Thursday, July 30, 2015

Whoo-hoo!

I've been working on this blood sugar thing for a while.  My biggest frustration has been my fasting blood sugar.  Originally it had been up in the 200s (very, very bad), then it came down into the 170s with medication and I've been working on diet to bring it further down.

I seemed to hit a roadblock between 125 and 145.  I just couldn't get it any lower no matter what I did. 

Does blood glucose work like weight loss?  Is there a glucose "plateau"?  I was stuck at 125 - 145 for WEEKS. 

And now, this morning.... drumroll...   110!  If there is a plateau, it appears to have broken.  Can't wait to see what tomorrow's is.

Wednesday, July 29, 2015

Stranger in the Sun

I went out to get lunch today...  my favorite sub shop.  I don't get subs anymore though.  They happen to also have terrific salads and soups and I'll indulge in a wrap if my blood sugar is particularly low (turkey club).

As I left with my healthy lunch in hand, I spotted a young man sitting at one of the outdoor tables alone.  He was an employee, taking a break.  He sat there, face turned to the sun with a cigarette in one hand and a coke in the other, eyes shut and looking pretty serene.

Part of me envied that carefree attitude and youth - and part of me wanted to kick that iron chair out from under him and explain a few truths.

Like - Put on some sunscreen!  It's just after noon.  The sun is at it's highest point and you're sitting here with your shaved head and everything is turning just a little pink.  Haven't you heard that in a few years they're going to start cutting chunks out of you in an effort to stop the melanoma from spreading?  At the very least, you'll have plenty of divots where "suspicious" spots are going to be removed for examination.  You won't be quite so pretty then.  Put on some sunscreen and wear a hat.

Like - Trade that coke out for some water.  I heard on the radio yesterday that a study was just released stating that even ONE sugared drink a day is enough to start damaging your body and setting the stage for obesity and diabetes - even at your young, thin, immortal college age.  Never mind the damage to your teeth.  Dump the coke (sweet tea, sprite, red bull, latte, etc.).  Your body will thank you when it's older.

Like - Hasn't anyone learned anything about tobacco????   I quit 10 years ago and there are days when I can STILL feel the effects.  Aside from the cruddy lungs and possible cancer and not being able to finish a sentence without gasping for air, there's the cost and the smell...  OMG, the smell!  I didn't realize until I quit just how bad cigarette smoke smelled and the stale stuff that clings to your clothing is even worse.  My body wants to heave every time I catch a whiff.  If you're gonna smoke, please don't hang out around any babies or children or pets.  It's just not fair to compromise them with your bad habit.

But I didn't say any of those things.  The world shouts them from TVs and radios and magazines and mothers and still people don't listen (I was guilty too).  I just walked by, got in my car and went back to work.

Monday, July 27, 2015

Eyes

I went to the eye doctor today.  In the last two weeks, I've noticed a lot more blurriness in both my near sight and my far sight.  My eyes are quite healthy with no nerve damage or any degeneration due to diabetes.  Most of my sight problems are due to plain old aging - but the sudden onset of blurriness is concerning. 

Doc thinks it's because of the rollercoaster blood sugar and once that stabilizes my vision should go back to normal.  I told him I started two new medications a few weeks ago, and he allowed that they might be causing some of this.  I'm weaning off the Topamax because I'm not sure why I'm on it.  It's an anti-epileptic and anti-migraine medication (not problems that I have), but it also has a sometime side effect of weight loss.  Since I've been on it, I've gained two pounds, so no reason to stay on.  Once that's out of my system, we'll see what we have to work with.

I've been blessed with awesome eyesight.  It didn't even start to go downhill until I hit 45 and even then it was just some minor blurriness up close.  I've gotten by with readers for the last 8 years and I still haven't hit the maximum strength yet.  I'm hoping that this current issue clears up by itself very soon...

Numbers
Fasting:  141
Pre-lunch:  84
2 hrs. post lunch:  228  (it was a naughty lunch - two tacos and two burritos from Taco Bell)

Tuesday, July 21, 2015

Fell at work today

Blood sugar was too low, I think.  I was feeling a little shaky while walking down the hall and one of my feet didn't quite lift up far enough to take the next step.  Next thing I know, my full glass of water was up in the air and I was hitting the floor. 

Good thing it was just water.  If it had been red Kool-aid, the hallway would look like a horror movie.  I'm okay.  I banged my knee a little and I have a bit of rug burn on my right knee and leg but otherwise unscathed.  There is, I fear, a security video somewhere of this event.  Probably looks quite silly.  I am the queen of tripping over nothing.

