Our daughter (dx 12/19/17) is away at college in another state. She is NOT managing her T1 well. Her A1C was 9.8 at this week’s appointment and she’s not alarmed at all. My husband spoke with her doctor yesterday (thank God she signed the papers to give us access) and he said that she admitted that she’s not covering for snacks - which she did not tell him at her LAST appointment in February. Because she didn’t tell him that, her basal was too high and she goes low every night. He adjusted her basal yesterday, but that’s going to exacerbate the highs if she continues to eat and not bolus. (No pump yet - too expensive - so she’s on MDI.)
I spoke with her today - not telling her that we talked to the doctor - and she misrepresented the appointment. She said that the doctor wasn’t worried and told her that her A1C would get better after she got back on the Dexcom. (Our insurance changed their coverage of the Dexcom and we’re in limbo.) She also told me that 9.8 wasn’t bad and that I needed to stop looking at the internet. I’m sure that a lot of her attitude is related to being so high for so long, but it is still very frustrating.
I’m looking for some tips on how to support her in her health without nagging. Is 9.8 really no big deal? (She told me I was being a perfectionist for wanting it in the lower 7% range.) What battles should we fight and which ones should we let go? Any help at all is appreciated!
Ironically, her major is Nutrition and Dietetics and she said she’s interested in becoming a CDE. Sigh.