Triannual Visit

I had my last triannual (every four months) endocrinologist visit of 2015 today. It went better than expected.

First, I was expecting my A1c to have skyrocketed considering the terrible time I’ve had keeping my blood sugar down lately. I was happy to hear it only rose from 7.4 to 7.7. I can live with that.

Second I was very happy to hear I do not have Hashimoto’s (an autoimmune thyroid condition). The tests came back in great range.

My liver and kidneys look good as well.

Then the doctor asked me “How have you been doing?”

I responded honestly (it does no good to lie, even if you feel bad, ashamed, guilty, or whatever) by telling her I haven’t been doing good at all. I have been having a ton of trouble keeping my BG’s down for multiple reasons. I told her about the unexplained very stubborn highs throughout October and half of November. But, I explained, my worst trouble is the deep depression I have fallen into due to the extra weight I’ve packed on this year. It has totally ruined me emotionally. I have all but given up on good BG’s because of the insulin resistance and weight gain.

“I eat about 1100 calories a day and keep my carbs below 20 for the most part. I may not get enough exercise, but there is absolutely no reason in my lifestyle that I should be this heavy and not be able to lose anything.” I told her.

“I absolutely agree.” She then agreed to raise my Metformin dose. And she went on to suggest to me three other options on treating my insulin resistance and help to lose weight.

One is a pill that is made for weight loss, treats depression, and helps with insulin resistance. Contrave I think is what it’s called.

Another pill she mentioned is made for type 2 diabetics but can be used by type 1’s as well and can help with weight loss. It works by forcing the body to spill more sugar through the urine. Farxiga, I think is what it is called.

The third is an injected medication formulated for type 2 diabetics (insulin resistance). “But it can be used off label for type 1’s to help with weight loss and insulin resistance.” She explained. Victoza, I think is what she was talking about.

Don’t quote me on the drug names above, a lot of names were being tossed around and I may have gotten confused.

She did not prescribe any of these, yet. She first wants to see how well I respond to the increased dose of Metformin.

Things are looking up.  Hopefully I can kick this resistance and weight problem in the butt now.  🙂

 

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Author: Tamra K. Garcia

Stephen King says to "Write what you know." I know diabetes, I know me; so this is what I write about.

2 thoughts on “Triannual Visit”

  1. I completely understand how frustrating insulin resistance is, as I’ve been struggling with it quite a bit myself lately. I have an appointment scheduled with a new endocrinologist in March, so I’m hoping to get some answers then. My a1c has been stuck in the 8s for several years now, but that is down from the 12-13 range from about 8 years ago. Hopefully your doctor continues to work with you to get your situation straightened out. While I personally don’t have any experience with any of those medications, I have a co-worker who has been on the Victoza for a few months now, and it has helped her somewhat with both her blood sugar levels and her weight.

    Like

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