Yesterday I went to the diabetes clinic for my tri-annual visit. I went there feeling guilty and ready to be scolded for my latest test results, especially my A1c.
When I got there, before checking in with the receptionist, I ran into the nutritionist I was on my way to see.
“I was just going over your blood test results,” she said to me with a smile.
Oh no, I thought to myself.
When I sat down with the diabetes nurse and the nutritionist I said, “I guess you’re going to be giving it to me now.”
The nutritionist said (smiling again), “We only shout at people with an A1c of over 7% and if it’s over 8% we use physical punishment.”
They downloaded the data from my pump and meter and after a look told me that my numbers were great except for the period I had told them about when I had pump troubles.
My next stop was the doctor. She looked at my blood test results and as I expected, asked me about my cholesterol. I told her that after doing some reading I decided to see how I would do without the statins.
“So it didn’t work out so well,” she said. Then we had a serious conversation about it. She explained to me that diet would probably make very little difference and that with numbers like 150 and considering my diabetes she would highly recommend taking the statins.
I told her about my A1c, that I felt like it was too high, but she didn’t seem to be very concerned. Then she asked me if there was anything else. For a while I’ve wanted to try metformin, thinking that maybe it could help me reduce my insulin levels (which aren’t that high – 18 units a day) and thinking that I wouldn’t mind enjoying some of the cancer protection it seems to offer.
So I said, “Can I try metformin?”
“You know, metformin is considered a type 2 diabetes therapy,” she said.
Well, it was worth a try, I thought to myself. I wasn’t very disappointed since I hadn’t expected her to prescribe it for me.
Then the doctor looked at my pump data. “Sixty-two percent of your insulin is basal insulin. That’s very high.”
I tried to explain about my low carb diet but she didn’t seem to be listening. The she said again, “Metformin is listed as a type 2 diabetes medication.”
“Yes,” I said, “But may be it could help me reduce insulin intake.”
“I do sometimes give type 1’s metformin,” the doctor said. “Maybe, if you take it at night it will help you with you morning highs, the dawn phenomenon.”
She explained about the side effects and that it would take about two weeks to really see the effects of the medication.
I couldn’t believe it. I didn’t think I had a chance of getting metformin, but I did, and without a fight.
Now lets see if it does any good….