13
Nov

Last week / oops...

Last week I had a....an incident? I'm not sure if that's the right thing to call it. A series of unfortunate mistakes and circumstances that culmitated in a miserable night in the hospital? Let me explain...

I got to work and made breakfast. I hate eating when I first wake up -  I always feel like my stomach hasn't woken up yet when I first get up, so I wait until I get to work before I chow down on the classic bagel/fruit combo that I so love. This morning was a bit different though - there were URGENT projects and data revisions that had to be RUSHED because of how vital they were to a project that I can't now remember, less than a week later. I gave my Humalog for my food, went to the kitchen at work to toast my bagel & slather it with peanut butter,  then brought it back to my office where I started working.

I got to my desk, sighed at the urgency of the requests in my inbox,  and cheerfully tackled the project at the top of the pile. I worked like crazy until about 1:30pm, when I realized that not only was I about an hour later than usual for lunch, but I had skipped my 2hr post-meal check! Whoops!

Normally I do that bg check almost every morning, along with the rest (check, bolus, food), with one small exception... iiiii normally give my levemir after I eat breakfast.  This particular morning I just got so distracted that...I just didn't.

So: damage control, as at 1:30 I was 18 and probably climbing. I corrected.  I put off eating. I carefully calculated correct boluses for the food that I did eat. I corrected again. ...and again. ....aaaaand again.

By 10pm I was 26. I corrected rage-bolused with 7 (more) units of humalog, and checked again 30 or 40 minutes later, which is when I saw that I has climbed to 28. I know that 40 minutes isn't long enough for the humalog to peak, but it should have at least started working at that point. At that point I was exhausted and slightly hysterical - I had been fighting off a pounding headache, dry mouth, and a churning stomach for around 10 hours by then, so I called my doctor's office and requested that the on-call endo call me back. A few minutes later I had a wonderfully calm and reassuring-sounding doctor on the phone, who listened to my very detailed account of everything I had eaten or injected over the course of the day. My play-by-play of my terrible sugars all day ended with me asking him what would be the safest way to correct this without overdoing it.*

He pretty much gave me 2 options : he said that if I had someone I could call so I wasn't alone overnight, he would recommend that I give extra levemir and humalog, and set alarms to wake me up periodically overnight so I could check every few hours. He emphasized that that wouldn't be the best option though, and said that as I live by myself and wouldn't have anyone close by if I needed help, he would recommend that I get myself to an ER.

so..off to the ER. I was reluctant to go, but the fact that when I arrived I was sitting at 31.7 helped to convince me that it had been a good idea. They were wonderful & gave me IV fluids until my sugars stabilized at 4am, then sent me home. I called my boss (work phone! Not at home!) and left a slightly rambling voicemail about how I felt like a sack of crap, then went to bed and slept for 12 hours, waking only to give my 8:30am levemir.

*I did not have any ketostix at the time. The day after, I went to the pharmacy & picked some up. My next high bg will be the first time I check for ketones in ...probably over 12 years...

8
Nov

DMPAD day 8: Organization

Organization:

I've heard of it... sort of. I am familiar with the concept. Does this familiarity with the word keep me from jamming all of my d-supplies haphazardly into a cupboard immediately after retrieving said supplies from the pharmacy?

 

NOPE.

nope. not happening.

...or...gan..izzz...ay-shun?

 

 

Photo prompts for the rest of the month are on Kerri's Diabetes Month Photo-A-Day blog post!

7
Nov

Diabetes Awareness Month photo prompt #7: blue

my pooch 🙂  (in a blue winter coat!)

my mr. ben :)20131105_214659

 

Photo prompts for the rest of the month are on Kerri's Diabetes Month Photo-A-Day blog post!

6
Nov

Diabetes Awareness Month photo prompt #6: relationship

The relationship I have with my diabetes is a strange one.

 

Up until very recently I didn't always notice it. It wasn't a priority for me.  I don't really want to comment here on the way I managed my diabetes for the first 19ish years, but I will talk about how it's been over the past few months.

 

Lately? Since making a lower a1c, better numbers after meals, closer carb ratios, etc all priorities? It's a rare hour when I don't think about my diabetes in some capacity.  Usually (probably 85% of the time) when I think about diabetes, I'm just thinking of what my sugars are. I'm wondering what that number is... and with fingerstick testing, I either wonder or I check - no second option*.  The rest of the diabetes-related-thoughts are usually about food or about whether I need to make insulin/food changes based on my plans for the immediate future.

...yesterday was not a good day though. Yesterday, I went a little low (3.8...so not too low) and tried to have a sip of juice to fix it, since my next meal wouldn't be for a while. I got distracted and chugged back a bunch of juice (that's what I get for trying to drink only 1/3 of a juice box :S), which threw everything out of whack for the rest of the morning. A little mistake, but one that I paid for over an entire morning... so I don't have any nice things to say about my relationship with my diabetes today.

He took me cave exploring for my birthday this summer :)

me & Boyfriend

 

This relationship though? This one is awesome. This is my favourite relationship <3. I could talk about this one any day.

 

 

 

 

 

 

 

 

* This is one of the things I am looking forward to with a cgm: the ability to check in on bg levels without actually...checking.

