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visit with the endocrinologist

Youngest daughter’s appointment was today. She’s 5’4″ now, the same height as my mom and two inches shorter than me.

Her A1C was not so good this time. The A1C is a number obtained from a blood test that shows what the average blood sugar level has been for the past 2-3 months. The American Diabetes Association recommends that the A1C stay below 7 to avoid developing complications. Daughter’s A1C today was 13.5. Scary, huh? When translated to blood glucose levels, that means her average has been around 300.

We came up with a plan of action, changed daughter’s basal rate (the amount of insulin her pump gives her each hour) between the hours of 2:00 pm and midnight since that seems to be the time she has the most trouble with high blood sugar levels. We discussed changing food to insulin ratios (the amount of insulin she gets each time she consumes carbohydrates) and talked about more changes that we can make if today’s change doesn’t work. We’ll go back in 2 months and call before that if things aren’t going well.

Daughter’s blood sugar was 156 before dinner. YIPPEE! Much better already.

This big blue crayon stands outside the hospital where our diabetes care team’s offices are located.

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5 Responses

  1. That’s great! I’m glad you have a plan. : ) Bless her little heart!!

  2. That is good! You and she are in my thoughts.

  3. Glad things are better. I meant to ask you when you posted about the appt if she came to Children’s. That’s where I work – would have been glad to see you! I have a friend who works in the endocrinology Dept. What doctor do you see? Maybe next time you come up, if you have time, you’d let me buy you lunch!
    annb

  4. I didn’t realize you work there. I knew you were somewhere down there, but I wasn’t sure which hospital. I love when I figure out things like that. 🙂

  5. Have you looked into using a CGM, even for a few days? The amount of information you get is amazing. It can really surprise you what’s happening to blood glucose when you’re not looking.

    That is when you’re not taking a finger stick every 20 minutes or so!

    Maybe the endo you’re working with can get you a loaner.

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