Last week’s endo appointment was quite nice. I’m beginning to feel like she’s a friend, you know the kind – the one that stands in the yard chatting with you and you just know they’re listening, really listening to you.
The facts – A1c was .3 up and I’m good with that, and so is she. All my labs show that I’m normal and she just kept smiling. Expressed awe at cholesterol numbers and was happy to see that thyroid and other tests all check out ok.
My issue was my bouncy numbers. I spike high after breakfast (8-10 carbs, normally) and don’t really come back down (all the way) before lunch. Then I spike high after lunch but by 4 to 5 o’clock, Dexcom is screaming at me because I’m low.
So we both stared at my Diasend printout of my Ping pump’s bgs/doses/carbs. (Oh – she threw out all my numbers from 10 days in California!) And she’s circling numbers and pointing out trends (which of course I’m blind to) and then says, let’s try this. So – we changed my IC ratio for breakfast and lunch – upped the carb ratio by one – which is actually downed the carbs by one???. And added/upped my basal rate for the afternoons by .5. And lowered the ISF for lunch and the afternoon.
It’s working, so far. Well, until this morning when I had a very small portion of bread pudding at work. That small bit turned out to be more than 30 carbs… I guessed… I was wrong… It tasted great!
This afternoon after a call from my husband, I announced to another staff member that I have a wonderful husband. She asked if we were going out to dinner. And I said, “Nope, he just called to say he’d stop at the drug store and pick up my insulin for me!”
I also work with wonderful people. As we were closing up the office, Dexcom beeped to say I was low. I tested. I was a little under 80 and decided to drink a juice box before I drove home. Two friends/co-workers sat there with me while I slurped my grape juice and waited until I tested ok to drive.
And finally – lunch with Shannon after my endo appointment. We chatted our way through a yummy lunch and barely talked about diabetes (her son has Type 1). Now that the snow has stopped (we hope…), we plan to get together again during the summer. Anyone up in this area is always invited to join us!