So today was time for a review at Pump Clinic. I have been using a pump for 7 years but control has always remained pretty mediocre, but around September I realised I needed to do something drastic so switched to a Low carb diet (around 60g/day) and along with using libre to help with timing doses and making smaller adjustments (trying to follow sugar surfing principles!) and also making a real effort to exercise more I have seen a huge improvement in my numbers, so was not as scared as normal when I went today!
My clinic uses diasend but as I only recently got it working on a new computer I didn't have the code to allow them access to what I had already downloaded, but they download pump and meter anyway. I also gave the HCA my libre to download but she just brought it back as 'we only need the one that goes with the pump' so that wasn't all that helpful since I barely use my meter and no longer use the bolus calculator on it!
Got into the appointment and they were thrilled with my A1c as I finally hit the target 6.5%/48! asked about what I was doing and I spoke about libre and timings etc, and then mentioned low carb. They couldn't really argue much as the results were there but then we spoke about my weight which is more than we would all like, and I said I was struggling as even though I am logging all food etc and am exercising more and taking in far less calories than goes out (at least a 500 calorie deficit per day) I am not really losing anything. The dietician then decided that I need more carbs, and was talking about brain needing carbs and that if I get pregnant I will definitely need a lot more. She wasn't too pushy about it as I think she could sense I was happy with the results I was getting with my blood sugars but is going to send me an appointment to see her which I'm sure will be thrilling but since I actually do want to loose weight it may be worth seeing if she can offer anything useful!
I asked about my TSH has I have had high TPO antibodies and TSH has been hovering around 5, I was actually hoping it may have gone up as I have been feeling freezing, obviously not losing weight etc and was hoping that may have been somewhat of an answer and something that could be helped but it is still at 5 so will have to continue to wait and see.
Anyway, overall it wasn't too bad, it was nice to get recognition for the hard work, I will get appointment with dietician and will be getting cholesterol and things checked in the new year so hoping I can maintain what I have been doing, which actually for the first time I really feel like the changes I have made are sustainable!
My clinic uses diasend but as I only recently got it working on a new computer I didn't have the code to allow them access to what I had already downloaded, but they download pump and meter anyway. I also gave the HCA my libre to download but she just brought it back as 'we only need the one that goes with the pump' so that wasn't all that helpful since I barely use my meter and no longer use the bolus calculator on it!
Got into the appointment and they were thrilled with my A1c as I finally hit the target 6.5%/48! asked about what I was doing and I spoke about libre and timings etc, and then mentioned low carb. They couldn't really argue much as the results were there but then we spoke about my weight which is more than we would all like, and I said I was struggling as even though I am logging all food etc and am exercising more and taking in far less calories than goes out (at least a 500 calorie deficit per day) I am not really losing anything. The dietician then decided that I need more carbs, and was talking about brain needing carbs and that if I get pregnant I will definitely need a lot more. She wasn't too pushy about it as I think she could sense I was happy with the results I was getting with my blood sugars but is going to send me an appointment to see her which I'm sure will be thrilling but since I actually do want to loose weight it may be worth seeing if she can offer anything useful!
I asked about my TSH has I have had high TPO antibodies and TSH has been hovering around 5, I was actually hoping it may have gone up as I have been feeling freezing, obviously not losing weight etc and was hoping that may have been somewhat of an answer and something that could be helped but it is still at 5 so will have to continue to wait and see.
Anyway, overall it wasn't too bad, it was nice to get recognition for the hard work, I will get appointment with dietician and will be getting cholesterol and things checked in the new year so hoping I can maintain what I have been doing, which actually for the first time I really feel like the changes I have made are sustainable!
