Thursday, August 9, 2007

Carbs and the Scale

Until about 2 weeks ago I had never owned a scale. I decided that after a visit to my endocrinologist it was time to purchase one. I do not have a weight problem but since I became an insulin pumper I have had what I would call weight creep.
My daily insulin usage and carb intake data is kept on my pump until I upload it onto the internet. From there I can track my carb intake from the various amount of report that can be generated. My endo had made comments about the amount of carbs that I was consuming. This coupled with insulin equals weight gain which is something that people who pump or use a combination of fast and short acting insulin need to be aware of.
I am happy to say that since I cut my carbs from approx. 225-250 a day down to 125-150 that I have seen a major improvement in the way I look, feel and how much I weigh. Every time I think I have gotten closer to mastering diabetes I get reminded that I will never master it but that I will have the knowledge to deal with most of the curves that it throws at me.

Thursday, June 14, 2007

Time to do some Yoga

After a long week and tight muscles I am finally going to my yoga class. I try to do yoga at least once a week if not twice a week. Yard work and biking make a wonderful recipe called stiff back and less flexibility. I am not trying to come off as though I am old but I really like stretching out to get rid of the aches and pains.

Since becoming diabetic my whole life has changed probably for the better. I go to the doctor regularly. Get my blood checked, know what my cholesterol is doing, eat better and exercise more. Thankfully I was doing yoga before becoming diabetic because it really helps me relax. My mind is more calm and open, which helps my blood glucose levels stay more even. Anyone who is diabetic or even if you are not diabetic should give yoga a try. I used to be a yoga skeptic but now it is one of my most favorite things to do.

Tuesday, June 12, 2007

The All Important Eye Exam

Since my diagnoses of diabetes last year in May I have gone to the eye doctor once. I rather enjoy the eye doctor except when they dilate my eyes. Today I am going to get my yearly exam and some new contacts. Being able to see is very important to me not only for daily life but also because I love photography.

When I found out that I was diabetic I was very nervous about losing my vision. My primary care doctor tried to scare me to death about getting my eyes checked. Which I guess is appropriate in the world of today where nobody wants to take personal responsibility. I have never been one not to goto the eye doctor since without my contacts I won't be able to see.

Thankfully technology has come along way and I guess being diabetic today is far better than it was 20 years ago. I am sure someone will write the same thing 20 years from now and it will probably be me!! I digress...The use of specialized cameras to take pictures of the optic nerve is now standard practice at my eye clinic. Along with a flat panel monitor in the eye exam room so that I may see what my eye looks like and if there is any damage to it. My eye doctor told me that it takes an average of 7 years of piss poor diabetes management to really start messing your eyes up. With that said I plan on seeing into my old age and my primary care doctor needs to relax because my diabetes is under control!!!!

Monday, June 11, 2007

3rd Time is a Charm


Until I was diagnosed with type 1 diabetes the name LabCorp meant nothing to me. I used to see the name here and there but didn't fully realize how large of a company they really were. Well I can finally say I know what they do or at least what they are supposed to do.

After reading Amy's Post on her report health card it reminded me to get another script from my endocrinologist to get my blood work done. I say another because this actually should have been done 2 weeks ago when I went in for my pre-op physical. I showed up at LabCorp at 8:00 am with two scripts to get my blood work done. One was for my ENT (pre-op) the second script was for my endo which also included a cortisol test. After the nurse took about what seemed like 16 ounces of blood I went on my way. A few days later I called to get my results of course the results I got were my pre-op results not the ones ordered by my endo. I called up my endo to find out what was going on and to make a long story short LabCorp did not run the tests for my endo. This was the second time that LabCorp has failed to run my tests properly. I called them up and spoke with several people all with different answers and unfortunately when it came down to it, time ran out and they discarded my blood. The cortisol test actually is very specific and the blood has to be frozen so even if they had my blood most likely the cortisol result would not have been there.

This week I am going to LabCorp to try it once more, they whoever that is, say the 3rd time is a charm. I have my script ready, I will be there at 8:00 am and I will be giving them some hell (in a nice way of course!!) so that I may actually get my results. Even though the cortisol is important I really want to know my A1c result. The last time it was 7.3 and that was before I started using my insulin pump. Prior to my 7.3 it was 12 (when I was diagnosed) so I am expecting to be in the range of 6 or maybe even a 5.9. Wish me luck--I want to like LabCorp they just need to do their job and not lose my blood is that to much to ask for????...........Maybe, we shall see.

Wednesday, June 6, 2007

FrancisFrancis X5

This is somewhat of an abstract picture looking down on my FrancisFrancis X5 espresso machine but it deserves some credit. It make great espresso!! As Kerry mentioned in her "Starbucks Strikes Again" post at Six Until Me, Starbucks has that ability to woo you in and to order some high carb tasty coffee drink. Well this is how I prevent it most of the time!! Two nice shots of espresso with a pinch of Equal and I am set. Of course when I am without my beloved espresso machine I often get tempted to go into Starbucks as well. What can I say I like coffee.

