HollyKing's Journal

Four month follow-up appointment today. My ABCs are:

• A1C: 9.7% (last: 10.0% goal: < 7.0%)
• Blood Pressure: 130/80 (last: 130/90 goal: < 130/80)
• Cholesterol: LDL 112 HDL 36 CL/HDL 5.6 (last: LDL 92 HDL 39 goal: LDL < 100 HDL > 40)

Blood pressure is just on the border of good. As always exercise. Maybe swimming. The main thing that stops me from walking is how easy it is to tweak my ankle so it feels like someone is jabbing a knife into me.

LDL is up a bit but not too far outside the healthy range. HDL is still low and lower than last time. I need to research ways to improve that reading. My triglyceride level was still way to high but half what is has been in the past. My Dr. General says that's the best we can do with medication without getting into drugs that have bad interactions. As usual, diet and exercise.

My A1C is going in the right direction we're not done yet. Still adjusting the amount of insulin I take each day and maybe adding some quick acting insulin before meals. I've scheduled an appointment with Dr. Endo and will work with him to get my test results in line. Dr. General is a great doctor but he admitted to not knowing the latest about diabetes treatments and agreed that going back to Dr. Endo was a good idea. One of the many reasons I like this doctor.

Based on my own research Dr. General tested my Vitamin D and B12 levels. I'm a little low on D but B12 is right on the money. No shots for D or prescriptions. Just pick up some over the counter D and take 2,000 units per day.

I also asked for a referral to a nutritionist to get a good idea of what I should be eating. I saw one years ago but have forgotten most of what they told me. Time to go back to class, as it were.

With the questions I had and the changes in insurance the nurse and I forgot about measuring my weight. I think it’s down but I can’t be sure with my scale. I guess I should start weighing myself and making sure I don’t gain a lot because of the insulin.

I visited my doctor for the first time in far too long. Some good, some bad but at least he's decent and doesn't beat me up too much when I'm bad. So here are the results for my tracking.

First the Diabetic ABCs:

• A1C: 10.7 (bad, should be 7 or less)
• Blood Pressure: 130/80 (without medication!!!)
• Cholesterol: LDL: 100 (high end of normal) HDL: 32 (bad, should be at least 40)

My weight was 267.8 which is four pounds higher than my last visit. Still down a total of 16 pounds so I'm going to keep that in the win column. The real good news is my blood pressure. It was really high a year ago so I was taking medication for it. I haven't taken any of my medication for months and my pressure was fine. That's one less pill I should be taking. The doctor refilled the medications I should be taking, which are Byetta, Metformin, Lisinopril and an aspirin.

I need to be better about taking my medication. You all have permission to ask if I've taken my medication.