Wordless Wednesday – August 21


a1c
I’m still super pumped about my A1C results.  I love that Duke
lets you see everything online – it’s so nice to see that downward trend.
I’ll stop talking about it now, I’m just excited since this is the best A1C
I’ve had since, I don’t know, around diagnosis?  :o)

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Endo Appointment Round Up

Today I had an appointment with my Endo’s Physician’s Assistant.  Honestly, I kinda like him more than my endo (although she’s pretty awesome too!).  He’s young, very thorough, and never seems rushed.  In fact, he spent an hour with me today, which is just unheard of.  Unfortunately I wasn’t due for an A1c test (WAH!) as I had one within the last 3 months.  Kind of a bummer because I wanted to see how my new cyborg life has affected things.  But, I go back in August so I don’t have to wait too long.

We made some adjustments to my evening basal rate so my rates are now:

12 MN – 1.0
8 am – 1.2
2 pm – 1.0
8 pm – 1.6

Insulin to Carb ratios stayed the same:
12 MN – 1:15
7 am – 1:10
11:30 am – 1:9
5:30 pm – 1:9
9:30 pm – 1:15

Insulin sensitivity factor remains at 40 with my goal BG remaining at 120 +/- 10.

So, all in all, decent appointment.  I had emailed my CDE my CGM and Animas reports yesterday and told her about my nephew and that may account for some of the wonky sugars I’ve had over the past week or so.  She asked me when my appointment was and came over today to give me a hug and chat for a few minutes.  So nice.  I am really liking Duke!  My CDE and I have been in pretty close contact since I re-started pumping, I cannot say enough good things about her.  She’s awesome.

I had the PA write me a script for AccuChek test strips and he gave me a present of a shiny new AccuChek Nano.  I’m going to be calling my insurance company to determine exactly what I need to do to get my strips for free now that all of my out-of-pocket expenses have been met.  Hopefully what they told me last month about Accuchek strips being covered 100% is true.  And I have a good supply of one touch strips so should I ever need to use that meter for remote bolusing, I can.

On a personal note, I am muddling through with everything.  Staying busy helps.  My friends and coworkers have been so kind to me and I’m very happy that my sister and her family have such a strong community of friends supporting them.   

A1c sads.

I have the sads.

I’ve been trying really hard to get my A1c down to a “Conception happy” range (6.0-7.0 or lower).  This has been my focus for the past 6 months or so and until now I’ve been making slow, but steady, progress.  *HIGH FIVE* to me!  “It’s a marathon, not a sprint”, “Slow and steady wins the race”, all that fun stuff, right?

In June of last year I started with a new doctor and an A1c of 8.7, by September it had dropped to 8.2, and I started the year off in January with a 7.8.  Go team!  I was especially happy with that January number as I got married and subsequently ate my face off on our honeymoon.  Whoops.  Honeymoons happen.  I’ve also been on a “Pump Vacation” for the past 8 months, and until today it seemed to be helping my number.

Today’s A1c…7.9.  :sadface:  Doc and I discussed and he’s happy that I’m steady, but we both agree that I need to be steady at about 6.9.  A few tweaks were made to my insulin to carb ratios – yay more math brain exercises for me!  (All diabetics should be handed an honorary math degree on date of diagnosis, don’t you agree?).  Doc and I feel that with my new CGM and going back on the pump in a few weeks, my next appointment will be happy once again.

If only every day could be like today:

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How you like me now, A1c?

Until I reach that elusive 6.5-ish, I will remember:

“Every Strike brings me closer to the next home run”.

I’m gonna hit this puppy outta the park.