The last endo I had, I was blessed because she was a type 1 too and actually knew what the numbers meant. She only looked for patterns and give suggestions sometimes and never tried to change anything. She would say I was doing well and my A1C was 6.4, she acknowledge I had the morning spike and I was adjusting for it and the drop at night that maybe I needed an dexcom with an alarm instead of the Libre in case I ever dropped too much.
New endo, she’s really nice, but I had quite a few drops because of an injury as I had stopped eating much, and ended up losing 10 pounds. I was constantly changing settings downward to figure out what was the new right levels. By the visit I had stopped most of the drops.
I brought her copies of everything because I was pretty certain she might not be able to download the data and handed over my PDM and CGM when requested for her to look at.
After looking at it a few minutes she thought I should lower my insulin to carb ratio in the early afternoon ( I have about 6 different IC ratios on it) and started to change it! Nooooo! I immediately spoke up and said please let me do any changes I want to know what’s been done or being done on as it controls my life!
She immediately handed it back to me and said she understood. But I was taken aback that she would even try??? That they think that you don’t change things constantly sometimes and they just look at it for a few minutes and think they know??? I’ve heard of endos changing all sorts of data on people and I remember being surprised about that.
That if I go to the dentist I have to adjust insulin for it, that if I walk around the block I have to adjust insulin for it, that if I have a pattern of lows I am adjusting for it. That my Libre sensor is sometimes off by 20-30 points so when it says 65 I’m not really or I would adjust for it!!!
There must be people out there that don’t adjust when needed??? I guess? Because they got the habit to change it for people from somewhere. But I’m hoping at the second visit she’s made a note and doesn’t even try!