Endo and OJ

Yesterday afternoon, I made my second monthly trip to see my endo, Dr. C. I have found from the late appointments, you don’t have to wait as long, so I may start getting late afternoon appointments instead of early morning. I sat down, snapped a picture for George’s Waiting group on flickr, and within just a couple of minutes I was called back to the lab.

I sat in the little blue chair and started pulling up my sleeve when the lab tech stopped me. “No no, we don’t need to do a blood draw today. Just a finger poke.” Wow. I think that’s the first time in years I haven’t had to get my blood drawn in years! I kinda laughed at the mere fact that all he wanted was a finger poke… something I could have done myself and told them the number. But then again, I guess you do have people who fudge, so it’s best not to let them fight it and check. What’s another poke right? She got the one-time-use poker out and ready, stuck it to my finger and said “Ouch” as she pressed the button. I had to laugh. She kinda looked at me and I said “Sorry, it just doesn’t hurt anymore. I’m used to it.” She said “Oh, I’d be jumping anyway…. you’d better be chewing that gum harder.” “(me) I’m sorry, what?” (her) “I said you’d better be chewing that gum a little harder.” and she showed me the meter. 59. She offered me sweet tea and the nurse went to weigh me. (Which I’m still 10 pounds less than I was pre-pregnancy, so at least I’m maintaining now and not losing anymore.)

We went to the patient room and the nurse started getting all my info down from my pump. This wasn’t my normal nurse. The usual nurse had gone home sick, so I had someone else. Someone who didn’t know how to operate my pump. At one point, she had it in the temp basal setting about to turn my basal down. So, I offered to help and we got her to the right menus. Granted, I know they usually like to do it themselves so they can document that they read it themselves, but sometimes it’s okay if they don’t know how to use my medical equipment to ask me to show them. I mean, I do use it on a daily basis, ya know? Anywho, the lab tech walked in with a glass of orange juice (since they were out of sweet tea) for me to drink while waiting on the doctor.

OJ at the endo'sThe nurse finished her notes and I waited on the doctor. I was aaaalmost finished when the doctor walked in. He came in with his usual bubbly self and shut the door behind him and then he saw it. The glass of orange juice. “Ahhh, the glass of orange juice. We’ve hit a low I see.”, while grinning from ear to ear.  See, that attitude about him is what I love. Granted, it was kinda embarrassing to have a cheekful of orange juice for his first view of me for the day, but oh well. (He had a phone call and stepped out, so I snapped a picture.)

We went over a few things discussed some worries, talked about video games (yeah, my appointments aren’t all about diabetes), changed a few rates and his main concern was that by now, most women are seeing hard-to-treat frequent highs. I’m still seeing lows… lots of them. So, once a week, I’ll still be sending in blood sugars and also calling if there’s an immediate concern. I asked if the lows were affecting the baby, and I mentioned what my OB had said (that he was okay with the 50’s) and he said the lows were okay as far as the baby was concerned, but not me. He didn’t want loss of balance or control that could hurt me or the baby in anyway, and that’s his main concern with the lows – the potential to get physically hurt.

So, the jist of the appointment was this…. keep glucose tabs or juice with me at all times until we get the lows under control, make sure I have a glucagon kit and that Erik knows how to use it, and keep up the good work with my control. All in all, he summed it up in one statement and another one of his smiles:

“Don’t worry. You’re doing an outstanding job”.