I was fortunate that, in spite of being 50, my primary doc diagnosed me as T1. Based on little more than my crazy high A1C, he referred me to an endocrinologist. I underwent the usual tests and was started on MDI immediately. With the help of the wonderful folk on this site, I’ve worked hard to test often, manage my carb ratios and lower my A1C. I eat a moderate carb diet (about 120/day) and am on fairly low doses of insulin (about 15 TDD) split pretty evenly between Lantus and Humalog. (My C-pep test showed that I was still making a bit on my own). My last result was a 5.4 with only a few hypos and even fewer very high numbers. I strive to be between 70 and 120 and am usually pretty close. I don’t beat myself up for higher numbers but, do correct for anything over 160 or so.
The problem: My endo makes is very clear that he thinks I’m obsessing too much. At each appointment he wonders aloud if I’m suffering from anxiety or if I’m letting diabetes “control” me. He claims that most of his other patients worry about highs OR lows, not both. At my last appointment he downloaded my meter and declared that my numbers were “too good” and that my A1C is “too normal”. I assured him that I was living a full life. I work a full-time job, have two young kids and a rock-solid marriage, stay active, eat a wide variety of food and enjoy a glass or two of wine when I want to. At my last appointment my endo told me to relax my ratios. When I pointed out that I’m not having many hypos he said, “I’m not sure you need to manage so closely. Wouldn’t it be nice not to have to someday?” I indulged him and faxed in my log with the predictably higher numbers. No response.
My question to the wise people reading this is, should I simply find an endo who doesn’t make me feel like I’m crazy? Or might he have a point? Am I experiencing tight control because I’m lucky enough to still eke out some insulin? Might I not need as much insulin? Is it possible to inject too much without going low by overworking some other mechanism in my body (alpha cells)?
Thanks in advance for any guidance.