14/10/2022

Finally Saw An Endo

 I finally saw the endocrinologist after two cancelled appointments and a postponement. My first time seeing an endocrinologist even though I was diagnosed with diabetes at the end of 2018. I was in the hospital an hour. I got weighed in the waiting area at the outpatients by a nurse - 82kg with shoes on and stuff in my pockets. When I eventually got called by the endo the whole thing felt rushed and going through the motions. I had questions I wanted to ask and have a proper discussion about my diabetes but I never got a chance because the whole thing was so rushed I never thought of it. It's nothing like the care I get from my diabetes nurse and she has multiple patients as well. He looked at my notes, asked me a few typical questions, took my blood pressure, examined my tummy where I do most injections and checked my feet. He said my HbA1c was in the sixties when I asked him about my blood tests but didn't tell me much else apart from saying my thyroid reading was ok when he saw I had overactive thyroid in my teens on my record. Overall I found it to be a disappointing experience. He cancelled on me twice and postponed the appointment that ended up taking only about ten minutes. For perspective, I was in with a rheumatologist during covid restrictions and I had a more thorough examination and a good conversation about possible issues even though he found no conditions that he would specialise in from his examination of me. So I don't get why a 10 minute going through the motions that was going to be rushed anyway had to be cancelled! Just a note that in Ireland we do mmol/mol and not % for HbA1c, for anyone in % land.

On a different note, I checked myself a while after a junk food supper (always gluten free) and my meter said 7.6mmol/l. My sensor said 7.1 and steady, not rising or falling. The reason I checked again after eating was because I expected to need an insulin top up because of what I ate. But there was no point in topping up and risking a low with those readings. When I'm testing before taking my long acting insulin it might still be high as the supper time insulin wears off. But I probably won't top up because the long acting should bring it down a bit overnight. I find that if I top up too close to my long acting, only the fast acting will be effective so my reading might not come down as much sometimes. That's my own personal experience anyway.


Sensor Issues

My prescription only allows me 2 sensors per month but each one lasts 2 weeks, which covers the whole of February but not every ...