Moments of Wonderful

…rather than a lifetime of nothing special. A diabetes blog.

Moments of Wonderful - …rather than a lifetime of nothing special. A diabetes blog.

Did we cover all your questions?

Today was my quarterly appointment with my endocrinologist, and as has become usual for me, I was armed with my list. I used to carry a small journal to my medical appointments (I have the worst memory EVER!) but now I just use the Notes app on my phone.

According to current insurance practices, I only get about 30 minutes with her so I have to have my bullet points ready to make sure every minute counts.

  • I requested that my vitamin D levels be drawn during my lab appointment because I had read that people with diabetes are deficient. My levels fell in the insufficient range so I have added a daily vitamin to my routine.
  • We discussed the difficulty I have with the current office contact procedures. I am not a difficult patient, so when I call it is about something urgent and I need a timely reply. She gave me a direct extension for the phone right outside her actual office, so that should help.
  • We discussed my possible usage of the mySentry but didn’t come to any decisions yet about how it would fit into my current care.
  • Even though I already knew the answer from speaking with the local rep, I asked if they had any Verio meters in the office. She got me one and a few extra strips while I was for my prescription to be filled (more on that at the bottom of the post).
  • The endo was concerned about the fact that the Verio is not linked to the Animas Ping pump for remote bolusing. We discussed two solutions – one hers and one mine. She wants to make sure I still enter the BG values in my pump so she doesn’t lose that data. I’ll do that as much as I can. The other solution is in my slight back supply of regular OneTouch strips. I figure I will test with those when I anticipate needing to use the remote bolus. I suggested the idea of switching test strip brand prescription type at every three month appointment and she said I could have whatever I wanted. Tested with it for the first time before bed Tuesday night so still early to say.
  • I only had one strip left for my NovaMax Plus blood ketone meter so I needed a new prescription for that. She gave me a box (which by itself will probably last until the next appointment) and wrote the prescription.
  • The sample of Levemir she gave me (for pump failures) expired last month, so she gave me a new sample. She asked if I wanted a vial or pens and since I’ve never actually used pens, we chose the vial.
  • I brought some Dexcom reports (the most frustrating process possible for a Mac girl like me) for her to review and had uploaded my pump data to Diasend. My A1c was drawn TWICE in the past month so she had plenty of numbers to evaluate. We discussed my ever present dawn phenomenon and early morning insulin resistance and some possible basal changes. Both she and I are happy with my current management reflected in my reports and my lab values and that’s all I’m going to say about that.
  • And most importantly, she really liked my headband so I told her about Charming Charlie and how it is the best place ever to get accessories (the whole store is organized BY COLOR!!).

The endocrinologist was starting to get up to leave the room but started to sit back down as she said “did we cover all your questions?” I laughed, double checked the list on my phone, and told her that we were done. We were both laughing as she headed to the supply closet for my products.

The appointment went so well that I almost WASN’T surprised when I got to the pharmacy and found out that they didn’t have any prescriptions for me. Nothing was ready and nothing was even called in. I’m a little confused because I watched them enter it into the system and they even confirmed the pharmacy I wanted. I’m pretty sure it wouldn’t be life with diabetes if there wasn’t some sort of medical issues to sort out.

  • Lorraine says:

    I’m interested in this new meter. It’s supposed to slap you over the head when it notes a trend, right? How come no one thought of this sooner???? I want one.

    Can’t believe you covered all that in a half hour – Go you!

    I love Notability for notes. Love, love, love it. There’s also a pen-something note taking app that has been acquired by Evernote and I love evernote, so I’m curious about this other app, but haven’t put down the 99 cents for it. 🙂

    May 9, 2012 at 9:27 am
  • Tony Rose says:

    I too take vitamin D supplements as my doc has told me it’s critical and can be good in many different ways for overall health. I switched to the prescription one that I take once a week instead of every day to make it more convenient, plus the cost is minimal.

    After hearing a few stories and the fact that my pump is 6 years old, I think I need to get a lantus pen or vial as a backup if my pump fails.

    I can never rely on scripts being sent electronically to the pharmacy for some unknown reason, it is 2012 right?

    May 9, 2012 at 9:32 am
  • Kim says:

    Aaron uses that app, too – I may have to go check it out. (Also, I love that the headband was most important.) 😉

    May 9, 2012 at 9:41 am
  • Kelly Booth says:

    You mentioned switching strips every 3 months – when I got my last order, I wanted to try a different brand so just got one box of the other brand and the rest my regular brand. If your insurance will let you, you could mix up the order. I did that also when I was using the Navigator and had to use their test strips for that but wanted my regular meter as a backup.

    May 9, 2012 at 10:35 am
    • Sara says:

      That would be a MUCH easier way to do it! I wish my insurance worked like yours but they will only let me have one test strip prescription at a time.

      May 9, 2012 at 10:50 am
  • Sarah says:

    Cool! I need to use the notes app too instead of paper…I always lose my papers…. 🙂

    May 9, 2012 at 1:11 pm
  • Brad S. says:

    Finding a great endo is a lot like finding a great car mechanic. They are hard to come by but when you do find one it is a joy and a relief. And, like a mechanic, they know what it takes to keep your vehicle running at its max potential so you spend more time on the road than in the shop!

    May 9, 2012 at 1:41 pm
  • Colleen says:

    I still do my notes on paper as I don’t have a fancy phone but yeah, having the questions ready makes a huge difference.
    I love Brad S.’s comment!

    May 9, 2012 at 6:38 pm
  • Scott E says:

    I saw my endo last week. After I got home, I realized that my vial of Lantus (for emergency pump-failures) expires this month, and I had neglected to ask him for another sample. (I think my glucagon is expired too). I should really follow your lead and bring notes with me.

    He also is starting all his patients on Vitamin D (but not necessarily D3) — I learned this when I visited with the nurse, who I see after the doc and who recaps everything we discussed in a slower, more methodical manner. I wonder if it’s a result of that same study.

    May 9, 2012 at 8:16 pm
  • shannon says:

    THOROUGH! rock on.

    and omg my kid LOVES charming charlie (and so do i). isn’t it so awesome? it’s so awesome!!

    May 11, 2012 at 5:40 pm
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