Nothing structured about today’s post.  Totally winging it.

  • I had an endo appointment a week or two ago, and things are holding steady there.  My weight continues to go in the right direction (baby weight is finally gone, working on just getting fitter), my blood pressure was great, my nerve appear to still be nervy, and my A1C is stalled out but stalled in a fine range.
  • That said, I’d like my A1C to be lower. And not because I’m looking at that number as a report card anymore (standard deviation and time in range matter more to me than A1C as the end all, be all), but because I know my A1C will improve if I tighten things up a bit more.
  • I expressed that concern to my endo, who ran through some different scenarios with me. Several were not related to medication, but two were: returning to Victoza or trying out Invokana.
  • I used Victoza several months ago and my experience was GOOD. Numbers evened out, weight dropped, vigor for existence renewed. I loved it, but once I hit certain goals, I decided to phase it out, mostly because my insurance company does not approve it and I was running low on the samples I had received.
  • I’ve never used a SGLT-2 drug before, so I asked a lot of questions on Facebook, looking for feedback from the DOC. Lots of people weighed in with their experiences, ranging from totally delighted with the medication results to OMG do not go near it … and everything in between. I remained on the fence until this morning.
  • What changed?
  • The stomach bug is going around my town. People are puking all over the place. I am paranoid.
  • This matters because using Invokana makes me more susceptible to DKA, and with New England serving up germs buffet-style, this feels like the wrong time to take any risks. I don’t want to be getting to know a new class of drugs and then get hit with the flu, upping my DKA risk exponentially.
  • “But Kerri, you can get the flu anytime of year.”
  • Yes, I know. But flu season makes me very, very paranoid, so I think medication changes (if any) would be made once the season for puking has passed. With a toddler in my house who goes to a petri dish … I mean, daycare a few hours a week and an elementary aged kid also rolling around the house, it seems dumb to take extra risks at the moment. I’m not entirely sure I want to explore the option at all … but I’m grateful that there are options.
  • In the meantime, I’m still managing to exercise every day and that feels good. I’ve gone back to lifting (light weights until I can work up to heavier) and that’s been awesome. I feel more like I used to feel, before getting pregnant again, which is an upgrade from the exhausted, flumpy way I felt for the better part of a year.
  • It’s also been weird to work out while re-watching all the Game of Thrones seasons. Dragons and Lannisters are decent personal record motivators.
  • Let’s see … what else …
  • I have no desire to participate in the 10 Year FB challenge because I don’t trust FB not to use the information to mine my data for facial recognition bullshit. The diabetes online community is amazing and inspiring to me, but the Internet as a whole is getting super fucking weird.
  • I was able to restart a Dexcom G6 sensor last night. For the first time, and I only attempted it because my current sensor is not itchy/scratchy at the moment. (Thank God.)
  • How? I opted to restart without using the code, so that means that I restarted the sensor (enter the “no code” option,) let it run for 15 minutes, stopped it, restarted it again for 10 minutes, stopped it again, then restarted for the two hour warm up.  And then it kicked into gear.
  • I am calibrating because it’s now day 11 of this sensor and I don’t want to leave it to its own devices without being calibrated. It’s also not the worst thing, checking my BG again.
  • And yes, I know it’s not approved for restart. I also know that I had to borrow sensors from a local friend in order to float the end of 2018 because of Dexcom backorder issues, and I need to replenish that friend’s supply.
  • January means new deductibles. This is diabetes. It is not cheap. And sometimes we have to improvise to improve.
  • I think that’s all the diabetes stuff that’s been noodling around in my head.
  • OH!  Except this — the team at Children with Diabetes is looking for perspectives from the diabetes community, and I’d love to encourage you to consider sharing yours with them. (Disclosure: I’m on the board. Because I support and believe in the organization. Bias aplenty!) See the graphic for submission details:
  • I think that’s it.
  • For now.

Note: I pulled down the insulin graphic because it was pointed out to me that the information shared in that graphic is not entirely correct. I don’t want to contribute to misinformation … but hell yes insulin prices have risen. A lot.  

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