I got a referral to a new endocrinologist because I moved across the city. It's kind of crazy, but this is only the third endocrinologist I've had in 21 years of diabetes! Maybe he will be able to help me make sense of things ... The endo I originally got referred to (on the recommendation of Nel here on TuDiabetes) was not taking new patients, so I got referred to another one. I have to call today and make an appointment.
Hopefully he can help me get my numbers where I want them. I am looking so forward to having a fresh perspective! My numbers drive me crazy. The fact that I have to change my pump settings SOOOO drastically sometimes drives me crazy. I keep my schedule/food/activity nearly identical and still have such drastic changes.
I was using a ratio of 1:12 and ISF of 2.4 and a basal rate of about 22u a week ago and still having lows almost daily. Then I started going crazy high constantly like no numbers below 11-12 and spikes to 15-19 after meals and even waking up in the morning at 16-18 ... So I put everything up until I am now taking a ratio of 1:8, ISF 1.6, basal of 29u, still having problems with highs if I eat anything with carbohydrates ...
Then yesterday after dinner I was suddenly 2.8 (with 2.5u IOB!), so treated that and so on, went to bed with a blood sugar of 7.6. Woke up at 3:00 (had set alarm, knowing "The Drop" was probably starting) and was 13.5! Don't know if it was a rebound or what, don't think I over-treated ... Corrected that, this morning I was 7.6, bolused for breakfast. Now after breakfast I am 2.6! Looks like I'll start cutting back drastically later today ...
My old endo seemed to have no idea what to do with me. He could never give me any advice other than just keep doing what I'm doing. He seemed satisfied if I could keep 50% of my readings in range and said my A1c for the past 1.5 years of 7.3-7.6 was perfect for me. Maybe he wasn't really satisfied, he just didn't know what else to do, but it made me feel like going to see him was pointless. I would like someone who is actually interested in getting into problem solving and helping me make the few days I sometimes get where I can actually stay between 4-10 last a majority of the time instead of just a few random days here and there.
Also, I got an A1c done again as part of the bloodwork the new endo wanted, even though I'd just gotten an A1c done a month ago. A month ago it was 7.5%, and now it's 7.3%. I know it may not even be a real drop, but it still made me happy.