5 Month Endo Appointment

I had my regularly scheduled monthly appointment with the endo this morning and the verdict was positive. Here are a couple of takeaways:

The ketones are gone! Now that my BGs are starting to even back out (thank you, insulin resistance), I am no longer bottoming out overnight. This has cured my ketone issue and, perhaps more importantly, means that I can forgo the 2AM snack. Yay!

My A1c is even more awesome this month — 5.2. How is that even possible? I am suspicious, but the doctor is happy with it, so I’ll take it.

I have occasional slight swelling in my ankles now, but nothing to be concerned about … yet. My blood pressure is still good.
After a week of annoyingly high post-meal BG spikes, I adjusted my bolus rate yesterday. My endo is kind of weird about me making my own changes (something we disagree on), but he accepted it and we are leaving the rate alone for a week or two to see what happens.

He thinks my basals might still be a smidge too high, because I tend to spike too high an hour after a meal (160 range), but then drop to 90 or 80 at the two hour mark. This problem might sort of itself out as my insulin resistance grows, though, so we’ll keep an eye on it. Just for comparison purposes, and to show you that everyone’s diabetes is different, I just read that Kerri is now on a 1:6 insulin-to-carb ratio as she struggles with the later stages of pregnancy. In comparison, I was on a 1:6 ratio before I got pregnant (thanks again, insulin resistance!), and am now at 1:5.

My endo had lunch with the local Dexcom rep last week, and they are apparently more willing to do a trial of their CGM product now. I tried to get a trial a couple of months ago, but the rep in the corporate office would not do it. I had given up hope. I called the local Dexcom educator today and she is sending me a trial package this afternoon. She says it’s so easy that she can walk me through the set-up on the phone. So I might be sporting a Dexcom soon!

I picked the doctor’s brain a little about Metformin for Type 1s. I have been reading that more and more Type 1s with insulin resistance are using it to help with the weight gain and increased appetite that insulin can cause (See this post from Amy over at Diabetes Mine. I even read recently that they are using it more and more in the second and third trimester with pregnant Type 1s. We agreed that it is not really necessary for me right now because my insulin needs are just starting to increase past my pre-pregnancy levels and because I am not gaining too much weight (actually, I am gaining less than is expected.) But he seemed like he would consider using it during the third trimester or after the pregnancy depending on how things are going. I am happy that he was receptive.

It is snowing like crazy here again today. We are expecting another 10 inches or so before the end of the day on Thursday. Isn’t it time for spring yet?

Tomorrow morning we are off to the High Risk OB for the 20 week ultrasound and, hopefully, we will find out if this little munchkin is a boy or a girl. I can hardly wait!

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3 Comments on “5 Month Endo Appointment”


  1. This is very exciting, however did you manage a 5.2 with all the changes you’re undergoing? You and Kerri are at a very similar stage, good luck with the rest of your pregnancy.


  2. Forgot to mention that I’ve used a Dexcom for almost 3 years now and it’s so useful. My A1c’s have been in the 6’s for the last year, which would be impossible without it.

  3. Andrea Says:

    Hey Nicole,

    so exctiting!! Cannot believe it is month 5 already!!! So please tell us about the outcome – boy or girl?? :o)

    Big hug!


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