My visit to the ReproEndo guy went "well." Not spectacular.
Here are my figures:
Weight lost/gained: +7 (up 7 lbs from the 14 I lost between Aug & Nov)
BP: 120/80 (Missed the night-before's dose and that morning's dose)
Onset of menses: 3/14
Last menses: 1/21
Glucose Fasting: 111 (Range 65-99 mg/dL)
Uric Acid: 7.3 (Range 2.5-7.0 mg/dL)
Triglycerides: 168 (Range <150 mg/dL)
AST: 31 (Range 10-30 U/L)
ALT: 52 (Range 6-40 U/L)
Microalbumin, random urine: 66 (Range <30 mcg/mg Creat)
Insulin, serum: 39 (Range<17 uIU/mL)
DHEA Sulfate: 619 (Range 25-220 mcg/dL)
Testosterone, % free: 2.0 (Range 0.5-1.8 Percent)
Course of action:
After reminding the doc that five years ago when I was on Actos instead of Metformin XR, I was able to maintain a better weight (roughly 20 lbs less) and that my triglycerides was better), he flipped through his notes from the last five years' worth of visits and noticed I was correct.
He decided to write an Rx for Actos to be taken in conjunction with my Metformin XR.
Additionally, he cut my blood pressure medication in half. So even though my weight shifted back up (as I said it would, as the loss was not a "trend" but a result of sleeping too much due to my grief and depression), I am looking at the halving of my blood pressure medication as a promising indicator that at least my pressure has improved.
No discussion of the by-pass. As I laid down the ground rule in November, that if he took the discussion off the table due to what he thought was a trend, and if/when I gained the weight back, I'm going to balk on the surgery. I can't get my hopes up and have them dashed in three month increments.
Next visit: 3 months
Left with scrip for bloods, and a jug for a 24 hr urine collection. Fun.
