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How often do you worry about diabetes complications?

May 24th, 2012
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Last week I wrote about my fattest night ever and how I was going to begin the road of weight loss.

 

That was dumb idea to start on the Friday before a holiday weekend.

 

But I did anyway and honestly, couldn't we always find an excuse as to why we should wait to start losing weight? I can always think of something it seems.

 

Over the weekend I did everything in my power to stay off the couch and get out of the house. This stops me from snacking and sitting and watching cooking shows that just make me want more snacks!

 

The other thing I am doing is making some better choices when it comes to food. I have to be honest with myself. I am not going to eat salads everyday, or bun-less burgers. That is not me.

 

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Maybe it's just that it takes different parents of children with diabetes different lengths of time until they finally "back off," as my son's endocrinologist so bluntly urged us to do at last visit.

 

Even after just a year into life as a pancreas, doctors and nurses focused a great deal of concern on Susanne and me. "Hello!" we wanted to say. "Child with diabetes standing in front of you! Can we just focus on him?"

 

"You need to get your sleep," they'd say.

 

"You shouldn't have to get up every night at 2 am," they'd say.

 

"If you don't take care of yourself, you won't be able to take care of him," they'd say (the fear mongers)

 

"Don't worry about us."

 

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I don't really know what to think about my blood sugars since I changed the Lantus. Saturday night, I lowered it from 34 units to 33 to stop the drastic/constant lows that I was having. It's been three nights of that and I just can't see the outcome yet.

 

Sunday was okay. I woke up higher than I went to bed but I'd also eaten a snack without any bolus to cover. I ran in the 190 to 250 range through the day which was frustrating but I wasn't eating the best.

 

Monday, I woke up at 239 which was 20 points lower than I went to bed at (with no correction that night). I stayed in range for most of the day except for a spike to 287 and a slow decline that bounced from 199 to 237. The 287 was my fault as I missed a bolus for a low carb snack in the afternoon thinking that I was dropping low (I had the feeling but not the numbers to back it up).

 

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Walking from the kitchen in one building back to our cubes in another building this afternoon, A and I joked about how easy it would be to lose weight if we just had someone to cook for us.

 

Well, it's not so much of a joke. Between my sophomore and junior years of college I lived at home, The Mr. (who was not yet The Mr.) was in the Navy and my summer job was nearly an hour from home. Dad cooked for me every night, I walked two miles a day at a furious pace. I lost 30 lb. that summer. I was 9 lb. from my goal weight when I went back to school and started eating, well like a college student.

 

My new walking routine has resulted in a lower A1C, but no fewer pounds yet. Partly because I haven't changed my eating habits, but at least I'm seeing some sort of result from the near-daily walks.

 

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As I looked at my averages last night in preparation for my Friday endo check-up, I couldn't help but complain to myself that there is no pattern. Every day is different, often drastically so. I can't find any constant area. There aren't variables causing these random shifts, at least not to the naked eye.

 

First, there's my morning blood sugars. Sometimes I wake up low even after a bedtime snack with no bolus. And sometimes I wake up in the 200 or 300 range with no apparent cause. Because of my history of seizures and severe lows, I lean towards the lows though. At this point in my life, I'd rather wake up 300 occasionally instead of trying to raise my insulin to counteract those highs.

 

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When I have checkups with my endo I typically don't have questions. Usually it's more or less an in-and-out-how-are-your-blood-sugars type appointment.

 

But things are chaning in the world of health insurance and I have tons of questions for my apointment next week. (Which is a follow up from barely two months ago when bloodwork showed that my thyroid had decided to take a vacation. We increased my thyroid meds; bloodwork this Wednesday; actual appointment next week.) I have received three letters in the last month or so from my insurance company telling me that the Novolog I use is now going to be a Tier 3 prescription (i.e, the highest co-pay) and that the number of test strips I can get will now be limited.

 

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I noticed a major change in my habits this weekend. I found that I can actually survive going out to eat without overdoing it. It was huge accomplishment for me since I am a big eater.
My mother was in town for her sister's big 60th birthday party so we decided to go out to dinner on Friday night. My mom picked a great little restaurant not too far from our home that has some of the best barbecue around. You know those places that when you just mention the name, your stomach rumbles in excitement? It is one of those places. (READ MORE)


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Because of my recent tummy troubles, I've decided to put off the Metformin start for at least another week. So instead of starting Metformin today, I've decided to get back into the groove of the need for insulin. Instead of purposefully skipping Lantus doses and fudging my boluses, I'm going to get into the routine of doing these things right.

 

My current Lantus doses are split at midnight (16 units) and noon (18 units). However, I've had a lot of trouble remembering them or getting them on time lately without a schedule. So I think I need to try a one dose Lantus shot for awhile. I've done it before and it just doesn't give me as tight of control as I like, but it's better than no insulin at all.

 

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I'm currently recovering from a fairly unexpected blood sugar of 49. It's the lowest I've been all week despite battling a multitude of lows. It really doesn't feel good. Especially after I've just finished an intense Jillian Michaels' workout (30 Day Shred) and just had to guzzle Coke and snacks.

 

Even before starting the Symlin on Tuesday evening, I was having lows at two odd times of the day. Morning and early evening after work. I'd wake up lower than I'd like, spike through the morning and afternoon and drop low almost immediately after leaving work. Symlin has only complicated this issue.

 

Today was the worst low of them all. After watching the Dexcom sit above 200 all day long, I had a salad with waffle fries for dinner. I bolused for the 204 prior to the meal on top of the fries and chicken. Then I decided to drink a Coke. 10 units of Humalog. An accurate bolus.

 

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When I was in grade school, regardless of whether our Trick-or-Treat costumes were home-made or store-bought, whether we wore masks or make-up, our huge paper loot bags were accompanied by small orange milk cartons stamped with information from UNICEF -- The United Nations Children's Fund. Printed on the cartons were examples of what a small donation might do for a child in a third-world country -- a nickel, for example, might provide a child with a pencil and notebook for school; a dollar might vaccinate him against smallpox or polio; five dollars could get his town clean water. The following school day, our teachers would collect the milk containers. The local PTA would count up the money and submit the school's UNICEF donation for that year.

 

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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)
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)
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