Progress report

This morning I spent almost three hours at my endo's office.

Yes, I said three hours. It is not my preference to spend that much time there, but all in all it was a pretty good appointment. There were high points and low points, plenty of waiting but also plenty of action plans made.

Getting up in time for my 8:30 appointment wasn't easy. See, I've been dealing with my second cold this month for the last several days, and sleep was so sweet last night. I coughed a bit less than the last several nights, so I slept better. I wasn't too pleased when my alarm went off. Especially when I sat there waiting for 45 minutes before being seen. That's why I like to make morning appointments, so I DON'T have to wait, but I suppose that doesn't always work.

I immediately arranged to have all of my labs, etc. sent to my PCP, as per her instructions, and then my CDE and I tackled some of my latest issues. First we looked at my A1C: 6.3. I had prepared myself for this, and I know this is still an excellent number, but I still wasn't a fan of that number raising 6/10ths over the last three months. Since I've been doing some tweaking of my insulin to carb ratios, I think things have already gotten better, but there is more work to be done.

So that's one of my upcoming tasks: play around with my dinner insulin to carb ratio. Even more important, however, was her suggestion to use my dual wave bolus feature for every dinner. My sensor shows a consistent rise in my glucose levels 3-4 hours after dinner, with the first two hours not so bad. I also need to do some basal testing overnight, because I almost never wake up under 115 these days, and it's usually in the 120s or 130s. Yuck. I also need to test my insulin sensitivity, as that seems to be off too.

This slow death of my pancreas keeps being annoying, even nearly a year after diagnosis.

One of my favorite things about my CDE is that she supports and enables my diabetes supplies hoarding habits. We talked a lot about my upcoming stays in Italy, especially that long one, and she's happy to help me hoard samples now so that I can just take lots with me when I go, rather than worrying about shipping insulin. Now I've got lots of backups in my butter compartment, and intend to keep adding to it.

I also saw my endo for a bit, and she did another ultrasound on my thyroid. I still have a nodule on one side, but she isn't concerned and my bloodwork shows no problems. We also talked a bit more about planning for pregnancy, since every appointment is a bit closer to that point on our timeline. But as of now, things look good with that front.

So, some good and some less than good. I've got a plan for the next three months to get my numbers even better. I'm not really beating myself up about the change to my A1C, but I have the support I need to reverse that trend.