xMenace
06-20-2007, 06:41 AM
Saw my Endo this morning.
-A1C was 6.1, best yet, yay.
-I told him I was going to get sub-6, but he said I was near pefect. 5.9 is normal for non-D's. Sorry doc, mid 5's is still my goal.
-I showed him my work at graphing my physiological profiles and described my treatments for post prandial highs. He was very impressed and said I was a step ahead of him. His opinion is that pre-bolusing and low GI is good, but the most effective way to handle breakfast for D's with big DPs like mine is to cut back the carb intake, which was my conclusion too. He said not to quote him, so I will: "there's nothing wrong with skipping breakfast entirely."
-I showed him a graph of a first meal of the day phenomenon - skip breakfast and watch lunchtime numbers soar. He could not explain the phenomenon. I told him it happens 100% of the time. When I skip breakfast I up my lunch bolus to 2.5 times normal, and it works. That's what I do, so suck on it! He just shook his head ;)
-We agreed exercise is deficient. It's my number one goal now.
-We talked about CGMS's. He said the fastest way to get a phone slammed into your ear is to mention one to an insurance company. But, he said, it's really the subscribers who make the decision. So, I've decided to start focussing on subscribers. My own company is one of the biggest in the province, so they are first. Watch out buttons; be ready to be pushed!
-I saw my pharmacist at the DE clinic when I stopped by. We talked about a few things, but the CGMS was primary. They are considering getting one to rent out. He also said there are now multi-use protocols in place, whatever that means. My idea was to see if my company might buy one and lend it out to us D's to work on our profiles. It doesn't help the middle-of-the-night crashers, but it is an interesting compromise.
-A1C was 6.1, best yet, yay.
-I told him I was going to get sub-6, but he said I was near pefect. 5.9 is normal for non-D's. Sorry doc, mid 5's is still my goal.
-I showed him my work at graphing my physiological profiles and described my treatments for post prandial highs. He was very impressed and said I was a step ahead of him. His opinion is that pre-bolusing and low GI is good, but the most effective way to handle breakfast for D's with big DPs like mine is to cut back the carb intake, which was my conclusion too. He said not to quote him, so I will: "there's nothing wrong with skipping breakfast entirely."
-I showed him a graph of a first meal of the day phenomenon - skip breakfast and watch lunchtime numbers soar. He could not explain the phenomenon. I told him it happens 100% of the time. When I skip breakfast I up my lunch bolus to 2.5 times normal, and it works. That's what I do, so suck on it! He just shook his head ;)
-We agreed exercise is deficient. It's my number one goal now.
-We talked about CGMS's. He said the fastest way to get a phone slammed into your ear is to mention one to an insurance company. But, he said, it's really the subscribers who make the decision. So, I've decided to start focussing on subscribers. My own company is one of the biggest in the province, so they are first. Watch out buttons; be ready to be pushed!
-I saw my pharmacist at the DE clinic when I stopped by. We talked about a few things, but the CGMS was primary. They are considering getting one to rent out. He also said there are now multi-use protocols in place, whatever that means. My idea was to see if my company might buy one and lend it out to us D's to work on our profiles. It doesn't help the middle-of-the-night crashers, but it is an interesting compromise.