Thank you for the drug ladder!!! This is exactly what I was trying to say to my Endo, but I just didn’t have the right words to express what I meant.
I wanted to know where do I go from here, if it’s not working & he forgot who I was, during the conversation (which took place about a week after my visit) and referred to my A1c, not seeing my issue.
Granted, 5.5% is something I’ve been trying to attain for the last 4 years, however, I am now also anemic, due to his wait and see attitude. When my ferritin was low, he ordered a serum iron, when that came back normal, he decided to wait and see. His decision to treat conservatively, now has me squarely iron deficient anemic.
The kicker is that he wants me to see his buddy, the Gastroenterologist to investigate the possibility of a ‘microscopic bleed’. I would’ve followed through with that, however, I have 6 intramural fibroids, so I KNOW where the extra demand for iron is coming from.
I’m an ‘Occham’s razor’ kind of girl, so this is where my resistance on that front is. By the same line of thinking, since the combination of increased activity, and dose of met is improving, I’m also closer in my line of thinking, to T2 insulin resistance than T1.5.
Jack 16: Will absolutely study the drug ladder, as I expect the possibility of change of course might very well come to pass at some point.
Terry: right!!! I was amazed at that standard deviation yesterday as well, then, I went to the gym, it was leg day. My bg shot up to 140mg/dl about 1 hour after, but dropped down to 110 mg/dl by 2 hour mark. Brought SD to 11, but still. THIS I can totally handle
George44: I will have a further look at the efficacy of Metformin, as I am at the tail end of that road…will update when labs come back & would appreciate any insight you may have to offer. Also, the Abbott Libre Pro is a great idea. Will put that in my pocket for further review to discuss with endo. He does this funny dismissive almost imperceptible eye roll, when I mention the numbers I’m seeing. His nursing assistant did the same thing when I mentioned I check my blood pressure periodically. She actually curled her lip and asked WHY?
Uff_da: <<< (the sound I try NOT to make in public when rising from a seated position)
Endo wanted to put me on regular Met 500mg 4 tabs daily, but my Express Scripts already shipped the Osmotic formula. I admit I was worried about tolerating the regular Met & regretted agreeing to it. I’m hopeful that when my endo sees the progress I’m making (hopefully it continues) that by that time, we’ll be able to figure something out, making the cost more reasonable.
David49: it totally didn’t occur to me to check my BG’s after a workout. It was so ridiculously uneventful previously, it wasn’t even in my wheelhouse. Though like you, it is a temporary rise, I appreciate being able to predict the pattern. I like patterns, there’s comfort in patterns
This is very interesting & I must’ve missed it btw reading on my tablet & phone. Laptop is much better I can follow responses with ease. Can you tell me more about the scale? Since my numbers started creeping up, so had my weight
meee: thank you for your response as well, talking with my endo makes me a little crazy because he’s not forthcoming with why he feels one course is better than another. I am definitely fearful of lows as part of insulin therapy, but for now, will cross that bridge when I get there.
Thank you all for your input. It’s been really helpful to me to be able to work through this with the additional opinions =D