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November 21st, 2009
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I had never considered myself a numbers girl. I had always thought that I was, in fact, the furthest thing from a numbers girl. In high school, I sat - bored and unengaged - through Algebra 2, Geometry, Trigonometry, and Calculus. In college, Statistics was the one course that found me with a grade below a B. Numbers had never been my friend. (READ MORE)


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ADM LogoAs an engineer by training, I find quantitative analysis -- numbers -- an expression of control. Self control, exercise, body function, health and illness... So while I'm fortunate enough not to have to be "Bionic Betty" with a peripheral pancreas, I still refer regularly to six separate instruments, plus additional Web-based resources, to manage my food intake, exercise output, and biometric information.

 

Weight. Some folk say weighing once a week is enough, but I find that if I don't weigh in every morning, my weight can go off on very health-unfriendly curves. I log my weight both in The Daily Plate and in my personal Excel workbook.

 

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ADM logoIt's my time...to change my habits.

 

Numbers have been consuming my life in the past two weeks. Every time I turn around, a number pops up that leaves me feeling out of sync, exhausted, and completely burnt out. Averages like 241 or even 301 are consuming my logbook. Seeing numbers below 170 are a rare occurrence, with most riding in the upper 200 and 300 range.

 

The other side of the numbers is the insulin levels. I've raised my Lantus to 32 units in the evening now. And from that, I've had my first low in a week (and it was only a 72 after not eating for quite some time). I've also almost doubled my Humalog, which seems to be the biggest deterrent to those pesky 300's that I was seeing so regularly.

 

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I am a need-to-know person. You could call it curious or nosey. I'm an information junkie. All of which could explain my profession.

 

If I have high or low blood sugar, I want to know why. I want to know the reason behind it so I can adjust accordingly.

 

So, when I experienced nearly a week of pretty elevated blood sugars, I assumed it was due to my new infusion site. I have been trying (apparently unsuccessfully) to move my sites outward from the middle of my lower abdomen. After the first branch out recently, I tried to give the site some time to settle in. But after several days, I knew it was a lost cause. So I changed the site early and despite my desire to go back to where I knew I'd get good numbers, I moved outward again. Still, I got several days of unacceptable numbers.

 

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I finally got the results from my bloodwork. My endo has you come in for the appointment, then go do bloodwork, then mails you the results with a note of any changes they want to implement on it. I'd prefer to have the numbers to discuss at the appointment, but I really like the other aspects of his practice, so I stay with him.
Without further ado - the number all persons with diabetes are most interested in - the A1C. (drumroll, please)
5.5%. Yes, five point five! I have seen 5.5 before but I was pregnant and on insulin. I am pretty thrilled. My last A1C in May was 5.8, so this is great. (READ MORE)


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Despite a random weekend of highs, my averages are down from their 165 perch from the past month. My current 31-day average is 156 (weekend highs and all). And I'm celebrating those inverted numbers.

 

The added activity from classes has definitely lowered some of my numbers. I've had a fair amount of lows, although nothing that seems too out of the ordinary for being in control. Some are after walking to class; others are late at night after the activity of the day catches up with me.

 

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My averages are definitely down in the last three days. I'm having a lot more lows, but far fewer highs. And the highs I am having, I can pinpoint generally what caused them (which is a heck of a lot different than last week where I was bouncing around for no apparent reason).

 

Moving the evening Lantus dose up by a few hours has stopped those evening highs, which I'm extremely grateful for considering those highs are the same ones that start my day off. And beginning and ending my days in the 200's is not my idea of good diabetes management.

 

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ADM logo It's said that (for those of us with full visual faculties) we process something like 80% of what we learn visually. Color-coding, shading and graphs are some ways of marking differences between between values and degrees of value, helping us digest large amounts of complex information in a single glance. Consider the political map, with each country, state, county, or other subdivision in a different color. "Red" states and "blue" states. Degrees of obesity per state. And so on.

 

Consider the color-coded diagram of the human digestive system. Red stomach, yellow intestines, pink colon, green gallbladder, brown liver. What color is your pancreas? Do you want to color it in World Diabetes Day blue to indicate yours has died?

 

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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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Logging. It is something every diabetic should do. It is important in terms of identifying patterns and making decisions about dosing - and it is vital to figuring out when you need to be paying more attention and where your problem areas are in the course of a day. I remember the bad old days of handwritten logbooks. They were cumbersome and not at all useful, even when they were kept up and brought to the doctor. Technology has come a long way and there are many great tools available for logging everything we need to be tracking. But, for me at least, logging is still an excruciating task. (READ MORE)


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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)
Julia
JuliaJulia lives behind the Tofu Curtain, in the Pioneer Valley, in Western Massachusetts. It's a nice place. She likes it there. Her eldest daughter, Olivia, has type 1 diabetes. She's also 13. It's a real toss-up as to which is more difficult -- the diabetes or the teen-age drama. (Read More)
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