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Friday, July 20, 2018

I had my annual wellness exam with my primary care doctor yesterday. It went well. My A1c is good. No obvious signs of infection. She did a thorough scan of my face and arms for signs of skin cancer, and said everything she saw was benign, though there was obvious sun damage from the sunburns I have gotten in the past. (Ah the curse of being very fair-skinned...). Even my blood pressure was pretty textbook. I will take it. The only thing that bugged me at first was that my weight was slightly elevated... but then I remembered that the NP I saw the one time said their scale runs about 5 pounds high for some reason. If that’s still true then I am still within my maintenance range. My downstairs neighbors have gone quiet. Which is lovely. But I am now firmly entrenched in the habit of getting up around 3 or 4 in the morning from a year of their noise at that time. Turns out that a year of creating a habit takes a long time to counteract... especially since I am not necessarily sure if I want to change that habit! I have found that getting out and running or walking in the quiet and dark of the very early morning hours is very calming and starts my day on a positive note. If I go out at 3 or 4 in the morning (and yes, the village police officers on patrol keep an eye out for me and the couple others I see out running) the Cooper-dog sleeps through my absence for the most part. I doubt he notices I am gone normally! And then I can catch a shower while my coffee is brewing, and watch the sunrise while I savor that first cup. Yum. Oh, and I saw the Registered Dietitian (who is also a Diabetes educator). We set up some macro nutrients targets, and we will see if my glucose levels even out with these different levels. I see her again in a couple of weeks to see how this experiment worked out, and to reassess. She was mostly concerned with my carb intake ( which admittedly was fairly low) and said that my glucose lows seemed to come primarily in the afternoon and evening lately, so she was wondering if I simply am running out of glycogen stores by the end of most days. I can see the logic. I am very active, especially compared to seven years ago (but not nearly as active as 3 years ago...) and walk an average of 8-9 miles a day for three quarters of the year... (it drops in the Winter), and I am active with non-exercise stuff a good portion of the rest of the day. ... and I had a birthday about 10 days ago... normally I cry every year on my birthday. No reason for it. I just do. This year I lost track of what day of the week it was, so I didn’t really realize it was my birthday until the next day! No tears... because it wasn’t my birthday anymore! Problem solved. lol. I have noticed that what they call “brain fog”, which is a common symptom of lupus, is definitely becoming a part of my life. I have always been a little “flaky”... but it has gotten to the point where I have to adapt to it to function. Let’s just say that lists and sticky notes have become my best friends... it just is what it is... I have a lot to be grateful for... I am mobile... I have resources at my disposal to assist me when things get difficult or overwhelming... I have the Cooper-dog to snuggle with... my family is still pretty close... I have good friends... I have a roof over my head... food to eat... clean water to drink... and the list goes on...
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