[Diabetes-Talk] Regarding my diabetes education appointment

Mon Nov 2 20:56:13 UTC 2020

Hello Jeanette,

First of all, thank you for the words of encouragement. I really do 
appreciate it. It means a lot to me, and makes me happy.

I really have been working hard to make those changes. It's been 
difficult. But I really feel I have supportive friends, and great 
doctors. So this really makes a huge difference for me. I'm pleased as 
to how things are going.

I agree with what you said. I think slow and steady is better. As much 
as I do desire to be off of the insulin, I don't think I want a pill at 
meal-time. I think for now I would rather stick with the insulin. I plan 
to mention this when I go back for my follow-up appointment.

I mean, why mess with something that's working? If I need less over 
time, then great.

Thank you again for your kind words. I will keep you all posted on how 
it's going.

Terri

On 10/28/2020 9:10 PM, Jeanette Kutash via Diabetes-Talk wrote:
> Terri, This is great news. The drop in a1C and your positive attitude are
> the best I have seen since you started emailing us. Even now I look at
> people's suggestions and take the ones I think I will use and add them to my
> files. And even if this is all  good, it is normal to have a bad eating day
> once in a while or to once in a while feel frustrated. But I am thrilled
> that you saw someone who made you feel comfortable and was willing to be
> helpful. Don't worry about medication changes. Sometimes it takes
> experimenting. Slow and steady is the best way unless there is an emergency.
> It sounds like this is a great start. When I went on Insulin I was so happy
> to be feeling better than I had in years that I have vowed I will not get
> off. Just take it one step at a time.
>
> Jeanette
>
> -----Original Message-----
> From: Diabetes-Talk [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of
> Bridgit Kuenning-Pollpeter via Diabetes-Talk
> Sent: Wednesday, October 28, 2020 4:33 PM
> To: 'Diabetes Talk for the Blind'
> Cc: Bridgit Kuenning-Pollpeter
> Subject: Re: [Diabetes-Talk] Regarding my diabetes education appointment
>
> Terry,
>
> This is fantastic news. You should be incredibly proud of these
> accomplishments. Keep it up.
>
> PDFs are accessible depending on how it's created. If created as an image,
> screenreaders won't recognize the text. It shouldn't be a big deal for the
> clinic to format the PDF as a Word doc. It's quite easy to convert
> back-and-forth
>
> Also, if you use an iPhone, try reading the PDF from your phone. I find PDFs
> that don't read with JAWS will with Voiceover.
>
> Also, do you have an email for the nurse so you can email questions and
> concerns? I frequently email my med staff if I need assistance and answers
> in between appointments.
>
> Congrats and keep up the good work.
>
> Bridgit
>
> -----Original Message-----
> From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of Terri
> Stimmel via Diabetes-Talk
> Sent: Wednesday, October 28, 2020 1:59 PM.
> To: diabetes-talk at nfbnet.org
> Cc: Terri Stimmel <icecreamlover76 at outlook.com>
> Subject: [Diabetes-Talk] Regarding my diabetes education appointment
>
> Hello everyone,
>
>
> This past Monday was my appointment for my diabetes. As I mentioned in
> previous messages, I was switching my care over to my primary care doctor.
> In doing this, I will now also have appointments with a nurse practicianer
> who will help me with meal planning and such.
>
>
> My first appointment with her went very, very well. I am so happy, and so
> thankful that I made these changes. I was worried about doing this.
> But I'm not any longer.
>
>
> I felt very comfortable with her. I felt she was well educated, and kept
> up with things. She answered all my questions. I didn't feel stupid for
> what I had to ask. I felt like I was receiving top-notch care. I needed
> this after how I had been feeling with my diabetes specialest.
>
>
> She asked me if I wanted meal and snack ideas. I told her I did. So she
> emailed me a PDF. She also printed it out. This way if I had someone who
> could help me look it over, or a way to scan it, I could. She also told
> me that if I couldn't access the PDF, to let her know and she would find
> a way to help me be able to access it.
>
> I loved that she was more than willing to make things accessible for me.
> Or help me figure out ways to access stuff. I do have sighted assistance
> at times. But it's limited.
>
>
> My A1C is down to 7. In about 3 months it's gone from 7.6, to 7. So I
> feel that's pretty good. I'm happy that it's continuing to go down. I
> want this to keep happening.
>
>
> Also, she decided to leave my Treseba at 80 units.
>
> However, she lowered my Novolog at breakfast from 25 units, to 20 units.
> Right now, lunch is still at 25, and dinner is still at 30.
>
> She asked me what I thought of the Ozempic. I told her I didn't think it
> affected me nearly as badly as the Victoza had. But that I still thought
> it caused a lot of stomach upset. But I also told her that in some ways
> I think it helps me eat less. That once when I didn't have it for a
> week, I felt rather more hungry than usual. She said this was possible.
>
>
> I told her that my goal is to eventually need less insulin. But that I
> didn't know if this was possible. So she told me that if I were
> interested, that in time I could possibly try a pill at dinner, instead
> of insulin. I told her that I would consider this. But the medications
> such as, Farcega, and Jardiance made me nervous. To me, the side affects
> seem awful. But I am open to this.
>
>
> I decided that for now I won't ask her about the V-Go system. I am very
> curious about it. But for now I think I need to have other priorities. I
> hope that makes some sense?
>
>
> So that's what happened. I go back in mid November for a follow-up
> visit. She also did tell me that my lows were in the 4 percent range,
> and that this wasn't good. She said she'd prefer to see them at 2
> percent. Then she also stated that something else was at 95 percent, and
> that this was phenomenal. I meant to ask her what she was talking about.
> But we got onto other things, and I never got back around to it. She was
> viewing my Libre system, when she said both of these things.
>
>
> I feel so much better about things, now that I've gone to this
> appointment. I look forward to eating better, and making better choices
> for myself. I look forward to having better controlled diabetes, and not
> having to worry about it so much.
>
>
> Thank you to all of you who have kindly offered me support and advice. I
> truly appreciate it. I will keep you all posted on how things are going
> with me. My biggest struggle is realizing when I am truly hungry, or
> just wanting to eat, because I'm bored and it's something to do.
>
>
> Terri
>
>
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