My CDE is my BFF.

I had an appointment with my CDE on Friday and let me just say she is quickly becoming my new BFF of my Diabetes Team.  Like, I want to make her a friendship bracelet, ’90s summer camp style.

friendshipbracelet

I was never able to master the swirly ones!
Image from the Google.

Her awesomeness does not only stem from her coming to my Endo/PA appointment last week and giving me a hug, but she has been instrumental with determining my pump rates over the past 2 months since I’ve resumed cyborg living.  I’ve emailed her reports almost weekly and we make tweeks as needed to get me where I need to be to grow a human.  She is also totally relate-able and “gets it” as a PWD.  She makes me laugh and is super supportive when I’m annoyed with myself for not being a perfect diabetic.  I know I totally sound like I have a girl crush (my girl crushes are Megan Hilty and Jessica Simpson, TYVM), but I’d say it’s safe to say I have a definite favorite on my Diabetes Team.  Don’t tell my PA or Endo.  I know I’m supposed to love them all equally, and they can believe that I do, lest I’ll be subject to more finger pricks when I’m in the office.  (Seriously, am I the only one who hates when other people prick my finger?)

So, the appointment.  My graphs look goooood.  She pulled up some of my old graphs and the change in just a couple of months is remarkable.  Definitely happy that I’m back on the pump even after having the pump-cation blues.  For the first time since starting this “get body ready for baby” journey, I feel like I can actually do this.  It’s a good feeling friends.  And it’s motivating me to keep on trying my best to get myself in the best D-shape possible before growing our future little one.

We She noticed some patterns that we are working to correct.  I tend to go higher and stay higher with meals that are more than 60 grams of carbs.  So that means that I will try to limit my meals to less than that amount of carbs.  Easy peasy, mostly.  But if I do have the weekly occasional bowl of spaghetti, I’ll bolus as usual but try a temp basal of +20-40ish%, (depending on pre-meal BG) for 60-120 miutes post meal.  Trial and error.

Another trend is that I tend to stay higher throughout the morning if I eat breakfast earlier in the day.  So we changed my I:C ratio from 1:10 to 1:9 before 9 am and 1:10 after 9am (weekends).  I would’ve never noticed this – so happy for her trained eyes to see!

I do awesome overnight.  I average 147 from 11pm – 7am.  Good-ish number.  Would like it to be a smidge lower, but the thing I am most pleased with is that my overnight lines are typically pretty steady.  No real drops or jumps.  Sweet dreams for me.  This means naptime at work, no?  I have been pretty pro-active with setting temp basals at night when I go to bed on the higher end.  And I swear, it has nothing to do with me not wanting to hear my Dexcom all night.  It has everything to do with wanting to be all I can be with the D.  Or something.

We also changed my I:C ratio for dinner from 1:9 to 1:8.  My CDE was a little reluctant to do this because sometimes after dinner my numbers are great, however, I want them to be great most, if not all, of the time.  So I figure it’s worth a shot.

The best part of the appointment however was when she said that by looking at my graphs, she thinks my A1c is/will be very close to 7 if I keep this up.  This certainly motivates me to keep fighting the good fight.  High Five!

I kinda want to take her out for a beer.

Friday Fives – June 28

1.  I really wish the Dexcom showed your 24 hour average blood sugar on the receiver!

2.  I may have to try the side boob as a pump site.  Just to see.

3.  I love the weekly DSMA twitter chats.  So fun!

4.  My MySugr monster’s name is Dia-Butthead.  He’s not supposed to be so cute, is he?

5.  Pre-bolusing is a tricky thing when you realize that your baguette is stale.

Wordless Wednesday – Pizza Party Pooper!

Friday

Pizza is a party pooper!

 

OK, not so wordless post, but my pretty-ish little graph needs an explanation.  On Friday night the hubs was getting home from traveling and instead of being an awesome wife and cooking a home-cooked welcome home meal, I decided to order pizza.  Since Pizza + Diabetes = Pain in the bolusing behind, I decided to do a combo bolus of 75% (6 units) pre-meal and 25% (2 units) 90 minutes post meal.  Didn’t work so hot.  I think next time I’ll try a 60/40 split with the second bolus 2-2.5 hours post-meal.  Oh, pizza, why do you have to be so good but so bolus-confusion-worthy?

