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If you experience pain as a result of your diabetes, what have you found to be the best way to alleviate it?

May 25th, 2012
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At the end of this month, I'll see my endocrinologist for the first time since leaving the hospital with that adorable little bundle of joy. Prior to getting pregnant, I started taking insulin and I'm still on it. When I see the doctor again, I'll have the opportunity to change things up. Now that I'm done breastfeeding, I can go back on oral medications and put the insulin behind me.
Today, I started questioning if I really want to do that. What are the pros and cons of oral meds versus insulin? The obvious is a pill versus a shot, but after 15 months on insulin, I really don't have a problem with needles. Insulin is natural and the only real side effect is low blood sugar. Most oral meds have much worse side effects, like upset stomachs, headaches and rashes, in addition to hypoglycemia. (READ MORE)


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Last week I wrote about my experience with my new endo. Today marks a week from that first visit and the day I am supposed to fax over a weeks worth of BG readings and boluses from my pump.

 

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A funny thing happened this week. I turned forty.
Okay, perhaps it wasn't so funny.
The morning of my birthday, I took a long moment in front of my bathroom mirror. My apartment complex management was kind enough to replace the subtle lighting over the mirror that we'd had for two years with new, direct lights that look fancy but which might be more appropriate for an interrogation than the gentle transition from being asleep to facing the reality of my new life as a forty-something. Looking in the mirror, I swear I could hear the faint creaking sound of my bones as they calcified. (READ MORE)


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My job will be ending sometime this summer. Consequently, I am investigating our health insurance options. Since hubby is self-employed, we have always covered the family under my work policy.

 

Now, I know that "health care in this country is in crisis"!  I know this is a huge touchpoint for political candidates.  Yes, I know all this intellectually. 

 

Now it's PERSONAL.  COBRA, offered by my employer by federal mandate, is more than a house note EVERY month.  Private insurance is still pricey - more than what we paid on 2 car notes.  And it carries a $2000 deductible per person.  Some sloppy math later and it could be $15,000 a year before they pay any expenses for us.

 

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So, when I left you in my diabetes diagnosis debacle, we were all screaming at Harry and Ruth for not knowing more about diabetes (even though Harry was studying to be a diabetes educator. Yeah, seriously.). (READ MORE)


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My endo got back to me about the lows I've been experiencing on Glyburide. His reply: stop taking it. Once again, we're going to a "trial of diet and exercise." Excuse me? Didn't we just do this last month? I just checked the prescription bottle: Feb. 8.
I replied that we've tried diet and exercise twice in the last four months and frankly it didn't work. He asked me to just try it. He seems to think I'm far enough away from the pregnancy and its crazy hormones that diet and exercise just might work. I reminded him that it didn't work in the beginning of February either.
In fact, diet and exercise hasn't worked for me since 2005. Before I was pregnant I was taking oral meds to stimulate pancreatic function, then switched to insulin for pregnancy. (READ MORE)


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It seems like every time I meet a new diabetic, there is the normal discussion of management. The management of blood sugars, tricky situations, and the unexpected. We always hit the high points: A1c, what foods make things worse, number of lows/highs, and the rest of the "normal" diabetes lingo.

 

So every time I meet a new diabetic I'm usually thrown into the low blood sugar toss-up. As I talk about my diabetes, it is inevitable that I discuss lows. Because ever since I can remember, I've been prone to low blood sugars. And nearly every time, I get the normal response of "Your A1c must be great!" or "Oh, how lucky!"

 

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There's no way around it: I'm almost completely out of real estate on my belly for infusion sets. My lower abdomen is my favorite place for pump sites because they give me such good numbers. If I go too high above my belly button or too far out toward my hips I hit some serious snags.

 

Most site-change mornings have me searching much too hard for a place that doesn't have a scar or isn't a place I've already tried with disastrous results. While I get OK numbers when I use my hips the sites get too damaged from my clothes for some reason.

 

This morning came down to it: I had to try something different. I tried to stand as naturally as I could while I searched for a place on my inner thigh that wouldn't get too much static from my clothes and wouldn't interfere with walking.

 

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Yesterday I posted a picture on Facebook of Dexcom with a flatline, showing 100 mg/dL and a trend arrow going nicely straight with a caption that said "Beyond cool."

 

I didn't expect many -- or any, really -- people to comment or "like" the picture considering I don't have that many D friends on Facebook and many of my non-D friends likely don't know what to say when I post diabetes-related stuff.

 

When I checked on the photo later in the day I was slightly surprised (which isn't even the right word, but will do for now) at the one person who did "like" the photo. I don't know why this caught me so off guard, but it did. I couldn't figure out how he would know this was significant.

 

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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)
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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