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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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Three of my last four blood sugars have been under 100. Two of those blood sugars have been under 50. I haven't increased my insulin or even eaten much less. I actually decreased my basal overnight because I was 99. By this morning, I was 47.

 

Because my blood sugars have been so out of control in the last few months, lows are few and far between (for me, at least). Usually, three lows in a twelve-hour period wouldn't be that confusing. Yet I'm perplexed. I haven't started getting back in control consciously so there is no excuse for these lows. Actually, I should be running a little high considering that I'm fighting off a cold.

 

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Last week, Kelly at Diabetesaliciousness blogged and tweeted about diabetes misconceptions she'd like the folk at Mythbusters to debunk. This past Tuesday, the theme for the sixth annual D-Blog Day was "Six things you'd like people to know about diabetes". Around the blogosphere we saw everything from "Don't tell me I can/can't eat that" to "don't pity me" and, most of all, "Don't assume that my diabetes is the same as your [cat's, aunt's, grandmother's, BFF's ex-lover's second-cousin's mother-in-law's] diabetes". (READ MORE)


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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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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)
MikeDurbin
MikeDurbinMike was diagnosed with type 2 diabetes on December 29, 2008, and congestive heart failure the very next day. Talk about a double whammy for anyone, let alone a 24 year old.  He didn’t have to come up with New Year’s resolutions that year; his doctors did that for him.  That kind of humor has been instrumental in keeping him, and those around him, going over the last year and a half.
(Read More)
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