Joslin: I'm So There.
I'm driving my little Honda up to Boston today for my endocrinologist appointment. I spent part of last night printing my blood sugar logs from the end of March and the bulk of April (I have been keeping up with The Log Book, as promised - many blue stars on my chart). I noticed that while I've been feeling like my control has been relatively good, I've had some zinger highs and a few trenches in the last 90 days.
For whatever reason, I'm not dreading this appointment. Oddly enough, I'm looking forward to spending the day in Boston, even if I will be at a hospital for much of the day. Going to Joslin forces my brain to realign, and it always makes me feel hopeful. I've been a patient there for over twenty two years, and it feels oddly like home.
They'll take an A1C, and I hope it's finally ringing in at NHB Range. But my doctor has expressed more interest in having my numbers stable, instead of "good" as a result of averaged highs and lows. She'd rather see me holding strong at a 140 mg/d as opposed to pinging from 300 mg/dl to 40 mg/dl.
I'm not sure how I feel about an A1C result being the definitive measure of my diabetes control. (Apparently Lindsey at Blogabetes has had the same thoughts.) Is this a state of mind I've decided upon as a result of a result over 7%? People talk about the estimated average glucose (here is a dizzying article including lots of math and here is an online calculator that keeps the math hidden where it belongs), but is it a true indicator of how I'm running? And what is this fructosamine test I keep reading about? What is the best way to tell if my body is healthy?
I'll have these tests today and I'll run through my list of questions (including, but not limited to, what can I do about this relentless tendonitis, is my blood pressure well-controlled enough for pregnancy, and do I really need to cut out ALL the coffee from my diet as I move forward here?) I feel like I'm in excellent hands at Joslin, and I'm ready for whatever today has to throw at me.
(In the meantime, this had me mesmerized for quite some time yesterday. I wanted to dive into the middle of that couch and snuggle every last one of those furry messes.)