Category: Current Status

SoloDoc

I’d like to find a doctor like him in the north Dallas area. I’m not as happy as I could be with my current doctor.

There are photos of the beagles with Santa. I’ll have our Christmas website up tomorrow — I’m going to use that to demo to my webmastering students.

http://www.kweaver.org/photo_archives/christmas_2004/index.php

Oddly enough, it came up somehow today at an agility trial. Weird coincidence, but a lady see at agility trials, and who has the same size dog, actually has had successful gastric bypass surgery. She told me that the biggest things I needed to figure out, is

a) can I live without whatever food gives me down — can I give up eating full meals, sugar, and lots of other things

b) what size do I see myself, and can I “be” thin.

And I think the answer to those two questions right now are no.

Achieving Glycemic Control in Type 2 Diabetes

This paper will review currently available oral therapies, with a focus on the unique attributes of the insulin sensitizers for patients with type 2 diabetes.

I’d heard this on a diabetes awareness piece but had posted anything about it here yet, because I didn’t have time to confirm it.

BUT, according to this article and the news item I watched, oral agents only reduce A1C by 1.5 – 2.0 % —

I suppose most people start out with diabetes more gradually than I did. Before my glucose tolerance test, my fasting blood sugar was never over 200, and I think (but don’t remember), it was between 150-200.

My blood sugar was elevated to over 500 at the end of a glucose tolenance test, and never went below 400 until I went on insulin, no matter what I ate or did.

And it took weeks on insulin to get it down to something reasonable.

I still haven’t “recovered” from that excusion, my blood sugar hits over 300 if I forget to bolus, and it climbs to 200 if I get disconnected from the pump for several hours (like gets pulled off at night).

I don’t think oral meds would have solved the problem even if we had played with combinations. And man, I didn’t enjoy the side effects.

Went to the primary care physician today. Couple of reasons — my prescriptions are starting to expire and I wanted to make sure we were both on the same page.

Also wanted to talk to him about getting a different sleep doctor. I want someone a bit more aggressive and less reluctant to make sure I have the right equipment. I also want to make the switch when things are going well, I’ve had a chance to meet the new doctor before there is a real need or at least a crisis. I also want to avoid either someone who is really into drugs to solve the problem or surgery. In other words, someone who is a bit middle of the road.

He doesn’t have any experience with sleep doctors, so is going to ask his referral person. I’m also going to run it by the endo and CDE before I make any appointments.

This is what got me thinking about switching from Depo… I think I’m going to stay on it though.

Increased bone loss with duration of medroxyprogesterone acetate use may not be completely reversible, according to the FDA.

The new mask is working very well, I’m sleeping all night, not waking up, and was able to get up for 7:00 am departure for agility trials this weekend AND workout before going!

Food is much better too.

Called Medco and asked them about the birth control. I think I’m going to stay with Depo for a while, and go with the generic. It’s very inexpensive, but I am also going to talk to the doctor’s office about the last charge. I don’t think I should be paying an office visit for a shot.

Interesting post on Seasonale — which is the back of my mind to switch too.

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Man is it making a difference.

I came in and took about 1 1/2 nap very early, then went to bed at 10:30 – 11:00 and slept all night.

The mask did not wake me up either time, which is a huge improvement. I was waking up and adjusting the other mask nightly, which doesn’t seem like a good thing to me. Doesn’t seem to bother the doctor, but oh well….

Worth every penny…