The past year and change of life with Hal Jordan has brought an interesting perspective on endocrinologist appointments. Rather than dread the A1c, I dread the traffic I must sit through on my way back to work. Rather than walking into the office guns blazing, I have one ear fixated on whatever episode of the Ricky Gervais show is playing on my iPod. While the true value of my particular endocrinologist is subject to debate, I still respect the fact that his business card says Doctor and if properly posed my questions will receive sufficient answers.
My next appointment is in two days (Wednesday for those of you reading in the future, about the past). It’s not that I don’t care about my A1c, but I’m more interested in what I can do after I walk out with a fancy stack of prescriptions, particularly with my Dexcom sensors.
Since I joined forces with Hal Jordan, I have been using the default alarms of 200 mg/dL for high blood glucose and 80 mg/dL for low. With these thresholds I have achieved superb control. It’s great, but I have a feeling I can do better.
I’m going to spend the next 3ish months, roughly the time between endocrinologist appointments with a high threshold of 180 mg/dL. If successful, I don’t think this will lower my A1c but it should bring more subtle improvements to my diabetes management.
I will be more vigilant about chasing down highs. I will need to be more aware of what foods are doing to my blood glucose. This should, in theory, improve my insulin usage. Add in a hopefully steady work out routine and I just might be a model diabetic. Or at least a more consistent one.
If this works, I’ll try another 3 months at 180. If that works, I’ll probably just leave things as they are and focus my efforts on another aspect of my management that needs fine tuning. It’s not like diabetes is going anywhere.