Today I had to go for my three-monthly diabetes check-up at the ZorgMobiel. Last week I had the bloodtests taken at at the hospital and today they were going to tell me the meaning of it all. So I sauntered off throught the Oosterpark to the ZorgMobiel, which is parked next to the Royal Institute for the Tropics.
My before-meal glucose was 6.1 mmol/L which is acceptable; non-diabetics are between 4.5 and 7.0 mmol/L. My HbA1c (a long term measurement) was 5.8%; non-diabetics levels range from 4.0—6.0%. Diabetics who manage to keep their HbA1c level below 6.5% are considered to have good glycemic control.
The diabetic nurse applauded these numbers and told me that —if I continued on this course— I might be taken off of the glimepiride tablets all together in the future. The dietician was happy with my weight loss. She said that my weight loss curve over the last three months was a perfect fit on the ideal curve.
The only problem I have at the moment is pain in my feet from all the walking I've started to do lately. Pain in the left foot I can understand, after all I broke the thing in a lot of places in 1995. My right foot, however, has not so much a pain as a tingling sensation; a bit like your foot 'falling asleep.' The diabetic nurse advised me to see my GP about this problem as it might be related to diabetic nerve damage. So, off to the GP I went.
I was seen by his co-assistent (my GP also teaches GP-stuff at the University of Amsterdam) who prodded my feet and tickled my toes and then called in the boss, who tickled my feet and prodded my toes and then tried to find a pulse in my feet. Left foot loud and clear; right foot nothing... So he's now sent me off to a vascular surgeon to have a better look at this sleeping right foot. There seems to be no nerve damage, since that would have manifested itself in both feet.
Later in the day I walked to the ThaiCoon for dinner when I found my way blocked by an antisocially parked moped which took the complete width of the foot path, forcing pedestrians to walk on the bicycle path. It is on moments such as this that I wished I had a chainsaw with me. Shredded bike goes well with some Thai chillies...