He ate it anyway.

Got home from work today and the Hubs (who works from home) was still on a conference call.  He popped his head out of his office and told me he has another call until 6:30 and if I don’t want to wait until then to eat to go ahead and start dinner.  (He usually cooks.  He rocks.)  I make the executive decision to make a gourmet meal of brinner (bacon and cheddar omelets, hash browns, toast, and some more bacon).  Yum.

My sister called me and since it seems like I haven’t talked to her in forever (really, it’s been like 2 days, but that’s a super long time for us!) I took the call while attempting to make my awesome, I-can’t-believe-she-works-full-time-and-puts-meals-like-this-on-the-table, meal.  Maybe that’s why I didn’t notice that I was in the middle of an out of nowhere, Shelby-style low.  “This one hit her (me) fast”.  My trusty Dexcom was in my bag, on vibrate.  D’oops.

Hung up with the sis and check my BG in anticipation of pre-bolusing.  40.  YIKES.  In my low fog I thought it was a good idea to finish making dinner, which, of course, dumb idea.  I am not so good at cooking meals in which there are many components (casseroles are my specialty).  I can never get the timing down.  So my lame cooking skills in addition to my low BG made for tonight’s dinner prep to be more of an extreme sport than I anticipated.

So as you can imagine, dinner got nasty burnt, but my husband ate it anyway.  And also lectured me to turn off the stove and step out of the kitchen next time while I treat.  I think I will listen to him.

 

 

I confess…

I’ve been cheating on the DOC with Reddit.  Does anyone else read the Diabetes sub-reddit?  I really enjoy it.  Check it out!

After my awesome A1c results last week I, of course, had to share with my Reddit friends.  One person asked me to list 10 changes I’ve made to make such an improvement in my A1c (I went from 7.9 in April to 6.8 now, however a year ago, I was 8.7!)  Of course the first thing I thought when this person asked was: “Blog Post!”  I love to make lists.  If you ask the hubs, I make them for him pretty frequently – 10 Reasons why I miss him while he’s away (there’s no one around to kill spiders!), 10 reasons why I am excited for the weekend (Sitting on my butt is better than working, duh!), etc.  The lists.  I make them.

So, without further ado, here are 10 changes I made to improve my A1c:

1. I switched to sugar-free flavored creamer. When I first got my CGM I noticed that I was spiking big time after breakfast, even if I was bolusing to cover the carbs. Not willing to give up coffee, I switched to SF creamer and that has helped a lot.

2. I also gave up cereal. I eat a bagel and cream cheese for breakfast most mornings. I should have more protein but so far I’m doing OK, blood sugar-wise.

3. Getting the CGM period. It’s been amazing to know what my BG is doing at any given moment. I’ve been very attentive to it and adjusting my insulin when needed to keep me in range.

4. Baby-stepping my high alert on the CGM down. It started at 200 and I’ve gradually gotten it down to 160.  I think if I started with a high alert of 160 right out of the gate, I would have gotten frustrated with all the beeping.  If Bob can do it, so can I.

5. Communicating with my CDE a lot! I’m lucky in that she is very receptive to emails. I send her my reports every couple of weeks and she makes small tweaks. She’s noticed patterns I never would have noticed before.  She has quickly become my diabetes care BFF.

6. Getting back on the pump, in general.  For me, it’s much easier to correct those pesky high numbers with a couple mini boluses or temp basal.  A little more difficult and time-consuming to do on MDI.

7. Pre-bolusing for meals. It takes me about 30 minutes to get ready in the morning and halfway through I bolus for breakfast. Since I eat the same thing every day, it makes it easy.  I also pre-bolus for lunch and dinner too and I think it really helps prevent those after meal spikes.

8. Using combo boluses when I eat high fat meals.  I will master you, pizza.  I will.

9. Trying (although not always successful) to cut back on processed foods.

10. Really paying attention to the 15-15-15 rule when I’m low. Although this doesn’t always work (especially over night!).

It honestly hasn’t been a huge lifestyle adjustment or anything. I’ve just made diabetes a priority.  I know that I feel better physically and emotionally when I’m in better control of my blood sugars.

Sensor conundrum.

Today marks the two week birthday of my current sensor.  *throws confetti*  This frugal diabetic is psyched that I am getting extra life out of this sensor.  I am wearing it on my right thigh, in a location I’ve never even used as a pump infusion site.  I must say, I really like this area of real estate and anticipate my next sensor to be on my left thigh.  Sometimes I forget about it when I’m pulling down my pants for the 9,000 daily trips to the ladies room, but the not painful snag of my pants on the sensor reminds me.  Other than that…absolutely no major issues with this site.  Sensor is accurate, it’s comfortable, I dig it.  Yay!

