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May 24th, 2012
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The first week in August marked the start of the 2010 run of the New York Renaissance Faire, an event in which the most popular exhibitions involve aiming long, pointy objects at impossibly small, circular targets. Whether it's an 8-foot-long lance hooking a three-inch-diameter ring, or a 26" arrow aimed at a bull's eye 100 yards away, or a sword or spear looking to unhinge a 1/2"-diameter ring of chain-mail armour, these are impressive displays of marksmanship and control -- kind of like trying to keep one's blood glucose levels between the mythical "102" and "104" (mg/dl) of glucometer-packaging displays, regardless of what one eats and when. (READ MORE)


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1.       Well, my new physician’s assistant. I don’t actually see my endo, just the PA.

 

2.       My old PA moved on to hospital management.

 

3.       When my new PA made me wait 15 minutes before coming into the patient room I got pretty aggravated. My old PA was in the room within 5 minutes.

 

4.       We talked for a long time. Actually, she talked and I listened and answered questions. Since we are new to each other she was information gathering, which is fine. But it can be kind of a pain in the ass to go through your medical history all the time.

 

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It woke me up just before 2 a.m.

 

I was uncomfortable and confused; hot.

 

The Mr. was sleeping soundly next to me, but I didn't have the strength to shake him awake.

 

My heart was pounding like a cartoon character in love -- in and out of my chest.

 

I felt like I was hyperventilating.

 

Finally awake and aware of what was happening to me, I eyed my meter; it was just an arm's length away but felt so, so far.

 

I tried to reach for it, but my arms flopped around like the bones and muscles had been removed.

 

So tired. I just wanted to sleep. I felt like a coma.

 

The Mr. was still sleeping and I still didn't have the strength to shake him awake.

 

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I spoke with my pediatric endo today about my new diabetes community venture. First, I want to give a great big thank you and shout out to him. He is doing amazing things in the diabetes community. Thanks for being the best doc and putting up with me, Morey!

 

We talked about new treatment options that are coming into play. One of the ones we discussed is using the hormone amylin to control postprandial blood sugars. Amylin is a naturally occurring hormone produced by the beta cells (the ones that produce insulin). The body gives amylin with insulin when glucose is consumed. They have found that low levels of insulin are typically accompanied with low levels of amylin.

 

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I touched the top of my forehead and felt the sudden wetness of perspiration as I walked down the stairs. My head felt light and loose as if it dangled from a marionette string. Strange. It wasn't hot in the house. I felt an overwhelming feeling of tingly ickiness throughout my whole body as I stood there sweating and vibrating and wanting to quickly get to the nearest chair.
I've tested Charlie's blood sugar thousands of times, but doing my own felt awkward as I searched for the right angle. After some difficulty, I managed to squeeze a drop of blood from my finger and scoop up enough for a reading. Sure enough, I was 66. (READ MORE)


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In most people with diabetes, lows occur either because we've overcalculated the amount of insulin we need, or because of an impaired, inhibited, or insufficient glycogen response. While this is obviously an oversimplification, I remember reading that either autoimmunity or modern insulins did weird things to the glycogen response in people with type 1 diabetes, and I know that at least one class of oral diabetes drugs works by inhibiting, if not completely blocking, that response. Then there's the issue of undereating, or not eating sufficiently, for there to be glycogen stores that can be easily converted to fuel our bodies — and, of course, drugs such as glipizide which work by stimulating additional insulin release.

 

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The nurse slapped the small piece of paper down on the table.

 

I glanced at the 8.2 and then looked away, disinterested. I figured as much. Like I said, it’s been a high summer.

 

I spoke to the nutritionist first, then the CDE and then the doctor.

 

Charlie’s height is trending fine, but his weight had dipped in the last three to six months. Despite the A1c of 8.2, Charlie couldn’t have heard better news from the dietician.

 

"Let’s up his food. Make it more like 185 to 200 carbs per day."

 

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I had to laugh at the lead paragraph on this story.
"In the first study to use continuous monitoring throughout pregnancy , researchers found that levels of glycemic control differ significantly between women with type 1 diabetes and those with type 2."
I would think that blood sugar levels between type 1 and type 2 patients always differ significantly. The nature of the different diseases make it sort of obvious. I don't know why pregnancy should be any different.
Let me throw in a disclaimer here - I am not a medical professional, I'm not even in a field related to medicine. This is my own interpretation of the article. Discuss anything you find interesting with your own doctors. You can read the abstract here as well. (READ MORE)


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Thanksgiving was very nice. The Potash Players' debut of Thanksgiving on Mars was a rousing success. Without giving too much away, the holiday feast takes a dark turn when two astronauts (played by me and Uncle Jimmy) realize they forgot to pack the turkey on the space capsule and encounter two sweet (and juicy) little aliens who'd like to come to dinner.

 

We've been having some food issues with Charlie. Here's the thing about Charlie. He is one determined little motherscatcher. His determination to get what he wants is great in the classroom and it's great when it comes to sports. But at home, he's frankly out of control. Charlie wants what he wants and he will stop at nothing to get it. This means full-on harassment. My other two kids don't stand a chance as he monopolizes the attention and playtime they get from my wife and me. He is cunning, manipulative and never, ever lets up.

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I have no idea why it didn't hit me until yesterday afternoon. I know what stress does to my blood sugars: it lowers them. They get pesky and no amount of carbs will bring them up. So as I was contemplating this weekends' low annoyances, it hit me. Stress.

 

Last week, my stress level definitely went up. The first round of tests started for the semester. I had group meetings and papers due. Plus I've been dealing with the medical stress that comes with changing treatments and making important decisions. All that added up to leave me with averages like 84 and 69 (over six hours of riding in the 60's).

 

So Saturday morning, I dropped the Lantus back to my original dose (14 units in the morning and 15 units in the evening). I'm still having a few lows (more than the week of highs), but I'm also seeing a mix of highs in there. Sadly, those highs are my own doing.

 

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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)
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.

(Read More)
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