Health Care. Emphasis on the “care”

I know I’ve said it a thousand times on this blog, but I just have to say it again: I love my CDE. I see him like clockwork every three months for an A1c, a review of my logbook, and some great ideas on how to improve my diabetes control.

My CDE is also a Physician Assistant, which means he can also write my prescriptions. But more than anything else, he’s a kind person. He’s always there to listen, to give advice without being preachy, and to help me find solutions to what’s bugging me in the d-health department. Case in point? Monday morning’s visit.

My A1c came back at 6.8% – which interestingly was .4% higher than what the A1c Now test came up as a week before. And as a side note, that doesn’t really make me feel like spending $40 on one of those again. My goal is to keep my A1c under 6.5%, so the home test was a cause for “yippeeeee!” while the lab test was more of a “gggrrrr I could do better…..” However, I digress. The point is, I was feeling frustrated. I feel like my numbers have been all over the place. Just the fastings in my logbook told the story of how I’ve been feeling: 42mg/dL one day, 292mg/dL the next. My Dexcom looks more like a scatter plot than a line, and my meter averages per day were all over the place. I told my CDE that I feel like my BGs were bouncing more than ever, and I didn’t know why.

We looked through the logbook together, and then in his kind, patient, non-judgy way that he has, he explained that my life is all over the place right now, and that my diabetes might be following suit. He pointed out days were I’d been paddle boarding for two hours in the afternoon, then the next day gone running for 20 minutes in the morning. I often have salad for lunch, but had indulged in grilled peaches with vanilla ice cream at bar-b-que one night. Two huge factors in diabetes management, food and exercise, change nearly every day for me. It’s no wonder I’m having wide swings in my BGs. And right there was of course, the simplest explanation for what’s been driving me up the wall. Gotta love having another pair of expert eyes on a logbook. It helped me realize that focusing in on two things I can control – food and workouts – could help make me feel much better very quickly.

I’m always amazed by my CDE’s ability to uncover things I haven’t thought of. And I find it even more impressive because he doesn’t have diabetes – he just has the depth of knowledge and experience to see things I don’t. And it helps that he can look at my numbers objectively, whereas I’m so subjective that I often want to throw my Dexcom in the ocean. A little perspective goes a long way, especially when you’re feeling burnt.

The best part about my CDE is that it’s the right kind of support for ME. I had to seek that out, because I’ve had my fair share of doctors that didn’t jive with me. I need someone who is supportive and kind, but willing to give me the truth when I need it. Although I like the truth without being all scary and threatening. Not that I’m particular at all. Ahem.

If you don’t have someone you really get along with and trust as a health care provider for your diabetes, I’d encourage you to get out there and try someone new. Approach it like speed dating, and take that first appointment just like you would a first date. If you don’t like how you feel after that meeting, keep looking until you find The One. It can change your life.

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Comments

I used the A1c Now test also and got the exact same result…. 0.4% lower than my lab drawn results. Kind of disappointing :(

Great topic. I totally agree! If you don’t trust, like, confide, and like your diabetes care provider, move on and find someone whose personality works with yours. I daily beat myself up over bad choices, I don’t need my doctor to provide that, but some people might. Be you own advocate and get the right provider for you!!!

I love to think of this like a professional athlete. A pro basketball player knows the game and how he can play, but a coach, which their perspective, can offer observations and tweaks that the player might not see because he’s too close to it all. Does that make sense? We need coaches too!

Scott that totally makes sense. We all, whether we know it or not, have a “diabetes team.” The players might be cleverly disguised as the people in our lives who support us and take care of us, as well as our healthcare providers. They all influence us, and the more positivity we have around the better, especially when it comes to our HCPs.

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