Endocrinologist Appointment

Of all my doctor appointments, this is the one that worries me the most. With UCLA transplant center, most of my test results are in the normal range. Even my blood pressure readings have improved quite a bit. Some electrolyte readings are slightly high, but the transplant center does not seemed too concerned. The one area that is still a problem in my blood sugar readings. It is super sensitive to what I eat, and I have a vague correlation on how food affects blood sugar. I know it is related to carbohydrates and sugar, but there is a lot of variability and often the test readings surprise me, both positive and negative.

Here is a chart from data I uploaded to my meter’s website:

Data is from previous 12 weeks. There are a few outliers; I was too lazy to go back and delete obvious erroneous readings. If you squint, there does seem to be a very slight downward trend, especially during the last two weeks. There are definitely more green dots on the right side of the graph than the left. However, the numbers are still to high on average. If I shorten the time range, the average does drop somewhat.

There is no real difference between one or two weeks. The problem is that I have been skipping some meals, but still injecting the prescribed amount of insulin. If the morning reading is high, I may just drink my cup of decaf coffee and not eat anything else. That would definitely drop my noon blood pressure reading. I am supposed to only inject the Humalog if I am eating carbs in the next 15 minutes so I am running a (slight) risk for hypoglycemia. Again, had that once before and definitely do not want a repeat performance.

Back to the top of my post. I sent my updated prescription list (10 medications) plus blood sugar readings for all of May. Hopefully she can shed some light on why my blood sugar is so hard to control.