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March 21st, 2010
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I've been thinking more about the possibility of adding insulin to my Type 2 treatment. My last post about it raised some interesting comments. I have a bunch of blood test results due in this week that will help make the decision too.
I do know that insulin is just a medication like my thyroid pills or the metformin I take. The only difference is the method of delivery. Since insulin is destroyed by stomach acids, it has to be injected to do any good.
I also know that it really does carry a stigma that other medications do not. For me, it seems an admission that I am not holding up my end of the bargain treating my diabetes. I should be losing more weight, exercising and eating better. I think just about everyone can agree with that statement - with Type 1, Type 2 or no diabetes at all. (READ MORE)


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It's strange sometimes how the tide can shift so quickly. Where I was this time last week is not where I am today. I've gone from thinking my endo was off his rocker to even consider me as a candidate for the pump, to going full-tilt toward pump therapy.
When B. first told me about MiniMed's pump with the integrated CGMS I really poo-pooed the idea, telling him that although I have high and low swings, I didn't feel like I was "bad enough" to warrant having a CGMS. I pay attention to my body, I test when I'm feeling low, etc. (It's that "I'm 'only' type 2" mentality.) (READ MORE)


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I have been using insulin pump therapy to (attempt to) control my diabetes. It's been two years that I have been using it and I really do love it.

 

The benifits of my pump are many. Only having to stick myself once every three days is probably the biggest but also for me, my control is better.

 

The way the pump better mimics what a properly functioning pancreas is also a huge benifit. I know it is not for everyone but for me, it works.

 

(READ MORE)


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"Are you going to eat what your wife made?"

 

It was loud. It was purposely loud to get everybody's attention. It was coming from an unexpected source. I was ready.

 

"If you mean the cake then, heck yes I am having some. Why?"

 

"Hello, you are diabetic!"

 

(READ MORE)


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I woke up this morning about 30 minutes before my alarm to answer a call from nature. I stumble to the restroom and as usual I set my insulin pump on the sink counter. I should explain that I have a relatively small bathroom so the sink is pretty much half of the room. Well, no sooner do I set my pump down that it slides off and slams on the floor.
Ouch!
I have had my pump fall before but this one sounded extra hard. I leaned over and picked up my poor pump to see if it was okay. It was not. The screen was blank and even though I closed my eyes and wished for it to be fixed, it did not work. (READ MORE)


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I was so shocked when I read a comment on my post about finding the right doctor for me that all I could think about was the first line to the response I would write. I just couldn't get past the shock.

 

The commenter suggested that, in short, I should consider therapy to address my anger issues regarding diabetes. You know what, that person is right. I am angry that I have diabetes. Damn angry. And I should be angry. This disease has the potential to consume my life, affects my family and invades nearly every activity I do. I have a right to be angry.

 

But this is not the kind of anger that requires therapy. This is the kind of anger that requires action. Finding the right doctor for me – especially in a new city – takes time and knowledge. Knowledge of my body, my condition, my desire for quality healthcare.

(READ MORE)


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It's so easy to fall into the trap of thinking that just because I don't have to take a pill to control my Type 2 diabetes, I'm "cured". After all, that's what so many people in my condition were told, so many times, over the past half-century. Some are still told that today. And given that most of the time, my blood glucose levels stay between 85 and 120, with the occasional high postprandial excursion (which occasionally -- like, when I'm low and having dinner at a restaurant -- will lead to a high fasting reading the next morning), there's nothing to alarm the unsuspecting practitioner that back in 2002, at fifty pounds heavier than I am today, the doctor's meter read 170 mg/dl after a ten-hour fast, with an HbA1c of 7.8. Or in lay terms, "I had diabeetus".

 

(READ MORE)


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I discovered yesterday that there's an enormous difference between staring at your mortality in the form of diabetes and in the form of debilitating pain that could quite possibly lead to a pretty poor quality of life.

 

Diabetes is manageable. A high is treatable. A low is annoying, and treatable. Diabetes is a hassle but it's livable. As I type this post I'm dealing with a 57 mg/dL post dinner reading that's giving me the shakes. It pisses me off and leaves me dying for a cure, but in the day to day scheme of things diabetes is -- or can be -- a blip on the radar.

 

(READ MORE)


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I received the normal JDRF research newsletter the other day. As usual, I perused the updates on diabetes. There was a large article on the new stem cell legislation movement, but I quickly passed over it. But two articles did catch my eye.

 

One was regarding "Insulin Fragment" Therapy, which I hadn't heard about before this newsletter. A study from the UK showed that "proinsulin peptide" therapy could seemingly restore the immune system without any adverse side effects (like the immunotherapy treatments for pancreas and cell transplants). More research had to be done, but it was still an important milestone.

 

The other article had to do with protein regeneration for adult beta cells. It was a snippet of an article regarding the prospect of regeneration and replication of beta cells for type 1s. All it did was leave hope. Hope for regrowth. Hope for a life without diabetes.

 

(READ MORE)


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"Just for the record," I said to The Mr. in bed last night, "apple juice after brushing your teeth is nasty."
He looked at me ready to laugh and then saw me drinking an apple juice juice box.
"Are you low?" he asked.
I nodded while sucking the last of the juice from the box. We were both exhausted and had decided to go to bed early. It was just barely 9:30 p.m. and we were settling in for a snuggle and some TV.
"It's the second time tonight," I said, referring to my after-dinner low of 52. At the time, I had chalked it up to miscalculating carbs at dinner and taking too much insulin. Although, I really thought I hadn't taken enough, especially after my second helping of cheesy potatoes. I was more shocked at the bedtime low, though, since I had treated the dinnertime low with a juice box and then had some ice cream, for which I was certain I hadn't taken enough insulin. (READ MORE)


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Julia
JuliaJulia lives behind the Tofu Curtain, in the Pioneer Valley, in Western Massachusetts. It's a nice place. She likes it there. Her eldest daughter, Olivia, has type 1 diabetes. She's also 13. It's a real toss-up as to which is more difficult -- the diabetes or the teen-age drama. (Read More)
Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
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