In theory, those months are behind me. I should have a substantially lower A1C because I've been on the pump for a while and those problems should have been ironed out.
Today's A1C was 8.4. This confirmed my feelings that things haven't actually improved. With my sugars shooting up every 2 or 3 days, it's still causing the overall situation to be bad.
What does my A1C mean?
I'm 1.4 higher than the standard target for diabetes management.
That means I'm 14% more likely to have diabetes complications than they would like me to be.
That means I'm 24% more likely to lose a limb or go blind or kidney damage than a non-diabetic.
It frustrates me, because I was moving towards that target range when I was on MDI, but now insulin pumping is putting me back in the wrong direction.
Anyway, the worst part of my appointment was the fact that my endo had absolutely no knowledge of why my infusion sets might not be working for a few hours after inserting them
His only suggestion was that most of his patients only use their abdomen and they never have those problems. I explained to him that it happens in my abdomen as well, but that didn't change is suggestion.
This is unforgivable! I can understand that he might not have come across that in his own practice, but he wasn't even willing to think diagnostically about it - he just told me that I should talk to my pump educator, and that I should ONLY use my abdomen. That is a blatant contradiction to what every diabetes educator and pump information source I've ever read has said.
Passing the buck - sucks!
1 comment:
Sometimes I find that my health care professionals are just not very helpful. I have become a very assertive patient. They prefer to call it noncompliant.
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