Endo Appt.

Hemoglobin A1C: 9.1

The doc was not concerned since this is no higher than my last A1C over a year ago and I have only been on the pump and recommitted to my care since January. I was really hoping for lower.

I get so worked up over these routine appointments. You would think that I would be used to them after 23 years but I’m not. Driving to my appointment, my stomach is in knots and I am nervous, worried that this will be the time when my blood work will show that my body has finally had enough. I am lucky, other than my high A1C, I have avoided complications yet again.

“Your blood work looks good…kidneys are fine, liver fine, your LDL is a little high (105) but your HDL is great so I’m not worried about that…Your BP also is great.”

Huge sigh of relief.

We changed my basal rates and she, of course told me to get some 2 a.m. checks. She told me about the CGMS and recommended getting it if at all possible. The general consensus was that I was doing alright, just needed to keep working on getting those blood sugars down and in turn get my A1C closer to 7.

I left feeling pretty darn good about it all.

Then I looked at the paperwork she had given me with the results of my labs and notes from the visit. Under Review of Systems - Weight: Gained. Physical Exam: Obese. I am well aware of the fact that I need to lose some weight but to see the word ‘obese’ on my chart was a bit of an eye-opener. Obese means unhealthily overweight. Not a thing was said about this. Having diabetes puts me at a higher risk for all sorts of things and being what they call obese cannot be good, so I would think that would be addressed. It was pointed out to me that perhaps the doc figured I had enough going on (with the diabetes & depression) so didn’t think it was a good idea to bring up my weight and that maybe I was looking for someone to tell what I already knew. She may be right.

I suppose I can do one of 2 things: waste energy on being upset about something I already know (that I need to drop more than a few pounds) or I can do something about it. I’m going with the latter. Today will make 3 days in a row of walking at lunch time for me – GO ME!

Small steps, one day at a time.