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Message: <blockquote data-quote="runner2009" data-source="post: 1626261" data-attributes="member: 95489">Hey, [USER=445699]@Iowaboy[/USER] -  I am going into my 4th year as a 1.5 - I ended up in ICU for 5-days. Had both antibodies in my blood. I have been insulin dependent and with careful following as close to Dr. B's protocols ( just more veggies and less protein ) and measuring my glucose 4 to 6 times a day and exercise, I've been able to keep my A1C between 4.8 and 5.3 - For me and others alcohol drives my BG down dramatically - even higher alcohol percentage of pints of craft beer - but of course for me this leads to overeating. After reading this thread here are my thoughts:<ol> <li data-xf-list-type="ol">The A1C doesn't necessarily accurate as one a test and there can be a 1/2 percent error in the test itself</li> <li data-xf-list-type="ol">Also, individuals life span of their hemoglobin cells can range from 80 to 160 days or so ( not sure of these numbers are exact but there is a variability ).</li> <li data-xf-list-type="ol">If you listen to Dr. B's podcast he believes a normal A1C should be in the 4.2 to 4.8 range</li> <li data-xf-list-type="ol">You can do your own glucose tolerance test by drinking 75g of glucose water tablets and measure your blood glucose every 15 to 30 minutes ( to help smooth out the error % ).  I start at 5am and read until 9am - going out further than the normal 2-hours in my case was very enlightening - I try and do my own once every quarter.</li> <li data-xf-list-type="ol">Is there a history of diabetes in your family?</li> <li data-xf-list-type="ol">I've looked into the diets of Dr. Bs, Dr. Ornish , the traditional Japanese diets etc ... and one thing that stands out especially in Dr. Bs and Dr. Os case they are really not so much low fat diets or low carb diets as they are low calorie diets and some would even say very low calorie diets.  I think this is one of the keys that is really missed by us diabetics.</li> <li data-xf-list-type="ol">I've been using smart watches for my running and I believe that for many of us the Basel Metabolic Rate BMR is way too high - mine is over 2,000ca and from checking at it it is about 500 to 600 calories too high. But if I am eating between 1,400 to 1,600 calories a day - with no exercise - I am hungry all the time. </li> </ol>3-weeks ago, my brother who is in his mid 50s, fit, no fat, takes statins, baby aspirin for the last 15-years. He is a marathon swimmer and long distance bike rider, survived a massive heart attack with a triple bypass. One major artery was 100% plugged - the week before he had raced a 400-mile bike race - and the others were 60% to 75%. The question was how could this be? The cardiologist said that as we age, we should all assume we have at least one artery plugged and manage your life as if you did have one.  I think that this is a good strategy when it comes to diabetes. Assume that as we age we have increasing metabolic syndrome, decrease in our ability of our beta cells to function correctly, of course exercise ( have your read what Dr. B has said about it?) and most importantly, cut down on the total calories we eat each day.</blockquote>

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