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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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I find that dinner seems to throw my sugars off worse than anything! I guess I just can't help myself whenever it gets to be chow time. I LOVE ME SOME FOOD! It never fails; I'll go through the whole day and not have one high sugar and then BAM! Hyperglycemia CITY!

My eyes get way too big for my stomach!

Usually I'll come home after a long day, start raiding the cabinets and throwing random stuff together, next thing you know, I got a plate a nachos, some peanut butter cookies, and a Popsicle!

I know, I know, I am supposed to eat healthy all the time...or something like that. I don't want people to think that because I'm a trainer that I eat perfect every day! I'm only human!
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I'm the kind of person who, no matter how horrible I feel, at least attempts to get out of bed to go to work. It's a philosophy that stems from my childhood when my parents told us that if we weren't barfing and didn't have a fever we were going to school. If we still felt bad after we got there then we could call them and we'd talk.

 

It's a philosophy that has served me well. At least I think so. And I've happily passed this philosophy on to my children. I don't think I'll ever forget the day that No. 1 woke up with an upset stomach and I told him he at least had to try to eat breakfast. Yeah, he barfed. Nice job, Michelle!

 

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"What's the best diabetes advice you've ever been given," Kerri asked the other day.

 

As a health writer, one of the perks of my job is that I get to talk to experts. One of the questions I often ask is, "What is the best advice you'd give someone with diabetes?"

 

And of all the interviews I have done, I think the best response came from Linda Dale, RN, CDE, Clinical Nurse Specialist in the Outpatient Diabetes Eduction Program at the University of Michigan Comprehensive Diabetes Center. The article was about testing your blood sugar.

 

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I came across this article recently from the BD Newsletter and it got me thinking about how Olivia behaves when her blood sugar is high.

Normally, she's your average teen-ager. She's sometimes sullen, sometimes goofy, sometimes talkative, all in a five minute span. But when her blood sugar is high, she can become weepy, rude, argumentative and very, very unpleasant. The really high highs make her feel sick, but it's the somewhat high highs that I loathe.
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Here I sit wearily, just my favorite meter and me. Staring at a blood sugar of two hundred and thirty three.

 

 

I was happily rolling smooth, and on track all day today. But now am confusedly flustered and in the grips of dismay.

 

 

How did my glucose get to be so darn high?

I know my tubeless pump is secured firmly to my thigh.

 

 

It wasn't the early lunch of carb free salad with chicken. Guess I should have just had water or stuck to lime wedge lickin'.

 

 

Time to punch in a bolus and get some more insulin to flow.

Oh hell, I don't have my pump's controller- where oh where did it go!?

 

 

It is not in my bag, there's no bulge in my front pant pocket,

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ADM logoIt's my time...to have the best of both worlds.

The last week has been filled with high numbers. Consistent results in the 300's. Morning numbers in the 170's and higher. Only two lows, brought on by extensive Humalog use. 217 is not a pleasant average to look at.

 

I'm positive that I know exactly why these numbers are all so high. Which frustrates me (the reason, not the knowing). A bad mix of birth control pills and Accutane. Both have side effects like high blood sugar or blood sugar changes.

 

I'd definitely say these were high and definitely changed. And I'm very annoyed. I've raised my Lantus to 31 units in the evening, which has brought lower numbers for today. So I'll leave it at 31 units for the next day or two in order to see how it's working long term.

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Last week, I spent several days in Mexico on vacation and on a business trip. With the extra carbs and the change in normal routine, my averages went from the 140's to the high 150's. I had one or two severe lows and a handful of minor lows. I also had one day where my pump site went sour and sent me soaring into the 300's for several hours.

 

Coming back from Mexico has been interesting on my blood sugars. I've had a few lows, of course. But at the same time, I've decided not to try so hard to keep my numbers down. I'm not completely blowing it, but I'm just not stressing myself out over highs and off numbers.

 

So Monday night, I decided to order a pizza while working on a research paper. It was nice to eat the pizza, do a fairly normal bolus, but not stress about what my blood sugar might be in the next 12 hours. I didn't even freak out when I saw consistent 200's on my meter screen.

 

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Caller ID said "Chandler Primar" and in that moment "Primar" equalled "primary" which equalled "kids school" which equalled "oh crap what's wrong with the kids?" Didn't matter that the school's actual caller ID says the school's name.

 

"Hello?" I said.

 

"Hi this is garblegarblegarble from Dr. D's office," she said.

 

Dr. D? Is this one of the kids' doctors? No, that's Dr. N. Oh, wait, I'm coming to my senses now: Dr. D is my new primary care physician. OK, I got it.

 

"Oh, hi," I said.

 

She stumbled on her words as she began: "Dr. D got your recent bloodwork back and everything looks fine. Your clotting numbers all look good."

 

"OK good," I said, relieved.

 

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At 1 a.m. I woke up to go potty. It was weirdly dark and I was really in a stupor. It was almost like I was drunk. I can chalk part of that up to it being 1 a.m. and part of it to one of the meds I take for bipolar having a “sedating effect.” In other words, I sleep reeeeeeaaaallllyy well now.

 

I drank lots of water. And then went back to bed. It wasn’t until I woke up at 3 a.m. to go potty again and drink tons more water that I figured I was high. My One Touch Ultra Smart showed “HIGH GLUCOSE.” I had no clue what that meant, but I knew it was super duper ultra high, so I bolused for a blood sugar of 500 mg/dL. Then I tested again. Got the same “HIGH GLUCOSE” reading.

 

The light woke The Mr. He asked if I was OK and then we talked a little about why we thought I might be high. He thought it was weirdly dark, too. (Usually there is light from the computer, but he had turned it off before bed.)

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It has been a week of disgustingly high blood sugars for no apparent reason. It started on Monday night when I woke up twice and tested over 600 mg/dL at 3 a.m.

 

I have done everything I can possibly think of to keep my sugar in check: changed my site, drowned myself in water, taken an injection, cut out snacks, barely eat carbs. There have been a handful of blood sugar checks that were normal and that caused me to jump for joy. Which also lead me to believe my site is not the issue, nor is my diet, nor that I'm not bolusing correctly.

 

The only thing I haven't done is to either set a temporary basal rate, change my basal rate and/or call my endo to see what the heck I can do. 

 

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Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
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)
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