Monday, August 19, 2013

Endo appointment

Does anyone else get nervous before seeing the doctor?  I try to have questions/concerns ready to go.  I also try to have solution possibilities ready.  "Such as I'm really tired, do you think it could be sleep apnea, allergies, hormones, low iron (anemia), or just my crazy life??  (I know I have sleep apnea but sometimes feel all of the above could be a part of my "fatigue".)  Would you like to test for sleep apnea, how does that go?"

That might be how my conversation with the doctor would go.  I've done some research so I'm not thrown for a loop when the doctor suggests "solutions".  But I'm also not willing to take an extra medication (try whatever PM to help you sleep) if I think further testing might be warranted.  But usually I'm not pushy either and especially with my endocrinologist, I kind of act like I have no problems.  Today I mentioned that again I'm still really tired.  So, I was surprised that with my lab work order (A1C*, etc) he added a thyroid hormone panel (yeah!).  I'm not sure it's the complete whatever everyone suggests doctors run but I hope it is.  I'll find out when the results come in, because I'm really nosy I go down to medical records and get a copy of my results.  It's very handy!!  Last time it took forever for my doctor's office to get my results and I had them very quickly.  :)

My daughter sees her endo tomorrow so we'll see how that visit goes.  She gets her A1C checked right there (and whatever else they run with that tiny draw of blood they take (and urine)).  It feels like a parent grade card and I hate it but I love it at the same time because her doctor is responding to lab work that was just run.

*This is just my definition of A1C (pronounced A -one- C): is the go to test for diabetes on how your blood sugar is being handled.  Though taking your blood sugar gives you a good "snapshot" of that moment.  An A1C is supposed to be an average of 2-3 months of your blood sugar.  Maybe you're doing well throughout the day but overnight your blood sugar is going crazy - high or low.  An A1C can help pinpoint that your blood sugar log is telling most of the story or not.  Most billboards about diabetes (though it's usually about Type 2 diabetes) will suggest diabetics have an A1C of 7.0 or below.  My daughter and I both have Type 1 diabetes, and our doctors still suggest an A1C below 7 but it can be hard for children/young adults to maintain that level.  It's also hard for adults to maintain but some are even lower in the 5s.  Her A1C is usually around 7 or just below and mine was 6.4 the last two times it was tested (weird to be the exact same #).  I don't post our numbers to compare (please don't compare!) but to let anyone reading know an example of what a number would be.  When I was first diagnosed, mine was 7.9 and my daughter's was over 12 when she was diagnosed!

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