I woke up early this morning a tad bit nervous, to say the least. I had to do a lot before noon. A phone meeting, going to the bank, a doctor appointment. No, not a doctor, a nutritionist. A dietician if you will. I literally prepared for this appointment. Had my blood sugars listed and ready, had my machine, had my fear. What was this going to bring? Was this lady going to be like my new endocrinologist or would she be nicer?
My mind started to wander about in different places. I ended up canceling the phone meeting, not going to the bank and taking deep breaths to prepare my mind. What was going to come of this meeting?
I got to the hospital on time. It was the fact that I had to wander through the winding maze of the hospital, find where to check in and all that hot jazz that made me late. They were nice about it. Also, I was in the elevator with the dietician.
As I checked in, I believe the receptionist felt I was nervous. Not too sure though. I sat down and sure enough, the dietician came to get me with her student shadow (like those residents I despise) but I actually liked her. When we first got to talking, she explained to me that getting the pump was not going to solve all of my problems. I knew that right off the bat. She asked me questions about meals, diet and what I knew about carb counting, which is just taking the proper amount of insulin for the grams of carbohydrates consumed.
The one situation that I did have a question about was my carb ratio. I asked about this because when I took the right amount of insulin, sometimes it wouldn’t bring my sugar down after a meal. My carb to insulin ration was 1:15 meaning one unit of insulin for every 15 grams of carbohydrates. They told me to change it to 1:12 and see what would happen with that. Keeping track, even if it’s in your head, is very important. I realize that only I will know what’s going on and how it all works, even if it’s just from memory, remember to always ask questions.
After we settled everything and I explained what I did in certain situations, she thought that I was right on track. I was doing what I was supposed to be doing and doing it right. Rock on! The fact that I used my problem solving skills to balance myself out also played an important role in her decision to agree on an insulin pump for me.
I wasn’t ready for one before since I had just begun learning about how to take care of myself “manually” if you will. When the diabetic nurse came in she said I was exactly the kind of person that should be on a pump since I was doing everything that it entailed anyway. She said it would save me a lot of poking since I take insulin through injection. The bruises and marks sometimes are ghastly (I just really wanted to use that word).
The pump is a small beeper-sized device that is connected to my side with a catheter which is changed every three days. The insulin goes in and I set it up for the amount I’m supposed to get and when. It also remembers the previous amounts and calculates carb intake as well as anything else I program into it. I’m also supposed to be trying out these classes online to see what it’s all about even before I get my hands on an actual pump. Of course, there’s always the question of insurance, which is scary, but for now, I’ll take a deep breath.
When it came down to it, the nurse explained the Medtronic pump to me, with a basic explanation of how it worked with pictures and an example pump. I didn’t have to be put on the CGM again, which was cool. But the visit only inspired me to do more and continue on with my good habits, finding ways to control my diabetes even more.