Tag Archives: MFM

Thoughts on Glucometers

26 Apr

I’m pretty sure my high 2hr post-dinner BG is because I keep forgetting to count rice and beans as carbs.  Oy.  Being Tex-mex and trying to keep strict numbers…

The hateful meter itself, representative of everything I don't want... like diabetes... Somehow, I'll manage.

This post meal number was the last one I’ll take with my Accu-chek Aviva meter. No more strips left for me. My insurance from my old part-time job used to cover the Aviva, it’s test strips and even the drum-style lancets at a reasonable rate. This different insurance plan with my current full-time employer does not cover the Aviva line and apparently doesn’t cover lancets at all, so unfortunately I find myself transitioning to the Bayer Breeze 2 because that’s the only other monitor that my MFM will work with.  It’s huge, ugly and clunky and I’m not at all impressed with the “cartridge” for test strips.  With all the bulk, why not engineer a way for it take the strips back in for storage/disposal like my lancet drums can? This cartridge system offers me no more discretion or convenience than keeping the strips in a tube, especially because just like with a lancet-drum, I still have to carry around back-ups.  Also, this glucometer is totally more complicated and the instructions are actually LESS detailed than the Aviva’s.

I’ve loved two meters in my life.  I loved my Aviva, even when my averages were climbing up, and, once upon a time, I used to be in love with my old Ascencia Elite XL meter.  (Bayer meters used to be branded as Ascencia in the U.S.)  The Elite was my first meter ever and the strips came individually wrapped. I could just grab the amount I needed for the the amount of time I was going to be out and not have to worry about touching the strip before putting it in the glucometer (the nurse who was teaching us about testing was very big on telling us that it was a crime to mishandle the strip) or about finding a way to wrap the it up discretely post-test.  The fact that they didn’t come in a drum also meant that they could pack a little more discretely into other places like a backpack pocket – which is exactly what I did.  That was a meter from nearly 10 years ago… and it was still slimmer than this damned “Breeze”… *grumble*

I think I’m mostly just irked because when I first went to see Dr. Endocrinologist, I carefully researched which meters my insurance would cover and made sure to pick out a couple that I preferred based on reviews.  This time, I just got a lovely phone call in the middle of the day from the mail-order pharmacy that the MFM’s office contracts with (they “require” their patients to get their testing supplies via mail-order, which makes me wonder if they get a kick-back) telling me that I would have to pay full price for the Aviva strips or that they could charge me full price for the other meter that Dr. McMFM’s office uses.  Lame, lame, lame.  That was also back in February… and I’ve had supplies from my old ‘scripts and some extra boxes that my mom had on hand that held up through just today… so I’ve also been paying for these Breeze supplies that I sure as hell didn’t quite need yet…

After I’m done with the MFM, I’m just going to have to use the Freestyle Lite.  I liked it at first because it was small and you could light up the display, but it quickly fails to keep time properly and it’s very sensitive to heat and dampness (I’m rough, what can I say).  At least it’s cheap so it’s easily replaceable.  Also, since I have to pay out of pocket for lancets anyway, I can still use the drum-style Accu-chek Multiclix ones.

Eh, I need to go eat my protein snack and go over the instruction manual for this meter again.  G’night y’all.

P.S. “Tan” colored compression knee-highs are heaven sent.

Bits and pieces

25 Apr

I’m a little all over the place right now.  Please forgive me.  I’m craving a chocolate malt made with high quality ice cream and I’m only finally breaking radio silence to hopefully distract myself.

I felt I had made so much progress to get back on track with my numbers, but it’s so easy to slip.  Last week not so good.  I missed at least two doses of my NPH, left my meter at home one day and missed nearly a whole day of testing and the corresponding bolus insulin, didn’t do a lick of physical activity outside of walking to and from my car…

I hate myself for letting myself and the little one down.  I hate that I know that the MFM doctor isn’t going to be encouraging, only stern… I hate that when I’m feeling down, I only want to indulge some more… which leads us right back into the ugly cycle.  Like a whirlpool, I get sucked in and down, down, down.

I can’t bottom out though.  I have lil Salty to think about.

Oh little creature of gentle nudges, random cases hiccups, rolling position changes and relentless bed-time Jazzercize, I love you.  You are so precious to me.  I’m going to work to be the best mom I can be, which means being the healthiest I can be.  I promise.

Blood pressure has been up a bit and I’ve noticed “significant” swelling in my feet.  I hadn’t noticed anything major until this last weekend.  Friday at Dr. V’s office, my BP was 113/60.  Not bad.  I hadn’t noticed any swelling, but she did remark, oh look at your little feet! And then I noticed that yes, my flintstone feet were looking a bit more vienna sausage than usual.  Hrmm… THEN all weekend, they did swell.  Probably a bit because I was sedentary.  It happens… so this morning at Dr. McMFM’s my BP was 130/66 and my feet, while not as badly swollen as they had been, had no defined ankle.  I ask her about it and she said that 1) I had no protein in my urine (thank the heavens!), and 2) my BP is always around that number when they record it at that  office… Um what?  It’s usually around 115-120, at least since my sugars have been in better control and I quit my second job… I suspect it’s the White Coat Syndrome and my distrust of that office that might be a factor… but I’m still concerned.

So yeah, I was totally at the MFM’s today… after an appointment only just Friday with the OB.  Yes.  It’s happening.  I get to do Non-Stress Tests with them both.  As in twice a week.  Dr. V brought it up at my appointment with her last Friday… apparently in the transfer of my file or whatever communication they have between offices, Dr. McMFM said that she wants me doing NSTs at her office, too… as in, I should do them twice a week.  Immediately.  SUUUUUUUUUCK!  You know it’s fishy when your own doctor is trying to explain that she wants you to just go with it and then goes to say, “I don’t know, maybe it’s the money…”  WHAT?  Not exactly reassuring, Dr. V.

Also, these Non-stress tests are totally stressful.  Possibly contributing to why my BP was up a bit this morning.  I may have mentioned that Dr. McMFM’s office has these horrible recliners that they use instead of the standard exam “table”… they’re weird.  And for a person who is under 5 foot, it’s nigh impossible to get comfortable.  I spent about 40 minutes while they tried to get baby “on” where I couldn’t breathe fully because my neck was thrust forward and my boobs were choking me to death.   Finally a nurse had the idea to have me sit up.

Also, Salty!Baby is a night owl.  She seems to be most energetic when I’m trying to sleep… at night.  Not at 8:30 a.m.  So they had to “buzz” her awake and made me drink two cups of cold water while trying to maintain my supine position (seriously, get some straws).  Well, then she’s awake… and wants to party.  They couldn’t maintain her heart rate on the monitor because she kept evading the monitor.  *sigh*  I was hooked up for over an hour before they could get a good tracing on her.  Sad thing was, Cindy even straight up said that baby was looking good, but it didn’t count until they could clearly read that on the monitor.  *facepalm*  Machines are only half of medicine.

Note to self: MFM visits correlate with whirlpools of self-loathing and neglect… remember to seek out another MFM for future pregnancies and to send critical letter via registered mail postpartum.

Doctors’ Appointment Update:

13 Mar

I finally get to confirm that we are indeed expecting a little girl!

Oh no! Bring on the pink! (I spent the entire afternoon working on my registry – ugh!)

The appointments I had Thursday went as expected.

Continue reading