Today was J-Dawg’s
J’s 3-month appointment with her endocrinologist. Her A1C was over 14 again. Ack!
The doctor spoke directly with J., set goals with her, talked to her about why it’s important to learn good habits for her diabetes care now and not wait until she’s older. J. will see the doctor each month until 90 days have passed and it’s time for her next A1C. They’ll then evaluate whether J. has improved/met her goals and whether she’ll be able to keep her insulin pump or not.
This month, J’s goals are:
- Check blood sugar 3 times a day
- Bolus for every meal/snack
- Write down blood sugar readings in log book each Sunday afternoon/evening for the previous week’s readings.
J’s basal rate was increased a bit. We have an updated plan for an increased temporary basal rate for that special week of the month when J’s blood sugar is haywire from hormones, and a plan for how to tweak her basal/bolus rates if her afternoon blood sugars are consistently high (after school snacking).