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February 10th, 2012
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I went for my 6 month endo appt week before last. I finally got my bloodwork back in the mail. That's one thing I really dislike about my doctor. I think it would be so much more effective to have the test results in front of us for the discussion.
By the way, where I write "doctor", feel free to substitute "physcian's assistant". As with most doctors who are in demand, he has 4 PAs that also see patients. The office tells you that you can make appointments with anyone, but if you want to see the actual MD, it takes a couple more months of waiting or accepting the oddball times, like 7:45 am on a Monday or 11:55 on a Friday - they close at noon on Fridays.
My HbA1c went up from 5.5 to 5.7. I realize that is still an awesome result and nothing to complain about, but I'm sure it's directly related to the 12 lbs I have gained in the past 6 months. That dreaded holiday weight that I was so afraid of? Yes, that would be about 8 of those pounds. (READ MORE)


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I received my A1c results from my endo appointment today. They are not at all what I expected them to be. It was 9.3%, which is up from June's 9.1%. The frustrating part is that I expected it to be back in the 8s because the numbers and averages that I've seen are much lower than this summer. (Except for this week as I've been fighting with extreme spikes and random lows). I'm incredibly disappointed by 9.3, even though I realize that it could be much worse and it's a small change from June.

 

I'm just not the type of diabetic who handles 9% very well. As a child, I struggled with my numbers but rarely hit above 10%. I remember a 13% one time and nearly freaking out. At 23 (almost), I expect more even numbers and less variables. I expect to see some decline in my A1c, not spikes since I graduated college.

 

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My laparoscopy went quite well on Thursday. My blood sugars held steady around 180 to 200. I woke up easily and quickly from the anesthesia with no lingering side effects, although my pain upon waking was definitely at a 10. My incisions have been a tiny bit little sore when I move certain ways and the gas used to extend the abdomen is still floating around inside me (causing shoulder pain even 4 days later).

 

I'm back at school today, but I'm still trying to take it easy to give my body a little more time to recover. My throat had been a little scratchy from the tube for anesthesia. And that gas is still making squishing noises when I move. I've been trying to eat well the past few days along with moving around as much as possible so that gas will dissipate faster. Unfortunately, it's just taking its sweet time.

 

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I had my second appointment with my endo today. The first was back in late June when my A1c wasn't anywhere close to where I'd like it (clocking in at 9.1%). Today's appointment went well and I'll know my latest A1c in a few days. The doctor feels like it should be down and to keep trying to do what I'm doing with a little extra help.

 

She is the kind of doctor who offers advice if needed, but ultimately understands that diabetes is a very individual disease and my management may be different than others. She does not seem to be concerned with higher A1cs, which is a little troubling as I know the best A1c is certainly not in the 8 or 9% range for a 20-something year old.

 

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So I got my A1c results yesterday. I'm neither happy nor sad. I suppose I'm content, but still slightly frustrated. It's a 7.4% this time around. In September it was 7.3% (my doctor apparently read me the wrong results at my office visit...yet another reason to switch!). So there's only a 0.1% increase over the holidays and break and some sticky moments.

 

A 7.4% A1c comes to a 166 mg/dl average, roughly. My thirty-one day average on my pump is at 160 right now. So I'm happy about the fact that my results are coinciding. It's one less thing to worry about (is my pump broken?, is my meter accurate?, are my post-prandials off the chart when I don't check?)...all those thoughts can now leave the building.

 

I am sad to see it go up from last time, but I was expecting much worse (at least a 7.6%) so that part is exciting. I never want to go up, even if it's by a small percentage. Down is so much better in this arena!

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Several people have told me lately how A1c results aren't all that important. I agree that A1c's aren't the ONLY lab test or number that diabetics need to be concerned over in their diabetes management. But it's also ingrained into me that A1c's are a very important number in diabetes control.

 

For about ten years, I went to a doctor who was directly involved in the DCCT trial. I researched the DCCT for a science fair project in 7th grade. I've seen the results. I've heard the stories. A1c results are valued by most endocrinologists in this field. Obviously, there is something to this.

 

For me, my A1c is one of the telling factors about my control. It's the guiding light at the end of the tunnel. There is an ultimate goal in my mind regarding my diabetes and regarding that number. It's important to me. I'd rather have a lower A1c than risk running at a higher result and increase my chances of diabetic complications.

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12.5? 10.0? 7.8? 8.2?
That is what my last four hemoglobin A1c tests have been. I just got the results for my latest blood work this week.
When my nurse gave me the results I was not surprised. My carb intake has been a lot more then usual and my blood sugars have been high often. Since I switched to the Weight Watchers Core Plan like so many of you suggested, my BG has been very good this week. I am hopeful that I can get that A1c down next time. But are those numbers bad? (READ MORE)


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Kerri recently posted a blog on Six Until Me about her co-worker having "diabetes for the day." It was interesting to hear just a few details about an outsider's perspective on this disease. Even though it was only for a day, at least a small portion of what we go through hit home with him.

 

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Today is the sixteenth anniversary of my diabetes diagnosis. And I'm not sure that I know what I feel, or if I'm feeling anything at all. Should I celebrate? Should I reflect? Should I move on and never recognize the day at all?

 

I definitely believe that it's a day worth recognizing. Sixteen years with this disease is a lifetime, a major feat, a true achievement. But I guess I just don't know how to feel on the actual anniversary.

 

For me, diabetes is a daily walk. It's a constant celebration. I'm always cursing it. Not a second of my life goes by without considering the consequences of diabetes, both in the present and in the future.

 

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For months now I have been waiting to do this. I had only to get my veins into a lab and have my A1C taken so my experiment could be put into motion. I had my end of the supplies ordered up and the rest was up to the dueling laboratories of, BIOSAFE and my local medical facility.
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Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
Brenda Bell
Brenda BellBrenda was diagnosed with high blood pressure, high cholesterol, and Type 2 diabetes in July 2002. After a rocky start, her diabetes has been diet-controlled since January 2004 and she hopes to keep it that way for as long as possible. (Read More)
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