Diabetes Foot Problems
Good article on diabetic foot problems and their solutions.
New Priority: Saving Feet of Diabetics - New York Times
New Priority: Saving Feet of Diabetics
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Good article on diabetic foot problems and their solutions.
New Priority: Saving Feet of Diabetics - New York Times
New Priority: Saving Feet of Diabetics
I finally have things have way presentable again. I'm going to wait until the weekend to put my customizations back in -- maybe by then someone will have figured it out and I won't have to think hard.
I'm also taking my last doses of Aprida today, I have a site change in the morning and I'm switching to Novalog.
I really DO need to exercise, my blood sugar is pretty high this evening, but I'm not worrying about that until Friday, hopefully I'll have recovered from my 12 hour day by then.
I just updated the site to MovableType 3.2
I'm hoping that I'll see less trash comments and trackbacks, we'll see. The interface has changed, and I'll probably changed the look of the site soon.
I'm taking this week "off" to some extend, especially when it comes to working out, because my feet and back are killing me, and tomorrow night is a 12 hour day.
Good news! Lost another 2 pounds this week, and so I am definately at my lowest weight in years.
I will admit to being exhausted though, and am eagerly anticipating the three day weekend. The bad news is that Tuesday is "Meet the Teacher night". That evening is always hard on the body.
Right now the only things I have planned that day is to get the A/C annual maintenance done on Saturday morning and my hair cut in the afternoon.
One thing that is bothering me, is that I have missed a few boluses in the past couple of days. The part that is bothering me is, that I really believe if I hadn't have missed those boluses I would have gone low.
I'm eagerly anticipating getting into the new routine and schedule so we can adjust my basals. I also think that we need to hold off too, until I'm back on Novolog. I've got my last bit of Aprida in my pump right now, and have a bottle of Novolog in my kit. When this runs out, I'll be back on Novolog.
I came home last night, soaked in the pool for a bit, went and got the girls some more treats for today, and then went to bed about 8:30. I'm taking my time getting ready for the agility trial, and am going to head out in about half an hour. Yeah, it's early, but I'm trying to set early as my awake time.
I think I ran better and faster yesterday. Neither girl qualified, but we had good runs between our mistakes. I've been really slowing them down at the weave poles, since both girls don't have a lot of confidence with them lately, but I'm not going to do that today. Marcie's best run was JWW and she was a second over time, and I know that we wasted lots of time at the poles.
And we'll be in Fort Worth this weekend, doing it!
The Dogs of Track and Field - How to turn your pet into a superstar athlete. By Sam Eifling
One more day. Hopefully tomorrow will be a bit easier.
One of my non-English speakers has to be sent to the nurse at 11:05 to get her blood sugar checked. She is a non-English speaker, extremely overweight. She was diagnosed two weeks ago.
She is SO non-English, or her blood sugar is so high, that she didn't understand when I tried to tell her I have diabetes.
That's okay though, I got with the school nurse, and things are going to work out well, as I need my Sylmin shot at 11:00. I just have to send her out a few minutes after.
I've got a dog agility trial this weekend. Have both girls entered, so I'm probably going to take stuff with me so I can stay in Fort Worth if I'm too tired to drive home.
Everyone says I look thinner and less stressed than last year. A lot of it is the new schedule. My scales are still showing that I'm dropping weight too.
Effective September 1, 2005, Missouri Medicaid will no longer cover many kinds of durable medical equipment (DME), including positive airway pressure (PAP or CPAP) devices which are the mainstay of treatment for obstructive sleep apnea
Have I said lately that I like the new gig?
There are some challenges. 4th period has 33 students in it. None of them speak English. The Spanish speakers are convinced that I have to know Spanish and try to trap me into talking Spanish. I've got several kids that listen to music during class. There isn't enough minutes in the class period to spend time with each kid.
The good news, is that nothing truly "bad" has been done since the battery theft. The wild thing is that they talk WAY WAY too much.
More good news. UNT is working on the "Official Transcripts". I made a mistake on my first request and they called and asked about it today. I'll give them a call in the morning and get it straightened out.
She does the Diabetes Talkfest
DIABolic
Looks interesting -- and he is linked to this blog!
He's been a Type 1 since he was 3.
When I was my healthiest, I worked out for about an hour and half every morning at a local gym.
