Friday, September 11, 2015

Labs

I saw the doctor on Wednesday. My endocrinologist is out of the HMO network. I told her that in that case, for now I'm not going to see an endocrinologist.

I asked for an A1c and a vitamin B12 level.
The A1c is 6.8%; for me that's neither great nor terrible, a little higher than I've averaged over the years but well within my range.
The vitamin B12 level, unexpectedly, was 1115 pg/mL. The normal range for that lab goes from 211 to 911. The last time I had it measured was about five years ago, at which time it was about 400. I am a vegan- have been since January 2000- and don't take any B12 supplements, so how the heck my level came back that high, I have no idea. Vitamin B12 is found in some plant sources but is thought to be difficult to digest from those sources. I do drink soymilk and eat cereals with B12 added, but that shouldn't make that big of an impact, aside from which I haven't had any soymilk in about a month due to the cost.

The doctor feels that both of my results are great and nothing to worry about.
Personally, I wonder if it's related to my polycythemia.

Tuesday, September 01, 2015

9 years

Today marks nine years on exogenous insulin. In this ninth year that insulin gave me, I worked full time, bought a two bedroom condo (about 70% with money earned in the last nine years and 30% a loan from my mother), and made a lot of progress towards foster home licensure (I should be licensed around January).

On Wednesday night I went to bed with a blood sugar of 162. I woke up at 3:45 Thursday morning with the suspicion that I'd forgotten Lantus. My meter said 433. I took 10 units of Regular. When I got up at 6 am, I was down to 350; I took 8 more units, and called in to say I'd be a couple hours late to work, if it was alright. It was. I took a bath and put on the pump.
On Friday Edgepark called and told me that they had the paperwork and could ship my sensors if I wanted them. I said YES. They were there when I returned from prayers Monday morning.
So today I'm wearing two medical devices whereas last week I was wearing 0.

Wearing a Dexcom is a pleasure, as always (except when it alarms too much).
Wearing the pump has been unexpectedly pleasant. Starting it knowing it's short term and already having a good basal profile makes a difference.

This past year, I've spent 20% of the time on NPH, 16% on Lantus, and 64% pumping. I spent about 65% CGMing with SofSensors and about 25% using DexG4, with about 10% of the year not CGMing. Novolin R was the only bolus insulin I used. My A1c was measured only once this year, at 6.9%  although I intend to have it measured on September 9th.

Looking at last year's post on 8 years on insulin, I have the following updates:
My feet have been swollen for between 14 and 15 months now.  They are typically sore, but not excruciatingly so. I can't walk fast or run or take long walks (more than two miles at a stretch). I have made a lot of life changes in order to be on my feet less.  However, I am still on my feet a lot of the time.
Last year I was hoping to be licensed around February 2015. Haha. Right now I'm shooting for January/February 2016.
My oldest brother is in fact married; his wife is eight months pregnant. I'm going to be an uncle!
I have a computer but no home internet access.