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May 27th, 2012
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The other night my wife, kids, and I went over to my sister's house for dinner.


Upon arriving we realized we had forgotten a crucial ingredient for the dish my wife was bringing. (Cheese-if you are wondering!)


My wife and I took a quick trip to local grocery store to pick up the cheese and possible get something for dessert. This was not the original plan but it seemed like a good idea to me!


We went into the store and quickly found the cheese she needed.


"Alright, let's go," my wife said assuming we were done!


"Um, I was thinking we should get dessert." I said it with that smile she cannot resist or at least, she makes me think so.


"Alright, what do you want?"


And this is when I freeze up. I have no clue what to get.


"Maybe just some cookies. That sounds good."

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Like many in the diabetes community, my wife and I were pretty disturbed when we heard the premise of Hannah Montana's "No Sugar, Sugar" episode that was scheduled to air last night.

 

The episode tackles the issue of juvenile diabetes, but not as we know it to be. A major, recurring character on the show gets diabetes. Oliver, one of Miley's best friends, is ashamed at first and tries to hide his disease from his friends.

 

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I'm the kind of person who, no matter how horrible I feel, at least attempts to get out of bed to go to work. It's a philosophy that stems from my childhood when my parents told us that if we weren't barfing and didn't have a fever we were going to school. If we still felt bad after we got there then we could call them and we'd talk.

 

It's a philosophy that has served me well. At least I think so. And I've happily passed this philosophy on to my children. I don't think I'll ever forget the day that No. 1 woke up with an upset stomach and I told him he at least had to try to eat breakfast. Yeah, he barfed. Nice job, Michelle!

 

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"What's the best diabetes advice you've ever been given," Kerri asked the other day.

 

As a health writer, one of the perks of my job is that I get to talk to experts. One of the questions I often ask is, "What is the best advice you'd give someone with diabetes?"

 

And of all the interviews I have done, I think the best response came from Linda Dale, RN, CDE, Clinical Nurse Specialist in the Outpatient Diabetes Eduction Program at the University of Michigan Comprehensive Diabetes Center. The article was about testing your blood sugar.

 

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Nope, not a new Nancy Drew mystery, unfortunately. It's much more prosaic.

 

Olivia has been using the One Touch Mini since last summer. She got a new, downloadable one at the endo appointment in February. It's her favourite meter.

 

However, yesterday I went to put her numbers for the last couple of days in the meter and I noticed that she tested her blood sugar at 4-ish on Friday and never checked it again until the next day. She swears up and down that she did check it, but there's nothing in her pump and nothing in the meter. Check that - there are carbs and insulin doses in her pump, but no blood sugar readings.

 

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I went to bed early enough to get eight hours of sleep the night before surgery. Before I fell asleep, my blood sugar was 168. I lowered by bolus by about 20%. I set an alarm for 3:45 am (9 hours pre-op) and an alarm for eight (to call the doctor's office). Not too long after, I was fast asleep (thankfully!)

 

At 3:45am, my blood sugar was 185. I ate 45 grams of carbs and bolused for both the correction and food. I decreased the bolus by 15%. I set my basals to decrease by 30% at 8am, since that would put me at 5 hours pre-op and awake (and nervous!).

 

When I woke up at 8am though, my blood sugar was 233. I bolused, lowering it by 40%. I called the doctor's office to confirm my pre-op instructions and ask about my basal rates before I came in for surgery. The nurse told me that the oral surgeon wanted me to keep my basal rates at a normal level. If my blood sugar dropped, I was only to treat with Sprite.

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Baby’s Firsts

 

The first time you ...

 

held a bottle - 8 months

 

turned over - 4 months

 

crawled - 8 months

 

wore shoes - 10 months

 

sat unsupported - 7 months

 

stood up - 9 months

 

took first step alone - 13 months

 

tested your own blood sugar - 90 months

 

When you’re waiting anxiously for your baby to begin crawling or walking or become potty trained, it often seems as if it will just never happen. I've joked about Ben throwing his hairy legs in the air and demanding a diaper change at age 17, lest he be late for graduation. (For the record, we're finally making progress on that front).

 

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When testing Charlie’s blood sugar in public, there was a time when I would crouch down in a semi-secluded corner of the store and prick his finger to avoid full-on display of bloodshed. Not so much anymore. While using some gift cards at Best Buy the other day, Charlie said he felt low. The diabetes bag folds open quite nicely on the DVD shelving while curious shoppers look on. I had it wedged between Night at the Museum and Star Trek, I believe.

 

Maybe I should collaborate on the Zagat guide to the top public places to test your child’s blood sugar in.

 

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First: Hi! It's been like a month since you've heard from me. Well, not really, but I only posted four times in November. Four times! Hello! Where was I? Frankly, I just don't know. I guess nothing all that remarkable happened in November.

 

Except I had The Mr. insert a Dexcom sensor into the back of my arm (ala Kerri) for a change of pace from my abdomen and the darn thing went bad after less than 12 hours.

 

Oh, and there was Thanksgiving complete with about 20 friends and relatives at my parents' house. Bonus to living in the desert: eating Thanksgiving dinner outside in the 80-degree temps. Loved. It.

 

And Thanksgiving brings up what I really wanted to talk about in this post, though I haven't really figured out how to write it coherently. So I'll start with this: It's not all about sugar, people!

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At 1 a.m. I woke up to go potty. It was weirdly dark and I was really in a stupor. It was almost like I was drunk. I can chalk part of that up to it being 1 a.m. and part of it to one of the meds I take for bipolar having a “sedating effect.” In other words, I sleep reeeeeeaaaallllyy well now.

 

I drank lots of water. And then went back to bed. It wasn’t until I woke up at 3 a.m. to go potty again and drink tons more water that I figured I was high. My One Touch Ultra Smart showed “HIGH GLUCOSE.” I had no clue what that meant, but I knew it was super duper ultra high, so I bolused for a blood sugar of 500 mg/dL. Then I tested again. Got the same “HIGH GLUCOSE” reading.

 

The light woke The Mr. He asked if I was OK and then we talked a little about why we thought I might be high. He thought it was weirdly dark, too. (Usually there is light from the computer, but he had turned it off before bed.)

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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)
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)
Our Other Bloggers: Carey Potash, Lindsey Guerin, Brenda Bell, MikeDurbin, Megan, Robert Hudson, Julia, George Simmons, Scott Marvel, Kim Doty, Kerri Sparling,