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May 26th, 2012
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How many hours since a meal has elapsed
Before bg tests will ring true?
How many tests when blood glucose is tapped
Til we have enough points for a clue?
And then how can we process postprandial curves
With no CGMs for Type 2?

 

(with apologies to Bob Dylan)

 

One of the stricter schools of thought regarding "tight control" is that we should never let our blood glucose levels rise above 140, nor let them ever drop below 80 -- and if we really want to be vigilant about it, we should keep our peaks below 120. That said, there will always be some irresistable or unavoidable food, or some threshold serving size or combination, that in the past has sent our blood glucose levels soaring through the roof, and if we're being "good little diabetics", we will monitor the heck out of the expected excursion and, if we're on insulin, try to micromanage it.

 

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As if diabetes weren't enough.

 

Lately, it seems like everything I eat sends my stomach into some weird, horrible feeling torrent of yuck. It turns and gurgles and hurts. It's particularly bad when I eat something higher in carbs.

 

And I won't share the other gastrointestinal issues that accompany the sick stomach. It's just plain gross.

 

So, after about a month and half of this, I called the endocrinologist. I know what the symptoms indicate. And I knew what he'd ask. And I knew what he'd probably say.

 

What kind of stomach issues?

 

Are you doing your business (read: more grossness not for print)?

 

Any history of Celiac in the family?

 

And there isn't any history of it. Not one, not even a far-distant relative.

 

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In this post I will rant and rave in a way I don’t think I ever have about something that when I look back at this post in about 20 minutes may see incredibly trivial. Or not.
 

Seriously, what is the logic behind checking my blood sugar at the endocrinologists office? Not *me* checking my sugar, but the nurse checking it during the course of blood pressure, weight, pulse, etc.
 

I mean really, for them it’s a totally random time to check someone’s sugar. They never ask when I ate last or when I last bolused. What is the reason for this?
 

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When I have a lot going on, I always put aside testing my blood sugar. I'll go from checking 10 times a day to checking 4. With that much of a drop in tests, I can easily see my numbers start to rise across the board. So now that I've sat down with my logbook for the first time in two weeks, I can see the times of day that I don't test and what follows that.

 

I'm relentless about checking first thing in the morning. As soon as I wake up, my meter is sitting right beside me so it's easy to check before my feet even hit the floor. That regimen allows me to start my day off with a good decision: juice for lows and insulin for highs. Unfortunately, the rest of my day doesn't go as smoothly.

 

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I must admit that when I went to bed Monday night I was a little nervous, a little anxious, a little excited about my endo appointment Tuesday morning. In fact, when my fasting was well above 200 on Tuesday I wondered if my nerves had anything to do with it. 

 

Tuesday's appointment was a follow up for labwork and an ultrasound on my thyroid that I had about 10 days ago. I was pretty sure the lab work (much of which was antibody tests to determine if I am truly type 1 or type 2) would show that I am type 1, but there was still a little part of me that doubted I was right.

 

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I’m not afraid of needles, but I must admit that I’m a little fearful of the bloodwork I’m scheduled to have in a few weeks.
 

Since I finally found an endo practice that I enjoy (yes, I know I still haven’t blogged about it yet!), they naturally want their own bloodwork. Which is great. And fine with me. It’s just the type of bloodwork that’s being done that’s leaving me a little uneasy.
 

I know it shouldn’t. And, really, I’m not uneasy I’m just kind of … I don’t know… just nervous? anxious? curious?
 

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I especially took issue with one commenter to this post who said those of us checking our sugar "that often" need to see a shrink. By checking "that often" our sugars are more likely in check than not.
 

While I don't always follow this advice, I believe -- and doctors advise -- that if you take fast-acting insulin you should test your blood sugar a minimum of six times a day. That would be fasting, after breakfast, before and after lunch, and before and after dinner. If you test only after meals, then you may over- or under-bolus for a meal. I believe the same principles apply for those who take only long-acting insulin.
 

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To say we hit it out of the park with Charlie's new health aide would be an understatement. I was totally wrong. She does have experience testing blood sugar and she has seen a pump. Turns out she has type 2 diabetes!  Go diabetes!


We hit a hole in one. We knocked the cover off the ball. We laid down a full house. Scored a touchdown. Sorry. Been watching too much coverage of the National Conventions. I can't stop with the sports analogies. But seriously, folks, we really slogged a dibbly dobbly (a little somethin' for the cricket lovers).


What perfect timing. The aide is calling us as I sit here writing this. Let's listen in ...


(hushed chanting while Susanne talks to the aide) "We're number 1! We're number 1! We're numb ..."


Wait what? Can we rewind that?

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Nope, not a new Nancy Drew mystery, unfortunately. It's much more prosaic.

 

Olivia has been using the One Touch Mini since last summer. She got a new, downloadable one at the endo appointment in February. It's her favourite meter.

 

However, yesterday I went to put her numbers for the last couple of days in the meter and I noticed that she tested her blood sugar at 4-ish on Friday and never checked it again until the next day. She swears up and down that she did check it, but there's nothing in her pump and nothing in the meter. Check that - there are carbs and insulin doses in her pump, but no blood sugar readings.

 

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Eat dinner no later than five pm and fast until seven am. Perform five blood sugar checks throughout the night. Fast until twelve pm, six pm or ten pm. Check your blood sugar every two hours. Does this sound familiar?
You guessed it. Basal tests. My least favorite thing about the pump.
I hate having to eat at a required time (and worrying about what I eat to make sure there isn't a huge delay). I hate having to check my blood sugar every two hours. I find it a little frightening to fast for that many hours at a time. Plus, I just hate fasting (I like to eat when I'm hungry). (READ MORE)


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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)
George Simmons
George SimmonsGeorge 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)
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