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November 21st, 2009
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We found 10 result(s) that match your search "Lab work":

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In anticipation of my end of the month endo appointment, I have to go for fasting blood work this week. I'm dreading it. To me, this one of the most inconvenient things in the world for several reasons.
First off, it has taken years for me to get into the habit of eating breakfast. Now that I'm a regular at the breakfast table, I'm completely hooked on the most important meal of the day. I can't leave home without it.
Second, I don't think its safe for me to drive on an empty stomach. It's kind of like not drinking liquor on an empty stomach. It's just a bad idea. I'm low, I'm shakey, I can't see straight. I'm liable to curse at anyone who crosses my path, even if they do have the right of way. Granted, the doctors office is down the hill and around the bend, literally 3 minutes away. But still, I'm not fond of driving before eating. (READ MORE)


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Last week I wrote about my experience with my new endo. Today marks a week from that first visit and the day I am supposed to fax over a weeks worth of BG readings and boluses from my pump.

 

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I don't think I'd want to be an endocrinologist or a diabetes educator treating type 1 diabetics.

 

I'd want to be a doctor with answers.

 

I imagine the job has moments of satisfaction. Guiding those newly diagnosed through those very difficult first years must be rewarding. But eventually the insight the endo provides plateaus. What can you possibly suggest to the diabetic who's been in the game for 5, 10, 20 years? What can you tell them to do that they haven't already tried on their own a million times?

 

How many times must I say, "yes, we bolus prior to the meal" and "yes, we rotate the infusion sites every third day."

 

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I called my endocrinologist today for my lab results. One of his nurses got on the phone to tell me that my lab results were "stable" and "a letter had been mailed on the 2nd." She also went on to say that the doctor wanted me to see the diabetes nurse educator. The moment she uttered those words, I could tell that she was done and wanted to hang up the phone. But I wasn't.

 

I asked what my A1c was, not caring about the potassium and other kidney function tests. I didn't want to wait another week to receive the envelope in the mail. She hesitantly replied that it was 7.4%. As if teaching a child, she responded that it was okay although we should be aiming for under 7%. I didn't want to say that last week, the very MD had told me that a 7.2/7.3 is FINE! Okay, I did want to say it. But I didn't.

 

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I am overdue on blood work. There is lab paperwork that I have been carrying around for months in my bag. It was given to me by my endo back in September so I could get blood drawn in December and make an appointment to see him. Yeah, that has not happened.
December is a busy time for everyone and frankly I just did not make the time to do it. So I figured I would call, make an appointment, and then hit the lab to give them my blood. It usually takes a week to get lab results so I make sure I have my dates set when I make the appointment. It sucks to go to the doctors and have nothing to really talk about. (READ MORE)


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I have to take issue with something my new, wonderful treatment team seems to think. Dr. A said, "It really doesn't matter what type of diabetes you have as long as you have an effective treatment method." While I mostly agree with him, I have to say that a lot of people with diabetes want the distinction; we want to know the label. Because even though the treatment method may be the same, it’s still different.

 

Despite me rattling off a list of drugs meant for people with Type 2 that I tried and that didn't work, and telling him my c-peptide result (<0.1), Dr. A still said, "I think you are Type 2."

 

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The trouble with good intentions is that quite often the result doesn't turn out the way we planned.

 

Since I was teleworking today I decided to get my labwork done for my next endo appointment in less than two weeks. The lab down the street allows patients to make appointments, which is simply wonderful. Their earliest available today was 8:30, which was actually pretty convenient for me since I had to shuttle the kids to camp.

 

I've been working really hard to make sure my fastings are low enough that I can walk in the mornings, but I wanted to be a little higher than usual today so I could make it to the 8:30 (fasting) appointment without bottoming out. Well, I completely screwed it up and woke up to 225 mg/dL. I was really close to going back to sleep because I've tried to walk off a high before and made things worse. I decided to go for a shorter, slower walk this morning.

 

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I must admit that when I went to bed Monday night I was a little nervous, a little anxious, a little excited about my endo appointment Tuesday morning. In fact, when my fasting was well above 200 on Tuesday I wondered if my nerves had anything to do with it. 

 

Tuesday's appointment was a follow up for labwork and an ultrasound on my thyroid that I had about 10 days ago. I was pretty sure the lab work (much of which was antibody tests to determine if I am truly type 1 or type 2) would show that I am type 1, but there was still a little part of me that doubted I was right.

 

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As a diabetic, blood sugars aren't the only numbers that I have to deal with on a regular basis. There are cholesterol levels, triglyceride levels, protein and potassium levels, and all sorts of other issues that pertain to the "hardest hit" organs in my body. So every doctor that I go to makes sure to keep track of this multitude of lab tests.

 

My most recent doctor's appointment (not with an endo but with the hormonal specialist that I see for my other conditions) included this plethora of lab tests. So when the results came in last week, I made sure to compare last year's tests with this year's. I wanted to see how my body was reacting to the supplements I take, prescriptions I'm on, and routines that I do.

 

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George Simmons
George SimmonsGeorge Simmons is a father and husband living with type 1 diabetes. A self proclaimed "born again diabetic," George began blogging as a way to meet other people living with diabetes and learn more about managing his disease. (Read More)
Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
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