Well, I do. Now. As opposed to most visits with my endocrinologist, I actually come away from visits with this CDE feeling energized. For one reason: she has her feet on the ground! Nothing makes me happier than 1) a little pep talk on how OK I'm actually doing, and 2) getting some very grounded advice about how to handle real-world D-situations.
So I'll let you in on a few helpful little secrets I learned yesterday:
* American chocolate is cheap, sugary crap. But you knew that. Still, have you thought about the difference between what it does to your BGs versus the really good, rich, high-fat and high-cocoa stuff from Europe? Yes, it actually is better to eat the Real Thing.
I forgot about the fact that M&M's are CANDY-COATED. Duh! No wonder my belated dosing strategy wasn't working... the table-sugar coating gunk was hitting me first, followed by the high-sugar, high-carb, high-fat "chocolate" portion several hours later, when I was innocently lying in bed. It's the double-BG-peak that kills you. I am off to Cost Plus Market on Friday to check out their amazing array of quality dark chocolate from around the world. (CDE reminded me how much more healthful dark choc is than milk choc).
* You can cheat on fasting for your lipids test (hey, it's just an idea -- I'm not giving any verified medical advice here!!) See, I haven't had my lipids tested for a LONG time. Because I'm one of those people who needs to eat right away in the morning, or I feel like I'm going to keel over. It's probably mostly psychological, but since I also need nanny coverage to drive my kids to school if I'm leaving early and there's usually lots of confusion and yelling, the whole thing turns into quite the ordeal. Told this to my CDE. She said I could go ahead and eat (!), with one exception: nothing high-fat, not even the night before. Apparently a little carb or protein on its own won't affect the lipid results. What a relief! So the lipid test has moved up my priority list, to the slot right below the shopping trip for chocolate (first things first).
* Insulin corrections ain't worth your co-pays if you're not committed to checking, checking, and checking. It's a two-step process. That is, in my frenzy to get my A1c down, I've been correcting morning, noon, and night, often with semi-disastrous results. Ugh! Well, the A1c will surely drop with all those lows. But this is no way to live. So now I'm duly reminded that each correction means a strong commitment to checking BG about an hour afterward. Good Lord, will continuous monitoring help on this point some day soon!
You know why I REALLY love this CDE? Because she has diabetes!! That's right. She wears a pump, and even has a kid. She lives the life, and it shows.