The office was like a ghost town. Normally a very active clinic now had the lights dimmed, and very few people milling about. Turns out JJ was her only patient that morning. The nurse said they had a ton of cancellations. Well, good for us!! That means first class treatment!! As if we don't receive it normally.:)
The appointment was very routine. Great news is that his A1C is down from 8.2 to 7.7!! Awesome for us to see it come down on the pump. We were beginning to wonder. She helped us try to figure out our trouble spots!! Nights as usual are still bad and recently when he goes out to play in the snow he goes low. It's amazing what a little activity can do the the BG's!
Real Estate Issues
One new development was a lump on the bum!!! She found one on the upper quadrant of his left cheek. She showed me how to recognize it and had me feel for it. She asked if he wasn't feeling his site changes as much or would he direct me toward that spot for the site change? Sure enough....his site changes were becoming a breeze. What has happened is that he's kind of formed a "callous" of sorts. We've used that particular area so much that the insulin can't absorb as well and it's formed a "lump". He doesn't feel the site changes as much there, so he's always telling me to "go higher". She said the lump should go away, but we can't use a pretty large area of his small bum......we're losing good real estate!!!! Hopefully it will dissipate quick so we can rotate that site back in.
Since we had extra time with our endo we got in a discussion about "prevention" of diabetes. I had recently read an article in the "Diabetes Forecast" that said if a woman ate veggies every day of her pregnancy her child was half as likely to get diabetes. But those that only ate veggies 3 times a week had a 50% increase in risk. I was skeptical of the findings. But also there's a big push for Vitamin D supplements especially in Northern climates.....what's up with that? Well, she had some interesting information to share.
First the veggies thing. She said studies like that are so hard to pinpoint any one thing unless you begin to look at a lot of other factors. Since the "research" only studied veggies and nothing else, it really can't conclude a whole lot. She said about ten years ago she studied all the available studies out at the time and none of them could pinpoint any one factor for prevention.....like say we know that folic acid is important for pregnant women.
"....it is good for the eyes to see the sun!"(Ecc. 11:7)
However, she said one thing they have determined is that the closer people live to the equator the less people are diaganosed with type 1. And that they've tracked people groups that normally reside near the equator having a lower rate of diagnosis, but once that people group is moved closer to a polar region their rates increase. Thus all the research into Vitamin D....a vitamin we get most from the sun!! Their clinic now is recommending all kids get supplemented or make sure they take in 4 glasses of milk a day. She didn't say that taking Vit D would "prevent" type 1 (they just haven't proven that yet!), but most kids are deficient in it, especially us Minn-e-soh-tans!!!!
So......my thought......considering the LONNGGGG drive in a snow storm.....is that a move to a tropical location is in order!!! Equator here we come!!!!!:)