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May 27th, 2012
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It seems to me that nearly every female in the diabetes online community has thyroid issues also. I got curious about this and did some reading. Nearly a third of Type 1 patients have thyroid disorders, usually an underactive thyroid. It does indeed affect more women than men. This is because if you have one auto-immune disease, like Type 1, you are at higher risk for another. As if people with diabetes need another challenge. The linked article also cites a higher than normal incidence of thyroid disease in Type 2 diabetics, but no statistics are given. (READ MORE)


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I've gone back and forth about whether to wear a medical ID bracelet. Part of me says I shouldn't bother because once a paramedic friend of mine told me one of the first things they do to a person who has passed out is to check their blood sugar. Part of me says I should wear one as an extra measure of caution.

 

I wore a medical ID bracelet throughout my third pregnancy. I don't think I ever took it off -- not in the shower, not for exercise, nothing. I don't remember why I stopped wearing it. Perhaps I lost it. In fact, now that I think about it, I think that's exactly what happened. I had removed the ugly silver chain and replaced it with strands of colorful beads to match whatever I was wearing. Well, the chains and clasps were cheap and ...

 

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I'm an advocate for healthcare reform. I think our country desperately needs a change in how we manage both preventive and continued care. Insurance companies can often make illness much more stressful than necessary with their copays, denied coverage, and stringent rules.

 

I've been blessed with pretty decent insurance thanks to my father's previous job. I've almost always been able to see the doctors that I want to. I lucked into a no referral clinic that allows me to see any type of doctor at my own discretion. No pink referral slips to get me into the OBGYNs' or cardiologists' doors.

 

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It's been eight months since I started the bio-identical hormone treatment. I've seen progress. I've seen some setbacks in my progress. Overall, the last eight months have been interesting, slightly grueling, and very trying on my patience.

 

Between the supplements and medications that I take, my blood sugars have seen highs and lows. I have no idea how much this process has affected my blood sugars, but I do know that it certainly plays a part. I'm always wondering which supplement raises blood sugars and which lowers. I try to watch for trends, but it's too much to handle when you're taking this many supplements and prescriptions.

 

Just how many supplements and prescriptions am I supposed to take (I say supposed because I seem to lack discipline in this area)? Well here's my daily list:

 

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The most recent heat wave may have passed, but summer is still in full swing -- which means heat-related health alerts. While these issues are not directly related to diabetes, diabetes can confound a heat-related health issue, making it harder to recognize and treat. Heat-related symptoms can mimic sugar-related symptoms and vice-versa, so it is in our best interests to know our normal ranges and reactions to the greatest degree possible.

 

The most basic heat issue is hydration. For some of us, dehydration will cause our blood glucose levels to drop; for others, it will cause those readings to rise. For some of us, the physical stress of dehydration will, at one point or another, trigger an adrenaline response and its associated glycogen release, leading to u-shaped curves (think "Dawn Phenomenon").

 

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I know I'm not the only one to have gone through this.

 

I have an issue with my endo's office and renewing my prescriptions. I get my insulin and my thyroid medication through my endo's office. I see the nurse practitioner, K, as often as she asks me to. I get my routine blood work, I show up to my appointments on time.

 

I understand that the reason providers only give patients a certain number of refills is so that patients will check in with their providers to make sure the medication is working, is still the right one for them, that the dosage is the right one, blah, blah, blah. I GET THAT.

 

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When I met with our new CPA for the first time, I brought him everything I could think he would need. In 2008 my family and I lived in two states and between me and my husband we had five jobs.

 

As we sat down to talk taxes, he asked the obvious, normal questions. And then the biggie: he wanted to know if I kept receipts or records from doctor's office co-pays or any other medical treatment. No, of course not, because I had no need to. Well, in Arizona, he said, you can write off your medical expenses, right down to your office co-pays.

 

Well, hot damn, I thought! I have tons of medical expenses!

 

"Co-pays, really?" I asked.

 

"Yes."

 

"Prescriptions?"

 

"Yes."

 

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"What does pot have to do with diabetes?" The question came up in the course of a lunchtime conversation with Chris Goldstein of the Coalition for Medical Marijuana - New Jersey, as we discussed our respective advocacies. (New Jersey is currently in the middle of a medical-marijuana tug-of-war.) When the uses of medical marijuana are broached in the media, it's usually in conjunction with terminal cancer -- or intense, persistent pain. The last time I sat in on a presentation on medical marijuana, the speaker explained how it eased many of the symptoms of his late wife's multiple sclerosis. But diabetes? Tell me another one.

 

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I've blogged before about being an advocate for taking diabetes "breaks." Sometimes this disease can get overwhelming, annoying, and just plain upsetting. So every once and awhile, I take a little break. I don't test as often. I try not to get upset when I run high. And I stop worrying about the food I'm putting in my mouth. I even stop worrying about getting my usual exercise in.

 

The last week has been exactly that. And my averages are definitely running high. So I figure today is a good day to start getting myself prepared for getting back on track. One last day of diabetes irresponsibility. It's just one of those days where I'm tired of sitting around and doing nothing. I'm ready to start fresh.

 

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I decided to try the bioidentical hormone treatment. After reading books, studies and general information, I feel that I made an educated decision. I went to a seminar and personally talked to the doctor who founded the clinic. I spent hours on the web looking through positive and negative feedback from research studies, personal stories and major medical journals. And I used my brain.

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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)
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)
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