Being the good little diabetic that I am, I go to my Endocrinologist every 3 months. Mostly this is to do blood work, but if I'm having a problem, it gives me the opportunity to talk with an Educator and the Doctor. Since I go so often, they know me pretty well. As far as the diabetes is concerned, I like to self-manage a lot. This is from years and years of having to self-manage and being really good at it. I've educated myself enough, and I know my body well enough that I'm extremely comfortable doing this. If I could get prescriptions without having to see a doctor, I would never go. The way I see it; the Doctor isn't with me all day, every day. She has no idea what's going on in my day-to-day life and even though she has the last 2 weeks of my numbers on paper, that doesn't paint a good enough picture of what the rest of the 3 months I wasn't coming in was like. It took a couple of years for her to finally understand that she can recommend that I do certain things, and watch me change the settings on my pump, but if that's not what I want to do, it's not what I'm going to do. I often change the settings back to how I want them the second I get in the car to leave.
In trying to get pregnant, I've been running my numbers very low. This is because in the first few weeks of pregnancy, when you don't even know that you're pregnant, all the organs are forming. If your blood sugar is too high during those first few critical weeks, it can cause birth defects and even miscarriage. They have known at the doctors office that I've been trying to get pregnant since before I went off birth control. I had to get the "all clear" from them before I was able to start trying. The first year of trying, my doctor kept forgetting that this is what was going on. The second year, she started to become concerned and recommended that I see a doctor. I wasn't ready at that time, so I didn't go. I went to them the day after I made the appointment to see the Fertility doctor so they were aware of that. At my appointment in December she asked how things were going, got the scoop on the Polycystic Ovaries, and sent me on my way.
I went today and got yelled at by the educator, not only for losing 3lbs (which I expressed my anger about because I've been trying to lose a few pound lately because I'm uncomfortable), but also for 3 days worth of low blood sugars (which I couldn't figure out and did everything I could all day to bring them up, they just wouldn't come up). They don't like me running so low, but honestly, I don't like being high. It's what causes complications further down the line, and after 19 years of being diabetic I have had ZERO complications, so I don't see what their problem is. So she was wanting me to run higher in the afternoons. I flat out told her NO. It's uncomfortable for me to be over 140 for any length of time. No, I don't like being under 75, and I correct those lose lows, but when I'm running around 90-100, if I start going low, sometimes I can't catch them fast enough. Since I've never NOT felt a low, she dismissed me to go wait for the doctor to see me. So I wasn't looking forward to seeing the doctor. But once I got in there, finally, she asked what was going on. I told her I was extremely stressed and things were finally getting under control. She completely understood. Since there was absolutely no pattern to when my blood sugar was going low, there really wasn't anything she wanted to change. Especially since it seemed more like it had to do with when I was working than on my days off. She told me to play with my Insulin:Carb ratios and make a note somewhere to turn my basal down on days I'm working.
Then she asked me what was going on with getting pregnant. And I told her all about how they wouldn't prescribe me a high dosage of Clomid without being seen and that I couldn't afford to spend that kind of money right now. Her response? "Nobody can right now. They just want your money. Want me to send in a 'script for Clomid? I will." I'm still kind of in shock. I told her YES. She wasn't really sure about the dosages, but trusted what I told her, so she faxed the prescription over to Target. Her reasoning for doing this, and I agree, is that they didn't do ultrasounds 20 years ago when they were prescribing this, so it's not going to hurt me to take it without the ultrasound now. She asked if I've ever had any cysts burst and I said no (and that's the truth), so she felt very comfortable with prescribing me the Clomid.
She just upped it to 100mg and told me if I wasn't pregnant soon, she would up it to 150mg.
I'm so excited. Seriously. I'm freaking out. I wish I had had this appointment two weeks ago when I started my period so I could take the Clomid now, but oh well. I'm getting positive ovulation tests this week, so *fingers crossed* hopefully I'll get pregnant all on my own, but if not, next month is looking brighter already.
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