Technology, Take Me Away!
Hoping that a CGM will help achieve blood sugar stability.
By Deanna Glick
Editor's Note: While this columnist is no longer writing for dLife.com and we have ceased to update the information contained herein, there is much to be read here that is still applicable to the lives of people with diabetes. If you wish to act on anything you learn here, be sure to consult your doctor first. Please enjoy the column!
January 2009 — Things aren't getting any easier when it comes to motherhood or managing my diabetes. Not that I expected things to get easier, but the fact just seems to be hitting me in the face lately. I guess I thought I'd get better at both as time progressed. Not happening.
First, my daughter just turned three. For those of you who are parents of children past this stage, I need not say more. For the rest of you, listen up. If I could, I'd take back the days of applying whole tubes of Lansinoh to my breasts in exchange for dealing with my kid's despicable behavior of late. Crinkled noses. Whining. Pooping in underwear. Refusing to poop. Whining. Smart mouth. Whining. Running toward the street ignoring pleas to stop before being crushed by a car. Refusing to get dressed. Demanding Christmas shoes be worn to ride her bike. Whining. Taking clothes off in public. Whining. Whining. Screaming for Mommy to get off the phone with Grandma. Whining. Meltdowns with the struggling babysitter outside my office door during a phone interview. Refusing to eat dinner and then waking up at 9:30 p.m., yelling that she's hungry. Waking up at 5 a.m. screaming for cereal. Whining. Freaking out over a friend using her potty and washing her hands. Whining.
I'm going to stop there. Oh, did I mention whining?
Of course, this too shall pass. But it's hard. My diabetes control continues to suffer, just as it has ever since I gave birth. It's not horrendous. My A1C is probably in the 7s. Maybe close to 8. I wake up in-range on most days, but I have to correct high blood sugars at bedtime most days. I suppose that's a pattern, but I haven't carved out the time to establish that to a point that I'm confident in changing my basal rates. On some days, those are the only times I test. As a result, I'm not exercising as often as I'd like because I really don't know enough about my blood sugars to feel safe doing so. As a result of that, I'm more tired, less alert, and more depressed. A domino effect. A vicious cycle. Whatever you call it, it's not anywhere near where I want to be.
So, I've made a decision. Instead of continuing to beat myself up for choosing to participate in life over appointments with my computer to complete blood glucose analyses, I'm going to get more help via technology. I plan to retrieve a prescription from my endocrinologist at my next appointment on July 29th for a continuous glucose monitor. Using this technology will mean adding a second site to my stomach and a whole lot more little scars on that very abused slab of my skin. But it will mean more time without sacrificing vital information for managing my disease. I have a feeling once I start using a CGM, I'll feel much like I did after getting my insulin pump six years ago. "Why didn't do this a long time ago? My life would have been so much easier! What was I thinking?"
I'll stop beating myself up now. I think my daughter is whining - I have to go.
dLife's Viewpoints columnists are not all medical experts, but everyday people living with diabetes and sharing their personal experiences, most often at a set point in time. While their method of diabetes management may work for them, everyone is different. Please consult with your diabetes care team before acting on anything you read here to find out what will work best for you.
Turkey Scaloppine with Peppers Apple Crisp with Peanut Butter Chips Wild Rice and Peppers Spicy Garlic Shrimp Seared Orange Duck Hamburger Quiche Kielbasa Tacos Tuna and Veggie Skillet Fish Stock Chicken Cheese Ball
Holidays are tricky, no? Between managing diabetes among massive amounts of junk food, managing stress to manage bloodsugar among (sometimes) massive amounts of family squabbling, shopping stress and the like, and trying to get enough sleep and exercise in the cold winter months - it's a lot to handle. So I've got a two tier plan to keep bloodsugars at bay this year. Tier one - diet and exercise. Typically, at this time of year I do what I call the nutrition and gym...