I've been thinking a lot about my upcoming appointment with the Doc. Actually NP. It's been over a year since I've seen the actual Dr. I HATE switching Dr.s. I think this is like my 2nd yr. with her. My A1C was 7.1 and the NP said..close enough. What? I know I'm not gonna have perfect readings, but they could definitely be better. I'm tired of her looking at my journal and freaking out over a few lows. I highlight my highs and lows and my journal has way more orange (color for my highs) than blue. I cant work, dont drive much so I'm a perfect patient for trying new things. I've been thinking about the Victoza or Symlin. I'll see what the new year brings
Reminds me of my endo. He looks at my records and freaks out over all the lows but doesn't seem to mind the highs. He actually told me at my last appointment that a 7.3 A1c was "perfect" for me because if it's lower there are too many lows and avoiding lows was the "main goal" of treatment! I honestly wonder if he's had a patient die from hypoglycemia or something because he's so fixated on avoiding lows.
I wish I was organized enough to do a "journal" and highlight it like that. I used to fax reports to my doc but I finally *punted* and gave them my id/ password and figured they can just get it themselves. I think that docs always fuss about lows that I'm sort of yeah, whatever about? It's like they don't have much else to say.
Doctors over react to lows because they could be liable for lows. Yep, they are more concerned with potential immediate risks than the ultimate outcome of complications from highs. After all, everyone assumes diabetics will get complications & we'll most probably have changed doctors several times before this happens. Damage from highs is cumulative.
Of course, the goal is not super highs or super lows, but do they guide us how to get there? Sadly, not usually. They say we're doing fine, when we're not. Or, chastise patients without providing help.
I'm not looking for praise from my doctor (sure don't want to get grief either). I set my goals & can't stand that "good enough" attitude.
..