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How often do you worry about diabetes complications?

May 24th, 2012
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Type 1Type 2Oral MedsInsulin & Pumps
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I went to my 3-month endo appointment today. (My dad also went for his check up.) Usually, I do fine with my endo, although I've never been thrilled with him. He's mainly there to tell me the blood results and fill prescriptions. Usually, I'm okay with that.

 

But today was a completely different story.

 

First, they didn't call me into the office until AFTER my dad was already done with his appointment (apparently, I was forgotten). Then they gave me hassle about doing the A1c. When it was finally done, they informed me that the machine broke in the middle of the test (now I have to wait 3 weeks to get the results from a blood draw.)

 

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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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Most will call it dry mouth or cotton mouth , some might say they have a waterless windpipe or a parched palate, acting disturbed by their unquenched uvula, and yet another might compare it to having a mouthful of sweaters mucking up the place to no end. Whatever alliterative or clothed name it goes by, the sticky mouth feel of a high blood sugar is enough to furrow my brow to its limit. (READ MORE)


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I'm really frustrated today. Not because of blood sugars (which have stayed between 110 and 140 all day) or insulin or any of those other details of this disease. I'm frustrated because I can't change doctors without completely stressing out my life.

 

I received a suggestion from my old pediatric endo about a doctor in town, so I checked the insurance to make sure I'd be covered. And sure enough...he's not on my acceptable provider list. Even if I wanted to pay out of network, I can't. Some rule about providers being within 75 miles of my home and I'm not on a PPO.

 

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Diabetes management is really getting under my skin lately. I'm just so exhausted with it all. I never can seem to find a balance. I take one step forward then seem to take three hundred steps backwards. I know that it's all perspective and my control isn't bad, but it just feels like all the work I do has no payoff. But do I need to keep in mind that the pay-off may be 40 or 50 years from now?

 

If that's the case, I'm not so sure I want to make it. It isn't that I'm burnt out (and gee, don't think I'm suicidal). I'm just stuck between a rock and a hard place right now. Sadly, it seems like I've been stuck there for quite some time.

 

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Okay, I will warn you up front that this post is a total rant and has no other substance besides the fact that I need to let off some steam. I am also looking for some of you who have dealt with this annoying stereotype.
As I was minding my own business here at my desk the janitor comes up to me and asks me if I have to take shots everyday. I realize that he was listening to a conversation I was having with a co-worker about insulin and so on. A total eavesdropping moment right? So I answer, "nope." And totally leave it at that.
He says, "Oh you got off of insulin. That's good. Just a diet now or pills?"
"No I have an insulin pump."
"There is a gal in another office I clean that has to shoot up every day." Then he does it. He does this sort of motion with his right hand towards his left upturned arm. As if he is shooting up heroin or something right into his vein! (READ MORE)


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Friday morning, I packed up my bags to head to the lake for the weekend. I had a long drive ahead of me, so I made sure to bring extra juice, keep my meter handy, and lots of water. I stopped for lunch on the way.

 

I checked my blood sugar. 264 (up from 102 at breakfast). Unexpected, considering all I had for breakfast was water and eggs. Nothing that should send my blood sugar spiraling. So I bolused for the blood sugar, bolused for lunch, and enjoyed my quick meal before hitting the Texas highway.

 

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Food is frustrating to me. Ever since I can remember, food has been a completely different aspect in my life than what my family, peers, and humanity deals with. Yes, food is a source of energy and existence. Yes, it's amazing. Yes, it packs on the pounds. But it's also a total love-hate relationship with me. For one reason: diabetes.

 

When I was first diagnosed, my life was thrown into "sugar-free" mode. My sugar intake was limited. I never tasted a real coke unless I was low. I didn't get to eat normal candy or normal desserts. Everything was tainted by fake sugar, a chemical taste that couldn't replace my childhood need for some old-fashioned sugar.

 

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Today's DBlog Week Prompt: Today let’s borrow a topic from a #dsma chat held last September.  The tweet asked “What is one thing you would tell someone that doesn’t have diabetes about living with diabetes?”.  Let’s do a little advocating and post what we wish people knew about diabetes.  Have more than one thing you wish people knew?  Go ahead and tell us everything.

 

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Olivia hasn't had too many problems with her teachers over the years. Most have been very accepting of her diabetes and the care she needs to take with it while she's in class. I have a packet of stuff I give to all of her teachers at the beginning of each year and thus far, that seems to be sufficient.

This year, though, she got switched a couple of weeks into the school year. She got a new English teacher and I just assumed that the old one would pass along the diabetes info. Wrong.
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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)
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)
Our Other Bloggers: Lindsey Guerin, Carey Potash, Nicole Purcell, Brenda Bell, MikeDurbin, Megan, Robert Hudson, Julia, George Simmons, Scott Marvel, Kerri Sparling,