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Blogging has become quite difficult these days. Not only am I pressed for time, but I also don't seem to have the correct mindset to talk about diabetes. Maybe I've been doing this too long? I just can't find anything WORTH blogging about that pertains to anything diabetes related. My priorities have shifted.

 

Work is fairly consuming while I'm there. I don't tend to focus on it once I hit the apartment door, but I do know that the stress is there. I am spending quite a bit of my time in the office, driving to/from work, or spending a few moments here and there at home checking email or organizing for the next day. I don't think I've adjusted to this schedule quite yet.

 

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As people with diabetes, we are tasked by our medical teams with conducting our lives in a manner such as to minimize or mitigate the destructive effects of our medical condition. A lot of press is given to the concepts of "patient compliance" and "patient adherence" -- enough to raise the blood pressures of many of us past the levels covered by our antihypertensive, renal-protective pharmaceuticals. The idea of being "a diabetic in control" (or "out of control") has also been known to raise the hackles of a number of the T1s among us, whose blood glucose levels vary with the tempo and dynamic (but none of the grace) of a Mahler symphony.

 

Like the four movements of a symphony, or the members of a string quartet, the cornerstones of diabetes self-care are:

 

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It's bad enough to get sick-any kind of sick-but add diabetes into the mix and you can have a real problem on your hands.
I've been sick only a handful of times since I was diagnosed. And when I say sick, I mean the kind of sick that keeps you from eating and leaves you laid up in bed for a couple days. It wasn't long after I was diagnosed that one of the kids got sick and I kept wondering when it would hit me. And then I realized that I literally didn't know what to do with myself if I did get sick. I didn't know what to expect from my blood sugar or how to manage it. (READ MORE)

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"So what should we take with us in the RV," I asked No. 3 as I drove her to the sitter one day last week.

 

"Um, cereawl and hot dogs and... um... oh! your blood sugar."

 

"Yes, my blood sugar supplies," I said almost as if I had forgotten.

 

"And skeetles and juice for you," she said.

 

"Yes, in case I go low. You're right." Such a good caregiver.

 

I forgot so many things packing for the RV trip, but insulin, pump supplies, test strips and alcohol swabs were not one of them. I was surprised, actually.

 

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It's my time...to plan phase 2 of my healthcare team.

 

I'm a girl. A 21-year-old girl. A girl who has spent the last year listening to friend's talk about engagements, attending weddings of high school pals, and buying baby shower gifts for my already-coupled friends. Sometimes it feels like everywhere I turn, someone else is getting engaged or married or growing their family.

 

All that means that my mind is constantly confronted with the fact that potential coupledom and familyhood is in my future. That means I spend a lot of time thinking about this future, with these couples and families of my imagination. My mind trails in daydreams to consider the kind of guy I want to marry, getting pregnant, and growing old together.

 

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I'm staring at my logbook right now. I have no idea what to do. My averages are still above 200, although my baseline numbers are generally running between 160 and 180. Yet I'm still seeing numbers like 302, 264, or 270 crop up.

 

I raised my Lantus to 33 units last night and I woke up at 96 when I'd gone to bed at 224. I'm hopeful that 33 units might be the golden number with all this. If I could get my basal numbers to drop back into a normal range (I'm looking for under 150 at the moment), then my post-meal numbers wouldn't be spiking so high. Plus I could keep working on the post-meal numbers more extensively if those basal numbers dropped.

 

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Sick days are usually rough when you're trying to manage blood sugars. Whether it's a cold or a stomach bug, the stress, medicine, and unusual food intake can really wreak havoc on controlling levels.

 

Satuday morning, I came down with a stomach virus. This is the second one I've had this year, so I feel like I'm an expert at managing blood sugars when I can't keep anything down for hours.

 

I don't really keep an active sick day plan. I usually just make changes as needed. Being on the pump has made being sick so much easier since I can decrease or increase basals as necessary and prolong boluses just in case I can't keep food down.

 

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Several people have told me lately how A1c results aren't all that important. I agree that A1c's aren't the ONLY lab test or number that diabetics need to be concerned over in their diabetes management. But it's also ingrained into me that A1c's are a very important number in diabetes control.

 

For about ten years, I went to a doctor who was directly involved in the DCCT trial. I researched the DCCT for a science fair project in 7th grade. I've seen the results. I've heard the stories. A1c results are valued by most endocrinologists in this field. Obviously, there is something to this.

 

For me, my A1c is one of the telling factors about my control. It's the guiding light at the end of the tunnel. There is an ultimate goal in my mind regarding my diabetes and regarding that number. It's important to me. I'd rather have a lower A1c than risk running at a higher result and increase my chances of diabetic complications.

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In the past month, I've really gotten off track with my life. School and work seemed to be picking up, so I set a few things on the back burner (not to mention that I had a flare up with my other health conditions). The things that got pushed to the back were really major pieces of my diabetes management.

 

For one, I stopped working out in the way that I had been leading up to mid-March. Before Spring Break, I was working out at least twice a week (jogging 1.5-3 miles on the treadmill). But after Spring Break, life got in the way so I didn't make the time to add those workouts back into my schedule. I made all sorts of excuses: I was too tired, I wanted to go out with friends, I hadn't watched TV in forever, I had to study. Sadly, I think I've worked out a total of three or four times in the past month...that's just really disappointing.

 

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It's the end of my logging week again, so I'm sitting down to examine the logbook that I hold so dearly close to my diabetes management's heart. The time that I set apart for this goes something like this. First, I update the logbook with my most recent numbers, Lantus doses, and any important comments including new prescriptions, strange food choices, or exercise. Next, I tally daily averages as well as averages for time of day. After that, I analyze those averages compared to the last weeks averages and look for any resounding patterns that might need changing.

 

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