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Posts Tagged ‘insulin’

Monday’s are such hard days for me. It’s so difficult to get back into the work groove after enjoying the weekend! And on top of that it seems that Mondays are always the busiest and most hectic day of the week! I hate when my alarm goes off at 6:45 and I have to get out of bed. Especially now that it’s getting colder, I just want to snuggle underneath the warm covers that much more! But, alas, life goes on!

So far this cycle, this half of this cycle (pre-o, confusing enough?) has been nothing like my last one! I haven’t had to adjust how much insulin I take when I eat, nor have I had to adjust my basal settings. It’s very strange. So, I’ll continue to keep a close eye on it. So far though, my sugars have been pretty good. Not many crazy lows ( a few) and just a few highs, usually caused from bringing up lows! It’s not perfect though, and thats that I’m working on!

I’ve been enjoying some wine over the past few days. Wine tends to cause lows, but not until the next morning. I’ve experimented and so far it seems that if I eat a piece of bread before bed, I can avoid the lows. Also, it seems to be a great way to avoid a hangover!

A couple months ago I didn’t know how low the wine could take me, and it took me into my first diabetic coma. It was very scary! I’ll save that story for another post though.

Not a lot new to report right now. I’m just working through every day, trying to have the best sugars I can! It would help if the candy dish at work wasn’t full…. 🙂

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Today my first test of the morning was at 8:30. I usually test as soon as I wake up at 7am, before I suspend my pump to take my morning shower.

Today, I waited until I got to work and when I tested, it was much higher than it normally is first thing. It was 230. I wonder if it’s because I checked it after I suspended my pump and didn’t adjust my insulin at all. My body really needs it’s insulin in the morning! I used to suffer from “dawn phenomenon” before I got the pump, which is when you have highs in the morning a lot….almost every day. Normally when I check it as soon as I wake up, I will give myself a small amount of insulin (depending on the reading of course). If it’s 80, I’ll give my self .3 units for the 1/2 hr I know my pump will be off while I’m showering. I do this because I know that about how much my pump would give me in that half hour if it was on. If it’s 130, I’ll give myself .6, to bring it down a little and give myself what I’ll be missing from my pump while in the shower.

Now I wonder if because I didn’t check my sugar, and didn’t give myself any insulin while my pump was suspended, it caused my sugars to go up to 230! This has happened before. I don’t know why else my first morning sugar would be 230. So, I’m going to try and make sure that every morning before I suspend my pump to take my shower, I test my sugar and give myself that little dose of insulin that I would be missing. Who knew that .3 – .6 units could make such a difference?

Thank you for allowing me to post my thoughts and experiences here. I know there are a lot of type 1 diabetics out there, with a lot of questions. I have questions every day. I know it helps me personally when I can relate to someone who has gone through the same or a similar situation. Feel free to ask me questions, or even leave your own advice for me by commenting. No one knows type 1 diabetes like us! We deal with it daily. I for one want to live a long, healthy life and I’m sure I’ll need help along the way!

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I had a few rough patches over the weekend. I thought that once my cycle went into the luteal phase my sugars would be back to normal, and they have been much closer to normal but I’ve still had some odd balls days.

Saturday was one of those days. I woke up with a low, (a low low, 30) and took it to high – 230. Then I brought it back down…a little to low – 55 and had some lunch. I took less insulin than I normally do for lunch because #1, it was already a little low, and #2, I was having trouble with lows! So for a large plate of spaghetti with sauce I only took 5 units, when I would normally take at least 8. 2 hours later I tested and it was 27! I’ve never seen it that low. I felt like crap. I’d been having ups and downs all day which are the worst days. I understand having an occasional low or high, but to just have it go from one extreme to the other all day, with no explanation is exhausting and frustrating. And obviously not healthy. I got a large cranberry juice to bring my sugar up. I tested in a half hour and it was 35, and in another half hour it was 58. I was hungry so I ordered a chicken wrap and a salad for dinner and took only 3 units to compensate for the 50 – 60 carbs I was eating. Scared to even take that much! 2 hours later, surprise – 233. So I guess my insulin to carb ratio went back to normal? Who knows. I was frustrated but ate again, and took the normal 1:10 carb ratio, 2 hrs later ending the night with my sugar at 86. Thank God! What a day though. Those are the days I want so badly to avoid all-together.

Sunday and Monday were GREAT glucose days. My sugars were good during the day, at night, before bed, at 3am, and waking! I’m shooting for many more “Sunday and Monday’s” and less “Saturday’s”.

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I woke up this morning with a low. It wasn’t a horrible low, 67. But still, I’d like to wake up to an 80. I still have some tweaks to make to my basal settings it looks like. By the time I get it right, it’ll be crazy again.

I’m working on getting a program for my freestyle glucose meter that will document my sugars and make me graphs so I can see patterns. I think that may help me figure out where I need to adjust my basal settings. It helps to see a chart or a graph.

Last night I had a late dinner, so when I tested my sugar before bed, my insulin from dinner still had an hour to work. I tested and it was 200! An hour later I tested again (once the insulin from dinner was done) and it was 134. Does that mean that every time I eat my sugar goes up into the 200’s and the insulin just brings it back down in 2 hours? If so, I didn’t realize it worked that way. It makes me a little nervous if that is the case, because that means that even with good control I’m still having highs every time I eat. Maybe it was just a fluke.

