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February 10th, 2012
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I updated my logbook and did the usual averages last night. I jumped from the 160/170 range to the 170/180 range over the last week. That's with a one unit increase in Lantus too.

 

It seems like my morning numbers have jumped back up again. I'm easily waking up in the 180 to 220 range. A few morning highs are from snacks or large meals the night before, but mostly I'm not dropping at all overnight. So I bumped the Lantus again, this time from 16 units to 17 units at bedtime.

 

My other problem area is post-meal numbers. There are only a handful of decent spikes after my larger meals (breakfast and dinner). Mostly, I'm staying out of range for several hours on end. So I'm going to spend the week testing my insulin to carb ratios and getting a better feel for exactly what is going on with these post-prandials.

 

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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".

 

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I asked Charlie if he wanted to write another blog post for Blogabetes.

 

"Neh," he said. "I'm out of material."

 

He unraveled a long strand of red and white bakers twine from a large, round roll and carefully laid it out along the kitchen counter.

 

"Nothing?" I asked.

 

"Nothing," he said.

 

"Yeah, me too," I said. "I'm out of material."

 

Charlie eyeballed about three feet and snipped the twine with scissors.

 

"You have anything for me to write?" I asked. "Any diabetes news?"

 

He answered immediately, never taking his eyes off the twine as he tested its pull and elasticity; dangling it as if operating a marionette.

 

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I started using a pump back in October of 2007. It was a rough and terribly rocky start. The pump company wasn't helpful and left me stranded in the dark with this new technology. There were moments that it left me sobbing over the phone to my mother, claiming that I was seconds from throwing the expensive device against the wall. My A1c climbed from 6.9 to 7.6.

 

After about six months of that and some help from the online community, I finally got the pump closer to being stabilized to my life. It still wasn't pretty. My A1c plateaued around 7.3 and 7.4. I couldn't seem to make the pump fit with my life, despite what everyone was saying. Apparently, I wasn't as stable as I needed to be with my schedule.

 

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When it comes to finding a cure, I'm not exactly picky. I'm ready and willing for whatever we can successfully bring about to get rid of this disease. Last year, I even looked into a clinical trial for islet cell transplant therapy. I give my money to research for this disease so one day my future won't include finger sticks and insulin injections.

 

JDRF announced last year and reiterated this year that the focus is shifting from solely looking for a cure for type 1 diabetes to general treatment and complication therapy. That was a tough pill to swallow. And sometimes still is, even though I currently work at JDRF. I want a cure, not a newer nicer meter or a pump that does it all. I want this gone for good.

 

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I was really hoping for magic when I started this new routine. I wanted an easy transition from the pump to MDI's. I wanted an "out" from the pump...a way to say that it really isn't working and it's all the pump's fault. I really don't even want to be putting these words to paper.

 

But I am. I'm confessing. Lantus and Humalog are not working out any better than the pump. The week before I went off the pump, my averages were at 140 (and that was with pizza on two occasions). I wasn't having as many lows as before, although I was still having them.

 

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Kerri Sparling
Kerri SparlingKerri Sparling, diagnosed with type 1 diabetes when she was six years old, doesn't let diabetes define her. It just helps explain some things.
Creator of the diabetes blog Six Until Me and an editor for dLife, Kerri is an awareness advocate and an active member of the diabetes community. She'd also like a kitten.
(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)
Our Other Bloggers: Brenda Bell, Nicole Purcell, Carey Potash, Michelle Kowalski, Megan, MikeDurbin, Robert Hudson, Julia, George Simmons, Scott Marvel, Kim Doty,