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March 19th, 2010
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At the end of this month, I'll see my endocrinologist for the first time since leaving the hospital with that adorable little bundle of joy. Prior to getting pregnant, I started taking insulin and I'm still on it. When I see the doctor again, I'll have the opportunity to change things up. Now that I'm done breastfeeding, I can go back on oral medications and put the insulin behind me.
Today, I started questioning if I really want to do that. What are the pros and cons of oral meds versus insulin? The obvious is a pill versus a shot, but after 15 months on insulin, I really don't have a problem with needles. Insulin is natural and the only real side effect is low blood sugar. Most oral meds have much worse side effects, like upset stomachs, headaches and rashes, in addition to hypoglycemia. (READ MORE)


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I started the pump in October last year with an A1c of 7.3. At the time, that 7.3 was my lowest A1c since before being diagnosed. Growing up, my A1c levels were anywhere from the 8.0's to the 13.0's. Between "sugar free," a lack of diabetes knowledge in the world and being a kid, I never could get my averages right. The three years prior to going on the pump I decided to be an idiot and "take a break" from diabetes. I stopped checking my blood sugar and just blindly did my insulin. I had no idea that my blood sugars were getting into the 500's sometimes. I stopped going to the doctor. What was the point? They were going to tell me the same thing I already knew but just wasn't willing to do. (READ MORE)


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It's very rare that I miss a day of work. VERY rare. I've called in sick only a handful of times in the last four years of my working life. I typically am a "bite the bullet" kind of girl and work at least a few hours when I'm feeling ill. So when I do call in sick, I'm usually very sick.

 

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All throughout my childhood I was extremely active. I was heavily involved in many sports. I continued to be active even after getting diabetes. Except having diabetes made things much more difficult. I would get so mad when people reacted negatively towards me. I would be playing in a tournament and someone would ask, "What are you eating that for"? It was very depressing seeing how they reacted when I told them why. Having to explain myself time after time got old quick. After I told them I was diabetic they never treated me the same. This type of treatment was exactly what I needed to kick my butt in gear. I was ready for a change. I didn't want to be treated differently any more. I was ready for something that I could do on my own time and feel good about. I wanted some respect!
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Blogging is difficult for me sometimes. Don't get me wrong, I love this website and everyone associated with the Blogabetes community. Each and every one of you continue to be an enormous help. I can come on here and rant and rave to the ENTIRE WORLD about my life with diabetes. I make friends, I laugh, I tear up, and it's all wonderful. It's fantastic and I have no doubt this will continue to be an extremely helpful thing for me and everyone else too. At times though, the only thing I crave is complete and utter privacy, freedom from the world of diabetes and from everything. The last thing on my mind is the desire to share one more personal diabetic experience with the world. (READ MORE)


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In trying to raise money for diabetes research, I've definitely noticed the effect of our declining economy. People just don't have money to give this year. 


With a month left before our team assembles for the Walk to Cure Diabetes, I've reached the stage of our JDRF fundraising campaign where I get a little desperate. When just about every person, place or thing in my periphery is fair game.


For example, driving home from a soccer game and crossing the Delaware River toll bridge. Hmm, I thought. Tolls.

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The new year is off to an auspicious start. Despite being hampered by pink eye and a very nasty cold, I've already accomplished my first resolution – grow a manageable light winter beard as a distraction to increasingly thinning hair. Done!

 

Christmas was nice. Santa rocked it. Although …

 

I hate to be nitpicky, but there was one Christmas present under the tree that we just had to throw out due to the odor. Remind me next year to specify in my letter to Santa that "working pancreas for Charlie" should be kept on ice.

 

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In the past month, I've really gotten off track with my life. School and work seemed to be picking up, so I set a few things on the back burner (not to mention that I had a flare up with my other health conditions). The things that got pushed to the back were really major pieces of my diabetes management.

 

For one, I stopped working out in the way that I had been leading up to mid-March. Before Spring Break, I was working out at least twice a week (jogging 1.5-3 miles on the treadmill). But after Spring Break, life got in the way so I didn't make the time to add those workouts back into my schedule. I made all sorts of excuses: I was too tired, I wanted to go out with friends, I hadn't watched TV in forever, I had to study. Sadly, I think I've worked out a total of three or four times in the past month...that's just really disappointing.

 

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I've really been struggling with the Lantus and exercise mix. When I first started out, I did okay with a few lows here and there (nothing out of the ordinary for me). But as I added in new and different work outs and upped my intensity, I'm struggling to keep my blood sugars stable before, during, and after exercise.

 

With the pump, it was so easy to decrease my basal so I started my workout in the 180-200 range. I struggled with maintaining a higher level during exercise, often going low...but at least I wasn't concerned with those numbers completely wrecking my averages.

 

Now that I'm back on Lantus, I'm re-learning everything that I did five or six years ago (since high school held my hardest workouts). But I'm failing miserably. I can't get the range right before working out, often soaring to the 260's. And during, I'm flatlining in that same range.

 

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One of my biggest issues in my diabetes management is "knowledge." I don't mean that I don't know what I'm doing or enough about the disease. Trust me, I've had that covered for awhile now. I'm talking about the simple facts of knowing how I am in this disease.

 

My bad habit is to skip a blood sugar check because I know I'm high. There, I said it. I confessed.

 

I'll give you a blatant example. I bought a cake yesterday. So I had a pretty big piece last night after dinner (a very low carb dinner, I might add). I bolused for what I figured it might be. And I went on with my evening.

 

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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)
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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