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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 26th, 2012
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Several people have told me lately how A1c results aren't all that important. I agree that A1c's aren't the ONLY lab test or number that diabetics need to be concerned over in their diabetes management. But it's also ingrained into me that A1c's are a very important number in diabetes control.

 

For about ten years, I went to a doctor who was directly involved in the DCCT trial. I researched the DCCT for a science fair project in 7th grade. I've seen the results. I've heard the stories. A1c results are valued by most endocrinologists in this field. Obviously, there is something to this.

 

For me, my A1c is one of the telling factors about my control. It's the guiding light at the end of the tunnel. There is an ultimate goal in my mind regarding my diabetes and regarding that number. It's important to me. I'd rather have a lower A1c than risk running at a higher result and increase my chances of diabetic complications.

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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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One of my recent posts highlighted how diabetes can blind side us on any given day. It doesn´t fit into the mold of life, especially MY mold of life. This has me wondering, "What is diabetes control?"

 

Some people in my life have questioned whether or not I am out of control as a diabetic. They wonder if I know as much as I seem to know or if I actually practice what I preach. They wonder how I can blog about numbers like 47, if I truly manage this disease.

 

My statements to them are always the same: everyone´s diabetes is different. Mine is complicated by other health conditions. I also have a history of lows; lows that sneak up on you and catch you unaware.

 

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Recently, my mom and I were talking about our eating habits. When she was a teacher, she said, there were typically goodies in the teacher's lounge. Every carb-heavy, sugar-filled concoction you could imagine. From donuts to stolens to cookies and cakes. She said if she could just hold out until the kids left for the day, she felt pretty good about making it home without touching anything. If she happened to grab one of those treats first thing in the morning, though, she was extra super diligent for the rest of the day, she said.
"Oh, man! Not me!" I said. The earlier I cheat, the more likely I am to be bad for the rest of the day. She was shocked at my admission. (READ MORE)


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Saturday was one of those random days for my diabetes. I have been thinking about it and I have come up with a few ideas about why my sugars were off. For one thing, it's the weekend and I ALWAYS seem to have difficulty keeping things on track. I am sure that all of you out there can relate to this. Saturday and Sunday come around and sleeping patterns go out the window! All throughout the work week, I get up about the same time each morning; eat the same size breakfast and then go through my typical work day. Well, then the weekend gets here, and I am eating at completely different times and having irregular meals. And when it comes to physical activity on the weekend, I am either extremely lazy or working exceedingly hard. (READ MORE)


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I was really hoping for magic when I started this new routine. I wanted an easy transition from the pump to MDI's. I wanted an "out" from the pump...a way to say that it really isn't working and it's all the pump's fault. I really don't even want to be putting these words to paper.

 

But I am. I'm confessing. Lantus and Humalog are not working out any better than the pump. The week before I went off the pump, my averages were at 140 (and that was with pizza on two occasions). I wasn't having as many lows as before, although I was still having them.

 

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As people with diabetes, we are tasked by our medical teams with conducting our lives in a manner such as to minimize or mitigate the destructive effects of our medical condition. A lot of press is given to the concepts of "patient compliance" and "patient adherence" -- enough to raise the blood pressures of many of us past the levels covered by our antihypertensive, renal-protective pharmaceuticals. The idea of being "a diabetic in control" (or "out of control") has also been known to raise the hackles of a number of the T1s among us, whose blood glucose levels vary with the tempo and dynamic (but none of the grace) of a Mahler symphony.

 

Like the four movements of a symphony, or the members of a string quartet, the cornerstones of diabetes self-care are:

 

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I'm currently on Ortho Tri Cyclen Lo, which is a low estrogen triphasic birth control. I picked this one years ago because it was low estrogen and had the same progestin that's known to decrease acne. Plus it comes in a pretty nifty diskette...mine has a flower on it in fact. I only stayed on it for six months back then though because it wasn't really helping with the cramping that I was having. Nor did my acne seem to improve.

 

I went back on it a few months ago because of the Accutane regimen that requires birth control use. It seemed the safest option after Seasonique left me with 21 days of breakthrough bleeding. This is my second completed pack. And I think I'm beginning to see a pattern with my blood sugars.

 

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I may not be the first to say it, but at least I'll own up to it: I can be controlling sometimes. OK, a lot of times.

 

There are times when I'm OK with it and then there are times when being in control takes its toll on me and I completely flip out about feeling like I'm the only one who does anything around the house.

 

So the last time I flipped out I basically threw my hands up, said I was going to bed (at 6:30 p.m.) and told The Mr. "You handle it." I was totally serious. Climbed into bed, put my glasses on the nightstand and closed my eyes. Like the good husband he is, he came upstairs and coaxed me downstairs for dinner.

 

While we were talking he said, "Do you want me to come up with a plan for all this?"

 

"Fine," I said. "Take over."

 

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I switched birth controls last week to Ortho Tri Cyclen Lo. A birth control pill I'd been on back in 2007 with no issues. It was a much needed switch since the Seasonique was giving me horrible nausea and had caused breakthrough bleeding.

 

Unfortunately, I've totally messed up my hormones now I believe. Because even after switching, I'm still getting breakthrough bleeding. And it's much worse than before. Not only is it a different kind of bleed (less spotty, more like a normal period), but I'm having pretty severe cramps on a regular basis.

 

This is day 21 of the breakthrough bleeding. And I thought at day 11, I was done. But now, I'm so incredibly annoyed and frustrated that I can't even put it into words. All I want is to go back in time and not take the Seasonique. Or at least not without getting a period.

 

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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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