As much as I love this spot, I have a conundrum.  I feel that the tape is peeling a bit more on my thigh than sites on my belly (Likely due to additional rubbing of clothing, I’m guessing), and my patchwork job to reinforce the tape is not very attractive.  I started the sensor with my donut-hole OpSite Flexifix and have been patching up the corners with squares of IV 3000 as needed.  However, despite this, the sensor is still working and working well.  Fellow CGM-ers…what do you do?  Replace the sensor when the tape gets nasty or keep reinforcing until the sensor finally poops out?

My current plan is to keep the sensor alive as long as possible.  Since Diabetes ain’t cheap to treat, and each sensor costs about $20, I think I can put my vanity aside for a little while in order to save a few bucks.  I suppose starring in that Nair commercial will just have to wait.

She’s got legs, she may as well use them…

realestate

I really need to start doing some sit-ups. Yikes.

Man, two weeks in to pumping and CGM-ing and I already feel like I’m running out of real-estate.   I’ve been sticking to my belly for both, with the exception of using my upper right side of my tooshie for one pump cycle.  Since my boobs get in the way during insertion arms aren’t long enough to reach around to my left side, the upper bum area is limited to the right side.  Until I either become ambidextrous (“I’m not an ambi-inserter!” Name the movie), get really good at yoga, or lose some pounds, it seems the pump will have to be inserted on my belly, right butt cheek, or legs, which I’ve never tried.  I’ve never worn it on my arm either and for me it just doesn’t seem particularly comfortable with the tubing.

However, I decided to be a big girl and try wearing my CGM sensor on my leg.  Even though Dexcom says it should be in the belly only (because this is where they did their testing when getting FDA approval), I’ve read on the interwebs that you can really put it anywhere you feel comfortable.  I’ve heard from a lot of people who wear it on their thighs and love it.  So I’m giving it a whirl!

Insertion was a little weird as I’ve never done it before (that sounds like something a high schooler would say after prom night if you know what I’m sayin’), but other than feeling the needle a little more than I do in my tummy, it was fine.  I have it on my upper right thigh, towards the outside but not so far on the side that I will feel it when I sleep (I’m a side sleeper).  I haven’t noticed it much and it’s nice to not be rubbing against my desk at work.  I’m conscious of it when I use the bathroom as I don’t want to rip it out and be annoyed that I just wasted a sensor.  I used tons of Opsite FlexiFix per my usual and I can see that I will probably need to reinforce my tape in the next few days, simply due to pulling my pants up and down every time I use the ladies’.  There is a little bump under my pants but I think it’s one of those things that unless you know it’s there and know to look for it, you wouldn’t notice.  I’ll be attending my boxing class tonight, but I don’t anticipate it being annoying.

Dream Devices and High Fives

Diabetes Blog week, Wild Card/Day 7

Since I’m a day late with my Day 7 DBlog Week post, I figured I’d answer not only the Day 7 prompt, but would also throw in a wild card.  Double the love.dblogweek

I shall start with the wildcard:

Back by popular demand, let’s revisit this prompt from last year! Tell us what your fantasy diabetes device would be? Think of your dream blood glucose checker, delivery system for insulin or other meds, magic carb counter, etc etc etc. The sky is the limit – what would you love to see?

The obvious answer to this question is a cure.  A close second would be an artificial pancreas (hopefully soon-ish-y? Maybe in “five to ten years”????).  As you all know, I’ve newly re-cyborged myself with a Dexcom G4 and Animas Ping combo.  One of the main reasons for choosing this combo was the fact that Dexcom and Animas are BFFs and hopefully the new Vibe will be available within the next year-ish in the US.  It was just submitted to the FDA so one can cross her fingers, right?  Anyway…here is what I would LOVE as an option on the Ping…I would love it to ask how your BG is trending according to your CGM when it is calculating your bolus.  Are you trending up?  Slightly more insulin.  Rising rapidly?  Uh oh, a bit more insulin!  Falling rapidly, a lot less insulin.  It’d be nice if the Ping took the guess-work out of it!  I am not sure if this is even an option in the Vibe (I admittedly haven’t researched it a whole lot), but it sure would be nice!

Now, on to Day 7: Spread the Love!

