I had two doctor’s appointments yesterday morning. It was not planned, so fortunately they were at separate times. The first appointment was with my endocrinologist. My blood sugar has been slightly lower recently, but there is a lot of variability in the readings. She mentioned that I may have brittle diabetes, which is harder to control. The linked webpage does say that it is rare and typically found in type 1 diabetic s however. I may also have experienced rebound hyperglycemia that would raise my morning blood sugar readings even though I did not eat anything overnight. In the end, she just increased my insulin prescription again, and sent another referral for a CGM (continuous glucose monitoring) meter.
I was done at about 9:15 am but the next appointment was at 10:20 am. I sat in the parking lot checking my phone instead of driving home since I would be heading out right away again. The next appointment was with my nephrologist. She said my lab results were fine but asked me to take some vitamin D supplements since my level was low. We also talked about COVID vaccine, antibodies, and Evusheld availability.
At my previous appointment with UCLA transplant center, they said I should get Evusheld shots, but since I am not a high-risk patient, they do not have enough doses to offer it to me. My nephrologist said St. Joseph hospital only received 40 doses, and the transplant doctor is restricting access to only his patients. One of her other patients told her that UCI received 600 doses for some reason; their transplant program is not that large either. Anyway, her plan for me is to get an antibody test (I did that this morning). If I have zero antibodies after four Moderna shots, she will try and make a case for me to receive Evusheld at St. Joseph. If that is not possible, she will then refer me to UCI to try and get shots from there. I have not had an antibody test before so it will be interesting to see if I do have antibodies.