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February 9th, 2010
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I thought carefully about what I would wear today, and reconsidered several times. I applied my makeup with an eye toward the wow factor. I wasn't trying to show off, I just feel incredibly good today and wanted to reflect that outwardly.

Truthfully, I couldn't wait to get to my appointment with my endo. Truthfully, I've been waiting for this for some time. Truthfully, if I were still on Byetta I think I would have dreaded this day. Truthfully, with a solid month or so of excellent blood sugars thanks to Novolog and a fairly decent walking schedule, I was proud to report to my endo about how well I believe I'm doing.

We chatted about the normal things, and he caught me off guard with a few questions, like how many carbs per meal I aim for. I'm sort of a creature of habit, so when I find something that works I run with it. So counting carbs is not something I do daily mainly because I know that the baked chicken breast, scoop of stuffing and salad I've had countless times equals roughly 3 units of Novolog.

He of course wanted to know if I thought Byetta is something I might want to try again in the future. Yes, I was willing to give it another shot, I said, but deep down I don't really think it's going to work for me. He seemed to disclose more about the drug now that I've tried it. Truthfully, he told me, you likely won't have the kind of control on Byetta that you seem to be having with Novolog. Well then, I thought, case closed.

The thing that really caught me off guard, though, was this:

"I don't think we should change anything because it all seems to be working," Dr. C said.

"I agree," I said with a ginormous smile.

"So if we continue down this path of multiple daily injections that would make you a candidate for a pump," he said.

Surely he must be kidding, I thought. "But I don't have the kind of resistance that requires a pump," I said. "I mean, I can have 15 or 30 grams of carbs sometimes and not need any insulin."

"You don't have to on a pump either," he said.

"Bbbutt...really? So...you mean...like in a couple of years or something, right?" I stammered.

"No, really we can discuss it at any time," he said, frankly.

"Oh. Huh. Well I'm pretty happy with what's going on now, so I think I'll stick with it," I said.

He was close to not sending me for an A1C, but when I reminded him that I've been off Byetta for at least a month we both agreed that blood work was in order. After taking a picture of the nurse sticking my arm for the Diabetes 365 project on Flickr, I'm now sitting at my desk waiting rather impatiently for an email from Dr. C. I want to say that I'll be happy with anything under 9 (my last A1C), but since we're being truthful, I'd like it to at least be in the low 8s.




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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)
Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
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