Also, when I workout I always test my sugar before I go. It’s typically around 100. I suspend my pump for my workout, so I don’t have a low. I test again after my workout and it’s usually about 150, and I pump my pump back on. Since my body hasn’t had any insulin for the past hour, is my sugar still going up from 150? Because sometimes I’ll notice later that evening my sugar is high and it doesn’t make any sense.

I know sugars change based on SO many things: Stress, exercise, food, hormones, prescriptions, etc. It’s hard to keep it perfect all the time. I want to live a long, healthy, fulfilling life with no complications. Cheers to a bright future.

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I got ahead of myself and jumped right into talking about my diabetes before giving you a background about myself!

I am 26 years old and have had type 1 diabetes for 6 years. I was diagnosed after I lost 35 pounds (from 140 to 105) and couldn’t even make it up my apartment stairs without being so exhausted that I had to take a nap when I got to the top. I had lost all my energy, my weight, and I was eating more than I had ever eaten before! When my parents finally convinced me to see the doctor, they ran several tests before figuring out that I had an under active thyroid and type 1 diabetes.

I was 20 years old, living with a roommate, going to college full time, and working 35 hours a week when my whole world was flipped upside down. I remember sitting in my room on my bed freaking out that I could never have anything sweet again. My boyfriend  of the past 3 years was there with me, and all I could think was that there was no way he’d want to stay with a type 1 diabetic. This was a life long disease and we were young. He could be with a healthy person and not have to deal with the medical bills, the possible complications, and the daily struggles that come along with diabetes. I was wrong, he is still with me. We are approaching our 10 year dating anniversary and have been married for over 3 years. He has stood by me through everything and continues to help in any and every way he can. He is my rock.

My doctor was not helpful at all when she found out I had diabetes. She told me it was a life threatening disease and she couldn’t help me, and referred me to a specialist. I was scared to death. The specialist was in Salem at The Firehouse. They taught me how to take my insulin, count my carbs, and adjust for lows and highs. I was there daily for a week. Being scared to death of needles, taking shots was very hard for me. Luckily they were the smallest needles in the world, 31 or 33 gauge. I’ll never forget taking my first shot on my own. I had dinner with my boyfriend at his work while he was on his break. I brought subway in, figured out how many carbs was in it and how much insulin I would need for it, drew the insulin into the syringe, and went into the bathroom to inject it. I sat in the bathroom with the syringe for a long time, trying to build up the strength to poke myself. I finally grabbed some skin and gave myself the shot. Surprisingly, I barely felt it at all! “Oh good” I thought, “I can do this”.

About a year before our wedding date, I thought I should try out one of these insulin pumps I’d heard so much good stuff about. I was taking between 5 – 6 shots a day, and I did have some issues with highs and lows…..lows being over corrected and becoming highs. And who wants to take a shot for just one or 2 units to bring you blood sugar back down to normal range? Not me! I took enough shots! The pump was supposed to help get rid of the up and down spikes and help keep your sugars at a more even control. I figured I should have the best control I could have once we were married and started having sex, just in case we had an unplanned pregnancy.

So I ordered the MiniMed Paradigm 715 insulin pump. Back to The Firehouse for training! I got the hang of the pump quickly. I had a hard time adjusting to having something connected to me all the time, but the health benefits made it worth it.

I recently upgraded from the 715 to the 722 because the 722 is compatible with the new Continuous Blood Glucose Monitor that I am working on getting. Currently insurance is not covering it and the monthly supplies are to expensive for me to afford. My doctor is writing a letter for me to appeal my insurances decision, but I haven’t heard a response on that yet.

So, thats how I got to where I am!

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Diabetes is a daily struggle. Every meal I eat affects my blood sugar.

The past couple weeks have been a larger than normal struggle for me. Recently my sugars have been all over the board.

My body seems to be changing it’s needs everyday so I don’t really see a way to get it right anymore. One day I need 1 unit of insulin for 10 carbs and the next day I need 1 unit for 15 carbs. So if I have a meal with 60 carbs and I take 6 units some days it would be perfect, and some I would have a horrible low. If I have a horrible low a couple times and try taking less insulin (1 to 15), then I’d reduce my insulin to 4 units for the same 60 carbs. I’ll be good for that day but when I do the same thing the next day it’ll go up to 220 when I test 2 hrs after my meal! How am I supposed to know what my body wants at the moment? I don’t know. I’ve never had these problems until the last couple months, but it’s getting worse.

I need the Continuous Blood Glucose Monitor but I can’t afford it, and my insurance won’t cover it. I’ve been working on getting them to cover it for months, and before I had this insurance I worked for a year with my last insurance to no avail.

To put the cherry on the top, my husband and I have been TTC our first child and it seems that as soon as we started trying to gain tighter control over my sugars, they started going nuts. Right when I need them to be the best they can be!

My dream has always been to be a stay at home mom to 2 beautiful healthy children. I am not giving up on that dream!

This has been really discouraging to me lately.

Hopefully tomorrow will bring more sense and better numbers!

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