As another Diabetes Blog Week draws to a close, let’s reflect on some of the great bloggers we’ve found this week. Give some love to three blog posts you’ve read and loved during Diabetes Blog Week, and tell us why they’re worth reading. Or share three blogs you’ve found this week that are new to you.

This is not an easy prompt!  There are so many great diabetes blogs out there that it is difficult to narrow it down to just 3 posts.  There are so many bloggers that inspire me, make me laugh, and challenge me.

A new blogger I have found is Paul at Type One Fun.  Paul is a 21 year-old college student who was recently diagnosed.  I was also diagnosed while attending college and it is very interesting to me to read about Paul’s experiences as a “newbie”.  He is doing a wonderful job adjusting to his new life with the D.  I especially enjoyed reading about his accomplishments!  Keep up the great work, Paul!

I really enjoy reading blogs from the Type 3-ers – the diabetic caregivers.  It is great to see things through their eyes, especially the parents of diabetics.  While posting about her most memorable diabetes day, Meri, a mother to four sons, three of whom are Type 1,  wrote of a special moment she shared with her husband in which she was able to accept their new lives as parents to three boys with type 1 diabetes.  Her husband reminded her that “We weren’t sent to this earth to be miserable”, very wise words and a wonderful reminder when we are feeling down or overcome by the emotional aspects of this disease.  Thank you for sharing such an intimate memory, Meri.  And for being an advocate not only for your sons but for all of us who have diabetes.

I also love the story Kelly at Diabetesaliciousness tells about her dad getting into a fight with a security guard at a Phillies game when the guard is a big ole moron when it comes to diabetes and bringing food into the old Vet.  Great memory sharing, Kelly!  And kudos to your dad for doing what so many of us want to do when we meet people who are ignorant about diabetes!

I really enjoyed participating in this year’s Diabetes Blog week.  I found some wonderful blogs to follow and loved hearing people’s experiences with diabetes.  I’m looking forward to next year!

A quick note to my (Moody) CGM Sensor

Dear Sensor,

I know, I know.  You are on day 9 of 24/7 work and you’re tired.  Believe me, I get it.  Your fatigue lead to a non-reading of “???” right at bed time last night.  When, I just happened to be running in the 300s (Damn you Cookout milkshake and your heavenly goodness).  I decided to see if perhaps you just needed a nap and would resurrect yourself as I have heard rumors of this happening.  I, being the responsible nervous diabetic (Hey, I just read a story about a 29 year old’s dead in bed death), set my alarm for 1:30 am to check my sugar.  Imagine my surprise when you not only resurrected, but you resurrected accurately!  Only off by 18, woot!  It lives!

But, sensor pal, you seem to have quite the case of the Mondays today (I do too – I am really angry that I didn’t win the powerball and am here, at the j.o.b). You, without consulting me, have decided that last night’s break wasn’t enough and you needed another nap this morning.  Seriously, how tired can you be?  Fine, nap, because, well, I’m at work and don’t have one of your pals around to replace you (mental note, throw spare sensor into my work bag).  You nap, you snore, and all of a sudden !buzz!, you are alive and ready to take on the world!

Or maybe not.  After your miraculous second resurrection, you informed me that my sugar was 274, when in reality it was 199.  That’s it; you are out of the circle of trust today, Sensor!  I will not be trusting your readings until I can replace you.

Wait just a minute.  I just checked my sugar and it’s 139, but you are telling me I’m 144.  Could it be?  Are you back and back for good?  Or are you just going to continue to drive me nuts like a pms-ing 16 year old girl going through a breakup?

What’s it going to be sensor?  Huh?

Fondly,
Your Master

A sillly poem

Diabetes Blog Week – Day 6.

This year Diabetes Art moves up from the Wildcard choices as we all channel our creativity with art in the broadest sense. Do some “traditional” art like drawing, painting, collage or any other craft you enjoy. Or look to the literary arts and perhaps write a d-poem or share and discuss a favorite quote. Groove to some musical arts by sharing a song that inspires you diabetes-wise, reworking some song lyrics with a d-twist, or even writing your own song. Don’t forget dramatic arts too, perhaps you can create a diabetes reality show or play. These are just a starting point today – there are no right or wrong ways to get creative!

A Dia-Poem.
By: Laura

Diabetes you are so dumb.
Making me chew sugarless gum.
All the finger pricks, make me bleed.
But I sure do love all the DBlogs I read!

