Benaroya Research Institute (BRI) 6 month oil change...

Tuesday, February 23rd was my 6 months research appointment to check and test a few things.

Order of the day was fasting, 24 hour urine collection (1 day prior to visit).

Test performed were a mixed tolerance test (where they serve me the delicious...shake) and collect blood samples every 15 minutes or so for about 2 hours.
Drew an A1c
Performed an EKG as well as an eye exam.
Ran the usual vital signs.
All is good, except I just got my A1c result and it is at 5.9%. I am very disapointed with this result as I have been working very hard to maintain my glucose levels since the last visit at a 5.7% A1c.

So I have just made the decision to not change any of my exercise routine, as I believe that I do plenty for now, but change my breakfast routine, and cut my lovely breads, add more protein in the form of eggs and some whole wheat muffin with it.
As I think that my high carb morning intake is what shakes my A1c results with those spikes.

Anyways, a little "depressed" right now about it, will aim for better in 2-3 months from now.

82.1 mile ride in cold and wet weather.

Regular 140gr carbs breakfast for 6+ units of insulin.
Left at 11:45am on this gray January Sunday at 180 BG.

1:00 PM	Carbohydrate: 28 grams	(sip) Gatorade 2 bottles for total ride
1:30 PM	Carbohydrate: 20 grams	GU Lemon
2:00 PM	Carbohydrate: 45 grams	PowerBar Peanut Butter
2:30 PM	Carbohydrate: 20 grams	GU Vanilla + something else
2:40 PM	Carbohydrate: 28 grams	(sip) Gatorade 2 bottles for total ride
3:30 PM	Carbohydrate: 20 grams	Trader Joe's Peanut Butter
4:00 PM	Carbohydrate: 20 grams	GU ApplePie (disgusting)
4:10 PM	Carbohydrate: 28 grams	(sip) Gatorade 2 bottles for total ride
5:00 PM	Carbohydrate: 28 grams	(sip) Gatorade 2 bottles for total ride

Disconnected my pump about 3/4 into the ride as I could see that while eating I wasn't trending up but was staying steady and later started to trend down.

My Endo Dr. De Santis asked me to NOT disconnect my pump but to set a temporary basal as it has been reported of athletes going into ketoacidosis (too much sugar in blood for not enough insulin). This effect can happen especially when training hard, as the liver would then release stored glucose to the body to help with energy burning and muscles starving.

Average blood glucose for that day: 113 (tested) / 107 (CGM)
High: 143 (tested) / 188 (CGM) after breakfast
Low: 81 (tested) / 70 (CGM)
Total Insulin: 30.5 units
Basal: 12.6 units (41%)
Bolus: 17.9 units (59%)
Total carbs load: 458 grams
Total exercise: 343 minutes at high intensity