Friday was my endo check up. It's the second appointment that I've had with the new doctor. And I'm still incredibly pleased with how it's going. She is nearly everything that I could ask for in an endo, especially at this point in my life.

I spent about an hour with her, reviewing my logbook and discussing my issues. The best part is that she doesn't make me feel any more guilty than I already do for not doing things 100% all the time with my diabetes. She's understanding and accepting.

We talked about my post-breakfast highs for quite awhile. Everything from trying a lower carb ratio (done, still see highs with nasty lows after) to the types of foods I eat for breakfast. She's on board with my next suggestion of going on Symlin.

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Tuesday night, I switched my Lantus over to a once-per-day shot instead of the split doses I'd been using previously. I started with 22 units of Lantus at 8pm. I knew I'd see some highs, but I didn't want to risk an unexpected night low after making the first switch.

And I did see some elevation. I ran mostly in the 180-290 range all through Wednesday, which wasn't as high as I was expecting really. I made sure to consider food in the highs, along with the usual post-breakfast spike. And I was confident that a few more units of Lantus might do the trick (or at least get me closer).

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He stood in the doorway as I put on my shoes and lifted my jacket over my shoulders. He was wearing an "I Love NY" t-shirt and red shorts with his insulin pump clipped just off-center - tubing dangling haphazardly and looping like a roller coaster.

"In school we made these bowls out of clay and we took leaves and we pressed them down into the bowl …"

He spoke.

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As a parent of a child with diabetes, it’s not so easy to set goals. Test his blood sugar more often? Don’t think so. His little fingers look like they’ve been dipped in bee hives. Doctors have been urging us to cut down on testing for years.

Get more exercise? Charlie never stops running. He’s like a greyhound on amphetamine.

Get less exercise? Doubtful. See above.

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As I looked at my averages last night in preparation for my Friday endo check-up, I couldn't help but complain to myself that there is no pattern. Every day is different, often drastically so. I can't find any constant area. There aren't variables causing these random shifts, at least not to the naked eye.

First, there's my morning blood sugars. Sometimes I wake up low even after a bedtime snack with no bolus. And sometimes I wake up in the 200 or 300 range with no apparent cause. Because of my history of seizures and severe lows, I lean towards the lows though. At this point in my life, I'd rather wake up 300 occasionally instead of trying to raise my insulin to counteract those highs.

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