This past Monday morning I had my 6 month appointment with my Endo, Dr. Greg. As always I was nervous going in. I met with my nurse first and she downloaded a month of number from my pump and chatted with me for awhile about how things were going.
Enter Dr. Greg. As usual he made me feel comfortable right away and we talked for some time about how I was doing and how I was liking the insulin pump. He asked a lot of questions about my activity levels and how I felt I was managing my blood sugars before, during and after. He asked about my race plans through the year and gave me some good suggestions about when to take carbs in during the triathlons. Dr. Greg gave me the floor to talk about some of my frustrations about diabetes and how I was feeling in general. This is why I love him as my Endo, he listens and never interrupts.
He did a quick check of my feet and said that while I do have some nerve damage, it has not progressed any further at this time. I was pretty pleased with that.
Dr. Greg then started reviewing my numbers from the past month. I am always amazed how the specialists can look at the numbers and pick out patterns. He said the only thing that really stood out was that I was having lows in the mornings, particularly the mornings after a tough training session. He suggested I reduce my basal rate starting at 5:30am instead of 6:30am and see how that goes (I require more insulin during the night due to dawn phenomenon).
Then it came time for the big reveal. He was happy to tell me my A1C had dropped to 5.9%. He said that he was happy with this as I had not achieved it through suffering a lot of lows which is the first thing he checked for. He gave me a pat on the back and said that he did not have to see me for another 6 months.
I am very happy with the appointment and the results. This disease is not easy, but the hard work certainly does pay off!!
Now off to Mexico for a week :) Ola!