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December 1st, 2008
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I called an emergency meeting with my endo last week. For the first time in my pregnancy, my blood sugar was out of my control. My fasting numbers, which I prided myself in keeping at the low end of the healthy range, suddenly shot above range and my post-meal readings were so erratic I actually threw out an insulin pen, convinced it was defective.
On MDI for the duration of my pregnancy, I did what I was told to do-upped my insulin-carb ratio, cut back on carbs, reviewed my food journal. I even checked to see if I'd consumed a bag of chocolate truffles in my sleep.
Clearly, I encountered the dreaded insulin resistance that plagues most type 2s and hits hard during the second half of pregnancy. I'd never had this problem before. Frantic, I posted on all my diabetes sites, begging for advice. The answer: Exercise more. (READ MORE)


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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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So there's been a lot of talk around Blogbetes lately about logging. Why we do it, how we do it, what tools we use to do it. I have a confession to make: I haven't logged in a very long time. Frankly, I'm afraid to. (READ MORE)


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I haven't made it a full week without insulin and things are looking pretty scary already. But I'm humoring my doctor and playing along with this little experiement. The sad part is, I'm not even taking post-meal readings, just fasting, premeal and bedtime. And the results are, to me at least, unacceptable.
I really don't like having high blood sugar. It's not just seeing high numbers on the meter that bothers me. It's the little things, like the insatiable hunger and thirst, the fatigue and blurry vision. I don't know how high blood sugar has to be before it affects your vision, but it seems lately, my sight is fuzzy again, especially in the evenings. Really annoying because I want to get new glasses, but I need my vision to be stable before making that kind of investment. (READ MORE)


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I haven't ACTUALLY basal tested in awhile (by that, I mean I haven't done it the right way, but surely I've watched my numbers fall in patterns). I usually eat the same things for breakfast, so to me basal testing for the morning hours seems a bit ridiculous. But the last few days of numbers have me thinking that a basal test is in demand.

 

I've been trying to check after meals more regularly so that I can see if I want to go on Symlin later. But these new numbers have me wondering what is going on inside this body of mine.

 

(READ MORE)


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Ever since I got my pump, I stopped logging my blood sugars. Typically, I kept a running chart of every blood sugar categorized by time of day and weekly averages. But since the pump stores all of my information and produces such wonderful graphs, I stopped logging.

 

However, those graphs do not show specific blood sugar trends on a weekly basis and the numbers are never directly in front of me (haunting me at times). So I decided that I would get back on the logbook wagon.

 

(READ MORE)


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It's 10 p.m.; three hours post a high-fat, high-carb meal. At three hours I'm 122. That's an almost perfect place to be at three hours post-meal and right before bed.

 

But the problem is that I'm headed to bed and I know I'll wake up wicked high. Why not use a square-wave bolus, you ask. I just may, but the real problem for me is that I'd like to be able to use a dual- or square-wave bolus up front so I can sort of fix and forget. But I can go almost low around two hours post a high-fat, high-carb meal. Even at three hours I'm in a decent place, but by four hours I've skipped right over the high 100s and am square in the upper 200s.

 

(READ MORE)


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Cycle day 27: Aunt Flow will arrive in approximately three days. And likely with little warning.

 

Except for the lows. Oh, man the lows she brings for several days before her arrival. They're not brutal, just surprising. Not like, "Holy &*%$ I'm 29!" More like, "Wow my post-meal is 94."

 

I actually enjoy the relative lowlessness that she brings, although I have to be much more vigilant about my blood sugar management. For example, this morning it was an incredible 60ish degrees, so I took No. 2 and No. 3 for a walk (No. 1 was camping with The Mr.). While it was roughly two hours since breakfast, I somehow find that I usually don't test when I spontaneously decide to take on physical activity. Something prompted me to check this morning. I definitely didn't expect to see low 90s.

 

(READ MORE)


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As I went through my normal pre-bed routine, I checked off the usual things. I set things in order for class tomorrow. I made sure my assignments were completed. I took my contacts out. I checked my blood sugar.

 

When the number 172 came up, I was kind of surprised. I'd had an issue earlier and ended up with a 309. I'd spiked after lunch because I misjudged how many carbs were in the real soda I had. Sometimes sodas can go without boluses and I'll be perfectly in range after. And sometimes, like today, my body decides to utilize every last gram of carbohydrate.

 

(READ MORE)


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I tend to get the best absorption from pump sites smack dab in the middle of my abdomen. Say, within a several-inch radius of my belly button. It's kind of odd, actually, since I used my love handles exclusively when I was on shots.

 

Several times since Toohey and I hooked up (such a bad, bad pun) I have tried to use my hip/love handle for a site. Partly because I know it's good to rotate and partly because often the real estate around my belly button is taken up. However, the two times I can remember using a hip site, I had to rip it out before its time was up because my numbers were so terrible.

 

So I was having trouble lately figuring out how to be able to use my hips and other areas of my body. I know, this shouldn't be rocket science, but it really did take me a while to figure out that all I had to do was gradually move my sites outward instead of yanking them miles across my body.

 

(READ MORE)


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Kim Doty
Kim Doty has had Gestational and/or Type 2 diabetes since 2003. She lives in Colorado with her husband and children. She blogs about her world at On Line On Life On Insulin.(Read More)

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Nicole Purcell
Nicole has lived successfully with type 1 diabetes for 25 years. She hopes that by writing about her experiences, she can help others to face diabetes - and its challenges - head on.(Read More)

Latest Posts: Family Onslaught | You Can't Always Lose... | From the Shore

Our Other Bloggers: Lindsey Guerin, Carey Potash, Julia, George Simmons, Michelle Kowalski, Kerri Morrone, Andy Bell, Scott Marvel, Rebecca Abma
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