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How often do you worry about diabetes complications?

May 24th, 2012
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"How are you?" The Mr. wanted to know as I climbed to the top of a step ladder in our kitchen last night.
"I'm good, sweetie. Just trying to fend off a potential low," I said.
"Oh?" he questioned.
"It's hard work getting all this wallpaper off," I said, scraping off pink, flowery wallpaper. (Good riddance, finally!) There were several moments when I was actually slightly out of breath and felt my heart racing a bit.
I had tried a new recipe last night: mini pizzas made on English muffins-definitely not a diabetic-friendly meal, but I'm cutting costs and this was yummy and cheap. I snacked a little before dinner and thought I had bolused appropriately for the pizza. But without checking my numbers before getting to work on the kitchen, I don't really know where I was before my "workout." (READ MORE)


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My inaugural season coaching Charlie's soccer team - The R2s - came to an end. The soccer part went well. We scored "THIS many" goals. (Holding up sticky orange fingers) The other teams scored "THIS many goals." (Holding up slightly less sticky orange fingers.)
I know soccer. That part comes easy. But managing diabetes when there's 117 various obstacles working against me? Not so much. I often found myself winging it; rolling the dice; holding my breath; crossing my fingers; thanking my lucky stars; speaking in clichés.
I did a lot of research on pumping strategies for excessive activity. The more I read, the more confusing it got.
Reduce basal rates by 50 percent 1 to 2 hours prior to activity. OK, I can do that.
However, watch out for high blood sugars just prior to activity due to adrenaline.
If using insulin to treat high blood sugar, use caution as activity speeds up the effect of insulin. (READ MORE)


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"Take two tablets every four to six hours, up to four times daily."

 

These are the standard dosing instructions we see on drugstore bottles of aspirin, acetominophen, and ibuprofen. "Take two [at the time]" is such a common instruction for medications that it's almost become a cultural joke. But if you go over to the drug manufacturer's site, or to a site like drugs.com, you'll find another story that may cause you to question the first. That story is the drug's activity curve.

 

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I'm always looking for easy, fairly fun ways to control my diet. I usually just keep a running track in my mind of what I've eaten in the past few days. Sometimes this helps me say no to the cookies or the extra servings of something yummy. Other times, it just makes me feel guilty that I can eat so poorly and not seem to care.

 

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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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From the top of a hill overlooking a baseball diamond ,
"I think I'm low."
While playing roller hockey like a Transformer with 15 pounds of equipment ,
"I think I'm low."
While blowing bubbles on the deck ,
"I think I'm low."
From the top of the stairs ,
"I think I'm low."
In the wee hours of the morning while the whole house sleeps ,
"Mom, dad, I think I'm low."
"I think I'm low." "I think I'm low." "I think I'm low." (READ MORE)


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Olivia has a tendency to run high after exercise. I don't know why, I just know that she does. What we usually do is have her eat something light an hour before practice and bolus her a little more than usual for the carbs eaten - usually 30% more. It seems to work, although like many things with this stupid disease, what works one day might not work the next.

Last night, Olivia got home from soccer practice and said she'd taken out her site because it was hurting her when she ran. I told her that was fine, but that she should take a shower and we'd put in a new one when she was done. This was around 7:15.
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When I see 499 on the blood glucose meter, I wonder if it's possible that the small plastic device has a heart. Maybe it's trying to soften the blow - afraid to show me a number like 500.

 

"At least 200 of that is from him being excited to play hockey."

 

This is what Susanne says when I call her with the news of the 499 from the ice rink. She might be right. It was week 1 of ice hockey and Charlie's level of excitement was bursting at the seams.

 

300 would have been an acceptable number being that he had just had breakfast.

 

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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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You may be at risk for diabetes if...

 

Anyone else here bristle when you are presented with these statements?

 

I mean, no $4!†, Sherlock. I have diabetes. I am no longer at risk for the condition, it exists in me.

 

So why does my lab's A1c, if it exceeds 5.8, say "You are at risk for diabetes" rather than "You are within guidelines for someone with diabetes"? Did my diabetes suddenly go away just because I don't need to take pills or shots to control it?

 

Now, I know I'd be really peeved if I didn't have diabetes and a 5.8 A1c read, "You have excellent control of your diabetes" -- but come on, some contextual information, please -- or better yet, placing 5.8 in the "higher than reference normal" category and letting my doctor do the talking.

 

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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.

(Read More)
Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
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