Wednesday, February 28, 2007

Great endo visit

Wow, I had a great time seeing my endo. I must admit that can't give her my highest recommendation because she's so busy she can't return phone calls until after 5pm the next day (or sometimes the next week if you call on a Thursday or Friday), but she's so fun! Yes, really.

I got my new data cables this morning and hastily uploaded my data and printed out a bunch of stuff. I didn't have much time to look at them, but I really like the reports on Carelink; they're good at showing the right data. The endo was so happy to see them; she said she loves data. Good thing, because I do, too. I was feeling bad because I hadn't done any logs, but I ended up not needing them. We didn't really talk about famous diabetes clinic, but at one point she said, "it looks like you do really well when the settings are right." Heh.

She completely understood why I don't have different basal rates or insulin sensitivities right now - everything is changing, so it's all I can do to just keep up with that. It's difficult to gather enough steady data. She said it looks like all my settings are good, but she agreed that I could lowering my ratio to 1/13! I'm amazed, because I think the reaction of 99% of people would be to look at the current numbers, say they're great, and that I'd have lows if I took more insulin. I'm pretty sure I won't, though; my body is just weird that way.

She'd ordered a cholesterol test, but I don't do fasting so well, and I just had it done in June, so I said no. I brought in the results (looks like they never sent it over, big surprise), and finally! Someone looked at my results and had the same reaction I did. She said it was excellent. Can you believe that I needed/wanted someone to congratulate me on my cholesterol test?

My A1c was 5.3%, up from 5.1% in November. I can probably only expect it to rise as my insulin production declines. I hesitate to even disclose the number and often don't on forums, since the tendency is to compare it to a regular Type 1 number. That, or to insist I must be having lows all the time, or in the middle of the night. I'm not having lows, I promise. It's really just the insulin production and the lack of overactive hepatic glucose production. Neither of those things lasts forever.

The endo said she wished I could come in and give a motivational talk to some of her other patients. I really do wish I could, but I get quickly overwhelmed by negative attitudes, and I'm just not good at turning them around. Also, it really is a lot of work, and many people just can't do it, or wouldn't have as much success even if they did do it. Still, it was great to get a lot of validation...from a doctor! I think some of you might be hearing me on this.


Chrissie in Belgium said...

HAPPY FOR YOUR HbA1c, cholesterol and having such a nice doc! Treasure her! Go for it and try to help encourage other Ds! I am sure you can do it.

Lili said...

Chrissie - Thanks! I wish it would stay like that forever. Too bad, huh.

Megan said...

Congrats Lili, it really sounds like you have a good endo!

My last a1c was 5.5, and I'm hesitant to disclose that for the same reasons you said. And mine it so good for the same reasons your's is. But congrats!

Lili said...

Megan - Thanks!