I have been tolerating the increase, but would not mind going back to the previous dose. He ordered some thyroid function tests which have come back normal. I was exactly the same as my previous appt. He was just a little concerned about my weight. I know that the decline will be difficult. I gave him permission to throw it in my face if needed. I asked if this was to read back to me later? He said no, he just likes to write that kind of thing down. He smiled and wrote what I said in his notes. (My former endocrinologist was not all for my doing this, and it was a bit uncomfortable for both of us that I did it anyway.) When he said this, I said that no matter how this ends, I will never doubt my decision to have tried this option. He commented that he is glad he received me as a patient after I had already had the transplant, so that he does not have to deal with the possible guilt if this does not go well. This is something that I will ask about at my next appointment in Minneapolis next month. He asked if it would be possible to begin insulin or oral glucose lowering medicines early in hopes of keeping the islet cells stronger for longer. I have worried about this before, only to see a return to normal. I think it is the added activity that the summer facilitates. I have been somewhat worried about this too, but am hoping that it is due to other factors like my cold and the season. This correlates with an increase in my A1c which was 5.3 and is now 5.6.
Three months ago, they were mostly below 100. He is worried about my fasting blood sugars being higher than at the last visit. He had some interesting things to say at this visit and I want to write them here and will probably be referring back to see what I was thinking at this point in time. He actually participated in some of the early research on islet cells when he was in medical school. He is very excited about my transplant which of course, is very exciting for me. The one that I had been seeing for 25 years has retired.
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