Blame it on the ‘betes…as usual.

stethoscopeI hit the snooze four times this morning (sorry room mates!). Did. Not. Want. To. Get. Up. Not that I’m normally bounding out of bed every morning at 6:30am, but four snoozes is totally gratuitous. Why am I so groggy? I wondered as I ambled to the shower. As soon as I returned to my room I decided to test – 239. Ew. That’s definitely not a normal fasting BG for me, I usually wake up in the 80s (that’s mg/dL, not the decade, but how funny would it be if I actually woke up in the 1980s? HA! Cue the Brat Pack montage!)

Well there you go I thought to myself, that’s why you’re so tired, it’s that nasty blood sugar that was creeping up all night. You should have gotten out of bed and bolused when the Dex hollered at you in the middle of the night!

Immediately, I had blamed my blood sugar for the extra-sleepy feeling. The fact that I had stayed up a wee bit later than planned reading my current favorite book? Nah, there’s no way that could contribute – this HAS to be my diabetes. Could it be that I went to a particularly challenging kickboxing class last night, then had wine with dinner and perhaps  I was still a bit dehydrated? The thought never crossed my mind.

When you have a chronic condition, it’s so easy to blame everything on it. I’ve blogged before about how feeling thirsty makes me immediately think my blood sugar is high – I never chalk it up to the fact that coffee and beer do not a satisfied body make. When I feel fatigued after a hard workout, I insist I must be low instead of just being plain worn out. This definitely translates to my general approach to my personal healthcare as well – any self-respecting diabetic has been on a PPO since diagnosis since all they see are specialists. But is that the best course of action?

Because diabetes takes up so much of my mental energy, it’s easy to forget that I need to listen to my body for all the “regular” stuff too. I diligently visit my endocrinologist every three months, I see the eye doctor for a dilated exam every year, and I check in with my hand surgeon about my nerve issues on the regular. But I don’t see an internist or primary care physician for a regular old check up….ever. I do get regular panels of blood tests done through my endo, but they mostly check for diabetic stuff, and I certainly go see a doctor for any issue that persists (hello lateral patellar tracking issues a.k.a. weak-sauce right knee), but I don’t ever schedule an annual physical.

I’m wondering if any of your do? Do any of you who regularly see the ‘betes doctor also go see a primary care doc to get poked and prodded everywhere else? Is it necessary if I cover off on any major issues with my endo? Let me know your thoughts on this one!

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Comments

I was told by my endo that I should see my primary if anything creeps up between visits. It’s nice to have a back up just in case I can’t get in to see my doc right away.

I have wondered this as well! I see my endo every 3 months and only go see the regular doc when needed….no annual physical.

Every time I go to sleep, I dream of waking up in the 80’s…and I mean the 1980’s. I still have a vague recollection of what it was like to wake up on a Saturday morning and inhale a giant salad bowl of Frosted Flakes in front of the TV…completely oblivious to the concept of Type 1 diabetes and my imminent life as a number-crunching pin cushion.

Fascinating post, thanks for the perspective. This life forces us to be so T1 centric, sometimes we forget that we have to tune in to the “normal” stuff too.

My endo also is my primary, and that was no accident. Just trying to kill two birds with one co-pay ;)

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