I was diagnosed as a college freshman.
Immediately, I started putting needles through my skin.
The burning insulin after the poke,
Man, Diabetes, you are no joke!

Diabetes, you make me stand out.
But I refuse to sit around and pout.
Sure you offer extra challenges and work.
Especially when my blood sugar’s being a jerk!

But there is one thing that I need to say,
Without you I wouldn’t be the woman I am today.
You’ve shown me I’m stronger than I think I am.
But seriously, any time you want to, feel free to SCRAM.

Freaky Friday!

Diabetes Blog Week, Day 5.dblogweek

Just like in the movie, today we’re doing a swap. If you could switch chronic diseases, which one would you choose to deal with instead of diabetes? And while we’re considering other chronic conditions, do you think your participation in the DOC has affected how you treat friends and acquaintances with other medical conditions?

I am selfish – I don’t know much about other chronic diseases.  I have friends who suffer from Crohn’s Disease, Asthma, Celiacs, Allergies.  I’d love to trade places with them to see the struggles they deal with on a daily basis so I can better understand and be a more supportive friend.

However, in answer to this prompt, I would like to temporarily trade places with someone who is paralyzed.  I believe this would help me appreciate the amazing things that my body can do and to serve as a reminder that even though I may be tired, may be feeling lazy, and just may not be in the mood to exercise, I am lucky to have this body and lucky that other than a dead pancreas, it’s functioning and functioning well.  I need to celebrate this with more movement!

Yay, team!

Diabetes Blog Week, Day 4.

We don’t always realize it, but each one of us had come a long way since diabetes first came into our life. It doesn’t matter if it’s been 5 weeks, 5 years or 50 years, you’ve done something outstanding diabetes-wise. So today let’s share the greatest accomplishment you’ve made in terms of dealing with your (or your loved one’s) diabetes. No accomplishment is too big or too small – think about self-acceptance, something you’ve mastered (pump / exercise / diet / etc.), making a tough care decision (finding a new endo or support group / choosing to use or not use a technology / etc.)dblogweek

Hmmmmm, good question!  I feel like I haven’t mastered anything when it comes to my diabetes care.  I mean, I have mastered the motions, testing my sugar when needed, changing my pump sites, bolusing, etc.  But I am still, 14 1/2 years in, not 100% confident to say “Yes! I kick ass at diabetes!”  My sugars are not perfect, I don’t exercise every day, I still enjoy a carb or 20, and I have days where I’m crying out of frustration that I have to live with this crap for the rest of my life.  Sometimes my blood sugar is just a real jerk for no reason (like last night for example – for about 4 hours I was cruising between 43 and 80 despite 20 oz of OJ and two not-so-small spoonfuls of peanut butter).  Is there anyone out there who really has mastered diabetes?  Who can go to their endo every three months and know that their A1c is going to be 6.0?  Who has the perfect attitude when it comes to living with this?

But, the question wasn’t if you’ve mastered diabetes.  It’s about diabetes-related accomplishments.  Recently I made some pretty darn important care decisions.  As the Hubs and I want to have a small human in the next year or two, I knew that the time had come where I need to get serious and get as close as I can to mastering diabetes.  I decided to end my months-long pump holiday and resume pump therapy with the help of a CGM.  This was something I thought about for weeks months before finally accepting that I’m going to have to become a cyborg again.

You see, in theory, I love the pump.  Don’t have to carry around syringes or pens, your meal schedule can be more varied, and it offers better management for most people than multiple daily injections.  Blah, blah, blah.

But in reality, the pump is a pain in the butt.  Site changes, being connected all the time, it’s expensive, it beeps at you, it’s bulky and gets in the way, and it makes wearing dresses a headache!  My pump-cation had been glorious!  However, knowing all of the negatives that come with wearing a pump, I decided the best thing for my health and the health of a future pregnancy would be to get back on the pump and to get a CGM.  So the research began.

I googled, I youtubed, I blog-stalked.  Wow, there are a lot of people online sharing their experiences with various pumps and CGM setups.  The doctors and manufacturer’s’ sites will only tell you so much, these blogs were so helpful in sharing real-world experiences and opinions.  I especially found blogs written by women who are in similar life stages as me to be very helpful and was so happy to find their sites (Texting my Pancreas and SixUntilMe especially).   With the help of my new blogger buddies and the fabulous interwebs, I decided on the Dexcom G4 Platinum CGM and Animas Ping pump.  In black and silver – stylin’.

