I didn’t get to see an endocrinologist yet. The plan turns out to be that I start out with a physician’s assistant and a dietitian. The PA prescribed long-acting insulin, to be injected once a day, titrating up by two units a day until I get good morning fasting numbers. (True to form, the prescription insurance refused to let me use an insulin pen, which makes dose measuring easy but costs more. Instead they insist I have to mess around with vials of insulin and syringes, much more inconvenient to use but cheaper.) I don’t know what the dietitian will say—that appointment isn’t until next week.
Insurance also fought back on covering the CT scan, saying they wouldn’t cover it until I had seen my gastroenterologist. Fortunately I was able to get a work-in with him for today due to a cancellation. He examined me, lectured me about having an enlarged and fatty liver (he’s right, I do and the lab work confirms it), then said he thought we could get the same results from a good ultrasound as from a CT scan, so he ordered that as well as a colonoscopy because (1) it’s been more than seven years since the last one and (2) my bowel habits have changed over the last year or so. Both of those things have yet to be scheduled, and the colonoscopy means L will have to take part of the day off too to drive me there and back ’cos the procedure is done under twilight sleep, and I won’t be capable of driving myself around afterward.
