16/08/2022

Latest Diabetes Nurse Appointment

 I had my latest nurse appointment. The patient in before me, who looked to be a similar age to myself, sounded like he was only getting blood strips for ketones for the first time because it appeared from overhearing their conversation that he wasn't aware of the strips or when to test for them, what readings are normal and what to do if they're not normal. 
Anyway, my blood pressure was normal. I probably could have taken an extra unit with breakfast this morning because my blood sugar read 10.1mmol/l at my appointment. We discussed why I feel NovoRapid is better than Fiasp for me. My weight is down half a kilo from my dietitian appointment earlier this year. I'm 82.2kg now. She did the quick finger pick Hba1c test that came back as 68 which is unchanged from my previous blood test hba1c. But she noted that the predicted hba1c from my freestyle libre readings for the last 2 weeks is lower which means it's coming down. I think she said the target is between 53 and 58, I forget. 
She said my blood pressure is normal so I'm happy with that. She did my feet test with a poker and tuning fork and everything was normal. She said there used to be plenty of diabetics who had nerve issues in the feet after years of diabetes but that if I look after myself I might never have any issues there.
She ordered blood tests but said to wait until 2 weeks before my endocrinologist appointment in october to do them so the results will be fresh for that appointment. 
I asked her questions at the end and she answered them for me. First of all she said it's OK to occasionally have two large meals in the day instead of three but not to do it regularly and that a dietitian wouldn't recommend it at all. Another question I asked was about if I needed to snack every time I top up between meals. Basically if I have a top up about an hour before a meal I should take a small dose so there's no need to snack and to allow for the fact that the NovoRapid already taken is working in the body at meal time so allow for the insulin already in me when calculating a meal dose. I also asked if a site was damp due to sweat would it affect my insulin dose. She said it shouldn't. 
I like those appointments because it feels like the only time I'm getting actual physical medical care for this horrendous curse of a disease. They're great for my mental health too because there were times when that would be the only friendly interaction with people I'd have for days if not weeks.
Oh yeah! She gave me a chart print out from her computer of my libre readings too so I can process the data myself. That's it in the photo. I didn't even ask for it, she just gave it to me, which is great.

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