Nervous about diabetic review!

[Lanny]

Just got a letter from the hospital ths morning to phone for an appointment for a review. It’s usually about a month later but, there were 2 slots free next week & the week after. I booked the slot for 21/03/19. So, have to get my bloods done on Monday!😱

My last review was in September when my HbA1c was 60. Since then, I’ve had a tough autumn/winter season with a lot of illness & my shoulder injury causing me priblems. Particularly the last few days & weeks with my waking BS going up & down erratically, with the weather it seems.

I’ll be extremely surprised if my HaB1c is STILL at 60 & I’m expecting it to rise! There IS no time for me to work on trying to lower it now but, it’ll will BE an honest indication of where I’m at!🙄😱 Nails biting with nerves emoji!

My HbA1c this last year has been:- 101 in June 2017 after hospital stay in May 2017; 83 in Aug.. 2017; 82 in Feb. 2018 shortly before finding out I was anaemic & had iron tablets so the HbA1c would have been affected then, 60 in Spet. 2018 after the iron tablets & working hard with help from all of you to lower my blood sugars! Sweating in hard labour emoji!😱🙂

I’m hoping that things aren’t as bad as I fear & even if I back up in the 80’s, yikes hopefully not higher, I know I can work on getting it back down. Now that the warmer Spring weather is more or less here again!🙂

Please, please, please Diabetes Fiary be kind to me! Clasping hands emoji!

 

[Madeline]

Diabetes Fairy firmly entrenched here honey ((((Hugs)))). You’ll be fine, you know that there’s valid reasons for it to be a bit high if it is x

 

[Pumper_Sue]

@Lanny,
The team are there to help you not chastise you.
Write down all that has happened, be quite open about it and ask how and what things you can do to help lower your A1c.

 

[trophywench]

What @Pumper_Sue said Lanny - so I always find that it becomes far easier and friendlier from the outset when I start the conversation off with my "Hello" - then sitting myself down cos they always wait until you've done that anyway if they're polite, without pausing - (eg) "Phew! thank heavens it's Spring, I've had a difficult Winter alright, what with one thing and another!"

They haven't a clue yet that you've been ill or whatever - so they are pre-programmed to ask you why? LOL

 

[AJLang]

Don’t be nervous about your review. My consultant thinks that my 6.2 HBA1C is brilliant but due to stress this week the results on meter/Libre will be very high....and my six month review at the hospital is on Monday!

 

[AndBreathe]

Just got a letter from the hospital ths morning to phone for an appointment for a review. It’s usually about a month later but, there were 2 slots free next week & the week after. I booked the slot for 21/03/19. So, have to get my bloods done on Monday!😱

My last review was in September when my HbA1c was 60. Since then, I’ve had a tough autumn/winter season with a lot of illness & my shoulder injury causing me priblems. Particularly the last few days & weeks with my waking BS going up & down erratically, with the weather it seems.

I’ll be extremely surprised if my HaB1c is STILL at 60 & I’m expecting it to rise! There IS no time for me to work on trying to lower it now but, it’ll will BE an honest indication of where I’m at!🙄😱 Nails biting with nerves emoji!

My HbA1c this last year has been:- 101 in June 2017 after hospital stay in May 2017; 83 in Aug.. 2017; 82 in Feb. 2018 shortly before finding out I was anaemic & had iron tablets so the HbA1c would have been affected then, 60 in Spet. 2018 after the iron tablets & working hard with help from all of you to lower my blood sugars! Sweating in hard labour emoji!😱🙂

I’m hoping that things aren’t as bad as I fear & even if I back up in the 80’s, yikes hopefully not higher, I know I can work on getting it back down. Now that the warmer Spring weather is more or less here again!🙂

Please, please, please Diabetes Fiary be kind to me! Clasping hands emoji!

Lanny - I've had a much easier ride with my T2 than so, so many have, and maybe that makes it easier for me to daopt the approach I do with my A1cs and other testing. It is what it is, and knowledge is power.

I had a significant improvement in my A1c at the first test after diagnosis, and in mentally preparing for y second follow up, I decided I need to sort out some survival tactics or the perfectionist in me could be in danger of being a damaging influence. On that basis, I allow myself a margin for my testing. I look back, consider what has gone on, and "allow" myself a margin on between x, or y as my acceptable range. In reality, for me that means a +/- amount, based on whatever last time was.

On that basis, I have been able to accept the small variations I've had along the way, through stress and so on. (We all haqve them, no matter how perfect our lives seem to others, from the outside.)

When I have been in a position where my GP has suggested adding an A1c onto a batch of bloods done for something else, I just shrug and think,............. "Oh, well. Let's see how that goes."

Just take it steady. If you have a good number, than that's fab. If your resulting number isn't so great, then at least you know what happens when your routines and body are significantly disrupted. I find the truth rarely shapes up as badly as we might imagine it might.

Fingers crossed for you.

 

[Lanny]

Thanks for all your kind messages!🙂

I’m feeling more relaxed about it now.🙂 Yes, it IS too late to affect the blood tests now, on Monday! But, the last 4 days my erratic blood sugars, especially waking, has come down steadily & stayed down with the warmer Spring weather. I’d forgotten what it is to have decent numbers!🙄

It’s a boost to my confidence to know that I can work on recording decent figures in the run up to my app.🙂 I woke with 7.4, 74, 5.6 & 5.2 this morning. WOW! 5.2 this morning! It’s only the second House Special I’ve had in a year since joining this forum!

In case you don’t read the Waking Blood Sugars thread a House Special was decided on this forum, from the start?, that 5.2 is the perfect number to wake on. Good diabetic control is considered to be 4-7mmol when not eating & 5.2 is about halfway between the two figures: not too low to need hypo treatment or too high & needing a correction of extra insulin!🙄

It has proven to be VERY elusive for me this year! My waking figures prior to the last 4 days were going up & down every day depending on the weather & the pain in my injured shoulder in the 8’s & 9’s. There were the odd figures, especially after eating, nearing 15mmol. Yesterday was ALMOST all in target range with 5.6 waking, 10.1 after breakfast, 7.5 before lunch, 7.0 after lunch, 4.8 before dinner, 5.1 after dinner just before bed that needed half an oatcake as it was too low with another 2 hours of active insulin left. The result? I woke with a perfect HS of 5.2.😛

I’ll be able to handle now whatever figure it will be & know I can work on getting it down again! I know it’s possible!🙂

 

[KARNAK]

What are you worried about @Lanny, you`ve done your best and a great asset to the forum, been through c**p the last few months, (hope your shoulder is getting better) stay positive everything will be as good as it gets. Figures are a measure of how well we are copping but it doesn`t take into account mitigating factors, E.G. Flu, your left leg falling off, the boil on your bum getting bigger and flipping painful. So it all adds up to how your figures are, a lot is beyond our control, so control what you can ,life will sort the rest out, take care. 😎

 

[Lanny]

Well, @KARNAK 😱 There’s perspective for you!🙄 Thanks!🙂

 

[Barbara W]

Fingers crossed they'll be better than you fear.