My blood sugar has been coming down.  My fasting sugars have been lowering to between 129 and 147 in the mornings.  I take my glipizie 30 minutes before breakfast, eat, and then before lunch my blood sugar is usually quite low - like between 75 and 95, which is more like a fasting level.  That seems a little out of whack to me.  Perhaps I need a more substantial breakfast.  The rest of the time, my numbers are good - it's just those two readings that are really crazy.

Friday, July 17, 2015

Things are improving

So, after the scary numbers, I've been walking the straight an narrow.  Salad at lunch.  Eggs/omelets for breakfast (no toast or grits or anything like that), some kind of meat and veggies for dinner.  No desserts.  LOTS of water.  The numbers are getting better.

Yesterday's numbers were 137 fasting and 86 before lunch.  Today's were 146 fasting and 91 before lunch.

In addition to being good in the food department, my doctor started me on a new diabetes medication that I have to take a half hour before eating in the morning.  I'm also on topamax which the pain managment doc gave me.  I'm not sure what effect these two meds are having but things are looking pretty good at the moment.

Tonight will definitely be difficult though.  It's game night.  Game night is usually pizza and dessert - the family we do this with alternates with us... one week we do the pizza and they do dessert and the next week we switch.  This is our week to do dessert.  I already told Angela I'd bring my own salad.  I'm still ruminating on dessert.  Maybe I'll bring some fruit for myself and her husband (who is also watching his diet) and something else for the others.  I'll see what's available when I get to the store.

Wednesday, July 15, 2015

Scary thing

NOTE:  THIS HAPPENED TUESDAY AFTERNOON
I guess I was feeling a little cocky and a little reminiscent about my recent trip to Wales.  When my husband came in and asked if I wanted fish and chips for lunch, I said "sure!"  First off, the only option we had for that around here was Captain D's - and it is NOT the same thing.  What he came back with was some kind of unidentifiable fish fried with lots of crispy bits, french fries, fried shrimp and corn on the cob.  Like an idiot, I ate it.  All of it.

A couple of hours later, I checked my blood sugar and got a reading of 306.  THREE-O-SIX!  I've never seen a reading that high on me before.  At the top of the meter, it asked "Ketones?"  I had to look that up and I've got to tell you - that's some seriously bad news.

If you are suffering from diabetic ketoacidosis the early signs are likely to include:

  • Stomach pains
  • Nausea and/or vomiting
  • Breathlessness
  • Breath that smells fruity
In this instance, call your doctor as soon as possible as ketoacidosis is an extremely severe condition.

This condition can lead to diabetic coma and possibly death.   I didn't have any of the other symptoms besides the high blood sugar but it sure was a wake up call.

I'll be trying a new diabetes medication, starting tonight.  I haven't been taking anything for a while - I was on Metformin, but it made me so sick that I stopped taking it.  I've been reluctant to try something new because when my mother switched from Metformin to Jenuvia, she had a very bad reaction to it, resulting in vasculitis - which means she will never be able to have surgery again for the rest of her life.  I'll just have to monitor myself and make sure I notice anything that might be a reaction to this new medication.

What I do know is that I never want to see another reading that high again!


TODAY
Numbers
Blood Sugar Fasting:  172
Pre-lunch:  147

Tuesday, July 14, 2015

And so it begins...

I just had my annual physical.  This isn't news in and of itself - I have one every year.  But this year's was a little different.   I'm overweight.  That's NOT different.  I have diabetes.  That hasn't changed.   What has changed is my attitude.  I'm not a kid anymore.  I can't ignore health issues without consequences anymore.

Numbers
Weight:  240.5
Fasting Blood Sugar:  189 mgdl
Blood Pressure:  132/67
A1C:  8.9

I have to do blood work in three months.  At that time, I'm hoping that my diabetes numbers are down by quite a bit. 

There's a plan.  I've been phasing out added sugars - tea is with half and half only.  No sugar.  No splenda.  Drinking water the rest of the time.  I'm going to severely limit sugary desserts.  I'm not saying NO anything because stuff like birthdays and holidays happen, but the cookie with lunch or the ice cream just because has to become a thing of the past. 

More difficult will be carbs.  I love pasta.  I like a nice piece of bread.  Rice goes with everything.  And my salivary glands kick into high gear when I smell freshly fried chicken.  It's not going to be easy.  I know this.  I need to do it though - my life and my quality of life depends on it.

There are also drugs to be used, supplements and vitamins.  I'm not crazy about the drug aspect of this, but if there are no bad side effects, I'll do it.  Bariatric surgery had been considered.  The paperwork guru of my doctor's office isn't sure I'll qualify for my insurance though, so we're going this route for now.

Today is the first day.  Tomorrow will be the next day.  More later.