Well, Friday Jessi had her 3 month check up. The ones she hates. She doesn't like them and doesn't really pay attention, although this time she didn't make intentional distractions. I have to encourage her to talk to the Doctor, who's really nice and only concerned for her health, but she's aware it's the time she has to give blood and be bored while listening to all the stuff she'd rather not have to listen to.
I don't blame her, I'd rather not be there either. I don't really like the appoinments myself because they are like my report card as well.
This time my "grades" went down.
Last Novemeber Jessi had an A1C of 8.2......which is good considering we're usually in a holding pattern of the high 8's. It was attributed to being on the pump 2 1/2 months, and I'd heard the pump helps A1C's to be lower. Great, on to the next appointment, more time on the pump.....come on 7's!!!
Ummm.......nope. This A1C was 8.7...........SIGH.
This really sucks! March 1st will be 7....yes 7 years Jessi's living with Diabetes. You'd think that by now I would get it........really get it. Yes, a child has to live, so we don't really restrict her from too many foods, but we don't over do it either. (According to that A1C we do overdo it.) I know we do at times.....and at times I'm really good about the control of it. But it's not good enough. The Dr. tries to be nice and says it's ok, you're doing the best you can and a person has to live and all the cushy things to keep my morale up, but in truth.....I suck.
I'm tired of not being "on my game", so I'm pissed off enough to get these changes in motion. I can't let this go on any more. I'd like to blame this disease and say it's a challenge (which it is) but I know better. I don't want to cause any damage to her organs or future lifespan....ultimately it's not my decision how long her life is, but I'm being allowed to help and I'm falling short! Not anymore! (What does that say about me having to be mad to do something?)
The Dr. did make some changes in how much is delivered at certain times during the day/night and changed the Insulin On Board count down to 3 hours from 4, so there's more insulin being delivered more often. So far I am seeing changes through the night with not having to correct while she's sleeping...nice. Now I'm on to better eating and running a tighter ship. Not to mention uploading the ezManager program into the computer and figuring that out to help me manage better.
All this while celebrating the monumental step into teenagedom! There's cake in the house! Oh, and did I mention there's officially a teenager in the house....right now 11:26 am!!! Well, she will be in the house after school. As for that cake.....I'm sure I'll be adding it to my hips/butt! I do have to keep it away from the kids, it's unhealthy!
Monday, February 09, 2009
Dr.'s Visit
That's my story and I'm stickin' to it! :) Tracie at 10:34 AM
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2 Comments:
Hang in there, Sista! Don't give up!!! Is she alive? Well, then...it looks like you're doing something RIGHT :)
It took me 2+ years to get an A1c under 8 in Addy...and, guess what...her A1c 2 visits after she started pumping was 8.9!!!! I've managed to keep her in the 7's for almost a year...not that you haven't already been doing everything right, but here's what did the trick for us...
1) PRE BOLUS by 15 minutes prior to meals & snacks (30 min if she's already high) - I can't say enough about how much this has made a difference in Addy's numbers. If we overshoot the insulin, she makes it up with juice. On the other hand, if we figure out that we've under dosed her, we get the insulin going right away.
2) I lowered her targets. She was 180/days and 200/nights. Now she's 150 around the clock. In hopes of keeping her under 7.5, I'm considering dropping her to 130...but I haven't mustered up the guts yet.
3) Increased vigilance at night. She gets checked AT LEAST twice a night...I correct her for anything over 180 -- then recheck in 2 hours...lather, rinse, repeat. With 2 other very young children who aren't good sleepers themselves, this makes for A VERY TIRED MAMA. Sometimes I get grouchy, but I try really hard not to let it get the best of me.
I know everyone is different, but these are the three things that I truly believe made the difference in Addy's numbers.
We go on Thursday.
Pray for us.
Oh, and keep your chin up!
Thanks Wendy! I have a hard time adjusting things on my own, I guess I still think the Dr. knows best....until I get the pump thing down (it's been only 7 months) then I could adjust like I did the shots, or give it a shot! (pun intended) We are a high carb diet family.....the word diet is a joke here, we need to work on that!
I know what needs to be done, I just get so frustrated at myself, but I'm not giving up.
I hand it to you, Diabetes and Celiac, not to mention little ones.....how do YOU do it?!!!
Prayers said for you guys!
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