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to the doctor

Day 29

Today was J-Dawg’s J’s 3-month appointment with her endocrinologist. Her A1C was over 14 again.  Ack!

The doctor spoke directly with J., set goals with her, talked to her about why it’s important to learn good habits for her diabetes care now and not wait until she’s older.  J. will see the doctor each month until 90 days have passed and it’s time for her next A1C.  They’ll then evaluate whether J. has improved/met her goals and whether she’ll be able to keep her insulin pump or not.

This month, J’s goals are:

  • Check blood sugar 3 times a day
  • Bolus for every meal/snack
  • Write down blood sugar readings in log book each Sunday afternoon/evening for the previous week’s readings.

J’s basal rate was increased a bit.  We have an updated plan for an increased temporary basal rate for that special week of the month when J’s blood sugar is haywire from hormones, and a plan for how to tweak her basal/bolus rates if her afternoon blood sugars are consistently high (after school snacking).

4 Responses

  1. When I saw the picture, I really thought that she was crying! Honestly, I was really sorry to read what her last A1C test is. That must be horrible on you! That’s one of my fear when Tristan gets olders.

    Do you think that she will meet her goals?

  2. I didn’t think about the photo looking like that when I posted it. She was laughing at me when I took it. We were waiting for the doctor to come in the room.

    I think she will work hard to reach her goals because she and the doctor came up with the goals together. I stayed in the background for most of the visit and let it be about J’s health, J’s goals, J’s learning good habits for her diabetes care. I only spoke up at the end with a question about how the script was written on her insulin prescription and about her temporary basal rates.

    I really am worried about her A1C being so high, because of the effects it can have on her health. It’s been this high a couple of times before…all since she started her period this past May. I know she’ll get it figured out and get control of this. She just has to decide that she wants to gain control and not let diabetes beat her. I think she’s there.

  3. Hi! I got the link to your blog through Julie(moment by moment) and just happened to see about your daughters A1C. I am diabetic also and have been on a pump since 2001. I was diagnosed at 9yrs old(I am 25 now). It is VERY hard to be a teenager and have all your friends eating whatever THEY want, when you, well you just can’t. Quite frankly, it sucks. At that age going to the dr, for me, every 30 days was better for ME because it helped me stay in check, knowing I was going to the dr soon.

    Anyway, good luck to you and your daughter. Having a pump is truelly a blessing! Does she have the pump that also has the blood glucose sensors?

  4. Hi, Amanda!
    Her pump doesn’t have a blood glucose sensor. It wasn’t covered by her insurance when she started pumping.

    It helps me, as her parent, to read about the experiences of others who’ve lived through their teen years with diabetes. Thanks for commenting! 🙂

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