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4-month Endo Visit

I see my Endo about once every 4 months (she’s usually booked so far out that I can’t get in by 3 months, so 4 it is)  Anyways, let me start by saying I love my endo.  She is awesome.  Not only do we have a good doctor/patient relationship, but I know her on a professional level.  Probably a lot longer than I have known her as my physician…  I work for a hospital and she and her staff are in a nearly daily contact with my department.  Not only that, they request that me, and only me, handle their patients.  So, yeah, she knows who I am and what I do and that apparently, I am good at it.  So, long story short, I really respect this woman and her abilities as a physician.

I have been seeing her as a patient for nearly a year now (I have seen her as a patient nearly a decade ago while hospitalized, but never in her clinical office).  Anyways, I go in for my routine visit.  Office staff, also knowing who I am and what I do, not only for her, but other physicians in the practice, are always stopping to talk shop with me.  I really do feel comfortable in this setting.  Routine weigh in, medication check, BP check…glucose check skipped b/c her normal nurse isn’t there.  Fine by me.  I wear a Dexcom, I know where I stand…as does my doctor.

At any rate, my doctor walks in and thanks me for helping me with her patients, as she always does.   Then it comes to me and my health.  MY A1C is in “target” range, as it has been for the last 4 A1C checks.  The last one was the exact same as this one, and the 2 before that were 0.4 lower than those.  Well apparently this is still too low for her comfort and she is not really happy with it.  I am accepting of her input and expertise, but I know that it really is a little low for me.  I do rather it be a little low than a little high, but I think the immediate access to glucose date with Dexcom is hurting me just as much as it is helping me.  I see that I am elevating at fast rate, and I can’t help but want to correct that.  I don’t really have a whole lot of lows, but I guess even with all the highs I see on my Dexcom as well as my glucose meter, there are just as many lower readings if not more that more than level out the result of my A1C.  I can not sit here and complain.  I know most PWDs would trade places with my numbers in a heartbeat, but I am honestly struggling.  Strike number 1.

Strike number 2…I am over-correcting,,,see Strike number 1.

Strike number 3…I have gained 8 pounds in the last 4 months…No, that extreme.  Am I obese?  No.  Am i overweight?  Yes.  Am I struggling with this?  EVERY day.  I have been going to the gym 4+ days a week for weeks now.  I have been watching EVERY thing that I eat?  YES.  Has any of it helped?  NOPE.  Am i at the end of my rapidly fraying rope?  Getting there.  Do I keep on trying?  Yes, because is there really a choice here?  Yes, because the alternate to me right now is diabulemia relapse.

Strike Number 4 – I am requested to see an Ophthalmologist. Not that there is anything wrong, but having T1D for going on 2 decades, she is right. This is just not what I wanted to hear at the end of this visit. I completely get it, it just feels like one more thing that I have to add to my checklist of things that have to be done at some sort of routine interval. It’s par for the course and mostly a preventative measure. This is what nearly sent me onto diabetes overload this afternoon.

One day at a time,

One. Day. At. A. Time.

4th Annual Diabetes Blog Week – 5/13/13 – Day 1

Today’s Prompt:  “Often our health care team only sees us for about 15 minutes several times a year, and they might not have a sense of what our lives are really like. Today, let’s pretend our medical team is reading our blogs. What do you wish they could see about your and/or your loved one’s daily life with diabetes? On the other hand, what do you hope they don’t see?”

I’ll be honest, there’s not too much, at this juncture in my life, that I wish my endo didn’t see.  Today is the first day that I had numbers nearing 300 showing on my Dexcom and I hated it.  Even though there wasn’t so much I could do to stop it at that point, I still felt I was failing today.  I always climb early in the morning.  It’s a certainty.  I will start with a BG and then 1-2 hours later (not eaten breakfast or ingested anything at this point), my sugars will start rising at least 40 points, more if I don’t watch it.  Wasn’t as mindful as I could have been this morning, so by the time I was ready to eat I was already close to 200.  Take my bolus/correction, eat and up, up and away I went.  I knew it was coming, it just didn’t make it any easier.  I couldn’t stand it, so I took a small correction and right as rain, I started falling…a little too much.  And down in the trenches I went.  I’m still trying to hold back on constantly looking at my trend graph to see what’s going on.  Usually I’m good, but sometimes, my OCD self just can’t stand to see the climb on the graph, so I overdo it.  O well.  I do try and that is what matters.

Time for me to start a “new” sensor.  I have just completed 7 days on my very first Dexcom sensor ever and its still sticking strong and continues to be accurate.  I’m not willing to take it off just yet.  I am totally loving it so far and do not know what I did without it (and it’s only been 1 week).  

Until tomorrow’s post, keep on doing what you do, because you are awesome.  Diabetes won’t get the best of me!