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.

So I'm starting Symlin probably around December 1st (we're waiting till after my endometriosis surgery just in case something goes wrong with either one). I'll be starting it just at breakfast to see how it goes. If I like the effects, I might use it for every meal. But it's not a required thing for me since most of my other meals go over without much alarm.

The other thing she wants me to do is to keep a food diary. I tried this back in July, but couldn't make it a habit so I gave up after a week. Basically, I just need to keep track of grams of carbs (although recording the actual food would be helpful) and units of Humalog per meal and correction. Two things that I haven't done since junior high (well minus the few short-lived starts).

I'm putting this off until December 1st as well. At the moment, I just don't have the time or energy to stress about a food diary and recording every detail of my diabetes life. I know it's a great way to make sure I'm doing things right, plus it's the only way I can truly track patterns. But I need the next three weeks to concentrate on everything else that's going on in my life.

Like changing my Lantus to one dose per day. I've raised it to the full 29 units by now. I'm going to give that dose a week to test out. I'll watch for highs and lows. I'll see how the schedule works for me (although so far I've been doing pretty well). Then I'll see if any more adjustments need to be made.

There are lots of other big changes going on that I've mentioned in the last few blogs. I started birth control (which has given me terrible nausea and a weird ear pounding that I'm hopeful will go away within the month). I also started Accutane last Wednesday (which has brought on dry mouth and dry lips already, but I also haven't seen any new breakouts in awhile).

On top of all that, I'm stressing over school and my upcoming surgery. Thankfully, I talked to my endo (Dr. K) about the necessary insulin adjustments. I'll be cutting my Lantus down a few units the night before and possibly the night after the surgery. And I'll also be bolusing on my "low prevention" schedule (no corrections under 250 and lower meal boluses as well).

I won't know my A1c for a little while, but no matter what it comes back as, I'm still renewed and refreshed in the diabetes fight by just having an endo that understands and leaves me feeling less alone with this disease. So right now, I'm getting through the month of November and focusing on the future more and more each day.