I haven't been able to work out in mornings for years. I managed to get in some the first week teachers were back, but not for long.
So today, I decided it was going to have to be in baby steps. I am going to do 5 minutes of cardio and one weight exercise every morning this week I'm scheduled to work out.
And then up it to 7 1/2 minutes next week.
Baby steps.
Hoping this is a good sign of things to come, but I weigh the least I have weighed since I was diagnosed with diabetes -- and maybe less than a few years before that.
I was stuck this summer, not able to lose any more weight after the initial Sylmin, and I knew a lot of it was activity level. I was so busy finishing up my classes, that I was spending a majority of my day sitting in front of the computer writing.
Well, last week I was busy setting up my classroom and DID get dehydrated, but managed to put that fluid weight back in. I don't think that is a problem this week, as I have been forcing fluids in the evening.
I am more active in this classroom than I was in the old one. I was a bit tied down to the computer. I have been coming home with my feet aching, but I think I will get acclimated to that soon. Especially if I keep losing weight. Of course, we all know, the less I weigh, the easier it will be to get around.
I've just about acclimated to the building too. My sinus symthoms are much better, I don't feel near as stuff as I did.
I am also sleeping through the night, both last night and the night before. I had been waking up about 4:00 am every night after school started and was also having trouble getting to sleep. I think things will be okay though, as I have a good handle on what I am going to do with my students next week.
Hopefully I can get all my planning for next week done at school before the weekend, as I have an agility trial next weekend.
Thank goodness!
The hardest week for me is always the week the teachers come back and the second hardest week is the first week with students.
I did well this year though because I had enough energy to do my workouts -- not at the level I do during the summer, but still got it done.
My worst class right now is my 4th period. Primarily because there are too many. I've got 34 non-English speakers and that is way too many.
I like this year's assignment better than any other assignment I've had. I've got curriculum support coming out my ears, which I've never had before.
Something I never had with computer science. We have a specialist in the building 3 1/2 days a week for math. I also have an ELI math specialist to help and she came by today.
Should have posted this last night.
I have been accessing my unofficial transcript each day since the grades were posted and last night, the Master's Degree showed up on it.
YEAH!
So now I am just waiting for official transcripts. I have a request into the register's office for them to send me one -- it's always nice to have and to send on to the district so I'll get the pay raise. They called me about the request so I know they have it. (It always pays to make a small mistake so people like that have to talk to you).
School is going fairly well.
I was such a good girl, went to bed at 10:30 like I should ... and BANG, I got woke up.
One of our drunks decided to try to take out the telephone pole. Fortuntely she missed it, and took out her car again.
That's the fun part of living on a curve on a main street.
I've since adjusted my morning basal, but if I had to have gone much longer, I would have had a true crash.
I was at 110 at 11:10, did my Symlin, and then walked down to the teacher workroom at 11:40. I could tell I was starting to lose, but the kid in front of me had a really rude picture in his clear pack, and I wanted him talked to so I signalled the principal whom I've known for two years and I couldn't remember his name!
When I got to the microwave, I couldn't remember how to operate one. I had my food in my hand, and I couldn't figure out what button to push, so I grabbed one of the male math teachers and had him do it. After I got my soup in the microwave, I saw the pear and said "Hey, that will fix it", and went ahead and ate dessert first.
I probably should have popped a life saver before I left the room, and I did almost make it.
I've tweaked some settings and that should help.
Actually I'm doing better than surviving.
First, my blood sugars are where they should be. In fact, I'm keeping a close eye to make sure they don't go too low during the day. My fasting blood sugars have been good the past two days -- 95 and 105. My after lunch blood sugars are also doing well, in fact, loads better than they were last year.
I even managed to get on the treadmill for 35 minutes yesterday.
I missed most of last week's workouts. First the cardio was way to long for me to do and work too. I should have shorten them a week early but I was hoping. I was doing over an hour a day on that schedule. I even missed the weight workouts but then again, I was moving boxes, walking the building searching for people, etc.
My weight is still going down, and I'm being very careful not to dehydrate again, though I don't drink as much at school as I do at home. Don't eat as much either.
