Not your average patient
This post at Barbados Butterfly about managing diabetes:
Ask known diabetics how often they check their BSLs (blood sugar level same as glucose-Dr. A), in the at home. What numbers (level) do they usually get? Do they write them down?reminded me of my own experience with a diabetic. My lovely wife was retrospectively diagnosed with gestational diabetes aftern delivering our son at a whopping 11 pounds 10 ounces. (via c-section, thankfully). His head was so big the little cap they give newborns wouldn't fit him.
Gestational diabetes is similar to type 2 diabetes but occurs in pregnant women. It usually resolves after delivery, but women with gestational diabetes are at increased risk to develop type 2 diabetes later in life.
With our daughter, we and her doctors were more on top of things and she was placed on diabetic diet and told to check her blood sugars 4x/day. She was to follow up in 2 weeks. 2 weeks later on our way to the OB appointment, she told me she was a bit worried about what to do as we'd gone out to dinner one night and she'd neglected to check her blood sugar. Only having 55 of 56 values, she was afraid the doctor would be mad and did I think she should make up a value for the one she missed.
I replied that she obviously had no idea how compliant the average patient was; that she was probably the first patient in 3 years to be so diligent. Sure enough, the doctor was amazed what a good job she had done.
Such fastidiousness does have its rewards. On her final check of glycosylated hemoglobin (a sort of integral of glucose levels over time; higher levels indicate poor control of diabetes) her value was not only not elevated, but BELOW the normal range.
Our daughter still weighed 9 pounds 8 oz.