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November 21st, 2008
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Diabetes is hard work. Everyday I use my brain to survive and thrive. Every day I'm a mathematician, nutritionist and doctor.
I add carbs together, often so naturally I never give it a second thought (until three hours later when my levels leap up to 250). I subtract and add boluses to achieve an accurate dose. I figure percentages of basal rates to achieve a better A1c. I find the averages of blood sugars, insulin totals and daily carb counts (or let my high tech meter and pump do it for me). My brain is full of numbers and levels just waiting to be added, divided and analyzed. (READ MORE)


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Ever since I got my pump, I stopped logging my blood sugars. Typically, I kept a running chart of every blood sugar categorized by time of day and weekly averages. But since the pump stores all of my information and produces such wonderful graphs, I stopped logging.

 

However, those graphs do not show specific blood sugar trends on a weekly basis and the numbers are never directly in front of me (haunting me at times). So I decided that I would get back on the logbook wagon.

 

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I've been under 100 for half of the last ten blood sugar checks. My lows are mostly in the seventies and eighties now. Only three below 60 in the past week. My averages are steady at 133, with certain times of day at 110 while others average at 158.

 

I'm certainly not complaining about good numbers and amazing averages. It's taken years of blood, sweat, and tears to get my diabetes where I want it to be. I actually feel like jumping up and down for joy at the moment. I can see the future ahead of me, not tainted by complicated pregnancies or kidney disease.

 

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As everyone knows by now, my blood sugars have been elevated lately. Since about last Tuesday, my averages suddenly shot up into the 200s when usually I average 140s. All last week I was scared to make any changes just because I couldn't figure out why I was running so high. It's always my luck the day I increase basals that my blood sugars will drop back down and I'll end up with horrible lows. So I just kept blousing and tried to really watch what I ate to keep my levels down. Nothing worked. (READ MORE)


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My average for the past two weeks is 127. I can't even believe it. I'm staring at my logbook and my pump's software reports with my mouth open. How did I get below 130?

 

I know the numbers that are leading to averages like 127 (unfortunately, I don't know the reason behind those numbers). For the past two weeks, I've experienced plenty of lows. I run consistently in the 60's and 70's for hours on end.

 

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While in Mexico, my previous pleasant numbers took a turn for the worst. My averages jumped from 130 to 170. Despite proactive measures and many reactive measures, I could not seem to control any of my blood sugars.

 

My blood sugars ran fine the first two days. I actually ended up low for the majority of the time, so I lowered my basal. We were walking all over the city, in the heat for extended periods of time, and eating at unusual times (11 pm for dinner).

 

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Back in March, I wrote a post about my top five diabetes habits that needed to be changed. I'm curious to see how I've progressed in the last four months. I haven't made a conscious effort to truly change, but I have kept these things in the back of my mind. So here goes:

 

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I started using the Silhouette infusion sets last night. I'm in completely new territory with these sets because I'm using them in new locations. This one went into my outer thigh.

 

I forgot to order the inserter, so I had to manually insert the needle. I got the longer needles/canulas, which scare me a little at first just because of their length and thickness. But inserting the needle was actually quite painless and effortless.

 

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I started the pump in October last year with an A1c of 7.3. At the time, that 7.3 was my lowest A1c since before being diagnosed. Growing up, my A1c levels were anywhere from the 8.0's to the 13.0's. Between "sugar free," a lack of diabetes knowledge in the world and being a kid, I never could get my averages right. The three years prior to going on the pump I decided to be an idiot and "take a break" from diabetes. I stopped checking my blood sugar and just blindly did my insulin. I had no idea that my blood sugars were getting into the 500's sometimes. I stopped going to the doctor. What was the point? They were going to tell me the same thing I already knew but just wasn't willing to do. (READ MORE)


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For the past few weeks, my diabetes management has really gone by the wayside. I've been so consumed with my job, my new project, school, and catching up on things that I haven't been able to invest the time that I usually do with my diabetes. And it's giving me a guilty conscious.

 

Typically, I look at my averages every day and analyze for daily trends I see. I upload at least once a month and analyze all of that data. I count carbs fairly accurately, instead of just plugging in a number that sounds "about right." And I make sure to treat accordingly.

 

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George Simmons
George Simmons is a father and husband living with type 1 diabetes. A self proclaimed "born again diabetic," George began blogging as a way to meet other people living with diabetes and learn more about managing his disease. (Read More)

Latest Posts: Hope | An Explanation | Deciding to Ditch

Rebecca Abma
What happens when a health writer develops a chronic illness? As Rebecca K. Abma can tell you, it turns into an obsession. Since being diagnosed with type 2 diabetes in December 2003, 90 percent of her non-work computer time is spent researching the disease and chatting with fellow diabetics. (Read More)

Latest Posts: Mail Order Madness | Dreaming of Diabetes | Superstitious

Our Other Bloggers: Michelle Kowalski, Julia, Lindsey Guerin, Carey Potash, Nicole Purcell, Kim Doty, Kerri Morrone, Andy Bell, Scott Marvel
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