Working with the Nurse Practitioner- or Having a Nurse Practitioner work with you!
Wednesday, April 06, 2016
I saw my nurse practitioner today. I really like her. I have been having problems controlling my blood sugar level for months. We talked about some plans that I could do to help. First plan, increase my long acting insulin at night and not doing anything with my fast acting insulin. I explained my yesterday eating, numbers, and actions. Basically after lunch my blood sugar was at 243 so I did something I never do, I took 10 units instead of my prescribed 5 because I needed it down and didn't understand why it was so high. This lead to a discussion about how I have cut out cereal, fruit, and others items completely from my diet. She then talked about plan 2 which would be carb counting and me figuring out how much fast acting insulin to take based on what I was going to eat. I was not comfortable with that. I suggested plan 3 - increase the meal time insulin as well as the long acting insulin and track for a couple weeks. I do what to do if blood sugar goes too low and can always decrease insulin if necessary. So that is what we are going to do. I have been diabetic for 21 years now and most likely do not produce any insulin on my own anymore. I am lucky in that I show no signs of diabetic complications! I want to keep it that way.
Oh and I have another upper respiratory thing going on. She put me on an inhaler to help my lungs inflate better. Right now I am barely moving air from the sounds of it.
All in all, I count today as a good day.