Do You Love Your CDE?

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. Choc_hugs

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.

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6 Responses

  1. julia
    julia May 18, 2006 at 8:45 am | | Reply

    Yet another reason to buy good chocolate (like I need one). Have you tried Five Star Bars? Fan-freaking-tastic things, come in all sorts of lovely flavours. They’re made by Lake Champlain Chocolates, in VT, and they are gorgeous. They also make large, plain (and flavoured) bars. Their dark chocolate is very good.

  2. Kathleen Weaver
    Kathleen Weaver May 18, 2006 at 9:47 am | | Reply

    Another reason to get a pump.

    Mine buzzes me 2 hours after meals so I actually remember to check and do the correction. (2 hours seems to work best for me — 1 hour caused crashes, but as always YMMV).

    Also, the pump calculates the IOB and so I don’t over correct.

  3. Scott K. Johnson
    Scott K. Johnson May 18, 2006 at 3:29 pm | | Reply

    Isn’t it amazing how much easier it is to take the advice of someone you respect? Whether it’s demonstrated knowledge and compassion, or living the life they describe, or a little bit of both.

    It makes such a difference.

    I remember seeing this one endo, and you could totally tell that thinking diabetes was his day job. Sure, he was smart enough, but I always left the appointments thinking to myself – “What the f*ck does he know about living with it!”. It was very aggravating.

  4. Allison
    Allison May 18, 2006 at 5:03 pm | | Reply

    CDEs with diabetes kick butt.
    :-)

    That’s really all I wanted to say.

    Oh, and good luck with bringing that A1C down a notch. I know you can do it, Amy! You know why? Because you rock!

  5. Chrissie
    Chrissie May 19, 2006 at 11:52 am | | Reply

    Count your lucky stars to have found a really good and “engaged ” CDE. I have had diabetes for 43 years and I am doing just fine since I was originally educated at Joslin in Boston. We were taught that we MUST take responsibility for our own care. I have never had a CDE who was diabetic. Such a person must really understand that often different diabetics react differently. I am happy for you. Don’t lose her!

  6. Nick
    Nick May 21, 2006 at 8:36 pm | | Reply

    That’s a nice link for the details of a lipid profile, and how to interpret the results. I bookmarked it. I am glad you posted that link, Amy.
    Thanks.

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