Wordy Wednesday

I’ll get back to Wordless Wednesday next week.

Today I had my much-anticipated endocrinologist appointment.  This was the first appointment in which I’d get my a1c since going back on the pump and starting with my Dexcom CGM.

I was called back by the nurse and she took my vitals.  I told her that I was super excited about getting my a1c and was hoping it’d be around 7.0.  After doing her thing, my a1c still wasn’t ready so she sent me back to the waiting room and told me she’d come out and let me know what it was.  A few minutes later she came out with a huge smile on her face and whispered in my ear….

….

what do you think?

Did I do it?

……

Did I hit 7.0?

Well, I didn’t hit 7.0.  I knocked it out of the freaking park!  6.8!!!!!  Sixpointfreakingeight!  I haven’t had an a1c that low since…never.  I honestly can’t remember having an a1c in the sixes throughout my 14 1/2 years with diabetes.  I may have when I was first diagnosed, but not in the last 8-10 years, I know that much.

I almost started crying.

I am so happy that my a1c has shown all of my efforts.  And, I was texting with my friend and made the realization.  It has been tough, sure, but it’s not like I’ve stopped living my life in order to reach this goal.  I’ve made small adjustments and just made my diabetes management a priority.  The Dexcom has helped tremendously.  I no longer fear going low as I have faith that it will alert me if I need to take action.  And when it tells me I’m higher than I’d like to be, I adjust.  The constant contact with my CDE and her feedback have also been an enormous help.

So, back to the appointment.  My endo walked in and also had a big smile on her face.  She asked me if I wanted to hear the good news.  I said, “6.8!!!”  She was bummed that the nurse told me, haha.  She said that she is so proud of me.  When I first started with her last June, I was 8.9.  My last a1c in April, I was 7.9.  I’ve made diabetes my bitch.

I had a long list of questions for her regarding a (hopeful) upcoming pregnancy.  Here’s a rundown:

  • Given my current numbers/a1c, when can I start TTC?

    • NOW!

  • What are my pre/post meal BG goals during pregnancy?

    • Pre – 60-90

    • 1 hour post – below 140

    • 2 hours post – 100-120

  • When should I start taking pre-natal vitamins?

    • Now.  (I already did.  I win)

  • Vytorin – when should I stop taking it?

    • NOW!  She was adamant about this.  Guess I gotta lay off the steak and other cholesterol-y foods from now on.

  • What about synthroid?

    • Keep taking and call her AS SOON AS I have a positive pregnancy test.  (She said, “don’t even tell your husband, CALL ME!”)  Haha.  I guess as soon as I find out I’m pregnant, I need to take extra synthroid that week and adjust my dosage.

  • How long before we start trying should I stop taking pills?

    • She said that although “they” say it takes about 3 months, it can happen the first month so she suggested a month or two before, but “Be ready” for a positive result!

  • Caffeine/artificial sweetener intake during pregnancy?  What is safe?  When should I give it up/start limiting it?

    • She is OK with small amounts of caffeine – in her words a cup of coffee with stevia and half and half is OK.  She said one additional drink with artificial sweetener is OK.  I think I’ll switch to half caf and possibly go to decaf.

  • How often will I have to go to the DR?

    • Endo appointments – monthly.  Email BGs weekly.

    • OBGyn – probably about twice/month, more towards the end (obviously)

    • CDE – communicate via email, appointments as needed.

  • If BG is high/low, what is the best way to correct?  does the 15-15-15 rule still apply?  Bolus or increased temp basal?

    • 15-15-15 rule still applies.

    • She said most women bolus but if they remain high, then they will do a temp basal.

  • What is my carb intake goal at meals?

    • She was telling me something about the rule of nines – 2/9 of my carbs will be at each meal (so 6/9 total) and 1/9 at 3 snacks.  Although she didn’t give me my daily carb intake.  But did say that I will be meeting with a nutritionist.

  • Daily calorie range?  How much weight gain is expected/realistic?

    • 300 additional calories per day.  25-35 pounds is normal, but since I’m fat already (my words), I’ll have to be careful and shouldn’t gain as much.

  • Any foods I should stay away from other than the usual for pregnant ladies?

    • She didn’t say anything specific.

She wants me to make an eye doctor appointment within the next few months.  We also made some adjustments to my I:C ratios – lunch went from 1:9 to 1:8 and dinner went from 1:8 to 1:6 to prevent some of those mid afternoon and post-dinner spikes.

Soooo, there you have it.  As soon as the hubs and I are ready, we can get down to business.  Eeeeeeek!  I’m so excited/nervous/scared/happy/about to poop my pants!

Here’s your picture for WW – my “Oh shit!” face!

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Memories, sweetened through the ages just like wine…

Diabetes Blog Week, Day 3.dblogweek

Today we’re going to share our most memorable diabetes day. You can take this anywhere…. your or your loved one’s diagnosis, a bad low, a bad high, a big success, any day that you’d like to share.

I would be willing to bet that most people feel that their most memorable diabetes day is the day they were diagnosed.  At least for me, that was absolutely the most significant day in my diabetes life.  But, I won’t bore you with the details because you can read about it already.

I would like to share a more recent memorable “diabetes day”, and that is my wedding day.  The Hubs and I have been married for almost 7 months now and leading up to the wedding I was pretty nervous about how my diabetes would behave.  It always seems to be naughty at the worst times.  Seriously, it’s like a toddler throwing a tantrum in church.  I had a horrible fear that I’d have a low or high blood sugar during the ceremony or toasts at the reception, or that my diabetes would be a major focus of the evening and I wouldn’t be able to relax and enjoy myself.  I really didn’t want this, all I wanted was to be a “normal bride”, enjoying her wedding day and being surrounded by her favorite people.

To accomplish this normalcy, I decided to go off the pump a few months before the wedding.  I figured it’d be easier to just take injections rather than figuring out where I was going to put my pump on my dress (although I had a little bit lot of poof to work with!), and plus when you’re unattached, you can almost forget about diabetes.  I didn’t want to have to think about it any more than the bare minimum on my wedding day.  I wanted to focus on my new husband, my friends and family, and the dance floor!  (OK, and a glass or two of wine as well.  Oh, and the CAKE!)

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You wanna fight, diabetes??
(Note. There were no fights at my wedding. However, there was one kick-ass dance off, pictured above).

Mission accomplished.  My sugars were great throughout my wedding day, despite having a horrible cold and a case of nerves.  I tested when needed but wasn’t consumed by it and honestly can’t even remember when I tested (but I know I did, in case you’re reading this my wonderful doctor).  Although this wasn’t a dramatically memorable “diabetes” day, it was absolutely memorable in the sense that I had an uneventful wedding in the diabetes aspect.  I managed my disease and did not allow it to detract from my day.  It was pretty eventful otherwise, because, you know, I got to marry my best buddy.  Even on the best days of our lives, diabetes is still around.  But it doesn’t have to be the memory we take away from these days.

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