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.