Category: Blog

Saw my endo today.

Honestly, I wasn't happy with my A1C, had gone from 6.6 to 6.8, but he's happy as long as I stay under 7.0.

My time in range was 82% which he says means that 8 times out of 10, I'm made good decisions.

I asked to go up on Mounjaro, but he wants me to stay at the current dose for 60 months.  I'm losing about a pound of week which he is happy with.  I'm not BUT.

He also doesn't want me to come into the office for 6 months.  Once I turn 65, we have to meet every 3 months, but until then (9 weeks).

When I lost weight with the Lapband, it was pretty cut and dried.  When I followed the rules, I lost weight.  When I didn't, or couldn't, I didn't.

I'm trying to use the same rules with Moujaro — eat protein first.  Avoid high carb foods and save them for last.

With Mounjaro, I seem to lose weight when I take a dose, and further days from the dose, I either don't lose or gain, slightly.

The other frustrating part, is that I don't seem to be changing clothing sizes even though I have lost about 20 pounds.  That is the most frustrating part.

I have been stressing as my endo left the practice in November and I hate not having one. I think my PCP would be able to write the scripts but they aren’t used to the hoops the PBMs make them jump through.

Also going to try Mounjara which we have been wanting to do.

Sent from my iPhone

The customer support talked me down and came up with a solution that will work.  We’ll see how it goes.

I really like the lunches, I have been eating their chai pudding for breakfast, and it’s doable.

I got my lapband in 2009.  I do not recommend.

I weight 320 pounds according to their scale, day of surgery.  I know I weighed more than that at one point.

Today, I weighed 219.2.  I have been doing Profile by Sanford, and have resolved two heart conditions.  I am using very little insulin but I am on Ozempic and Farziga.

My endo set a goal of 140 average glucose and 80% in range 

I was 123 this week and 123 average glucose with 8 units of insulin. 

I have also lost two pounds. 

The new plan is working really well.  Really glad I got upset and pushed. 

It's only been two days on Performance, but the scale is moving in the correct direction.

Being on the Reboot/Reduce plan and doing 90 minutes of exercise a day was just too hard.  My coach was encouraging and felt that I should add some protein to the plan, but that was still leaving me hungry in the evenings, and making me feel like I was cheating.

On Performance/ Reduce I'm not hungry at the end of the day and I'm not tempted to eat the wrong food.  That's a huge difference for my mental attitude.

I don't want to reduce my workouts.  My ultimate goal is to participate in  Agiity Trials again.  I also need a great deal of strength and endurance to be able to compete at conformation.

I have to share an "OOPS".  I have been logging food at MyFitnessPal and I thought I was eating too much until I realized I had set MyFitnessPal to lose two pounds a week.  I'm actually right there.

Man, you have to watch out.

I do clinical trials as often as possible.  It helps everyone else.  If we don't do clinical trials we won't have new technology.

I'm currently enrolled in the Pfizer Covid clinical trial and it's great.  I took Summer to a vet for a clinical trial, and it again it was great.  In fact, I tried to spend money with them.

However, I also signed up for a clinical trial with a local physical therapy place.  However, I can tell from the appointment process, it's a scam.  Yes, maybe someone is gathering data for someone, BUT they wanted my insurance information.  The people doing the Pfizer study didn't do that.  I am pretty sure it's a way to get people in the door.

This was my second visit with a new provider.  She's very young.

My previous primary care doctor was great, but he has gone to a concierge practice.  I have a feeling that's not allowed by my plan.  

My biggest question is when should I get tested for Covid and she says that Baylor Scott and White is still working on the — test only if you have sympthoms.

I saw my endochronolist yesterday.  My A1C was up, but I attribute that to cortisone shots, I forgot to tell her that… darn.

Anyway, we added Farxigo, which I picked up and took one this morning.  CVS is running a tad slow, but she might have needed to do a prior authorization.

I'm using less insulin, but I miss some dosing sometimes with getting accomplished to the InPen.

She actually doesn't want me to dose in the morning anymore and wants to start dosing around 1:00 pm I think.  She says my blood sugar starts climbing around 3:00 pm

She set a goal of 140 average blood sugar and 80% time in range.  Otherwise everything is the same.