Tuesday, June 5, 2007

Surgery-Who Knew!!

I just had my septoplasty to fix my deviated septum. This should have been taken care of a year ago but that was when I was diagnosed with type 1 diabetes. Here I am almost 2 weeks after the surgery and I feel great. I can breathe like never before and the pain is gone. I am looking forward to Yoga and rock climbing this Thursday because I have had to take it easy and the doctor told me to wait 2 weeks....sigh!!!
The only bad thing about the surgery was that it messed up my blood sugar something fierce. I hit the mid 250's and I have not been that high since before I started using my pump. I had to take almost double the insulin. I have read that when you are sick this happens but I was not expecting such craziness. I actually increased my basal by 25% which helped a lot. Thankfully my BG is coming back under total control. I have really enjoy having a 109 average BG and it needs to be back to that number and lower.

Wednesday, May 30, 2007

Espresso & Insulin Post No.1

I thought I would share my story along with my cat Smokey's story as we are both diabetic.

Smokey is about 12 years old about 5 years ago he was diagnosed with type 1 diabetes. Many people have asked me how I knew or how I was able to tell he was diabetic. At first I was clueless, I really didn't know anything about diabetes and the fact that my cat was diabetic was a very new and foreign concept. The main symptom was drinking copious amounts of water. The water bowl holds around a quart of water after I would fill it up and come home from work it would be empty and licked clean. The flip side was that the litter box was a lake of urine that the clumping litter could not contain. After a couple days of this I made an appointment for him at the vet. Smokey was very sick and had to spend several days at the vet to get his blood glucose under control. After he recovered I had to learn to give injections, he currently gets two shot a day to keep his blood glucose under control. Many people think I am crazy to give my cat injections but I am a true believer that when you get a pet you agree to take care of them and that is what I am doing for Smokey.

Here is my story. I was going into see my doctor for a pre-op physical. About 2 weeks before the appointment I began drinking a lot of water but the weird part was that I had made a conscious effort to drink more water anyway. I had been doing a lot of rock climbing and biking so I was trying to be good and keep well hydrated. At the same time I developed thrush in my mouth, this is yet another symptom of diabetes. I thought that it was being caused by the fact that I breathe a lot through my mouth because I had deviated septum and my nasal passages were blocked. Then the most crazy thing happened to me my vision improved. Why is this crazy because? I have been wearing contacts or glasses for 20 years. My head was spinning and I felt like I was losing my mind, I guess this is what happens when your vision is over corrected for a long period of time.

I went to the doctor (pcp) and showed here my symptoms and told her everything that was going on. The water consumption, thrush, and vision all signs of diabetes. I was in total denial, because I did not have any family history of diabetes. I was 32 years young and had an athletic build. There was no way I had diabetes, or so I thought!! My doctor proceeded to give me a blood test and a urine test. I went back to see her several days later and received the worst news I could have possibly received. She told me I was diabetic, and that my blood glucose was 453. My triglycerides were over a 1000 and my A1c was 12. At the time I had no idea what the significance of these numbers were. I was prescribed Lantus and Glipizide and had to start giving myself injections at the same time I was in total disbelief. Shortly after taking insulin I stopped consuming so much water, with antibiotics the thrush in my mouth went away. I went to my eye doctor and she said everything was fine even though my eyes were 20/20. There was the proof after diagnosis and treatment I was getting better physically which was great but certainly not mentally.

Fast Forward……………………1 year later

I was finally starting to come around with the acceptance of having diabetes. My first endocrinologist that I saw after being diagnosed by my primary care physician was horrible, then I went to see a nutritionist. She probably had an eating disorder because in her mind fat was bad (she was as thin as a rail) and people with diabetes shouldn’t have too much. That went over like load of bricks with me because I had gone to the Culinary Institute of America after receiving my undergraduate degree and I had been working with food for 13 years. Basically, butter makes it better!!!

Finally I found a wonderful endocrinologist in the Northern Virginia area. She has her own practice and is an Assistant Professor at George Town University. I finally found out that I am a Type 1.5 diabetic, currently working towards a full Type 1!!!! I still produce some insulin basically. My first appointment with here was on a Saturday and it was an hour long. She actually spends the whole hour with you which I found very surprising. Along with the regular blood tests she also checked my thyroid function and several other things, too many to remember. The one thing she mentioned to me that was the greatest help to date was that I might want to consider using an insulin pump.

I took her idea and ran with it. My insulin pump coupled with my great endocrinologist and time has changed my mind set. Now that I don’t have to stick myself with needles everyday 6-8 times and as long as I count my carbs I feel as though I am not a diabetic. I can eat almost anything I want, within reason of course. Fats and sugar are not as much of a concern anymore and my BG is under control like never before. For those of you who may be considering an insulin pump—go for it!! I use a Minimed 522 which I love. If you want to get one make sure your endocrinologist is on board and call Medtronic. They will do everything for you and even set up a payment plan if your insurance does not cover the entire cost of the pump.

That is my story in a nut shell. If there is anyone who has questions or wants some advice I would be more than happy to help.