Change is scary and although I had previously been on the MiniMed Paradigm pump, I was pretty nervous about going back on pump therapy.  I had a breakdown one night about the fears of the unknown and how much it sucks that I have to do this and think about these things a year before we even want to start trying for a baby.  He, however, reassured me that there are other ways to start a family and if I absolutely did not want to do this, I didn’t have to.  He also made the great point that if I hate it, I can quit.  He’s so smart.

Fast forward to today and I’m almost 2 weeks into my new cyborg life.  Have I mastered it?  Nope, not quite.  I’m still aware of the pump clipped to my pants and the CGM sensor and transmitter taped to my body.  I still feel dorky about my “diabetes tool belt”.  My sugars aren’t perfect and I definitely miss the freedom of not being attached.  But one thing I have mastered is my attitude that I’m just doing what I have to do.  And knowing that diabetes care is something that can be adjusted and modified to fit my needs at the time.  Not everyone needs to be on pump therapy.  It’s not the best course for every.single.person with a dead pancreas.  But for me, right now, it’s the best choice in regards to my goal of becoming a mother, and I’m cool with that.  Will it be my choice 5 years from now?  Who knows.  All we can really do in regards to our care is to make the best decision with the knowledge we have at the time.  I think a series of making the right decision and small accomplishments will lead me closer and closer to that whole mastering diabetes thing.  But for now, I feel like I’ve accomplished the right attitude.

Diabetes Blog week – Day 1. Dear Doctor…

dblogweekBeing a new blogger I decided a great way to get more involved in the Diabetes Online Community was to participate in this year’s Diabetes Blog week.  What a neat idea!  I am looking forward to being challenged and to really have to think about the topics.  I am excited to become more connected with my fellow d-bloggers.  Let’s get started!

Day 1
Often our health care team only sees us for about 15 minutes several times a year, and they might not have a sense of what our lives are really like. Today, let’s pretend our medical team is reading our blogs. What do you wish they could see about your and/or your loved one’s daily life with diabetes? On the other hand, what do you hope they don’t see? 

This is a tough one for me.  I am generally a pretty open and honest person, including with my medical team (sometimes to their great dismay).  And, I really like my endocrinologist.  I am lucky that I live in an area that has some of the best medical facilities in the country and I have gotten in with an endocrinologist’s office that has a wonderful team approach.  I love this.  I love that everything is in the same office and every person I see knows my history.  I have had some not so nice endocrinologists in the past – whether they lack bedside manner or a personality.  I would try to crack jokes with my last endo and it was like talking to a brick wall.  I hated going to see her because she expected perfection and would get frustrated with me when my A1c wasn’t a perfect 5.8, or my fasting blood sugars were over 100.  She would act as if I wasn’t trying, when I was trying my best with the knowledge I had and really was looking to her to say “OK, we’re doing XY&Z and it’s not really working how we want it to, so let’s try AB&C and see how that goes.”  I got none of this with her, instead I received lectures about my blood sugars and weight, deep sighs, and I swear I saw her roll her eyes a time or two.  Let’s just say I was not heartbroken when we moved and I left her.

I think some endocrinologists think that in theory, diabetes should be easy to manage – it’s just a numbers game.  I understand you are a doctor and “science-y” and this is the stuff that you enjoy.  But, living with diabetes is much different than numbers on a paper.  With diabetes 2+2 does not always = 4.  I think it’s important for doctors to know how many variables go into caring for yourself.  How sometimes your sugar just does not want stay above 80 and how frustrating this can be.  How you can do one workout one day and your sugar will drop, while the next day it will go sky-high.  A lot of the care for diabetes is instinct.  Sometimes our instinct is correct, sometimes it isn’t.  We, as patients, know our body’s best and we know when something isn’t right.  Please don’t dismiss us if we have concerns.

Like I said before, I’m very happy with my current diabetes team.  I’ve never felt bad about having an A1c in the 7s (heck, it was 8.7 when I started there).  I like that they listen to me when I have concerns and ask me what I think we should do to improve my numbers and overall health.  I am an active participant in my healthcare.  I’m not perfect and they don’t get angry at me because of this.

I think that if I could send a message to all of the endocrinologists I would encourage them to let their patients be involved.  Don’t bark orders at us, don’t get angry at us, work with us, not for us.  Remember that there is much more to this disease than insulin to carb ratios, taking shots every day, testing blood sugars.  Diabetes is a 24/7 job and it continues for us in between those quarterly appointments.  And, for Pete’s sake, laugh at our corny jokes.