Last week I had to make an emergency visit to my endocrinologist (Dr. S) to ask him for some advise on how to go about fixing my BG’s (blood sugars) that seemed to have been out of whack for the past week. The end result was that I had two days of BG’s in >20 mmol/l (360 mg/dl) range. I haven’t registered that high since I ate a chocolate cake meant to serve up a crowed of 60. Only kidding, though it would be a dream of mine if I had a functioning pancreas to have my face smeared with lots of chocolate icing … SNAP OUT OF IT ANNA. So, I lucked in on seeing Dr. S 3 days after pulling the plug on Salvador (my Animas 2020 insulin pump) – otherwise I’d have been waiting until July 12th to see my GP (that’s a whole other saga – lovely Canadian health system we have at times).
I arrive at his office, and give my health card to his assistant Ms. L, and then went to wait my turn. Ms. L then called me up to her desk, asking “Why are you here? You don’t have an appointment are you needing a prescription?” I told her my story of high blood sugars/ketones that I’d told before on the phone that week and due to a cancellation she told me to come in for that day. Her reply at this point was “You know what you are doing with your diabetes – you always have. Why do you need to see Dr. S?” I was starting to go into shock at this point. She went on to say “You don’t have to worry about BG’s in the 15-20 mmol/l (270-360 mg/dl) range –many diabetics live with those BG readings and they’re okay”. Now, if you are like me, having just finished reading that last reply, your jaw is on the floor by now like mine was – yellow teeth clacking away on the floor – right?
What was even funnier was when I told Ms. L that the pharmacist had advised me to go to ER because of my whacky BG’s since they know how tightly controlled I am. Ms. L said that "Pharmacists always over react with diabetics". Again, duh, my yellow teeth are now really hanging out on the floor. I’m not a Pharmacist, but I took that as a slap in the face as if I was one. To me, my Pharmacist’s team is my next best option for seeking medical help when I can't get hold of them - they've come through for me!
So, to make a long story short. I got to see Dr. S, he was quite shocked to see I’d pulled the plug on the pump, but at the same time, quite pleased with how I seemed to be managing on MDI (multiple doseage injecting). He was able to understand my reasons behind taking a break from the pump, and is fully behind me with my experimenting (I like being a guinea pig) with first Lantus and then Levemir. The one thing he said to me was that he feels I am OCD (Obsessive Compulsion Disorder) the way I am with my blood sugars numbers. I told him, diabetes is a 24/7 thing – you can’t just let it slide by – if you do – then bad results happen. I think maybe he got my point, but still I was still surprised that he said this to me. The one good thing out of this appointment he is wants me to fax my results on a weekly basis, something he’s never asked me from me since I started seeing him 22 years ago.