I wasn’t worried about my diabetes check up today, and if anything was looking forward to my blood test results to see how things were going.
I went in with my check list as I like to keep my own record of what’s what.
Two nurses today, and basically things seem sort of OK.
I say sort of because it became obvious to me that the senior of the two was used to a tick list, and well, they don’t usually work for me. The second nurse took my blood pressure, and that was concerning.
Also, there was no record of my calcium levels having been checked as I’d asked and blood taken for it, so I may have to have another blood test. No problem.
Let’s start with some good news though.
My cholesterol is down from 6.9 to 5.9, with the LDL down from 4.1 to 3.4 so the ezetimibe is doing something.
Seems though they have moved the goalposts and are now aiming for a total of 4 rather than 5 and LDL of 2.
I said that is unlikely to happen for me as my cholesterol has always been a bit on the high side. Still, I pointed out that it was going in the right direction after 6 months of meds and Nursey seemed happy.
My vitamin D level was 66, of what I don’t know, but apparently that is good. She could not answer my question about vitamin D dosage which is something I will have to ask the Nurse who will be ringing me on Tuesday to discuss my diabetes.
(I thought that was what was supposed to happen today, so you can see what I mean about tick lists). I will also take up the matter of the calcium failure.
My sugar level is up from 41 last September to 43 last week. I can’t blame that on Sunday’s chocolate binge because that was after the blood test, but I confess to having had more sugary foods than I should have recently so the buck stops at me. Apparently as long as my sugars don’t exceed 48, I can continue to control my diabetes with diet.
Seems this chart is no longer used which is a shame as my levels before were around 4.
It also seems that I have been shooting myself in the foot again as regards grapes, and as a diabetic, I should only have 5 a day.
Oops. I didn’t know it was so few and I’ve been getting through 500g in three or 4 days so they are now off the menu for a while. Seems I should also avoid citrus fruit (not really a problem as I can’t eat oranges anyway) and go for apples, pears and bananas.
I bought a Gala apple today to show willing (58p), have a lovely conference pear in the fruit bowl (88p) and two bananas that are ripening fast. Bananas in the supermarket today were dire. Mangoes, tomatoes and most veg are OK.
Nursey also said I should reduce my carbs. Hm. I prefer jacket potatoes or new potatoes cooked in their skins, but like rice and pasta which apparently are good for me. I forgot to mention bread, which is usually wholemeal or half and half, two slices as toast or a sandwich, but not every day.
Now we come to my BP and I am really confused.
It was WAY higher than normal, and I questioned the way it was taken, ie, with my arm hanging down by my side as I sat in the chair. According to my little BP gizmo ‘How to take your blood pressure’ leaflet, my arm should be resting on a table or cushion, palm up, level with my heart.
The less senior nurse took it twice more and they settled on the lowest reading which was 152 over 82. Usually it’s around 127 over 75, so I was not happy about this at all.
I am now to take my BP twice in the morning and twice in the evening and record the figures, then take those, and my BP machine, to the surgery next week so that they can check them and also compare my machine with theirs.
Something else I can mention to the nurse when she calls on Tuesday.
Finishing on a good note though, she checked my feet and I have good circulation, a strong pulse and full sensitivity. I had warned her in advance to step back as I am ticklish and my reflex kick is hard.
So, I have fished my diabetes leaflet out of my SW pack and will be familiarizing myself with that in order to modify my diet.
When the nurse calls on Tuesday, I am also going to suggest that I have another blood test in 6 months to see how my sugars and cholesterol are doing rather than wait a year for my next diabetes check up.
Forewarned is forearmed and all that.