My original appointment was in January – due to high numbers, I called, I whined (just a little) and got an appointment for this Friday. On Monday they called, and it was changed to this morning. I scrambled around last night getting numbers, info, etc… together (this after eating a decadent brownie at a meeting which sent me to 237), dumb, dumb, dumber – but it was a really, really good brownie.
So – here’s the note I sent my PCP – an ARNP.
I really wanted the subject line to read: fun, fun, fun…
Saw Dr. Endo today. He’s very nice – you’re better! He did spend time (40 minutes) talking w/ me but I have to be honest, he’s just not into the nitty gritty of diabetes the way you are.
I had an appt. on Friday, the 16th, they called yesterday and said that wasn’t going to work and it needed to be changed. I ended up going this morning. So, I drove to the Endocrinology Building – early as usual – only to find out he was at the Clinic… no one told me that…
Got in there on time – but they have no records… not sure why they have no records… Oh well.
He has no clue when he saw me (April, 2005) – what he wrote you – etc, etc, etc…
I had brought my massive notebook w/ everything including the handy, dandy reports of labs, etc… that you give me each time (thank you!). I also had a printed report of current meds (I can be quite anal at times). I also had (I can be so, so techie) – the print out of my blood sugars for the last 4 weeks.
He agreed that I need to do something else – SO… then he asked what I wanted to do. I said I wanted the A1C lower and to stop feeling so crappy w/ high blood sugars.
I’m going to start Glimepiride in about a week. He wants the second week of upped Metformin to go by before starting something new. He also increased the Actos to 45.
My other choices were 2x/day insulin or 4x/day insulin (basal/bolus).
He thinks I have a couple of years before hitting the injection routine.
I see him again mid January. I see you in January also.
I read a lot of diabetes blogs, info, stuff – I really am so fortunate to be working WITH you.
And so bloggers, my life as a Type 1 LADA. My PCP is extremely knowledgeable about diabetes and so, for living in the boonies of NH, I’m lucky.
Wish me luck – I’m tired of this. I don’t know how all of you have done this for so many, many years. I can do this – because you have shown me that it can be done.