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November 21st, 2009
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I talked to Olivia again about going off the pump and she's adamant about wanting to do it.  We were changing her site because, once again, the site she'd had in got infected. She only keeps a site in for 2 days, but they often seem to get red and irritated. We use antiseptic wipes before inserting them - I don't know if she's just sensitive or if we're doing something wrong or what, but she's sick of it. I don't blame her; after looking at her stomach and arms, she's got a lot of ugly, raised white  bumps, especially on her belly. We rotate sites all the time and go pretty far out on to her sides, but the scars just don't seem to go away.

 

I don't know if there's anything that can be used to get rid of the scars or if she's stuck with them forever.  I just know they really bother her. 

 

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Today was another one of those weird diabetes days. As you may have read in an earlier post, I recently began using a Novolog Pen. This is quite a transition for me since I have had diabetes for 14 years and I have only used two different methods to control it. Well today, I learned a lesson with the pen. I forgot to do an "air shot" test. This is where you dial up a dose and then inject it into the air to make sure that insulin will actually come out. Instead of doing the air shot, I just dialed up the dose that I needed for breakfast and then injected myself and left for the day. After three hours had passed I was ready for another snack so I tested my sugar to see where I was at.

The meter read 340.
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I've seen him twice since he was diagnosed. And each time I want to tackle him and say "I'm diabetic, too." It's so weird to restrain myself. I don't know why I feel this sort of odd connection to this person who I literally have nothing else in common with.
Perhaps because his diagnosis was rather tragic, for lack of a better word. Not that any of our diagnoses weren't tragic, but this seemed especially emotional. In a strange whirlwind of terrible events, Mike lost the house he grew up in and was diagnosed with diabetes in one foul swoop.
I got the information about the diagnosis third hand, so who knows how reliable this is; I was told that after friends were worried about his behavior and took him to the ER, his blood sugar was 1,600. Now I've heard of some folks having some readings over 1,000 at diagnosis, but this just seemed over the top. Nonetheless, he spent some time in the hospital. (READ MORE)


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In yesterday's post I talked about going to my first insulin pump class. I said that I was a little leery about going and that I wasn't sure what to expect. Well, after spending about three hours learning about the pump I'm still not sure. I guess I'm just not ready to switch over to this method of diabetes control. I still can't imagine being hooked to that little thing all the time! I realize that I could still remove it and go back to the manual injection routine, I'm JUST NOT READY YET. One thing I did learn was that I might be ready for an "insulin pen".
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As is my way, I sat down to Thanksgiving yesterday with my insulin pen next to my plate. Just prior to sitting down, I was talking to a family friend, who happens to be a nurse.
"Will you inject before or after you eat?" she asked while also quizzing me about how I know how much insulin to take.
"I'll inject before I eat. And with a meal like this, I'll just have to guess how many carbs I'm going to have."
She nodded in understanding. She's a school nurse at a junior high and helps many students manage their diabetes. I suspect she was comparing management techniques. (READ MORE)


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As I sat in the lower level of the on-campus trolley stop I thought about the injection I just took and the maze of shots I take every day. How many more shots will I take in my life? How many more times will I have to stutter-step, looking for a good place to shoot-up some insulin? How drastically might an insulin pump change my routine? (READ MORE)


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I have been keeping a dirty little secret. I don't know why it feels like a dirty little secret, it's legal in 50 states and not immoral.
I've told everyone I haven't needed insulin since Kate was born. I was up to 30+ units a day of NPH. I haven't taken any NPH since her birthday. I also had an insulin pen of Humulin for the days that I just didn't control myself at lunchtime. Sometimes it was lunch out with the girls, or birthday cake at work, or just unfortunate run-ins with the evil vending machine. But it was important to control my sugars for the baby's sake, so I did what I needed to do. (READ MORE)


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I can't tell you how many times I've thought of something that would make a great "invention" and then find my idea has already been invented. I suppose, in a way, it's a testament to my creative thinking. But mostly it's just annoying!
On the heels of my post about so-called single-serve insulin pens, I had a moment when another invention wiggled its way into my mind.
I had prepared a meal--likely my lunch because that tends to be when I have less of an appetite--dialed up the right amount of Novolog to cover the carbs and started eating. But as my appetite wore out and I decided to quit while I was ahead I realized that I didn't remember how much insulin I had taken. Which meant that I didn't know if I was headed for a low. (READ MORE)


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I don't find it common place when I get excited about diabetes, but yesterday, oh boy. I had my first appointment with a new P.A. and I think I gave him a hand cramp!
This visit marked my first day with a new bout of medical pros. I signed up with a new primary doctor, new endocrinologist, new P.A., and even new crabby dr.'s office receptionists that somehow came with the package. (They are another story though). (READ MORE)


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Hey, type 2s,are you eyeing a nice dinner out with the family at that new Italian restaurant where you'll likely want to fill up on your favorite pasta? Would you like a piece of cake at your friend's birthday party? Or maybe you'd like a handful of grapes.
Can't do it, though, right? Because your oral medications-or even Byetta, if you're on it-don't have enough umph to cover that many carbs. Heck, those meds won't cover more than 60 g. of carbs at one meal-even if they're good carbs. (READ MORE)


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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.

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Kim Doty
Kim DotyKim is a computer systems administrator for a major food manufacturer and lives in Colorado with her husband, Steve, and their children. She currently battles the bulge and tries to develop an exercise habit to better manage her blood sugars. (Read More)
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