 

 

 

 

Photo prompts for the rest of the month are on Kerri's Diabetes Month Photo-A-Day blog post!

5
Nov

i am a test!

I am here to check if the email subscription works 🙂

5
Nov

Diabetes Awareness Month photo prompt #5: advocate

 

Today's photo prompt is a tough one.  I write about my diabetes not so much to advocate... I write mostly to help me deal with all of it. I find that writing things down helps me to process my thoughts and, if chronicling the ups and downs of life with t1d helps someone else who might stumble upon my rambling thoughts? COOL! ...but no, I don't think that my writing counts as advocacy.

 

This, though? I guess this does:

JDRF Ride bike

JDRF Ride bike

This is one of the bikes that was stationed outside of the registration table when I participated in the JDRF Ride event last month.  I like to think that raising awareness (not to mention raising $$!) counts as advocacy, even if it's small-scale advocacy. I had family members and coworkers supporting me and my team in the event, which definitely raised at least some awareness about type 1 in the people around me.

 

I like to hope that this was just the first of many opportunities to advocate for funds devoted to research and a cure. This stuff is SO important... (but if you're reading this, then you already know that).

 

Photo prompts for the rest of the month are on Kerri's Diabetes Month Photo-A-Day blog post!

4
Nov

Diabetes Awareness Month photo prompt #4: proud

This is a picture of the letter I got from my insurance company in September. After months of fighting with them, I finally received word that they would cover cgm supplies.

Insurance letter for cgm!

Insurance letter for cgm!

 

This might seem like a silly thing to be proud of. After all, it's just a letter confirming insurance coverage, right?

 

The thing is that it took me a very long time to get this. My insurance company sent me a lot of letters telling me that these medical supplies could not be covered for a variety of reasons. Most of the letters were things like "your request for coverage information was missing the following required documents:" ...& then the letter would go on to list some documents (prescription from my endo, letter detailing why the devices are medically necessary, 90 days of BG/carb/insulin logs, itemized quote for the supplies, etc) that were "missing".

Usually when they sent a letter like this I had already supplied the information that they wanted - so I would send it again, and they would reply that something else (again, something they already had) was missing. I almost gave it up more than once.. I found it so, so tempting to just say screw it, and live with a new insulin pump but without the cgm. Now that my insurance fight is over (for now, at least), I'm really glad I kept going.

 

So yeah - this is something I'm proud of :).

 

Photo prompts for the rest of the month are on Kerri's Diabetes Month Photo-A-Day blog post!

3
Nov

Diabetes Awareness Month photo prompt #3: snacks

Today's snack: tortilla chips & homemade avocado dip. mmmmm.......

 

nomnomnomnoms...

There are 80g of chips, which = 48g of carbs.

There's about half of an avocado in the container, which has almost no carbs (because of the fiber content)...so I start by counting the avocado's 2g carbs. A few diced-up pepper and onion pieces: same deal (maybe 1tbsp of chopped red onion: 0.9g carbs, 0.2g fiber, for a whopping total of 0.7g carbs / around 1/4c chopped red pepper is 1.7 carbs & 0.7g fiber, so a total of 1 carb). I don't even bother trying to count the onion & garlic powder - I have never tallied carbs from spices and powders... so I'd place the carbs in the dip at 4 or 5.

Snack total: 53g carbs.

 

I guess this is why a photo prompt of "snacks" works so well for Diabetes Awareness Month... because a tasty snack is never as easy as just having a snack.

 

 

Photo prompts for the rest of the month are on Kerri's Diabetes Month Photo-A-Day blog post! Tomorrow's photo: "proud"

2
Nov

Diabetes Awareness Month photo prompt #2: check

Todays prompt is "check"... this one seemed easy enough! ...until I checked, and was a little iffy about the result:

 

Today's check

Today's check

 

It's not awful, it's just not wonderful either. Oh well, not to worry - I could do worse than 7.7 😛

 

Photo prompts for the rest of the month are on Kerri's Diabetes Month Photo-A-Day blog post!

 

2
Nov

Diabetes Awareness Month photo prompt #1

November is Diabetes Awareness Month! Some of my favourite writers have started participating in the Diabetes Month Photo-A-Day: this is where you post a diabetes-related photo every day, and the photos follow a certain theme or prompt.

I've decided to (try to) participate. I say "try to" because I'm not 100% sure I'll be able to post pictures every day for an entire month, but I certainly want to try!

Today's prompt is "past," so here it is:

A page from my grade 8 autobiography. I was 12 at the time.

In grade 8 my class was tasked with writing an autobiography. Mine included a second page about the insulin pump that I had started using about 6 months prior to writing the assignment, but this is the page about my diagnosis.

 

Fun Fact: the whole assignment has me as a year older than I actually am... so where it says "In 1992, when I was 5 years old [...]" I was actually 4. I started kindergarten a year early (at 3 instead of 4), so my parents fibbed about my age so I could be eligible to start school (since they wouldn't let a 3-year-old in to kindergarten). Apparently years later, at a different school (grade 8 / middle school) I was still perpetuating that lie... 😉

 

Photo prompts for the rest of the month are on Kerri's Diabetes Month Photo-A-Day blog post!

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