My classes are interesting. The Algebra I repeater class size is stable. I did make one kid's day. He had already passed Algebra I AND Geometry, so was definately in the wrong class. On Monday, he told me, and I sent an email to his counselor. His counselor fixed the schedule and had it in my box at 7:45 am. I gave him his new schedule when he walked in my room and get him to the right class and teacher. The even better news, is that new teacher was my department chair, and she was thrilled that I had caught the error and got it fixed too. When I told her, I was actually bragging on the counselor, but every day we can have the kid in the actual right class, the better.
The ESL classes, however are not stable when it comes to class size. My 3rd and 4th period classes have almost doubled. I have most of the ESL students in 4th period because of the way their schedule works. They are with an ESL specialist for 3 class periods (I didn't KNOW this, but had seen their schedules before), and are with me 1 class period. So there is an opportunity for two different specialists to see them for 4th, but only one for 3rd and 5th.
The ESL kids are so very happy to be in the classroom. However, they are very shy for the most part and don't want to talk. The key, I'm learning, is to get silly myself. The more silly I am, the easier it is for them to try and make mistakes.
Over the past 4.5 years, as Psychologist for the Bridges Surgical Weight Loss Program at St. Luke's Medical Center in Phoenix, Arizona, I have been privileged to personally interview more than 2000 patients seeking bariatric surgery. This experience has obliged me to reflect on the treatment that many have received at the hands of the very people who these vulnerable individuals contact for help with this traumatic condition. It is not a secret that the base rate of abuse (physical, emotional, and sexual) in the obese population is higher than in the nonobese population.[2] The stories that have been shared with me about how these people have been treated by friends, family members, and yes, even medical professionals have revealed the cruel and inhumane conduct to which the obese patient is regularly exposed.[3,4] Why those trained under the principle of primum non nocere would engage in emotionally harming those who have come to them for help is a mystery and speaks more to the issues of the professional than to the physical status of the patient.
This is a really powerful article. I can't tell you how many times a health care professional has made being overweight worse that it is.
Transportation Bill Passed in Congress to Prevent Discrimination Against Employees With Diabetes
Transportation Bill Passed in Congress to Prevent Discrimination Against Employees With Diabetes
I just checked UNT's system and my grades are official.
I made an A in each of the two classes I took this summer. In fact, I've made an A in each of the CECS courses -- my major. My only "B" in my degree plan was from the Computer Science department.
The degree won't be official for several weeks, but man, that's good news.
I've seen all of my classes now except one. Class size is very reasonable, portables are reasonable, and I'm getting a much better handle on everything as each day goes on.
Right now, I'm focusing on this week alone, but tomorrow, I'll thinking about the rest.
I also know what my job used to be like and life is SO much better. The nicest thing, is that I do not share my classroom!
It's still unofficial, but I got my grade this evening on my final. I made a 96 out of 90!
The official grades probably won't be out until Wednesday.
Met several of my fellow students for a graduation celebration tonight.
It was the perfect restaurant -- except for the price. It was a Brazalian Steak House.
They had appetizers and cheese biscuits out. I did finally eat one of the cheese biscuits and it was more cheese than biscuit, and very small.
They had a salad bar, and I ended up with the lettuce leaves on top of the salad and the other veggies on the bottom, but it was very good and everything was well labled.
They had "gauchos" wandering around with meat, and I tried several different types of meat, including their lamb, which I really like.
All told, I used no insulin, just the symlin that I ended up dosing an hour a head of time, but it worked out okay. I think we finally ate around 7:00 pm and at 9:00 pm my blood sugar was 145.
Nothing was very fatty.
The only problem was the price, $120 for two, but we don't eat like that very often. Even my husband liked the place.
All in all, a perfect place for a diabetic, except the price!
I actually slept all night last night. I went to bed somewhere around 10:30, woke up around 5:30 piddled around, felt sleepy and went back to bed until 7:30.
I think I'm having a massive allergy attack, but that makes sense since I am allergic to dust, and haven't been in our building this summer -- I usually drop by and stay for an hour or so every other week but haven't the last two years because of the difference in personnel.
It could be a cold, but I don't think so.
Some of the extra weight loss, as I expected, was because I was dyhradated. I concentrated on drinking water all day yesterday, and now my weight is a bit better. Three pounds less than last Sunday, which I'm comfortable with, as it's a bit more than 10% of my body weight.
Still haven't gotten my grade on my final back, but I only need 1 point of out 90 points. I sort of think I'll graduate.
