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February 10th, 2012
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I have been determined to not let this year be another 2008. Filled with negative attitudes and depressing thoughts. I know times will be rough but I chose how I react to those things and so far I have been doing pretty good.

 

But one thing that is a bummer about any new year is the deductibles I have to pay for my prescriptions.

 

I have insulin for my pump, glucose testing strips, Lisinopril for high blood pressure, and Zetia for cholesterol. 

 

(READ MORE)


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These changes I wrote about recentlyare going pretty well. I'm choosing better foods to eat, only having human sized portions, and even cutting back on the soda.

 

I cannot believe I just typed that.

 

Soda. Diet soda is a vice I am not ready to give up entirely. I love soda in almost any flavor as long as it's diet odds are I'll like it.

 

But I drink a lot of soda. Way too much to be honest. And although diet soda doesn't seem to affect my blood glucose levels, the salt in it is not good.

 

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Things just keep getting better and better around here. (to be read in a dripping-with-sarcasm tone of voice.)

I got a phone call from the nurse this morning that Olivia had shown up in her office shortly after gym started, complaining of shortness of breath. The nurse took her blood pressure and it was 120/100. I called Olivia's pediatrician. Four bp readings later, she was 120/96. And no one has a clue as to what's going on.

She says she feels fine. She doesn't feel like her heart is racing, she doesn't feel sick, nothing. She hadn't even started running around in gym when this happened.

The pediatrician didn't want to see her today. She suggested I have the school nurse check Olivia's blood pressure tomorrow, a couple of times during the day. She also said that if it flared up again tonight, that I was to take her to the ER.

Blah.
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The most recent heat wave may have passed, but summer is still in full swing -- which means heat-related health alerts. While these issues are not directly related to diabetes, diabetes can confound a heat-related health issue, making it harder to recognize and treat. Heat-related symptoms can mimic sugar-related symptoms and vice-versa, so it is in our best interests to know our normal ranges and reactions to the greatest degree possible.

 

The most basic heat issue is hydration. For some of us, dehydration will cause our blood glucose levels to drop; for others, it will cause those readings to rise. For some of us, the physical stress of dehydration will, at one point or another, trigger an adrenaline response and its associated glycogen release, leading to u-shaped curves (think "Dawn Phenomenon").

 

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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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As people with diabetes, we are told time and again to make sure we schedule regular oral care visits, as diabetes makes us both more susceptible to oral disease (cavities, periodontal issues, etc.) and makes it more difficult for us to recover from the procedures needed to treat that disease. "Why," you may then ask, "have you never sought out dental care as an adult, even when preventative care was made available to you, free of charge?" My answer to that can be summed up in a single word.

 

Orthodontia.

 

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The waiting room in endocrinology was like an assembly line of children with diabetes. Each time one child went in, another appeared. Then another and another and another. Very sad.

 

I zoomed in on a cute little girl with shoulder-length hair and a top with purple and red hearts as she buried her face into her father's shirt as he talked to the receptionist. Maybe just diagnosed? Don't know for sure. She had a sort of worry that should never be on a child's face.

 

I leaned over to Susanne to point out the girl, but she said "I know." 

 

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Every morning, I weigh myself, check my blood pressure, and test my blood glucose. The latter two measurements are checked on various occasions throughout the day -- moreso the glucose than the pressure, even though my only prescription medications are for my blood pressure rather than my blood glucose. There is a range for each that I consider "safe". When the ambient temperature drops, Raynaud's kicks in, and with it, the risk of hypothermia. Unfortunately, three of those parameters -- blood pressure, blood glucose, and body temperature -- have a common symptom when they drop below the safety zone. That symptom is shakiness.

 

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On Friday night, I came home from visiting with a friend. As I started to unwind for the night, I noticed that my ankles were extremely swollen. I could barely see my ankle bones, which isn't normal for me. I was worried, but tired. I put compression stockings on, drank water, elevated my feet all night, and took magnesium (known to help with water retention).

 

By morning, nothing was better. My right ankle had lessened, but the left was looking like an elephant. I kept drinking water, eating fresh fruit, and hoping that a few more hours would bring things down. I napped for awhile and eventually ate a baked potato for lunch. Around 2pm, I decided that I'd had enough. I'd been battling a headache (tension from clenching my teeth at night) and I was worried the swelling meant disaster.

 

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Part 2 of a 4 part series. See part 1.

On the way to the hospital, my husband commented that he didn't think this was really it. I wasn't curled up in a ball crying or cursing him out. Nothing like what he had seen on TV or heard about from his friends. It couldn't be the real deal. I wanted to choke him, but he was right.
As soon as we got to the hospital, the contractions stopped.
My blood pressure, however, was another story. It started climbing and continued to climb throughout the morning. Since women with diabetes are more likely to develop pre-eclampsia, the doctor ordered a 24-hour urine collection to check for protein. That meant spending the night in the hospital for observation. (READ MORE)


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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)
Nicole Purcell
Nicole PurcellNicole Purcell lists having type 1 diabetes last when she's asked to provide information about herself - because that's where it belongs.

(Read More)
Our Other Bloggers: Brenda Bell, Carey Potash, Lindsey Guerin, Michelle Kowalski, Megan, MikeDurbin, Robert Hudson, Julia, Scott Marvel, Kim Doty, Kerri Sparling,