Saturday, October 22, 2011

Update that should to be triumphant

I got a new Dexcom system- I'm happy to say they included a box of sensors with it. Unfortunately, the down button is sluggish, but otherwise it is working well.

I had an endo visit on Wednesday. My A1c is 6.1%. They've moved the upper limit of normal down to 5.6% (guidelines in the past few years have decided that upper 5s are pre-diabetic). Here's a graph of my A1c history:


My weight came in at 100 lb exactly, which is higher than I've seen it in a while (that's a good thing). I got a prescription for a higher dose of Regular, which will let me go off of the Novolog. My pulse was 80 (probably the excitement of the visit) and my blood pressure was was 107/80.
The A1c is like I said above, 6.1%. That's the lowest I've ever seen it although to be honest there was a little part of me that was hoping for lower.
The endo must have forgotten to tell me my blood sugar, 'cause he said that would be in the blood draw, and I did a check right then to compare. He drew for blood chemistries and they were mostly normal- normal creatinine, BUN, nitrogen, potassium, sodium, hemoglobin, ast, alt, bilirubin.
My cholesterol level were on the low side- they always are. The total cholesterol was 103, LDL was 52 and HDL was 41. I'm not sure if I should be concerned about the HDL, but my feeling is that I'm already active, a nonsmoker, and skinny, and my blood sugar is as good as I can get it so there's not much more I can do.
My serum calcium level is slightly elevated: 10.5 with a normal range of 8.7 to 10.2. I told the endo I thought this might be the case and he pooh-poohed me and now that he's saying not to worry about it I'm not reassured. I feel reasonably certain that, in combination with the elevated prolactin and vitamin D levels from May, this is evidence of disease. Probably sarcoidosis. From what reading I've done, it doesn't seem to me that a serum calcium level of 10.5 in a 23 year old man (22 at the time of the blood draw... ;-)) is at all normal.

So even though I feel like the 6.1 should be something to celebrate, especially since I'm feeling pretty good physically, I'm really pretty bummed about the calcium level (and I have a conflicting urge for and against saying "TOLD YOU SO" to the endo).

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