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May 26th, 2012
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My blood sugars seem to have a mind of their own (more than normal) these past few days. I'm bouncing all over the place, doubting my meter's accuracy, and questioning my own ability to manage this stupid disease. I can't seem to stabilize and insulin doesn't seem to be working the way it needs to. Worst of all, I think it's really wreaking havoc on my body as my fatigue has increased and I'm waking up with sore throats.

 

Last week I noticed a few bouncing numbers, but nothing out of the ordinary. I'd been running high trying to get my insulin stabilized and figure out my problem areas. I'd also been snacking too much before bedtime for fear of lows since I was going to sleep with numbers like 104 and 111. Those left my morning numbers high setting my days off on the wrong diabetes foot.

 

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I lost it yesterday.

 

It was hot and sticky yesterday evening and we had been at a barbecue to welcome our new pastor into town. After having a great time, we headed home to unwind, get some laundry done, and basically get ready for the work week ahead.

 

When I walked into my house it felt like a sauna. It was terribly hot and stuffy. I turned on the air conditioner to cool things down a bit and gathered up my laundry to do. As I walked through the living room I realized the cool breeze I usually get hit with from the vent was nonexistent. I stuck my hand up in front of the vent and felt a very faint draft but that was it.

 

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These last few days have been mind boggling. I have no idea what is going on with my blood sugars. Mostly, I'm running high, although there are several lows thrown in there too. Most of them don't have any kind of reasoning to them at all. And I'm torn between being extremely frustrated that my progress is now out the window or being exhausted and just not caring anymore.

 

Last night, I enjoyed a sub sandwich and a diet Sprite. I started out at 140 but soared to a crazy 319 a few hours later. I know that I bolused fairly close to the carbs in my sandwich, so my only guess is that the Sprite wasn't so diet after all. So I bolused for the 319 expecting to come down in the morning. (By the way, I've eaten many a sub sandwich and never had this problem.)

 

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I ran out of my sugar free coffee creamer yesterday and didn't go get more. This morning, instead of using low fat milk and Splenda® in my coffee, I decided I could use my husband's regular flavored creamer. This stuff is 5 grams of sugar per tablespoon. I probably use 2 tablespoons per cup and I had 3 cups. I'm pretty bad at sizing up a tablespoon, so it was probably closer to 7 or 8 tablespoons total. That's 30-40 grams of sugar on an empty stomach.
You can guess what happens next. Suddenly, I can hardly keep my eyes open. I take my kids down to the family room and we all park in front of the TV. Next I'm lying down. I dozed off for about 20 minutes. When I woke up I wondered what had caused this exhaustion. Maybe I had taken ill. It took a few minutes before it dawned on me. (READ MORE)


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I've been having a lot of lows lately. I've been increasing my insulin, so I'm in that middle stage of fixing highs and avoiding those pesky lows. But it seems like every time I turn around, another low has snuck up on me.

 

Sure lows are great for my A1c, but they are horrible for my weight, my nerves, and everything in between. I'm trying to treat sensibly, but it seems like if I don't carb load that I'm low again in another hour. And I can't get it out of my head that I'm at risk of lows constantly now (like during a quiz in class, at work, and driving home from Target).

 

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I don't usually see a lot of symptoms with high blood sugars. There are stages to the highs for me. Anything between goal and 200, I feel fairly normal. Above 200, I start seeing a few symptoms but nothing noticeable. When I hit above 260, I start seeing a lot more. The nausea sometimes sets in. I get headaches. I'll get antsy in the pit of my stomach. And above 400, the nausea almost always leads to throwing up (luckily I've only experienced this a few times in my history of diabetes).

 

My Accutane dosage was increased last week, which sent my blood sugars into another tailspin. Where I was seeing quite a few lows and lower need for insulin, I'm back to bumping up the boluses and shifting the basal levels of Lantus. It's frustrating. But worse, I believe I'm seeing a different kind of high symptom that I absolutely despise.

 

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Right now, I'm staring at my logbook trying to decide what changes I need to make and what else I want to try with all this. This past week has been a bit rocky so my averages are all over the place. Mostly, they're high. At least higher than I want them to be. So while I'm staring at my book, I'm trying to piece together this last week and figure out what is going on with these numbers.

 

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This is a little heavy for a Friday, but …

 

I was in a bad way last night. A real bad way.

 

It used to be that I could somewhat handle Charlie being high. I would put my faith in corrective units of insulin and could rationalize that it was only temporary.

 

Not anymore. I can’t take much more of this. My state of mind last night was proof of this.

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I am so fatigued lately. I've been fighting these highs for a week now. It's definitely taking a toll on my body. I am generally tired, feeling antsy, and getting a little bit irritable. I still really have no clue where they are coming from either.

 

It started last Saturday after a high carb breakfast. A number that just wouldn't come down. I fought it all day. By Sunday, things were better but bounced again on Monday. And all throughout the week, it seemed to bounce back and forth. Wednesday was great, but Thursday was nasty.

 

Thanks to all the highs, I ended up running out of insulin on my trip to my new town (for my two job interviews). Before I left, I knew the bottle was low but it should have easily lasted me the two days that I'd be up there and then some. Instead, Thursday afternoon brought about a seemingly empty bottle of Humalog.

 

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I've really been struggling with my numbers lately. The Symlin has complicated things by causing prolonged highs after meals. My Lantus doesn't seem adequate, although last week it was too efficient. There is just no medium ground with the D lately.

 

I've finally gotten a few meals on Symlin at 30 mcg without the severe nausea that I was experiencing earlier. I'm not quite ready to raise it to 45 mcg though. I'm hoping for Tuesday if tomorrow shows continued improvement. I know that I can get the highs under control once I have the Symlin straightened out.

 

The waiting is killing me though. Literally. I hate running high. I hate the way I feel when I'm high like this. The fuzz that won't budge. The thirst that can't be quenched. The nausea that comes up suddenly.

 

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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)
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)
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