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How often do you worry about diabetes complications?

May 24th, 2012
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What are you thinking about right now? Is it the color purple? Because that's what you should be thinking about right now. Purple. Now it's everywhere, right? All of a sudden it seems to be everywhere you look. See, right there? No, on your left. It's purple.

 

Everywhere.

 

That's what I've been dealing with for the last roughly five months -- finally being able to put my finger on something and then it's freaking everywhere. Earlier this year I had a "routine" ultrasound on my thyroid. I've been taking medication for more than 10 years because of my thyroid and my new endo is the first doctor to ever suggest I have an ultrasound.

 

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So as I expected, my doctor told me this morning that the top of my foot is a little infected. I had suspected that a few days ago but then it started looking a little better, a little different. Though it still hurt I kept saying that I fell down the freaking stairs and that's why it still hurt.

 

Even The Mr. said he didn't think I needed to go to the doctor. But the swelling wasn't getting any better and I wanted to make sure that I was doing for it everything that I needed to do. And wanted to confirm my infection suspicion.

 

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It's kind of hard to believe that it's been 3 months since I developed a blood clot in my leg. As you may remember, it's my third clot. If I had $1 for every time someone has said lately that I'm too young to have had so many clots I may be rich.

 

I had a follow up ultrasound on my leg yesterday, and was pleased when the tech said she had to check my whole right leg and my left groin. Ever since the clot developed I've had swelling in my feet some days. A lot of days, in fact. It concerned me that I was still having swelling since that's a symptom of clots.

 

Fortunately, the ultrasound showed that the clot has dissolved! The tech and I were both pleasantly surprised. Although she didn't have to, she checked briefly down my left thigh since I told her of the swelling in my left foot.

 

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As everyone knows by now, my blood sugars have been elevated lately. Since about last Tuesday, my averages suddenly shot up into the 200s when usually I average 140s. All last week I was scared to make any changes just because I couldn't figure out why I was running so high. It's always my luck the day I increase basals that my blood sugars will drop back down and I'll end up with horrible lows. So I just kept blousing and tried to really watch what I ate to keep my levels down. Nothing worked. (READ MORE)


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Last week I called my OB's office.

 

"Hi. I'm a patient of Dr. I. I'll be 35 next week, haven't had a period in 57 days and I'm not pregnant," I told the triage nurse. "And the last few cycles have gotten progressively farther apart."

 

"Well," she said, "women can have signs of perimenupause as many as 10 years before they actually go into perimenopause or menopause."

 

Fantastic, I thought. Just what I needed to hear: You are officially getting old.

 

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It's a shame in a way that such little things can be so influential.

 

By now you've read about my struggle to find an endocrinologist since moving to Phoenix. The first doctor I saw? What a joke. And then to Mayo where I loved the staff, but couldn't afford the out of network bills. While I've been mostly satisfied with Dr. R's office I have felt for a while that I settled on this office. And I don't really want the bad karma, but I seriously think I did settle.

 

And I think that point was driven home last week when a friend of mine saw a different doctor at Dr. R's practice. Her first experience there was much like my first endo experience here. She was completely unsatisfied and has vowed to never go back.

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There's nothing quite like getting raked over the coals at your endo's office first thing in the morning.

 

It's a necessary evil. It's actually good for everyone with diabetes to check in with their endo -- or whomever is their primary diabetes caregiver -- several times a year. So I'm not saying I don't want to go. All I'm saying is that it's no fun to hear about what a crappy job you're doing being the manager of your pancreas.

 

I think it's been about fourish months since I last saw K, the nurse practitioner at my endo's office. Last week I had an ultrasound on the thyroid nodule that was discovered last year. So tomorrow's appointment will be to go over the results of the ultrasound, to go over results from routine blood work I had several weeks ago, to get my A1C and to check over my general diabetes care.

 

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In April 2008, I went to my urgent care doctor for several reasons. The first was a strange side pain that I'd been having for two days. The second was that my blood sugars were just not budging from the 200s and 300s. Then there was an intense shoulder pain.

 

The side pain started out tolerable on my lower right side. It was just a burning twinge that I noticed throughout my day. It got a little worse and the blood sugars seemed to follow over the next day. By the morning of my doctor's visit, I was wanting to curl in pain and forget the world.

 

It turned out that I had a ruptured ovarian cyst. It was bleeding into my ovary which was causing the intense pain. It was most likely brought on by an aggressive workout that I did a few days prior (the rupturing, not the cyst). It eventually helped me obtain my diagnosis with PCOS (that and the acne, irregular periods, hair growth, hair loss, and other lovely symptoms).

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This morning in the shower I tried to plan out what I would wear today. Brown capri pants, for sure, I thought. They are comfy and roomy. The shirt I wanted to wear, though, was waded up on a shelf. Seriously, I'm not in high school anymore, why don't I put my clean clothes away?

 

Anyway. The brown capris felt a little loose and looked pretty baggy as I looked myself over in the mirror. Hmph, I thought. Maybe the black capris would be better; I'm just not feeling this brown thing today.

 

Same deal with the black capris, but I was running out of time -- and clothing options -- so I went with the black ones. Whatever, I'm a desk jockey so I can live with it.

 

But the more I moved around the more I realized that my pants were actually too big! Not just a little loose, but like a size or two too big.

 

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So, as predicted, my blood sugar was lowish most of Friday morning. In fact, I believe my fasting was under 90, so I had to eat a granola bar before going for my walk. I stayed under 100 until lunch time.

 

It was totally crazy. Thank you stress and nerves!

 

I knew I'd need some complex carbs to get me through the afternoon without going low. So I went for my favorite soft pretzel spot for lunch. So, so yummy. And so, so rough on my blood sugar. I can usually count on hanging out in the 200s for about five or six hours no matter what I do when I have one of those pretzels.

 

Just before leaving for the doctor's office, I checked my sugar and was around 240. I really hadn't wanted to be that high, but was slightly comforted knowing that I wouldn't go low during the procedure.

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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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