriment to their overall good diabetes health even though their choices are well intentioned.

  2. Being a T2 who isn’t using insulin, I never have to deal with severe lows. However, I will sometimes be faced with an unexplained high and struggle with getting my fasting readings down. What you say is true, there is no perfect control. I sometimes wonder who is running this ship of mine but I choose to think I have the upper hand more times than not. I like Jollymon’s comment about “bad moments”. Sometimes it’s hard not to let wonky numbers effect your entire day….but it’s just one number. Great post Ronnie!


  1. Around the Diabetes Blogosphere — June 2012 Edition : DiabetesMine: the all things diabetes blog


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