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March 18th, 2010
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Diabetes gets old.


Pricking my finger, taking insulin, filling my pump, going to the doctors, counting carbs, and all the rest of the stuff we have to do to manage this stupid disease gets old. Fast!


So with that Diabetes Burnout happens.


I know for myself I get burned out every few months. I just get to that point where I want to give up and take a little vacation from it all. Not necessarily throwing in the towel or forgetting all about it, since we all know where that will lead, but maybe a few less tests or not worrying so much for a particular day.

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I am feeling a bit discouraged and overwhelmed today. Just a week ago I was high on getting my exercise in and then wham, I let it stop being top priority and it fell away.
I wish I could just wake up and eat what I like, not eat if I like, pretty much I'd like to do whatever I darn well please. I feel so much pressure. Pressure to eat right for the baby, eat right for the diabetes and weight thing, exercise, test at regular times, eat at regular times, log my eating, try to get enough sleep, write enough posts for here, etc., etc. I'd love to give up some sleep to get some things done, but that just messes with everything else I'm trying to do. (READ MORE)


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Because I've gotten so off track in the last month or two, I've decided to take measures towards better control. I'm sick of watching my numbers climb higher than Everest and struggle to make the plunge back down. My 30 day average is 156, but my 15 day average is 176. So obviously I've lost my control.

 

This month has been hard physically. I've put my work out plan to good use, hitting the gym at least two times a week and walking the neighborhood at least two times as well. I also started the diet. Then summer school started.

 

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Yesterday, George talked about not caring. Burnout is something I think we all go through in all parts of our lives, but perhaps especially when it comes to diabetes.
I can't think of another chronic illness where the victim is in almost complete control. What I mean is that in theory, if a person with diabetes does everything "right" then everything should be OK. I'll even go out on a limb and say that people addicted to alcohol or drugs don't have as much control over their disease as people with diabetes are lead to believe they have.
High post-prandial numbers? It's your fault.
High A1C? It's your fault.
Meds not working? It's your fault.
Complications? It must be your fault.
In contrast--in-range post prandials, an A1C lower than 7 and 20 years complication free equal a high-five and "Great job!" (READ MORE)


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I knew he was high when I walked in the door;


His body was twitching, there was nary a snore.


His complexion was rosy, his hair dampened black;


I knew he was high before the pricker went "clack!"


The horrible number stayed like a tattoo,


Spitefully showcasing 392.


With insulin active, we gave it an hour


And whispered a prayer to a higher power.


I awoke from a dream that Obama had won


When Susanne said, "Carey! He's 421!"


I stumbled to his bedside, my wits on the fringe;


Susanne poured juice and loaded a syringe.


I pinched some plump flesh on the back of his arm,


Inserted the needle, then set my alarm.


2:30 am - I walked through a fog,

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"I don't care."
That has been a familiar phrase from my lips lately. My wife asks me how many Weight Watchers points a particular meal is when we go out to dinner and I will respond with "I don't care." That probably explains why I have gained two pounds over the past two weeks. I just do not care.
And with that I have not really calculated my carbs. I have been loosely guessing and then making major corrections 2 hours later. I am still checking my BG. I am not guessing on that. But I just feel so uninterested in my life right now. I know that makes no sense especially since I am writing about it now.
I guess I am looking for advice although I do not feel I am in a place to accept or follow any of it. Maybe I want to hear, "I've been there and its okay." Maybe that will make me feel better. I don't know. (READ MORE)


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The past four days have been a real pain. I have no idea what my problem is, but I just can't seem to get my diabetes right. I had been going fine, doing everything correctly, testing like a mad woman, and getting great averages.

 

But something got a hold of me on Sunday night and hasn't let me go. I'm checking a lot still, but I'm seeing numbers like 180 or 220 instead of 100 or 120. I'm eating anything and everything I want. I'm not bolusing for snacks. I'm not calculating boluses correctly. Basically, I'm just slacking.

 

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Sixteen plus years of diabetes has left me with interesting personality quirks. Since I've never known a life without this disease, I can't really say that I'd be different or not if it wasn't here. But the fact is that it is here and that it weighed on my development, still weighs on my life, and will always be a heavy load upon my shoulders.

 

Diabetes created a strong need for control in my life. I've always been a bit of a control freak, type A personality (that may be hereditary considering my mom and eldest brother are type A's and my personality is all around more like theirs). But the relation between my need for control and diabetes didn't hit me until a few years ago when I read Diabetes Burnout.

 

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Some days I'm fed up with this whole diabetes thing-testing, tracking, meal planning. I know, being pregnant and all, tight control more important than ever, but frankly, I'm just tired of it! So, please pardon my little pity party while I rattle off a few things I hate about being a pregnant diabetic.
Constantly testing. I know it's important. I've learned not freak out if the numbers aren't where I want, but to simply take the information and make adjustments as needed. It's the act of watching the clock for the two-hour mark, never leaving the house without my meter, notebook and insulin pen, and pricking my damn finger close to 10 times a day, although most of the time, I just use my arm. I know it's not as accurate, but it's less pain and less mess. (READ MORE)


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I recently solicited questions and got a taker (whoo!). katdiego asked: "Hi Julia, My daughter is almost 11, dx'd at age 6, wears a pump. I'm curious about puberty. At what age did you start noticing a monthly trend? What can I expect? I had heard that girls start showing an increase in insulin needs monthly for quite some time before they actually start to menstrate. And what about teenage rebellion? Does your daughter still take care of herself? Any advice on keeping you child engaged and conscientious about their diabetes care? Has she experienced burnout? I apologize if you have talked about these things previously. "

She also gave me some lovely compliments, so thanks, kat.
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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)
Kim Doty
Kim DotyKim is a computer systems administrator for a major food manufacturer and lives in Colorado with her husband, Steve, and their children. She currently battles the bulge and tries to develop an exercise habit to better manage her blood sugars. (Read More)
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