I had my marathon, 2 hour endocrinologist appointment yesterday, but Kyle stayed home with the kids so I could actually get some questions answered (thanks, honey). I was having a brain fart and drove to the wrong office. Thankfully, I was a little bit early and the offices weren’t far apart, so I was only 10 minutes late by the time I got to the right place. No worries because I didn’t actually see the doc until over an hour later.

My last Hba1c was pretty high…7.7%. I’ve been either running really high or really low lately, and I was desperate for some answers. I’ve complained about my endo before, but it seems as if he pulled through yesterday. We went over the reports they downloaded off of my pump and noticed some glaring trends so he tweaked some of my basal rates and insulin:carb ratios and since the appointment I haven’t been higher than 126. I went to bed at 100, worrying that I would go low during the night, but my sensor graph showed a steady 90-100 range all night long. I woke up at 111, but didn’t know how to manage being that low at the start of a run. Wednesday’s used to be my easy run day, but now it’s my long, mid-week run and today called for 7 miles. I decided to eat 15g of carbohydrate (half a banana) and turned my basal down to 30% of it’s usual rate. I started the run at 110, ran the 7 miles with no supplements, and finished at 126. (I ran past a mama doe with her two fawns happily eating an entire flower bed in front of a nearby house. I see more wildlife living in the city than I ever did growing up in a small town.)

I have been going high immediately following a run so I turned my basal back to 100% and ate breakfast with a bolus. It’s currently an hour post-breakfast and I’m 118. The real test will be what happens in the hour or so before lunch. I’ve been dropping very low, very fast during that time and I’m hoping that our adjustments prevent that today.

It’s amazing what you can accomplish when you aren’t trying to keep 2 children occupied in a 4×6 exam room that you are stuck in for over 2 hours…