The appointment went exactly as I had thought it would, but I did get a surprise or two along the way.
The nurse checked my blood pressure (122 over 66) and then checked my weight (not saying what it was here; suffice it to say, it's holding steady). Escorted into one of the cubicle offices, I sat down and waited to see the doctor for about fifteen minutes.
When the doctor came in, he checked out the results of my blood work on the office computer (I think he said it was the OASIS system?), and said that my a1C is down a little bit, but my triglycerides were also down a bit. Both were still too high for his liking, but before he talked to me about options, he went through my medications with me (I brought in empty bottles of every one of my prescriptions) and the 2013 blood glucose logs that I fill in regularly. He agreed with me that since starting to take the Trajenta, some of the blood sugar readings have been a bit high, but he felt that with my medical history, the stress I've been under the last six months or so, and some of the other stuff that I'm dealing with, that I'm doing all right, but that I need to get the diet under control a bit more. However, the PSA test showed a somewhat elevated level that has him scheduling another PSA test in four months.
The consensus is that if I can't get a bit more control through better diet and exercise, it may be time to go to insulin, as I'm at the end of the "oral medication road" for controlling diabetes. I need to buckle down and do something that will motivate me to a healthier lifestyle and making a few better choices, and not let the stress (and admittedly, depression as well) get to me. I'm going off the Trajenta as of this weekend, and will be taking Januvia starting on Monday (along with the other regular medications).
So, could have been better. Definitely could have been worse, too.
So, one day at a time.