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February 10th, 2012
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So...  This past week has been one of the happiest I've had in a very long time.  The promise of what's to come seems full force and I'm enjoying every second of the here and now.

 

And it's effect on my bloodsugar has been, in short, stunning.  

 

I have had two out of range bloodsugars in seven days.  Now, my control is decent, but this is more than a little unusual.  

 

I was trying to recall today the last time I'd had a week like this bloodsugar wise.  Looking back at my sugarstats page, it would appear that was over four years ago.  Four years ago, I was in a job I loved, in a stable long-term relationship, that particular week I was in San Francisco for work and enjoying the company of some long lost friends.  I was eating well, I was walking everywhere.  Physically and mentally, I felt good - I felt happy.  

 

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One of the side effects of not being able to get down to Virginia for Christmas this year was that of not having to drive back during, or in the aftermath of, the Boxing Day Blizzard that blanketed the Northeast. We ran errands early on Sunday to make sure we had enough food (and other staples) in the house to last a few days, then settled in for the duration.

 

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Four continents, 30 cities and 32,000 miles. Adventure seeker Nat Strand and her teammate Kat Chang made history as the first all-female team to win CBS's The Amazing Race. Her accomplishment, however, doesn't stop there. Strand, a 32-year-old doctor from Scottsdale, Arizona, had an additional "road block" to contend with during her race around the world - she has type 1 diabetes.

 

 

Congratulations! The first all-female team and the first person with type 1 diabetes to win the Amazing Race. My 8-year-old son Charlie, who has diabetes, thinks you're pretty cool. Or was it cool and pretty. Something like that.

 

 

Thank you so much! Having type 1 diabetes, I was just happy to finish the race. Winning it and being the first female team to win it was the icing on the cake.

 

 

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Too often, we look at the 7-day, 14-day, and 30-day trends on our blood glucose monitors, see numbers that look great (or horrid), and rather than seeing an A1c that confirms those readings, we get a number that would appear to have come completely out of left field. (Or Mars. Or the Andromeda Galaxy. It's hard to say exactly where.) We can either scratch our heads and wonder why the numbers aren't correlating, or we can take out our manual readings logs, our meter downloads, our CGM downloads, and our personal journals and try to figure "what we are doing wrong".

 

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My averages had been looking much better the last few weeks with the mix of keeping a stable schedule and eating a little better. I was having my usual bouts of lows (in the 50's) with the lower averages, but I was also working to correct those issues. So this week, I'm sad to report that my averages have soared back up with the onset of school.

 

The first week of school (or any time I get sincerely busy), I tend to let my diabetes slip. I check my blood sugar less often and at the most unusual times. I don't stay on top of my insulin, as in I let my Lantus doses fall outside the typical 12 hour range or delay my boluses. On top of all that, I tend to eat off schedule (since I'm still adjusting to the change in daily routine) and never decent meals.

 

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These last few days have been mind boggling. I have no idea what is going on with my blood sugars. Mostly, I'm running high, although there are several lows thrown in there too. Most of them don't have any kind of reasoning to them at all. And I'm torn between being extremely frustrated that my progress is now out the window or being exhausted and just not caring anymore.

 

Last night, I enjoyed a sub sandwich and a diet Sprite. I started out at 140 but soared to a crazy 319 a few hours later. I know that I bolused fairly close to the carbs in my sandwich, so my only guess is that the Sprite wasn't so diet after all. So I bolused for the 319 expecting to come down in the morning. (By the way, I've eaten many a sub sandwich and never had this problem.)

 

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I try to change my infusion site every 3 days. Generally, I hit the mark almost perfectly at 72 hours. Lately, I've been running the pump all the way to the last drop of insulin so my infusion sites go a little longer (only about 5 hours). I've just gotten lazy in changing them out.

 

Even before I started doing that, my pump supplies started piling up. I would get shipments for 3 months before I was anywhere near being out. I have a 3-month supply just sitting in my closet while I still use the current supply I have (about 1 month). My next shipment will probably be here within the month.

 

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Restless all night.

 

Keeping waking and look at the clock.

 

Saturday morning.

 

4:56 a.m. I need to go potty.

 

Sleep stupor wants me hold it several hours.

 

Don't want to be awake for the day at 5 a.m.

 

No, need to go now.

 

Reach for Toohey.

 

Hmmm, arm felt freakishly heavy and asleep.

 

I'm low.

 

No, can't be. Don't get overnight lows.

 

Don't feel lows until I stand.

 

Walk through fog and darkness to the bathroom.

 

Hit shoulder on door frame.

 

Sitting, I wake enough to convince myself to test.

 

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While in Mexico, my previous pleasant numbers took a turn for the worst. My averages jumped from 130 to 170. Despite proactive measures and many reactive measures, I could not seem to control any of my blood sugars.

 

My blood sugars ran fine the first two days. I actually ended up low for the majority of the time, so I lowered my basal. We were walking all over the city, in the heat for extended periods of time, and eating at unusual times (11 pm for dinner).

 

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"Yeah, I'll do it," Maeve said, quickly unzipping the black diabetes bag and removing the contents onto her lap.
"You sure?"
"Yeah."
She was a little too eager to get her hands on a sharp foreign object and take blood from her little brother. Maeve cracked open an alcohol wipe and rubbed Charlie's fingertip then loaded the meter with a test strip, deftly juggling the instruments. She had never done it before, but she's witnessed it , (one sec whilst I do a little math) , about 17,500 times. It's an unusual thing for an 8-year-old to do. Not your normal car trip activity such as I Spy or the license plate game.
"Just put the striped part into the ..."
"Uh huh. I know." (READ MORE)


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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)
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)
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