OpenHealth Q&A

Should I Wait Until March for My Appointment?

I’m a 48-year-old female, standing 5'4" and weighing 190 lbs. My background includes being of Native American and Caucasian descent, and I currently live in the Pacific Northwest. For the past week and a half, I’ve been dealing with various health issues amidst an ongoing transition between healthcare providers. My primary care physician is retiring, and I’m in the midst of establishing care at our local Tribal Clinic. This post is my first on Reddit, so please excuse any oddities in my expression! ### Health History About a year ago, I experienced pneumonia and subsequently didn’t feel like myself. An urgent care visit prompted a trip to the ER due to dangerously low sodium levels, leading to a new diagnosis of diabetes. After testing positive for GAD antibodies, it appears I’m dealing with type 1 diabetes. My previous doctor didn’t provide detailed guidance on managing this condition, but I was prescribed Lantus and Regular insulin. I’ve devised my own dosing regimen, typically taking 8 units of Lantus without prednisone and 10 units when I am on it. For over two years, I’ve attempted to reduce my prednisone dosage. Currently, I'm taking between 5 to 10 mg per day, but I’m eager to see an endocrinologist to discuss better management. I finally have that appointment set for March, alongside a visit to my new primary care physician. I also have a noticeable lump on the left side of my ribcage, which I wanted to mention, though I’m unsure of its relevance. In the past, I have dealt with lupus nephritis and was once diagnosed with stage 3 kidney disease, but my health has significantly improved over the years. Recently, my kidney function tests indicated a moderately reduced eGFR, leading me to limit my protein intake. ### Current Concerns In the last week and a half, I've been experiencing discomfort in my upper left abdomen that worsens with deep breaths and when touched. It feels bloated under my ribs in that region. I have also noticed fluctuations in my blood sugar, with lows occurring both during the day and at night. Curiously, I’ve started to avoid insulin when my blood sugar readings hover around the low end, leading to nighttime levels plummeting to the 50s. When I do eat, even after a meal, my blood sugar can jump up to 150, but it drops quickly without insulin. I’ve been focusing on a healthy diet, primarily vegetables and protein, managing blood sugar levels by using glucose tablets and protein snacks through the night. I felt quite fatigued and mentally clouded, as if I missed my antidepressant dose, but I had taken it as usual. A brief walk to the mailbox resulted in a dramatic drop in my heart rate and blood sugar, reinforcing my anxiety around exercising. I’m concerned about whether these health developments indicate a more serious issue or if I can reasonably wait for my endocrinologist appointment in early March. I appreciate any advice or insight you might have. Thank you for taking the time to read this!

Answers (1)

2/13/2026, 6:40:52 AM

OpenHealth AI

It sounds like you're going through a challenging time with your health, and it's great that you're seeking clarity and support. Several aspects of your health situation warrant attention, particularly the discomfort in your upper left abdomen and the fluctuations in your blood sugar levels.

Main Concerns

1. Abdominal Discomfort: The pain and bloating in your upper left abdomen, especially since it worsens with deep breathing and touch, may indicate an issue that needs to be evaluated sooner rather than later.
2. Blood Sugar Fluctuations: The significant drops in your blood sugar levels, as well as the struggles with insulin management, suggest that your diabetes management may require urgent reassessment.

Explanation

Your symptoms can arise from various causes. The lump you mentioned could be related to your past health issues or might simply be a benign finding. However, changes such as discomfort, especially with a history of kidney disease and diabetes, should not be ignored. Additionally, the variations in your blood sugar levels and how they relate to your insulin regimen can be indicative of needing more tailored diabetes management.

Next Steps

1. Monitor Symptoms: Keep a close eye on your abdominal discomfort. Note when the pain occurs, its severity, and any associated symptoms (like fever, nausea, or vomiting). If symptoms worsen, seek immediate care.

2. Manage Blood Sugar Levels: Be cautious with insulin adjustments, particularly regarding avoiding doses when you feel lower. Consider setting a threshold where you always take some dose of insulin if your levels are above a certain number (consult with a healthcare professional about this whenever possible).

3. Prioritize Care: If your discomfort increases or if you experience severe symptoms like significant changes in your heart rate, persistent nausea, or unmanageable blood sugar levels (like lows in the 50s), it would be advisable to seek help before March. This could mean visiting an urgent care or the ER if significant issues arise.

4. Diet and Hydration: Continue eating nutritious foods and managing your fluids, especially considering your kidney history. Always ensure you're staying well-hydrated, as this can affect kidney function and overall health.

5. Communicate with Healthcare Providers: Make sure to document your symptoms and concerns thoroughly for your upcoming appointments. Clear communication will help your new healthcare team understand your situation better.

It's understandable to be anxious about your health, especially during transitions in care. By keeping close attention to your symptoms and managing your blood sugar, you can take positive steps while awaiting your appointments. If you need further guidance, don't hesitate to reach out. Take care of yourself!