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May 27th, 2012
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"I totaled my truck”  

 

I looked at my friend in shock. He did not look hurt or anything but his lower lip quivered enough to tell me it was bad.  

 

 

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I was a little shocked, actually, to have gotten a real answer instead of a blow off "It's in medical review" answer.
My pump rep and my endo's nurse have jumped through hoops giving my insurance company the information it needs/wants in regard to approving my CGMS claim. I thought there was going to be a conversation between the insurance folks and my doctor's office, not just a flat out "No." I really thought that giving them all this information and stressing that I have hypo unawareness would surely make them say yes. Like I said, I was shocked.
I have mixed feelings about this. On one hand I'm still ready for a fight. I've called my pump rep to fill him in and see where we go from here--not to say, "I give up, thanks for trying." On this hand I feel a little angry that they have all this information detailing medical necessity and still say no. (READ MORE)


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Since I can remember, I've always had certain symptoms of being low. A funny feeling in my stomach, shaking, cold sweats, feeling tired, slow or incomplete thoughts. Depending on the low, sometimes certain symptoms would be worse than others. Almost every single time, I got this feeling in my stomach kind of like butterflies. Lately, I've been having some of these low symptoms when my blood sugar is not even close to a low. I get the feeling in my stomach, I feel shaky, I even start slurring my words. I check and I'm fine. 141. 126. Even 204. So why do I feel low? (READ MORE)


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55, 48, 35. These numbers mean nothing really until you see them on the One Touch after testing because you feel a little off. Not low, just a little off. Or maybe you don't even feel off, you're just testing because you're about to eat lunch. These are the moments (like this one!) you start shoveling Skittles down your throat because the second you see that low is when you start to feel it. And it feels like s%$t!! (It's not easy to type when you're low, by the way.)

 

Happens on the other side of the spectrum for me, too. Sure there are times when cotton mouth, fatigue and a hideous headache clue me in to a ridiculous high, but there are just as many times when I feel perfectly fine and I find that I'm well over 200 or 300.

 

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My mom and I were making the second round on our neighborhood walk. Before I left the house, I didn't do my usual pre-walk routine. Typically, I check my blood sugar and lower my basal by 40% for two hours. I'm not sure how I forgot to do all that, but it never even crossed my mind.

 

That was until I started to get really tired. I felt fine. No butterflies in my stomach.  No fog surrounding my thoughts. Nothing to set off the LOW warning in my head. Except that I was dragging. My legs could barely move. My mom was steps ahead of me, walking at our normal pace.

 

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Diabetes is never just one disease to handle. Sure, technically, medically, or definitively, diabetes is simply one disease. But in the daily management of the disease, it's a complex ball of diseases and risks.

 

Most of us understand the complications that come along with diabetes. We know that better control lowers our risk for all of those complications. We understand that those complications sometimes have a mind of their own, that despite years of good control they might still creep into our lives.

 

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I'm going to fight. I want a CGMS and even though the universe may have spoken, I'm still going to fight. (Perhaps I misunderstood what the universe was saying.)

 

I put a lot of emphasis on thinking that the primary benefit of using a CGMS is to detect lows. There was a time when I had some pretty serious hypoglycemia unawareness. I remember taking a walk with the family once and not feeling low until we returned. I was 35. I didn't feel it until I was 35. That's scary stuff.

 

More lately I've been thinking that one of the better benefits of using a CGMS is to ward off highs either between meals or before the two-hour post-prandial check.

 

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On more than one occasion I've been rather surprised at how low a post-meal or random blood sugar check is. Not in a 'wow-I-did-good' kind of way; more like a 'geez-I'm-53-and-not-feeling-it' kind of way.
I don't consider myself to "suffer" from hypo unawareness, but it's safe to say that I get it quite often. I remember plenty of times waking to a fasting of around 60 and feeling great.
So when I have a day like today, it really drives me crazy.
After lunch, I was feeling pretty shaky. Not terribly low shaky, just like a going-low kind of shaky that I knew needed to be dealt with soon or it would get bad. I expected to be in the 60s and was quite shocked with an 83. I treated, thankful that I caught it early and went on my way. (READ MORE)


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My vacation was extremely nice. My mom and I spent several days with her family (who I haven't seen in several years), then trekked to New York City (my favorite place in the entire world). And mostly, my diabetes played nice. Nothing too out of the ordinary and no insane highs. Just plenty of hypo unawareness that left me annoyed, but thankful that I'm vigilant.

 

Now that I'm getting back into the grind of "normalcy," I'm kind of in a funk. There's a lot looming in my mind at the moment about my life, my health, and my future. And those things are weighing heavily into my diabetes world...causing me to forget insulin or blood sugar checks or to eat on a schedule.

 

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Everything seems to be all over the place lately. Despite catching up on school work and actually de-stressing this week, my blood sugars are bouncing like rubber balls in an airplane bin. My averages are up, yet I'm having rashes of severe lows. And by severe, I don't mean symptoms. I mean numbers and hypoglycemic unawareness.

 

Like last Thursday night, I cooked chili for a friend. Ate a giant bowl with cornbread, bolused for what I expected was way too little, and went on my way. Only to feel an urge to test a few hours later. No symptoms, just something in my brain saying that I should bite the bullet to test. And that urging left me staring at a 37. How?

 

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George Simmons
George SimmonsGeorge Simmons is a father and husband living with type 1 diabetes. A self proclaimed "born again diabetic," George began blogging as a way to meet other people living with diabetes and learn more about managing his disease. (Read More)
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)
Our Other Bloggers: Brenda Bell, Carey Potash, Lindsey Guerin, Nicole Purcell, MikeDurbin, Megan, Robert Hudson, Julia, Scott Marvel, Kim Doty, Kerri Sparling,