March 3, 2010
Right now I look down at my clock and it says “9:03 AM” and all I can do is think … “crap, three more hours”. Today is the day I start insulin treatments for my diabetes. Of the few people that read my blog I’m sure you all know that I’ve been diabetic for about five years now. Type II. Meaning I only had to take pills and work on my diet and exercise. Well now I’ve been promoted. I’m not exactly sure if it’s called Type I for me or insulin dependent Type II.
A couple of weeks ago I had to get my blood work done for my annual physical (which I had last week). All seemed to go well, I had been feeling tired, but nothing out of the ordinary. On Tuesday of last week (the day before my physical) I received a call from the head nurse at my doctor’s office saying she needed to talk to me before my appointment. Having already missed the opportunity to call back that day (by about ten minutes), I began a long, hard, thirteen hour wait until I could call in the next morning at 7 AM, only two hours before my physical.
I spent those thirteen hours more or less making lists of what could or could not possibly be what she wanted to talk to me about. After a couple of hours I had it pretty well settled that it was going to be a warning that the doctor wants to put me on insulin. It’s really the only thing I could think of that the receptionist just couldn’t tell me. Sure enough the next morning I pull myself out of bed and call the office at 7 AM sharp and what was I told? “Andrew, Doctor Roy wanted me to call you and let you know your A1C reading was extremely high and she is going to be talking to you about starting insulin treatments when you come in for your appointment.” It took ten seconds and felt like my life was going to end.
Sure enough, when I got to my physical I looked at my “report card” and my HBA1C was 11.1. For those that haven’t had that tested, yes, that is high, that is very, very high. Your A1C should be below 7, my last check was 8.4. The doctor said it meant that my sugar averaged over 400 a day, when it needs to be around 100. The biggest thing that this leads to is the likelihood that my pancreas was more or less shutting down and no longer producing insulin. The tests also showed that my kidney function has begun to deteriorate, which is also very bad. On a bright note, my cholesterol was good at 95 (needing to be below 100) for the first time in years.
I left the doctor’s that day with no modified prescriptions and two new ones. Anti-depressants (which I’m having problems with – not with the pills themselves, but with my insurance not wanting to pay for them) and my insulin. I also left with slips for three new appointments, one for today – my insulin education “class”, one for next week to double check my blood pressure and one for the week after to see how I’m doing on insulin.
I want to take a moment to publicly thank Jim Hines. Every now and then in his blog he writes about diabetes, as he’s had Type I for a number of years. I’ve read and re-read those blogs and they’ve helped me a lot. Especially where he reminds everyone that having to be on insulin isn’t losing its just the next stage of the game. It’s a hard thing to come to terms with and he helped me a lot. Jim is also an author from the East Lansing/Holt area that has written a number of great books (I’ve reviewed at least one on the site) and I recommend you check him out at his blog
I always say I’m going to try to write more and maybe I will maybe I won’t. I will get an update since as many know seven weeks ago today my son Alan Scott was born and I’ve had so many things I’ve wanted to say and do about him that well I don’t know, I’m rambling a little now. Here’s to another update, hopefully less than five months from now.