I'd be a lot happier if I was teaching the subjects I'm comfortable with in the room I was comfortable in, but sadly that room doesn't even exist, so things are much better.
I called all my Algebra I students which was a HUGE chore, and verified some phone numbers. It was hard, but I think I made an impression on a couple of kiddos. My next goal is to call every student who is absent the day they are absent.
A commenter who is just starting on Symlin was asking about skipping doses for certain meals.
One thing to remember, is that you don't dose if you are eating less than 240 calories or less than 30 carbs.
I have skipped symlin other meals, I just don't reduce my insulin usage.
The patient information at http://www.symlin.com explains everything in detail.
I've lost 5 pounds this week so far, since Sunday. The last time I was this weight, I'd just gotten back from Europe, so I'm sure this isn't real weight gone, though I would like it to be.
I have been eating under 1500 calories a day all week which is very bad for me. I'm not sleeping, but it is getting better. Last night I slept 4 hours straight, which is the longest since Saturday, I think.
It's the waiting for the Master's degree grades, worried about this school year, and letting people push my buttons. Also change in activity level. I'm walked the building a bunch of times looking for people. I've hauled stuff from one end to another of the school complex (just can't call it a building now that I'm in a portable).
I have been refluxing so much, my throat is sore and burning. One big reason for that, is that the bulk of the calories I have been eating have been eaten in the evening. That's got to stop.
My whole body is sore, but I still have some Bextra left, so I did some yesterday and today. My teeth were bothering me, they do whenever I'm not sleeping but they are better. I did some Tums last night too, and I'm going to see if I can get some Pepcid A/C somewhere.
I'm going up to campus, finish working on my classroom, and drop off some CD's I made for the Algebra I teachers last night. At some point I'm going to write down my fuzzy plans. I'm also going to try to call all my Algebra I students and welcome them to my class.
I'm going to make it. I'm going to spend lots of time taking care of me.
I made 98 points out of 90 on my first major project.
I am still waiting on the results of my second major project.
I promise I will never do this to a kid again (I'm sure I've done it years ago).
All I need for the last major project is 30 points out of 90.
There is also a minor grade from the beginning missing, but I'm not sure we're going to see that.
Guardian� RT Continuous Glucose Monitoring System
I requested information, but I think I want to hold out for the Therasense Navigator. I sure trust them more than I do Minimed, though I'm not super happy with Abbott.
I agree with my commenter Jan. Over the years, I've gotten to be more and more fascinated by our foreign students, while cursing the charity that brings them in.
First of all, I really admire them. Can you imagine how scary it has been for them. I've had a girl for Afghanistan in two of my computer classes. She has a real flare for web design and I hope she follows it, tried PreAP CS and struggled with it. There are only three women, no men in her family, her mother and her sister.
I also feel badly for them. So often they are victims of our other students. Some what-to-be banger grabbed my Afghanistan's head gear off of her, and has hasn't worn it since. Never could find out who it was, in a way I'm glad but if I need the kid, I've have been all over her.
I get aggravated with the charity that brings them in, because it doesn't seem they really think about where they are putting people. We've had some pretty violent incidents because two kids from opposing ethnic backgrounds were in close promixity to each other. I honestly think that you need to put them in different neighborhoods, going to different schools. And I know that can be done in Dallas. They all live in the same addresses (about 10 different apartment complexes).
Off to bed. I don't have to be there at a certain time, but I don't like the drive much after 7:30 until about 9:30. But then I lose some cool time to run errands. My room might be cool but the walk between it and the building isn't.
Extra rain coat in my room would be good.
I'm looking into an ESL endorsement. At the rate I'm going, I'm going to be a formible teacher for a really small school: Math, Computer Science, Technology Applications with a Master's.
Add an ESL certification and I'm REAL interesting. Love Dallas ISD though, as crazy as it is. At least I've been through some of the worse.
Though someone in the finite wisdom made Friday a Staff Development/Comp Day. Someone hunt that person down and punish them, because guess where 50% of the teachers that DID their staff development day this summer will be. Yep, right where I will be, in my clssroom.
I'm taking a carload of stuff that is designed to make my life more comfortable and I'm going to finish cleaning my room.
