Last week I had gone to my local clinic (CLSC) for my blood work for my endo appointment I had on Tuesday. Two hour wait – fasting – wanting to pee like a horse – but I held fast – and wished I lived in Cornwall, Ontario – where you can make an appointment for a diabetic blood work – no waiting. Welcome to my province of Quebec – where we diabetics get NO RESPECT !! It's like lining up for a loaf of bread in Russia in 1915 !
Fast forward to this week – and I’m waiting in anticipation for what my results are. Don’t we all go thru’ this (well – maybe not for you folks that can get your results the next day). Here in my province in Canada – unless you go private - $$$ - or have private insurance coverage - you out of luck - you wait). For some reason, I lucked in on only waiting 10 minutes (usually it’s much longer) – and my endo called my name.
The first thing he said to me as I entered into his office …. “You’ve put on weight – what’s happened?”
I wasn’t really shocked by that statement – since I know I’ve been gaining weight (thryoid tests are normal - I'm just perimenopausal). It's not from over eating – my habits haven’t changed - I actually am eating less due to work load – but my emotional state of being over the past year has been abit fragile plus … I’m a lazy cow (the job I do requires a lot of sitting on my behind).
Of course, as I explained this to him, he nodded, saying “Good excuses Anna”. Onto the scale I went – since my last visit to him in July – I’ve blossomed. I’ve never ever been the weight that I am – even after I’d had my DKA experience as a teenager – where I’d put on weight (memories of my Mum buying Hefty Boys corduroy pants for me always makes me cringe). My Mum was often picking on me about my weight, and made me feel guilty about eating – sigh. Writing these blogs sometimes brings back memories I don’t like to remember.
Promptly he took my blood pressure (BP) and this is sometimes the worst part for me – as I have the well-known ‘white coat syndrome” – my BP is never as good as what I have at home. His first reading out of the corner of my eye was something like 185 over … at that point he said something that wasn’t good. Meanwhile, in my brain I’m going WTF??? He retakes it on another machine – the regular wall version (before he was using one of the home versions we can buy) – and this time – it’s abit better – but still higher than my normal readings – 135/120. Of course, at home, mine are in usually in the 115/70 area – sometimes lower. I’ve never had a problem with high BP.
Of course, he says this is all to do with my increased weight (jab, jab, JAB) – and then asks – “do you eat a lot of processed foods?” I tell him no, that I rarely eat processed foods; when I have time/money I try to do all my own cooking without adding extra salt, etc. Hmm, but inside my head I think … I DO LOVE CHEESE - which is high in salt!!!
So, the jist of the whole visit was that I’ve REALLY got to lose weight - especially with his concern over my BP. He stressed that I become active (he still insists that sailing is a lazy man’s sport – which in away – as a cruiser – it is – you don’t do much – not like he does with his golfing – where you have a goal – to find the hole).
And yes, my A1C despite my DKA episode over my holidays this summer – was pretty good (he says normally A1C will rise due to DKA) – it was abit higher – but still excellent. And he admitted, if I’d been on multiple dosage injections (MDI) – that probably the DKA would never have occurred – which I totally agree with him. Pumps do have their benefit - but not when they don't alarm for an occlusion, etc. like George Michael apparently didn't do in my case.
So, now I’m off to test my BG, hopefully accomplish a 30 minute walk, then test my BG again, and post my results for the Big Blue Test that I partake in every year. I’m hoping unlike the other day when I did it, I don’t drop in BG to the point of hypo land, and will be reducing my basal rate on my insulin pump abit (thank you Petronella Peach for that suggestion).