Go me!

So I was at my new PCP's office (my old one is retiring after 51 years in practice, and about 25 years as my doctor 🙁), and the resident [the doctor, who I've seen as my weight management doctor for three years but is also an internist was running late because another patient came in late (I saw her come in, and that's fine, she was in a wheelchair and looked like she needed a lot of help, and the resident was really thorough)] upon doing my history, went over my recent labs that were done at my pre-op appointment. I asked about my hA1c because, you know, that's always a concern for diabetics and it had been much lower than in the past before the last surgery, 6.4%, which was amazing, and this time it was 5.96%!!!!!!! And if you look below it is in the 'high, but in the 'increased risk for diabetes' range if I didn't already have diabetes. Go me! And go Mounjaro. It's been doing so well with my blood glucose that I've been taking insulin of either type about two or three times a week at most, if that--basically if my blood sugar goes over 200, and my endocrinologist is fine with that. She said I could probably go off the insulin if this keeps up.

Unfortunately, I did go off the Mounjaro a little early for the next surgery since I'd last taken it a week before I found out about the next one, so I didn't take it at the two-week mark, and if you go three weeks, they start you back at all over to prevent side effects. I didn't know that. I think I only missed two weeks last time. Anyway, she's put in a lower Rx, but that won't control as well, so I may need to go back to using more insulin for a while. And it's possible I can get the same control on a lower dose of the Mounjaro, too, so I'm not taking the highest dose like I was. I'm down to 217 lbs. I'm not sure how much weight I need to go down to. 200? 180? Certainly not to 145, my supposed 'target' weight. I don't know. That's something I need to start thinking about. With all the adjustments, I may not lose any more for a while anyway. I'm eating very healthfully and not very much right now, and not losing, mainly, I suspect, due to all the swelling I've been having due to my surgery. It's finally coming down to pre-surgery levels. Anyway, I'm thrilled about the hA1c. At my highest, in October 2018, I was at 9.1%, which was awful, out-of-control, and damaging.