Here's what I have -- a rough plan in my head for what I am going to do the first week. A solid plan for Algebra I, and a fuzzy plan for ESL. I will be doing the fuzzy plan for a few days with ESL called alternative ways to evaluate my students next week.
I have a room I like. Okay, it's a long ways to the bathroom. I've got 3/4 of a white board and 1/4 of a chalk board. I may get ambitious and make a whole white board. I've got it up with double sided carpet tape and the drill is in the car with screws as I want to fashion it down harder. One of the other math teachers helped me with it.
I took down the two year old black paper off the corkboard and found a prestine cork board. Two of my former students put yellow paper on it and I have a cute "quilted" border, since that's something I want to do. I'm going to print out two cool pictures, one of each dog, from my pro agility photos and put them up. I'm going to start putting notices up, and reserve an area for work.
I've got a "measuring station" started. I need measuring things -- shameless begging. I want measuring cups, spoons, themometer, balance, and even a gallon jug and quart sized jar. Send things to Hillcrest High School in Dallas addressed to Kathleen Weaver. 9924 Hillcrest Road, Dallas, 75230
I have workbooks for the ESL kids. I'm supposed to be getting a projector -- it's in the building they say, and I'm flat out supposed to be doing agile mind with as many kids as possible. I'm supposed to have internet access by the end of the month, but I'm going to confess that I have very slow dialup right now, that I can get buy with.
I've got brackets to fix the shelves and some posters for the ESL kids. I need to find Algebra posters.
I'm getting there.
Okay, in case you haven't figured it out, I'm teaching ESL English for Math and Algebra I kids who have flunked it at least once. I have seniors in this class.
DIET: People out to prove you can actually lose weight eating at McDonald's
And you really CAN lose weight by eating at McDonalds. They have lots of tools that can help too.
They have a full nutrional database on their site and software tools that will help you generate a good meal. I've used them quite a bit.
I decided to try the new chicken sandwich the other day, and they were able to give me a nutrional handout with all the counts on it when I ordered.
I think I only despise Michael Moore more than Spurlock.
A commenter asked.
My first one was an old Respirants that still works, I love having a spare.
My second one which I LOVE is a Puritan Good Night with the humidifer that matches it.
It is a super small and light unit but does the job. The doctor's office hates to download but they don't always know what they are doing. The whole bundle is about half the size of the other CPAP units.
I use a full face mask. Somewhere in the blog if you do a search it will tell you which one. I like it, other people hate it, but that's the way it is with masks. The best thing about this one, is it only comes in one size and has an insert to change the size.
It's been extremely stressful. I finally found out what I am teaching this year, and I think it will be very challenging. I have repeating Algebra I students and English for Math. The English for Math are the group I am most looking forward too. We have a high population of refugees from many different areas. We also have a very dynamic group of teachers in that department (sorry, I'm not sure what the current term is -- the curriculum people are calling it MultiLanguage).
So I straddle two departments which is going to be tough. I am roomed with the English for *** teachers, but am about two portables away from the lead Algebra I teacher. I am not sure, but we're calling the Algebra I kids either sophmen or freshmores.
Our room arrangements are very different. I am in a portable with its own climate control! Yeah, but little contact with the outside world. I'm fairly close to the main building though. Like I said, I'm housed with the one department.
Across the sidewalk from me, we have the 9th grade houses. They are grouped together in portables.
It's actually pretty cool, as my English for Math kids will be circulating in about 7 different rooms near mine, so they should be late. My Algebra I kids could be coming from anywhere, which is the other reason for my location.
Watch out for diabetes supplements
I've actually heard about this before, but this is the best article.
I've never been tempted myself. I always figure if it works, it is a drug, and there are possible undocumented side effects and no one to go to for help.
If it doesn't work, it's a waste of time.
Shortage of Patients for Medical Device Clinical Trials - MedGadget - www.medgadget.com
would you sign up for an experimental heart device trial, where there's a 50% chance your device will be inactive ('control group'), and there's an FDA-approved device already on the market?
As a wearing of an insulin pump, no way. Of course, they can't do that with an insulin pump.
Why aren't they comparing the new device with the old instead of using nothing?
Weird.
Reuters AlertNet - "Dying in sleep" linked to sleep apnea - study
Which isn't nearly an approximate to what the local NBC affliate said.
Okay, I'm ready to slap the press.
