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Olivia moved her site to her belly and her numbers have been much better. So thighs are definitely out.
We talked about it the other night - she's sick of using her belly. It looks awful, full of bumps and keloids and just generally mangled. I'm going to call her CDE at Joslin to see if we can start using her arms again. We're also going to start moving her sites out more towards her sides, in an effort to get around to her backside. Not her butt, because she says that really hurts, especially when she's sleeping, but in that area above the belt, where she still has some padding.
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I posted last week about feeling out of the ordinary and just plain sick. It was off and on all week with some days feeling great and others feeling terrible. I waited it out through the weekend, trying to take it easy as much as possible and eat as best as I could.
I thought I'd made it through without needing anything other than my immune system. But Tuesday night, I was feeling the worst I'd felt so far. I had suspected a urinary tract infection before, but now I was almost positive. The urgency, the pain, all those telling symptoms were all much worse. To top it off, my blood sugars were lingering in the 200's despite boluses.
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Elizabeth commented on yesterday's Pump Nostalgia post, saying she has been type 1 for 38 years and has in the past resisted the idea of going on a pump. She wants to know what I find so thrilling about it.
For starters, and probably the biggest things for me, it's the precision and the convenience. As for precision there are a couple of aspects: I don't have to conform to a certain number of carbs to match my insulin:carb ratio. For example, like many people, I am more insulin resistant in the morning, so my insulin:carb ratio is lower. So if I'm having 45 carbs and my insulin:carb ratio is 1:12 and my sugar is within target, I can't take 3.75 units with an insulin pen. So I either have to decrease or increase the number of carbs or the amount of insulin and deal with the consequences later.
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About most things in my life, I'm pretty systematic: I wash the same body parts in the same order in the shower each morning, can't test my sugar without first wiping my finger with an alcohol swab, take the same route to work, ad nauseum.
I've learned to be fairly stingy with pump supplies, too. Especially since I'm in a probation period with my employer (everyone is subject to it their first 90 days on the job, so don't think I'm a slacker and they singled me out!) and don't have benefits until Sept. 1.
I knew this going into the job and prepared accordingly: got sample bottles of insulin from everyone who would give it up in addition to getting a mail order prescription for three months, reordering testing and pump supplies and asking for a little extra just in case.
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A coworker asked me if I knew of a cake mix that was sugar free. She was asked to bake a cake for a friend who has diabetes.
That began the carbohydrate lesson.
"The thing is, although something may say 'Sugar Free' or 'Reduced Sugar' it may still have carbs in it which is what effects blood sugar. Sugar is included in that number." I did my best to not get too technical.
"Well I bought this one to try but I thought I would check with you to see if you knew of a better one," she said.
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