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How often do you worry about diabetes complications?

May 24th, 2012
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I'm very bad about changing my injection sites. I never had trouble with the infusion sets...I'd rotate those each time to a different area. But when it comes to a needle and syringe, I just can't seem to change my habits.

 

So for the last seven years or so, I've been using the easy access areas like my upper left arm, my left hip, and occasionally my abdomen. But after that many years of use, I've seen some odd difficulties here lately.

 

I've used my abdomen quite a few times recently. Long sleeve shirts or layers of clothing don't make my upper arm accessible. And it seems like each time I use my abdomen, my blood sugar plummets. Although I can't exactly say that I didn't misjudge the carbs and amount of exercise, I do feel like it might have something to do with it.

 

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There was the researching, and the chats with the doc,. There was the mental tug-o-war between my daily injection comfort zone and my need for more flexibility, and now, like the quickness of a self-inserting cannula, I am pumping insulin by way of the OmniPod. (READ MORE)


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I've been on Lantus for about ten years now. I tried different insulins over the years (NPH, Ultralente, and the like) plus that almost two year stint on the pump. Lantus seems the best for me, although I'd still like to try Levemir. Lantus keeps me stable without giving me constant lows.

 

The drops are predictable. With split doses, I get fairly steady blood sugars. Overall, I've been happy with Lantus for years. But lately, I've noticed a change that I've very rarely experience but often heard about.

 

With every injection lately, I'm experiencing a lot of pain. It isn't happening with Humalog, just my Lantus. I'm not sure if it's the location or just the insulin. I generally give my morning and evening Lantus injections in my bottom. Both my doses are too big for what's comfortable for me elsewhere.

 

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I was on day four of my site. The longest I had gone with a site so far. Fasting was 275. Ouch. I checked twice just to be sure. Either three days for a site was my limit or I was super nervous about the medical tests I was to undergo later in the day. It could have also had something to do with the ice cream night cap I had the night before, but I'm more inclined to think it was nerves since my two-hour post breakfast reading was just as disgusting. (READ MORE)


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The problem that I have with Lantus is that one dose just doesn't cut it for me. It claims a 24 hour lifespan, but honestly...it's probably more like 20 hours on a good day. Which means that my blood sugars start spiking towards the end of that injection.

 

That's exactly why I split my doses however many years ago. It worked, dropping my A1c like a lead balloon. And now that my schedule nearly forced me into either the insane asylum or a once-per-day dose, I'm struggling to find an appropriate time for my Lantus injection.

 

An evening shot wasn't working because I was having to take such a bulk of insulin that I was dropping way below my safety point by morning. And now I've switched to an early afternoon injection, but I'm afraid that looks like it's bombing as well.

 

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As I said in my last post, I’ve been taking Byetta for about two months now, and I wanted to talk a little bit about my experience with the medication so far.

 

For the most part, I think I’ve taken to the whole injection thing rather well. I was, admittedly, a little bit nervous at first. Much like the apprehension I felt when I first started poking my fingers to test my blood sugars, the nervousness I felt about the injections subsided quickly. I never cease to be amazed by the things you can get used to doing when it has to be done in order to survive.

 

As I mentioned before, I currently take two 5 mcg injections each day. I take one within 60 minutes of breakfast, and another within 60 minutes of dinner. And as I said before, the only side effect I’ve had so far has been an increase in acid reflux, which is now under control. The only other issue I’ve had with the medication is in regard to injection sites.

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Tiny, seemingly invisible water droplets soar through the air, projected by the reflexive action of a coworker. The inconspicuous flu virus enters your mouth or nose, it’s version of nirvana. Your warm, moist body provides the luscious environment for the evil-doers to multiply and make your week miserable.
This internal image along with cooling weather and sickly school mates and coworkers drives me to seek out a yearly flu vaccine. A stint with flu symptoms throws my routine into a domino of disruption. Not just with taking charge of diabetes needs, but by missing work, falling behind in school work and education, losing weight from appetite loss, and that endlessly obnoxious thumping in the back of my head. (READ MORE)


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Since I've been back home, I've had both the time and energy to start exercising again. Motivation is another story, but I think I'm doing fairly well. My mom and I are walking a lot of nights. And lately, I've taken up biking when she doesn't want to walk.

 

The scale hasn't budged much, except that I did drop some water weight and an extra pound since moving back home. That's also due to the better eating, better sleeping, and general situation. But it's still nice to see when the scale weighs in closer to my goal. I'm only 2 pounds from "happy" and 7 pounds from "perfect."

 

The interesting part is the blood sugars. Last night, I biked for the first time in a long while. I only made it about 20 minutes before I decided to head home, but that 20 minutes kicked me hard. I got home, collapsed on the cold tile, and just let the A/C wash over me. I was definitely feeling the extent of the bike ride.

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Maybe it's just that it takes different parents of children with diabetes different lengths of time until they finally "back off," as my son's endocrinologist so bluntly urged us to do at last visit.

 

Even after just a year into life as a pancreas, doctors and nurses focused a great deal of concern on Susanne and me. "Hello!" we wanted to say. "Child with diabetes standing in front of you! Can we just focus on him?"

 

"You need to get your sleep," they'd say.

 

"You shouldn't have to get up every night at 2 am," they'd say.

 

"If you don't take care of yourself, you won't be able to take care of him," they'd say (the fear mongers)

 

"Don't worry about us."

 

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The problem with living with diabetes 24/7 is that you forget the details of the disease. It becomes like breathing or eating. You only remember the major moments...the great food you enjoyed or the time you got pulled under by a wave and struggled for the surface and air.

 

And that's exactly how diabetes is for me. After sixteen plus years of this disease, I can't remember the finger pricks or the insulin shots or any of the in between. It just zooms past my memory because I don't find a need to remember these minute issues (and my brain would constantly be on overload if I tried to remember 6+ finger pricks a day for the past sixteen years).

 

But today, I'm finding the need to remember these issues. Since I'm back on MDI's for the time being, I've been submerged into the life of insulin injections and many more finger checks. The ups and downs of diabetes are now important. The details are important.

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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)
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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