Unfortunately I’m not talking about some major breakthrough in the research for a cure or some mind blowing new product on the market. I am referring to history that was made yesterday in my own diabetes world. I had my quarterly appointment with the endocrinologist but it was also my annual physical with her, so a much more comprehensive exam. As usual, I was nervous. I hate that I get nervous every time I see her but I can’t seem to help it. Thankfully yesterday was probably one of my best appointments.
I had printed out my BG readings for her, in all sorts of different report variations, from downloading my OmniPod PDM the night before. In scanning over them, I wasn’t too pleased with what I saw. In the past month, my BG was in the 80-180 mg/dL range only 61% of the time. 180-250 was 23%, over 250 was 5%, 60-80 was 9% and under 60 was 2%. In other words, higher than I would have liked. My last A1c test was done at the end of April so I was overdue for my normal 3 month routine. That last result was over 7% and had crept up .2% since the time before that.
As I’m sure I’ve mentioned before, in the past 5-6 years, I have been much more diligent with my diabetes management. Between going on the pump, testing more frequently, using the CGM uninterrupted for the past 3+ years, keeping up with my appointments with the CDE, trying to stick with a regular exercise routine. Despite my efforts though, I have only had an A1c under 7% once. Four years ago. And to this day I still think it was a mistake! However, yesterday it happened again. Since I am not shy about sharing my A1c levels , it was 6.7%. (although it seems much easier to share when it’s a good result!) I literally hesitated for a moment when Dr. K said it and I said to her “wait, what?” It was a complete shock. My overall BG readings have not been much better or worse than they usually are. And especially after feeling that my readings have been higher than I’d like, having almost a 1% drop was not at all what I was expecting.
I was almost too happy to care at the moment about why. But later I really started thinking about it. And honestly the conclusion I came up with is that I wish I knew what I had done right the past 4 months so that I could keep doing it! I’d say in the past 4 months I’ve been more consistent with exercise than before. Yet I wouldn’t say I’ve been consistent ALL the time. (the past 2 weeks for instance have lacked exercise big-time) So the only thing I can think of that had such an impact is my choice of BG meters. When I used older One Touch meters and when I first started using the PDM with the Freestyle strips earlier in the year, I always thought the readings ran low. Since switching to the newer Verio IQ as my primary meter and more recently changing the calibration code on my PDM, my readings run higher. Could this be the magic trick? Is there a scientific reason this could be? I’m not sure and I guess I shall see if this trend continues. And I sure hope it does.
In other news, I have lost some feeling in my feet but this I knew. At my physical exam last year, Dr. K saw this and sent me for an NCV test which came back normal. Yesterday was the same – I stopped feeling the vibration on my feet from the tool thingy (tuning fork?) before it actually stopped vibrating. I do get major pain in my legs when I walk so she had them do a Doppler test. Which also came back normal. So the feeling loss in my lower extremities does not appear to be from nerve damage or circulation issues. While I’m glad it is not for those reasons, I’m stumped as to what it could be from. Something else I will keep monitoring.
Good appointments like this leave me feeling happy, naturally. And hopefully not so nervous for the next one.