To follow the logical path, the author of Diabetic Redemption should occasionally write a post about diabetes.
I was very happy to see Liana, the nurse practitioner at the Diabetes Center. Today was my third attempt to get in to see her — I missed a lot of time in rehab. We sat down and started talking; started making excuses almost immediately. She listened, and then interrupted to say, “Let’s look at your numbers first.”
My overall pattern was good — a little rise in the evening, which we corrected with a basal addition. Then it was time to look at my A1c — a three-month average of my blood sugar levels. I had one done three weeks ago, at my blood draw for my nephrologist, but I am always willing to hear how I’m doing. My A1c then was 7.8, probably horrifying to most well-controlled diabetics, but not so bad for me — my aim is 7.0.
I quietly held my breath while she looked for the results. Then a huge grin crossed her face. “You have dropped to 7.4,” she announced, and we both hollered a little in triumph.
I need to overcome my food impulses. I need to bolus every time, and stop thinking I can slip a little snack by without bolus-ing. I am already enhancing my exercise program — today was the whole two flights of stairs down, and one back up, (after which I swayed like a drunken sailor as I made my way to the elevator for the third floor.) My under-the-desk cycle is helping a lot with that, too. I am overdue to see a couple of my more obscure doctors, but I have appointments with both of the in the next couple of months. Overall, I’m in pretty good shape.
I asked out trading out my 2007 pump. Liana was horrified, and said se would get on it right away. All depends on Medicare, and whether or not they have become sensible enough to permit Continuous Glucose Monitoring. Thus far, they would rather waste a fortune on strips, and emergency room visits, and other costly results of poorly-controlled blood sugar, than spend the $5000, order the part, and eliminate most or all of those problems. Ah, Medicare. With our current congress, of political cronies and sycophants loyal more to their party than to the people who elected them, we must all watch out for upcoming budget slashing. (So much better to fight a war that never should have happened, and certainly shouldn’t be allowed to go on any further.)
My successful appointment with Liana is the best birthday present I can think of! Also, Mom and I just got home from a lovely dinner out. Sister S. is giving me one of her smaller cameras — a Nikon Coolpix, which is great for an amateur like me. I’ve talked with or had messages from several of my sisters, and I know the others are thinking of me. I had a lovely comment from my brother, wishing me a happy birthday. A very good day.
My thanks to all of you who sent birthday wishes, and to all of you, whom I know wished me well today. I am so pleased to have positive birthdays now, after so many full of anger and fear. Happy Birthday To Me!