I'm watching the local NBC affliate and they do a "news update on sleep apnea".
Guess what, sleep apnea patients can die unexpectedly in the middle of the night.
BIG DUH! I was told that when I was diagnosed. Where have the study people been for the past 10 years.
The only good news, is that it DOES let other people know that it IS a serious disorder and it can kill. Either slowly or quickly.
I really wish I knew why I got screwed up this morning. The good news, is that recovery has been real fast. The day ended up being a bit weird.
I "forgot" it was Monday and that I needed to pick up food. So I got home, messed around, gave myself some Symlin, with the intent of eating in half an hour.
Husband got home, after a short "just got home" discussion, I said, I'm going down to eat -- oh my gosh, I forgot to get food. He offered, but didn't want to do it in 5:00 pm traffic, but I forgot, and needed something to eat and didn't have anything but breakfast, so got in the car, went to McD's and got a Quarterpounder, and then got dinner.
So then I couldn't really eat dinner until two hours after, as I'm not sure how to dose with the Symlin if I stacked, so I ate my dinner at 7:00.
I'm still way under my normal calorie count though, it's just that I'm probably going to be up with GERD because I ate dinner so late. And I have 70 minutes to look forward to tomorrow, and there NO way I'm getting all that walking in before I got to school. Hoping to get in 30 minutes though.
I've got a REAL problem. If my blood sugar is off, especially high, I get SICK. Today, I hit 240 when I tested, and was nauseus, headachy, bitchy, and my vision was blurred.
I'm not sure why. My blood sugar always elevates when I have to sit still and we were doing that. Also, I get hit with the problem person from last year almost first thing. She's good at that.
I thought it was the set but I corrected and then changed out the set and the blood sugar went down.
The good news, is that my CDE was responsive, and she helped. I had my temporary basal set to 40% and she had me change to 50% and I stayed stable all afternoon.
If I have to do that, I wish I would at least would have been able to eat something good.
Diabetes Mine: Look Who's Talking Self-Disclosure (on dLife), and The Great Glycemic Index Debate
It's interesting that you bring this up TODAY when I have to remind people.
I get really sick when my blood sugar is too high and I got high during a staff dvelopment session today. So high, that the first person I reminded was the school nurse and the second people were the people running the session so they would know why I was madly typing on my Treo. More on a non-trackback entry.
I go back to work today :-( Hasn't seemed like much summer.
Since the next two days should be sit in one place and listen, I've upped my temp basal to +40% and also changing my bolus reminder to an hour after (instead of 2 hours after). A trick I use with my Animas, and just did -- I will bolus with a 0.0 amount. That turns on the reminder.
I'm trying to decide if I want to chance the food they are providing -- letter said "light breakfast", or what I want to get on the way. What I get for breakfast determines whether I need a Symlin shot.
Decisions!
I did get on the treadmill this morning and do 25 minutes. That's a goal for me right now, is to try to do at least 25 minutes every morning and then finish in the evening -- though today's schedule is just 25 minutes. Tomorrow on the other hand is 70!
I just got my grades back from one of the classes I am taking this summer. I got a 31 out of 31 on my research paper. I worked on that sucker ALL summer, so I am extremely pleased with the grade.
That means I have a 97.5 in that class.
I won't know about the other class until probably the end of the week, since we have one major and one minor assignment due tomorrow at noon.
I've been giving this a lot of thought and watching all the people who are cheering over the Atkins Nutritionals Bankruptcy.
One thing that people aren't getting, is that the Atkins diet ISN'T Atkin Nutritionals. It's the products with an "A" on them. Yes, the books are probably also a product of the company. But the biggest problem was the food. It really didn't taste very good, I know I've tried it. Lots of companies who are good at making good tasting food have managed to come out with lower carb food and I think that's why Atkins Nutritional is in trouble.
Plus they had a hard time getting shelf space. For example, Kraft is making South Beach diet stuff. The Kraft brand already owns shelf space in almost every grocery store -- they can just tell the grocers to change their shelf space. Also, South Beach Diet foods are MUCH better tasting.
What really gets me, is that are a few Bernstein advocates cheering the Atkins demise and that REALLY doesn't make sense. The difference between Bernstein and Atkins is that Bernstein limits ALL food components, not just carbs. Bernstein just limits carbs a lot more.