The Weight of it All – June 25

As you can imagine with the sudden passing of my nephew, I have been slacky McSlackerson on the weight loss front.  In fact, for the past 2 weeks I haven’t journaled a single morsel of food or put on my boxing gloves once.  Sometimes there are other, more important, things to worry about and you just have to give yourself a break.  However, this break ends for me today.  The scale has crept up to 205.4 and, just, ewww.  I have had a long enough diet hiatus.  I’m not angry at myself, but at the same time I’m not going to allow myself to continue on this path.  I think Josh would want his aunt to be healthy and happy.

The Hubs and I are back on our respective food plans today (counting calories + exercise for me, super low carb + exercise for him) and I think we are both pretty motivated to get back on track.  I am going back to boxing tonight and am looking forward to hitting the bags and getting some endorphins in my system.  I’m sure it will be pretty painful but I need to rip off that band-aid and just get my butt in the door.

I am in a wedding in early September and although I don’t like to set number goals, I’d like to lose about 10-15 pounds by then.  I am going to focus on this and even if I don’t reach that goal, hopefully I’ll be a few pounds lighter and a few inches smaller!

Here’s to a good week!

Friday Fives – June 21

1.  I’ve tested my sugar approximately 32,000 times.  I strongly feel that all endocrinologist offices should provide manicures as part of our treatment.  (Pedicures would be nice too)

2.  Waking up with a 106 → and seeing that that’s where I hung out all night makes me feel like I can conquer the world.

3.  I need to get more blue clothing for blue Friday.

4.  Overnight lows while my husband is out-of-town scare the crap out of me.  Thank goodness for my Dexcom.

5.  (Not D-related) I don’t understand why celebs can’t name their children something normal, like “John” or “Jennifer”.  Kim and Kanye have named their daughter “North West”.  Why not name her “We hate you”?  Makes my blood boil (and blood sugar rise!  Ok, not really, but….)

D Meetup!

Last night I had the pleasure of meeting up with some local women who I happen to have something in common with – we all have Type 1!  Being new-ish to the area, it was so nice to meet some nice women and share stories.  We chatted about diabetes, jobs, life, etc.  Hula-hoops even made an appearance (although mine spent the majority of the time on the ground, I am not skilled in this area!)  Lots of laughs were shared and I am looking forward to our next get together!  Thank you so much to our kind host for having us!

Endo Appointment Round Up

Today I had an appointment with my Endo’s Physician’s Assistant.  Honestly, I kinda like him more than my endo (although she’s pretty awesome too!).  He’s young, very thorough, and never seems rushed.  In fact, he spent an hour with me today, which is just unheard of.  Unfortunately I wasn’t due for an A1c test (WAH!) as I had one within the last 3 months.  Kind of a bummer because I wanted to see how my new cyborg life has affected things.  But, I go back in August so I don’t have to wait too long.

We made some adjustments to my evening basal rate so my rates are now:

12 MN – 1.0
8 am – 1.2
2 pm – 1.0
8 pm – 1.6

Insulin to Carb ratios stayed the same:
12 MN – 1:15
7 am – 1:10
11:30 am – 1:9
5:30 pm – 1:9
9:30 pm – 1:15

Insulin sensitivity factor remains at 40 with my goal BG remaining at 120 +/- 10.

So, all in all, decent appointment.  I had emailed my CDE my CGM and Animas reports yesterday and told her about my nephew and that may account for some of the wonky sugars I’ve had over the past week or so.  She asked me when my appointment was and came over today to give me a hug and chat for a few minutes.  So nice.  I am really liking Duke!  My CDE and I have been in pretty close contact since I re-started pumping, I cannot say enough good things about her.  She’s awesome.

I had the PA write me a script for AccuChek test strips and he gave me a present of a shiny new AccuChek Nano.  I’m going to be calling my insurance company to determine exactly what I need to do to get my strips for free now that all of my out-of-pocket expenses have been met.  Hopefully what they told me last month about Accuchek strips being covered 100% is true.  And I have a good supply of one touch strips so should I ever need to use that meter for remote bolusing, I can.

On a personal note, I am muddling through with everything.  Staying busy helps.  My friends and coworkers have been so kind to me and I’m very happy that my sister and her family have such a strong community of friends supporting them.