He looked at my Dexcom CGMS and said it looked pretty perfect--a very straight line for my average. This made me happy; I have been working really hard to keep my blood sugars right at 100mg/dl--as closely as possible all the time.
He said my A1c of 5.7 was too low; that anything under 6 indicates too many low blood sugars and it only takes one ultra-low blood sugar to pass out unexpectedly and die. This is nothing new; he has said it before. I told him, but what about reversing my diabetic retinopathy? I need a really low A1c to do that. (The girl I read about kept hers at 4.9 to reverse her retinopathy.) He said, the eyes don't know if your A1c is 5.7 or 6.7. They are both good and you are not gaining anything by running lower, except the risk of passing out and dying.
I really appreciate that he cares about that, and told him so. He told me again about his patient that died by passing out, first time ever, and going into a coma for 6 months and having such brain damage that she died. I told him that I would tell people it wasn't your fault; that you told me to run them higher. He said I wouldn't be here to tell people! I told him that I would tell my hubby so that he wouldn't blame my doc, and he started cracking up laughing.
I had a bad week with bg's due to eating too much fat (going out to eat; making meals for company, etc) and told my doc that the last week he was analyzing was not representative of anything normal and wouldn't be helpful. With extra fat in my system, I am slow to react to insulin and slow to react to sugar, and bg control gets to be very frustrating. He had a hard time making any recommendations about anything, but tried, so I took notes and told him I would take it into consideration. I showed him the work I do with the notes I take and all the analysis I do. I guess he was glad to see that.
He came back to overall, his recommendations to eat fewer carbs...going into what he normally says, which was where I told him that we didn't really need to go into that again. I told him, "I know you want me to eat a low-carb diet like Paleo or something." And he said, "Not low-carb! I would even take a high-carb diet--I would be content with that....like 300g of carb per day. Just not ASTRONOMICALLY high-carb like 500-600g of carbs per day! That's all I am asking. I would be happy with that." We both got a good laugh out of that.
Glad we can at least be friendly with each other, despite our disagreement. And glad he made no mention of all the lab tests I have asked him to do lately (which he didn't want to do but finally agreed to let me do).
My biggest disappointment was that my glycomark had not improved. I had thought it would, with all my effort and success at improving my average and stabilizing bg's.
When I got home, I sent some messages asking other type 1s on the high-fruit diet how they are faring with glycomark. Then I looked it up to learn more about it. Info at www.glycomark.com. Pretty interesting video there.
The biggest thing I learned on that website is that glycomark only accounts for a 2-week period! I thought it would be a 3-month span, like A1c. So I will have to keep that in mind. Also, the glycomark is an average of the maximum bg's over that 2-week period, and every time a bg goes over 180mg/dl, the glycomark goes down in value. Very, very interesting. Definitely will be watching my cgms with new eyes. I really want to get good glycomark readings, too.
Well, I guess, overall, good things came of the visit. I have new things to work on with my "kid"...always. Wonder if my kid will ever grow up and leave home? :)