Thursday morning, I woke up at 51 mg/dl. Friday morning, I was 50. Saturday, I woke up at 210 after a chocolate shake the night before and not enough insulin (210 was lower than I should have been). Sunday, 94. And this morning, a 65 mg/dl.

I've also been getting lower numbers from my morning Lantus peak (about 6 to 8pm since I take it between 10am and noon). Nothing too difficult, but a 64 there and an 88 there. Lows none the less.

I lowered my evening Lantus on Friday, after the two 50s. And Sunday, I lowered the morning Lantus as well. I still saw a low in the afternoon, but I think it was a mix of activity and a misjudged bolus. I held steady in the 110 to 120 range for almost twelve hours...something I haven't seen all that often lately.

I'm crossing my fingers that this is the Accutane decline. I've been off for 10 days now. My skin is still dry, but my lips are less chapped and stopped cracking. All my other side effects seem to be gone...the headaches, joint pain, general achiness. The one symptom I'm not sure about yet is the fatigue. I've had more energy in the last three days, but the fatigue wasn't constant. So it could just be flukey (yes, I said flukey).

The lows could be the usual drop based on the week of the month (as my Ortho Tri Cyclen Lo changes week to week, I see a lot of variation lately). But it feels different. For one, they are more frequent and more severe. And the other numbers surrounding them are fairly decent as well.

I just really want this to be from going off the Accutane. I have been so exasperated in the past four months about how much insulin that Accutane has forced me to take. I doubled my insulin, something that I just do not want to continue. Not only is taking that much insulin expensive and annoying, it's not helpful with the PCOS symptoms that I have.

I plan to start the Metformin as soon as possible, but I'm not sure when possible should be. I know that the dry skin will last for awhile so that's not an exact judge. I suppose I'm mainly looking for a consistent decline in fatigue, insulin needs, and the dry lips. So perhaps this is the beginning of the end.

Which means that I can start a new beginning shortly...possibly within the week. I'm excited about that. Hopeful. Anxious. Fearful. Every adjective you can think of. I really want Metformin to work for me. I want to see less insulin resistance with more stable blood sugars, to see the PCOS symptoms lessen, to just see progress with my health.

I'm also ready for what Metformin might mean. The string of events that might follow. Like consistently clearer skin. Or less severe highs and lows with my blood sugars. Or decreased hair growth. All the things that weigh on me daily.

Starting Metformin also means seeing where it takes me. If it works or not. If it means a possible switch in birth controls (to Yaz, mostly for mood swings). I'm just really ready for this next step in my health. In my whole life.

So much is happening right now that I can't even keep track. I'm graduating college. I'm taking a 12 day vacation to Europe. I'm starting a completely new stage of my life. I need my health to work alongside me. I need this to be a smooth transition for me. I really need this to work.

I suppose we'll see where the blood sugars and the energy levels end up within the next few days. Hopefully I don't end up with Metformin side effects too.