Thursday, October 17, 2013

The Next Step in the Health Clean-up

Today I had my follow-up visit with my primary care provider (or PCP like we like to say in the healthcare biz). My doctor is a no-nonsense kind of guy, in every sense of the word. I've been working hard at making lifestyle changes in order to change my life, and I wanted it to show. I think he was pleasantly surprised because he said, "I see you took our last visit seriously." To his credit, he always gives me a copy of my lab results and discusses them with me. It is not a hurried discussion. Rather, it is a review of my health and family history, his plan for what comes next and what steps he or I will take in that plan.

So my changes are this:
  • fasting glucose = within a normal range and lower than when I measured a couple of weeks ago,
  • A1C = within a normal range. This is the "look back" value for glucose,
  • triglycerides = within a normal range and 100+ points lower than last time, and
  • cholesterol = still out of normal range but improved.
These are all improvements. My weight was lower but I'm less concerned about that number than I am about the values listed above. 

Here is my one beef with the whole visit: he still considers me to have Diabetes; controlled but still there. He didn't think I need medication for it specifically but did want to change/add some blood pressure medicines due to the vascular damage that diabetes can cause. He said I did need to continue doing what I was doing.  So my goal for my next visit (in February) is to solidify the normal numbers for glucose and A1C so that I can argue that he is basing my alleged diagnosis on one irregular number.

So I'm wondering, do you argue with your doctor?

Saturday, October 12, 2013

Checking back in

I haven't been on here in awhile but kept meaning to do so. That statement can apply to many areas of my life. I have good intentions with poor follow-through. While I have been consistent with my workouts, blogging has not been so consistent for me.

Anyway, I have talked about my health before and I mention it again because I will return to my doctor this week for a follow-up. My plan is to knock his socks off with the fact that I took his information to me seriously. My blood pressure has been better when I measure at home, and so have my glucose readings. Again, no big change with the weight but my husband said that he has noticed my body has been slimming. I should point out that he didn't say that just to be nice and I didn't ask him if any particular clothing item made me look fat. He is quite truthful about how he thinks clothes look on me.

Since I have been exercising and trying to eat better, I have become more aware of my body. I'm not totally in tune but I am improving. One big thing I have noticed is my posture at the computer. I have caught myself hyper-extending my neck and/or slumping. When I notice, I will correct my sitting with better posture but this happens more than I realized and more than I like.

I did have a moment yesterday that I need to focus on more than I currently do. I try to limit my intake of carbs and sugars but especially after three p.m. to a very small amount, none if I can get away with it. But yesterday, I didn't pay attention to my body or what I had eaten and at what time. I ate lunch at 10:45 a.m. and didn't have an afternoon snack. By the time my husband got home from work, I was queasy and weepy for no particular reason. He gave me some liquid B12 and I ate a little cheese, and I felt better. So I didn't pay attention to the fact that my blood sugar had gotten too low before I ate something. I know I would be better off if I would plan my meals and snacks but I haven't gotten there yet. It's on the list of thing to do.

So what new things have you noticed about yourself lately?