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How often do you worry about diabetes complications?

May 24th, 2012
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We found 10 result(s) that match your search "insulin effects":

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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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Lowering my A1c is my diabetes priority at the moment. I'm ready to bump down from the 7.3% that I've been stuck at for the last six months. I'm looking to get back under 7% and head towards 6.5% to achieve another "lowest A1c of all time." But today it hit me that lowering my A1c is really taking a toll on me.

 

Not only is it increasing my diabetes stress to do everything right (or at least the majority), but it's also creating a domino effect with quite a few other aspects of my life. Things that are "tolerable" but when combined make me wonder if it's worth it. I feel like I'm always in a state of "weighing the consequences:" do I try harder to lower my A1c or do I tolerate the 7.3% and avoid the ill effects?

 

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I've been battling a few lows here and there over the last two weeks (since I raised my Metformin to 500mg but kept all insulin the same). Nothing too difficult, just an extra juice and crackers on the occasion. But the last two days have left me wiped out on the blood sugar front. And I've decided it's time to change things up.

 

On Thursday, I ran perfect the entire day. It was the first day at JDRF so I expected a change in blood sugars since it was new routine. I had a salad for lunch, didn't bolus, and felt shakey a few hours later. So I drank a Coke but didn't test. A later check showed I was probably in the 70s before the Coke.

 

On Friday, I was running perfect again. I had tuna, an apple, and a few crackers for lunch. I bolused accordingly. When I got home after work, I ate two hard boiled eggs with a little salt and pepper. No bolus.

 

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Last night, I took 34 units of Lantus instead of 33 units (note that this is a brand new bottle of Lantus) and increased my bolus for dinner. I dropped to 87 before bed, drank part of a Coke, and prayed for the best. I woke up at 172.

 

I had a medium sized bowl of high protein cereal, did 10 units of Humalog, and went on my day. Around three hours later, I was 234. Two correction units of Humalog. An hour and a half later, my pre-lunch check was 250 despite the feeling that I was dropping.

 

I had a small bowl of chili and a salad. I did 8 units of Humalog. And now I'm waiting. Waiting to see where this number ends up, waiting to see if anything drops. Waiting, waiting, waiting!

 

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My vacation was extremely nice. My mom and I spent several days with her family (who I haven't seen in several years), then trekked to New York City (my favorite place in the entire world). And mostly, my diabetes played nice. Nothing too out of the ordinary and no insane highs. Just plenty of hypo unawareness that left me annoyed, but thankful that I'm vigilant.

 

Now that I'm getting back into the grind of "normalcy," I'm kind of in a funk. There's a lot looming in my mind at the moment about my life, my health, and my future. And those things are weighing heavily into my diabetes world...causing me to forget insulin or blood sugar checks or to eat on a schedule.

 

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At the end of this month, I'll see my endocrinologist for the first time since leaving the hospital with that adorable little bundle of joy. Prior to getting pregnant, I started taking insulin and I'm still on it. When I see the doctor again, I'll have the opportunity to change things up. Now that I'm done breastfeeding, I can go back on oral medications and put the insulin behind me.
Today, I started questioning if I really want to do that. What are the pros and cons of oral meds versus insulin? The obvious is a pill versus a shot, but after 15 months on insulin, I really don't have a problem with needles. Insulin is natural and the only real side effect is low blood sugar. Most oral meds have much worse side effects, like upset stomachs, headaches and rashes, in addition to hypoglycemia. (READ MORE)


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I usually research every prescription I get (minus typical decongestants, cold medicine, antibiotics, etc) before I even think of filling them. I've never been one to trust that the doctor knows everything. Too many years of the doctor knowing just too little of everything. Plus a strong sense of taking care of my body in a more natural way...all leave me wary of conventional medicine.

 

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Nausea? Check.
Potty problems? Check.
Lack of appetite? Check.
Feeling full? Check.
Happy with Symlin? Check.
I know, you think I'm crazy, but really I'm not. Promise.
This morning I clicked up to the highest Symlin dose--60 mcg. And by lunch you know where I was. But, at least that aspect is subsiding some. I'm starting to realize more consistently what I really wanted from Symlin: the effects on my appetite and desire to eat.
Most mornings it's a struggle to choke down my oatmeal breakfast. And even more of a struggle to convince myself to have a snack mid-morning. Sounds miserable, you say? But this is a drastic change in my habits pre-Symlin. Lunches and dinners I'm seeing similar benefits, namely eating much, much smaller portions and not snacking before bed. Oh, get this: The Mr. suggested we go to Dairy Queen last night for some ice cream and I was nauseous just thinking about it. (READ MORE)


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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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Lows come in all shapes and sizes. They come with grueling symptoms or no symptoms at all. They come with reason and purpose, and other times with no cause in sight. Sometimes they're short-lived and sometimes they linger for hours. For me, lows come in several forms:

 

The worst kind, the night low: Night lows for me come sometime between 2am and 6am. Usually it's a reading in the 50's or 40's that wakes me from a deep sleep. I wake with panic in my heart, it pounds in my chest. My body coated in sweat, the sheets damp under me. And an overwhelming weakness that leaves my knees shaking in the darkness. For me, this is the worst low because I have a history of seizures. I'm deathly afraid that one of these lows won't wake me or I won't catch it in time. Glucagon stashed by my bed does nothing to quell the fear. The only peace of mind is having someone close by listening for the sounds of a low.

 

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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)
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)
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