Stay on Target

I went in for fasting labs on Monday morning.  They were quick and painless...3 tubes full of blood and I was done.   

On Wednesday, I got an email saying that my transmitter had finally been shipped...and what's more, it had already been delivered!  I ran out of the bedroom to find that it was laying on the kitchen floor in the FedEx box, which DP had brought in before he left for work.  I opened it up and praised God for its timely delivery (it had been over-nighted to me before I knew it had even been shipped!).  I would've put it on right then and there but I was delayed by a family emergency.  ;)

Today, I went in for my 3pm appointment.  After the nurse went over the usual questions and medicine doses, Carrie came in to discuss my numbers and lab work.  The first thing she pointed out was my A1C.  It had dropped a whole percentage from 11.1 to 10.1!!  I was so thrilled!  I reached my goal for August!

She then went on to say that both my HDL & LDL cholesterol levels were normal and the rest of my lab work came back normal.  Even my thyroid is where it should be!  I couldn't believe it!  Even though my A1C is still high, I found it to be a very good health report card!

She suggested that I start my Dexcom today and set my low at 70 and not to set my high alert so that I wouldn't get annoyed at it right off the bat for going off all the time.  Every week or two I'll set it 50 points lower until I get it down to about 200.  I'll be coming back in 6 weeks so they can see how my Dexcom is doing.

I told her I'd be pressing on toward my next goal...9%!!  And 7% by the year's end.  She smiled and said, "Then you can start baby-making."  Yup!   

After watching the tutorial video, I now have my Dexcom sensor and transmitter in place.  My receiver is all set up and ready for action.  At 6:45pm, I'll do my first calibration session.  Until then, I've got a yummy dinner to make in celebration of this wonderful news and God's goodness!

Starting on the Journey - Diabetes

I had an appointment with my new endocrinologist (diabetes doctor) and nurse practitioner this morning.  After my in-office blood sugar (169 mg/dl) and vitals were taken (turns out I’m 5’ 11 3/4”!) and the nurse went through the standard medical history questions, Carrie, my nurse practitioner, came in and asked about my diabetes care routine.  She then checked my feet, pulse, and lungs/heartbeat.  

After that, she told me about some new medicines that were on the market that some Type 1 Diabetics use to control their blood sugar and asked if I’d ever been on an insulin pump.  I told her I had, several years ago, and that I preferred being “unhooked” from a pump with tubing, especially since my old endocrinologist had told me that being on a pump with my lack of discipline was dangerous for my health (when Dr. Bussey heard this, he said that was a bunch of malarkey).  

I told her about my desperate need for the Dexcom G4 Platinum Continuous Glucose Monitoring System, and she confirmed that it was a good system with the highest accuracy available.  She looked over my blood sugar numbers from the past few weeks (which they had downloaded from my glucometer), asked me some questions about them, and gave me an informational packet about the Dexcom.  She then left the room to get Dr. Bussey, the endo.  

When they both returned, Dr. Bussey made some suggestions for adjusting my insulin doses.  He said since my numbers were still running high that I should increase my overnight basal insulin by 2 units, adjust my insulin-to-carb ratio (changing it from 1 unit per 12 grams to 1 unit per 9 grams), and changing my correction factor from 60 points over 120 to 50 points over 120.

We then discussed my plans for the future regarding children.  I told him we were thinking not for another year or two down the road, especially since my numbers are so high and our finances aren't quite where they need to be.  Dr. Bussey told me that the best A1c during pregnancy is about 5 (but 6 or 7 was okay) and that the most precise way to maintain that much control for a pregnant Type 1 Diabetic would come from being on an insulin pump – however, it was not required.  I’m still undecided on the matter.  I know I at least want a Dexcom.    

My current A1c is 11% (average blood sugar of 269) – so I balked a little.  A chart on the wall across from me said that an A1c of 7% equates to an average blood sugar of 154.  6% = 126.  The lowest I remember my A1c ever being is about 9 (212 mg/dl)…5, 6, and 7 all seem so hard (nay, impossible) to achieve!  However, he assured me that getting my A1c down that low IS possible and they are going to keep me accountable as I work to get my numbers down, down, down.  They told me they wanted me to come back in 2 weeks to go over carb counting (although they are sure I know what to do) and insulin pump therapy information.  I’ll then come back at the end of August for fasting labs.

Before I left, they had me do some lab work for them (a quick and painless blood draw).  I left feeling encouraged but also a little daunted.  I know I have a lot of work ahead of me, but I hope that having a team of people who are committed to seeing me improve my health will give me the motivation I need to succeed.  Obviously the core determination has to come from my desire to prepare the best I can for the future.  I know that with God’s help, all things are possible – even the things that seem impossible.