Yesterday I had my check-up with my endo. I got all my prescriptions straightened out. That's a plus. I also got some good news about my CGMS. They are going to have to re-submit the letter as it did not have the correct codes, but the nurse in charge of the whole CGMS thing said that she's had another patient in the office with the same insurance that I have and he was approved. This gives me hope. Hope for a lower A1c.
Lately I haven't been being as diligent as I should be with my blood sugars. I've been testing regularly, but not being so careful what I eat and when. Because of this my blood sugars have been running a little bit on the crazy side. My 3 month average, according to all my meter downloads, is 136. This is higher than I would have like. I've also been having fewer lows, which for me means higher blood sugars overall.
I went into my doctors office toting a stack of graphics and print-outs from my pump and meter software, a list of all the vitamins and medicines I take, a list of the prescriptions that I needed him to write for me, and a list of questions that I wanted to ask him. Call me the good diabetic. :)
The last time I was in the office, my endo had not written me a lab order to get my A1c done. And to be honest with you, I had forgotten about it (bad diabetic!). Maybe it was my subconscious not wanting to know what my A1c actually was...
When I sat down with my doctor we looked over my blood sugars and made some major changes to my pump settings. We changed almost all of my basals, 2 of my carb/insulin ratios, and we also changed the active insulin time from 6 hours to 5 hours. This was after looking over the last 4 weeks of graphics and discussing the trends. He sees stuff I never can.
I also asked him some questions about Dr. Bernstein and what he thought about low carbs and no carb diets. He, of course, did not agree and spouted off something from the ADA that says we need at least 160 grams of carbs per day. I am not sure that I agree with that. I would much rather keep my carbs per day under 100. Although I have trouble doing it most of the time.
I also asked him about the vitamins I have been taking. He told me he wanted me to take more Vitamin D. So that's next on my list of stuff to buy.
Before I left the did an in office A1c. It was one of the home-type tests, I think. When it came back it was 5.6. That is CRAZY! I know there is no way that my A1c is 5.6. Not when my average of blood sugars is 136. It doesn't add up. If I believed it was correct, I would have jumped up and down and screamed for joy. I just don't think it was. So basically I am pretending like that A1c never happened and I made sure to get an order for lab work for my next appointment.
Honestly, I don't know what the deal is. I just know that my doctor called me "motivated," which I took as a complement. I figure that I have a right to be obsessive compulsive about my diabetes care. I want to live a long and healthy life. I want to still be alive when there is a CURE!