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November 22nd, 2009
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Tuesday night, I switched my Lantus over to a once-per-day shot instead of the split doses I'd been using previously. I started with 22 units of Lantus at 8pm. I knew I'd see some highs, but I didn't want to risk an unexpected night low after making the first switch.

 

And I did see some elevation. I ran mostly in the 180-290 range all through Wednesday, which wasn't as high as I was expecting really. I made sure to consider food in the highs, along with the usual post-breakfast spike. And I was confident that a few more units of Lantus might do the trick (or at least get me closer).

 

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It's been close to 36 hours since I went off the pump and back on the Lantus and Humalog routine. Luckily, I'm still alive and kicking. Sure there have been a few bumps in the road, but overall it hasn't been that bad at all.

 

I started out with 10 units of Lantus on Wednesday morning, but stayed between 220 and 250 the entire day. So when the evening injection came around, I decided to increase the Lantus to 12 units. But I still woke up at 223 after a pre-bed reading of 255. So I raised the Lantus again this morning to 14 units.

 

After breakfast, I saw the highest number yet: 371. I wasn't so excited, and didn't feel so well. I bolused for the number and waited for the decline. And a few hours later, I was 176 after eating a banana.

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As I looked at my averages last night in preparation for my Friday endo check-up, I couldn't help but complain to myself that there is no pattern. Every day is different, often drastically so. I can't find any constant area. There aren't variables causing these random shifts, at least not to the naked eye.

 

First, there's my morning blood sugars. Sometimes I wake up low even after a bedtime snack with no bolus. And sometimes I wake up in the 200 or 300 range with no apparent cause. Because of my history of seizures and severe lows, I lean towards the lows though. At this point in my life, I'd rather wake up 300 occasionally instead of trying to raise my insulin to counteract those highs.

 

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Low blood sugars that happen in the middle of the night really suck! You're dead asleep, and then all of the sudden your dreams start getting confusing and weird. You start feeling like you should probably drag yourself out of bed and get something from your sugar stash. You barely have the energy to get up and then once you do you stumble around and nearly black out. You feel confused and you act and look as though you've had WAY too much to drink. Then after you climb back into bed you just sit there for a while and you try to wait patiently while your sugar goes back up or until you feel good enough to fall back asleep.

Well, that's what happened to me last night, and what I tend to experience almost once a week.
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I've had quite a few decent numbers since I've started the whole Lantus switch from the pump. Wednesday was a bit rocky, as well as the first part of Thursday. But by two PM on Thursday, I was seeing stable levels close to range. It hasn't been completely stable or all that easy, but it's been comforting to already see numbers like 120 pop up on the meter screen.

 

Getting the night numbers to cooperate has been a bit challenging. For Friday morning, I woke up at 171 after 16 units of Lantus the night before. But Saturday morning, I woke up at 66 after 16 units of Lantus the previous night. Last night, I did 17 units of Lantus at 10PM, dropped to 69 at 3AM, but woke up at a nice round 110. So obviously, I need tweaking.

 

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Things seem to be coming together lately so I don't have much to complain about. Dad is off and running on his type 2 meds, I have successfully finished my first round of interviews for the job I'm applying for, and all is well for the most part on the diabetes front.

My dad started his Metformin and things are coming together pretty nicely. He is taking his daily dosage and eating better and exercising regularly. He has even enjoyed having a couple extra pounds fall off due to his new lifestyle.

Friday I had my first (phone) interview with the company I applied with. I thought it went very well and I enjoyed speaking with them. I am told the second round of the interview process will take place sometime this week. If all goes well the last step will be to make a visit to New York City for an interview in person. I believe that will take place sometime in March so I am anxious and looking forward to getting things rolling.
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So, just between me and you, where was the strangest place you've ever done it? While scuba diving in the Great Barrier Reef? On the observation deck of the Empire State Building? While getting a tattoo? At a baby's christening? While milking a cow?
For me, it was on the highest point of a slowly moving Ferris wheel on a steamy night in August. Man, that was one, hot night.
As we crept higher and higher, Charlie felt lower and lower.
Come on, people! Let's keep it clean. I'm talking about the strangest place you've ever tested your blood sugar! Sheesh!
As many of you know all too well, lows don't play fair. They don't wait until the ride is over. They just strike when they damn well please. (READ MORE)


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I was really hoping for magic when I started this new routine. I wanted an easy transition from the pump to MDI's. I wanted an "out" from the pump...a way to say that it really isn't working and it's all the pump's fault. I really don't even want to be putting these words to paper.

 

But I am. I'm confessing. Lantus and Humalog are not working out any better than the pump. The week before I went off the pump, my averages were at 140 (and that was with pizza on two occasions). I wasn't having as many lows as before, although I was still having them.

 

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Right now, I'm staring at my logbook trying to decide what changes I need to make and what else I want to try with all this. This past week has been a bit rocky so my averages are all over the place. Mostly, they're high. At least higher than I want them to be. So while I'm staring at my book, I'm trying to piece together this last week and figure out what is going on with these numbers.

 

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It's the end of my logging week again, so I'm sitting down to examine the logbook that I hold so dearly close to my diabetes management's heart. The time that I set apart for this goes something like this. First, I update the logbook with my most recent numbers, Lantus doses, and any important comments including new prescriptions, strange food choices, or exercise. Next, I tally daily averages as well as averages for time of day. After that, I analyze those averages compared to the last weeks averages and look for any resounding patterns that might need changing.

 

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Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
Nicole Purcell
Nicole PurcellNicole Purcell lists having type 1 diabetes last when she's asked to provide information about herself - because that's where it belongs.

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