I know a lot of non-diabetics who have lost weight and kept it off with Atkins. I have personally tried Atkins. I don't lose weight if I do Atkins, but I don't gain it either.
In fact, the only way I do lose weight is if I count carbs AND calories AND exercise. And it is REAL slow.
I turned in my rubric for the discussion leader yesterday because the discussion was pretty much over. A bit disappointing, but oh, well.
I just bit the bullet and turned in my final exam. We're allowed to resubmit our assignments up until the due date, so I've decided to play it safe and turn in what I have now.
I would like to put in a bit more material in two of the questions.
I've got 2 full pages for 2 questions and 1 1/2 pages for 2 questions. The questions are based on research and unfortunately there just isn't as much research out there on those two questions. However, I don't want to answer the other questions either
It's nice to be done. However, I've already started worrying about next school year, it would have been nice to have a few days between.
I even got the short ones. The copay was only slightly higher than the formulary copay. So I'm very pleased.
One of my commenters is on the same insurance as I am, she wrote about getting the needles automatically. I've never gotten needles automatically, of course, my script for the Novolog reads for pump use.
When I was on MDI, my doctor's office always wrote a script for needles and insluin at the same time, but I can't remember if they were the same script or not.
My CDE wrote the Symlin script with both Symlin AND the shorter BD Needles on the same script and it was definately different copays.
FYI: I am REALLY looking forward to dealing with insurance next year. They are giving us a debit card for FSA purchases. I'll just set up Medco to use that card, and use that at the doctor's now and won't have to deal with cash. I think I still may have to deal with receipt though, and I will have to get better about that.
I have responses to four final exam questions which meet the criteria for length and hopefully answer the questions correctly. It's not due until Monday, but I'm turning it in early.
We're still on the last week of discussion, but it seems to be winding down. Many of the participants are already back at work, not much is happening during the day.
So I'm getting more done.
I order and received a 3 month's supply of Symlin. I was a little alarmed because the outside of the package was HOT. But as soon as I opened it, it was definately still cold.
Unfortunately Medco doesn't realize it isn't insulin -- there was an insert on insulin shipping -- and Symlin is more delicate than insulin in when it comes to shelf life.
Interesting website. I haven't spent a lot of time on it, but they have patients rate therapies.
Got my letter today about the start of school. Monday, 8:00 am. On a single folded sheet of paper. Inside said we still had budget and space challenges.
On a happier note: I sent in my extra credit answer. I probably don't need it, but I'd hate to be a few points short and that would have saved it.
Final is coming along nicely. The news media is helping that, as about every day an article comes across my RSS feed that helps. These questions are all about research!
This is a bit creepy.
Diabetes In Control - A New Way To Treat Diabetes?-Discovered By Accident?
A rare complication of gastric bypass surgery that leaves its victims virtually disabled, may point the way to new treatments for diabetes.
Rick St has made some great comments tonight. And some really good advice.
I will admit that I am not as cautious on lows as Type 1's need to. The good news, is that I haven't had a treatable low since I've gone on the pump. I've been on the way down. I've been border line a few times driving which gives me the luxury of picking something full of sugar as insurance. That's the hardest part, picking something "good".
And the BD SureClip actually holds onto the needles it clips, so you don't have to worry about disposing of them. Apparently it's almost impossible to find around here. It's not listed on the major drug store sites, and my local pharmacy can't get it even with the NDC. I've found a diabetes supply that carries them, so I might try that way.
I personally just stash sharps containers everywhere I might use one.
I'm even closer to the end. I have officially completed my course work for one of my two classes.
I still have a discussion, an extra credit question, and the final to complete for the other class.
Whew.
Got my last medical thing of the summer done today -- mammogram. Summer is when I get the annoying medical things done, and the mammogram is always the last one.
Six Until Me: A Bottle of Juice in the Shower
Thankfully she treated it and is fine now -- but she's done a good job of describing what a low is like.
Just went to Kinko's and printed out everything. We have to print out our paper and hand it to the instructor -- that's due tomorrow. I have to present my paper and each member of the class gets a two page summary of the paper.
I've just turned in both electronically, and so I am even closer to done.
Getting even closer. I've got my final exam questions and they are due next Monday. I only have to answer 4 out 9, and they are all very doable.
I finish the other class tomorrow with a presentation.