I realized that I never hit publish on this post. This appointment actually took place in March or early April. We’ve already had another appointment. Come back next week to find out how it went.
We had our endocrinologist appointment today, which we have three times a year.
Our last appointment occurred only a month after we began the pump and her A1c hadn’t budged much.
For this visit I was expecting a gold star for a much, much improved A1c.
I thought for sure that if we hadn’t reached our goal of getting below 8%, then we were certainly honing in on it.
I was incredibly surprised to hear our A1c given our BG average for March was 167, which is in our target range of 100-200.
An average BG of 167 should yield an A1c of 7.4 %.
We were not. even. close.
No. Our A1c was the equivalent of an average BG of 200!
She asked where we think we can improve. I told her that we are by-the-book and I didn’t really see what more we could be doing.
Maybe we could start counting carbs? (We count carbs religiously.)
Maybe we could start weighing and measuring instead of guessing? (We weigh and/or measure everything.)
I could not come up with a single thing that I should be doing that I am not. She said even someone with an A1c under 6 can find some area that they could do a little better.
That A1c is just perplexing. She suggested that there must be some times that we are high that our regular BG checks are not catching.
Maybe highs during the night? Though she is waking up in range most mornings.
Maybe insulin isn’t acting quickly enough after meals even though she’s back in range by the next meal?
She had two suggestions that may act as a diagnostic.
First, we can check BG’s more frequently for a week or two to see if we can catch where she’s going high. She said, “Some people check 10 times a day. But really, you have to have a life.”
Second, she told us about the iPro CGM. According to Medtronic’s site, “CGM technology reveals key clinical insights not apparent with fingerstick and A1c testing alone.”
Looks like us grown-ups are in for a few sleepless nights and a certain little lady is going to have sore fingers!
Here is an Average Glucose Calculator, if you are ever curious.