The Endo Exchange

Endo #1:
So, I've got this patient...

Endo #2:
Yeah- and you can keep them.Good gosh, I've got enough of THOSE types in my own practice.

Endo #1:
Just listen to me for a minute. She's moving to your neighborhood-and might be investigating you(based on my recommendation). Back when you were my resident,you may have run into her.

Endo #2:
I doubt it, the name doesn't look familiar.

Endo #1
Just wanted to give you a heads up. And she isn't that bad, she's just somewhat of a trainwreck who will probably never have an a1c under 7 + die of every complication in the book- but those types need just as much support, maybe more. And I think you could handle her.

Endo #2
Thanks,I'm flattered by the moral support.

Endo #1
Anytime after Nov.10, be on the lookout.

Yesterday's appointment(unlike some previous) was actually productive, I felt like it was worth the $20 copay. My endo recommended someone she knows in that part of the world,(that I'm moving to) and even said she'd talk to her(put in a good word) if she could accept a new patient. As Endo #2 will be in town this weekend, the above verbal exchange is entirely possible. They took alot of blood(as I've been avoiding the place since May),
and I gave her more updated forms for the CGS/Insurance coverage battle. I could have just faxed them, but stuff gets misplaced very easily there + even when it goes to the right place, it takes a good 7+ days for the endo to even look at it. I felt like I needed to reinspire her(and myself) to the cause.

And my blood sugars have been uncharacteristically flat line-several days of 120-140 range, so my endo really didn't even have much to say in terms of insulin adjustments. I usually have a post breakfast spike(low 200's), followed by a severe drop(4 hours of no insulin and still having to eat) so she recommended square waving my meal to avoid that. But the past few days have been amazing, everything I do, works. I eat/bolus, and two hours later I've got a gorgeous blood sugar that stays gorgeous till the next meal.I hardly move 15 points in either direction. Overnight, I'm steady as a rock.(or drop slightly) It's kind of nice. I'm used to things always moving, requiring frequent input + this is pretty bizarre. Maybe my a1c will come back lower too.(helped by the research study's blood letting)