Tuesday, October 23, 2012
I had my annual physical this morning I didn't anticipate it going very well since my Hgb A1C has risen to 10.3 and cholesterol to 105.
I have the most amazing doctor - we worked together on what might be the cause of my high morning blood sugars. His theory is that I may be going way too low and my liver is compensating my throwing more sugar. He suggested that I wear a permanent CGM (continuous glucose monitor) which will show when I am going hypoglycemic. I wore one for 3 days a couple of years ago and it was eye opening. My blood sugar bottoms out during the early morning hours then spikes before dawn (also known as the dawning effect). He also said I may one of those people where Lantus isn't lasting the full 24 hours and that I may be needing less Lantus in the evening and adding a NPH insulin in the morning. I'm all for anything that will lessen the stress of high morning blood sugars and Hgb A1C over 7%. Overall, after my appointment I'm feeling motivated to keep going. He wasn't too concerned about my cholesterol being a little high. He feels that once that diabetes is under control the cholesterol will follow suit.
I feel that part of my high blood sugars is due to my period lasting 2 weeks for the past 5 months. Each month, the pain has been getting worse. This month, I felt like I was back in high school with the pain and nausea. I have a pelvic ultrasound tomorrow afternoon and see Dr. Carlyle following the ultrasound. He will then decide which is a better route to go - endometrial ablation or hysterectomy. Been doing some reading on both the ablation and hysterectomy. The ablation may need to be repeated more than once and some other organs can easily be damaged in the process. Although the hysterectomy is more invasive, our hospital has the da vinci surgery system which can do a hysterectomy with only 7 small incisions. If I have a choice, I think I will choose the hysterectomy over the ablation - but tomorrow I should know more.
After I finish a few orders, Kira and I need to walk. We'll probably only do 1.5 miles today instead of 2 miles.