" /> Living With Diabetes: May 2006 Archives

« April 2006 | Main | June 2006 »

May 29, 2006

Agility Trial

I'm back from Shawnee, Oklahoma. I don't like making a big deal on the blog out of a trip before I go. We didn't Q all weekend, and it was definately my fault.

First, Maggie is learning that she needs to keep track of the course. I started to take her off course yesterday, but she stayed on course, and then today, I called a down instead of a sit. In both cases, she saved the day. We still didn't Q though.

I was still stressed out over the school year, but it is getting better, and I think the trip helped.

There are two things I haven't been doing. One is that I haven't been taking care of myself enough. Yes, I've been working out, but I am still having problems with food intake.

The other is training my dogs at home. I've just been taking the girls to class, and have even missed a few of those.

I have until June 7 to decide if I am going to the next trial.

Lab Results

Just got my lab results from my endo's visit. Kidney functioning numbers are better. A1C is at 6.6 which isn't bad, but not my personal best.

May 27, 2006

Agility

It is not going as well as I would like. I got here and Marcie was entered in the wrong jump height which has been fixed but I had not had that happen before.

My lung function is really low and I think that is a result of the affects of stress on my gastric reflux. All the acid ends up in my lungs.

I know that gaining weight is not helping either.

May 26, 2006

Traveling

I'm in Shawnee Oklahoma for a dog agility trial. Arrived right at 3:00 pm.

The hotel is interesting. It just changed hands and is being remodeled. I don't think they have remodeled mine yet, but it not in bad shape, so maybe they have.

Unfortunately, I have a smoking room upstairs, though they did haul up my cooler for me and got a microwave into the room. Actually the service has been excellent.

The desk clerk is very sweet, and I think she is the owner. I think they are having an A/C problem in the other rooms.

Anyway, I think I brought almost everything I need. I did forget to pack a box of syringes. Weird, I've been on Symlin for a year and I didn't think about that. I should keep a box in the car.

I took my insulin and Symlin to the pharmacy across the street and got my same needles for about $6.00 which isn't bad at all. Didn't give me a minutes problem.

I also forgot to bring a third pair of black pants, but I think I can survive without them.

Trial site looks pretty good. My instructor does not like the fact that they aren't running the rings concurrently, but I don't care as long as they keep things moving. It's a small trial, they limited it to 440 entries.

One of my friends dogs took a Group 3 with her Siberian. I'm really thrilled for her.

I've got everything set up so it shouldn't be too bad. Cages are at ringside and I've got a set of cages in the hotel room.

I'm going to give the pool a try. They supposedly finished remodeling this week.

May 23, 2006

I just love these articles

Diabetes In Control - Living Well with Diabetes without Weight Loss

Being more physically active is all well and good but what if you ARE more physically active and you can get more that way because of the stinking diabetes?

May 22, 2006

Mobic (anti-inflammatory)

My doctor does not like subscribing COX anti-inflammatories to diabetics and was very unhappy that I was using up my Bextra.

He gave me quite a bit of samples of Mobic, and I've taken a 7.5 mg dose. I've got a few 15 mg doses which I'm going to save for this weekend.

He really wants me to stop using them each day, but I really have knee pain. I tried to go shopping this weekend and this evening, and the knees were really bothering me.

So it's a problem right now.

Oh, and the reason why? Kidney problems. Okay, he can worry about my kidneys, and the rest of us can worry about the cardio vascular system, since that's what did in the last two generations.

Symlin Games

Frankly the Symlin has not been doing it for me.

Yes, it allows me to use less insulin but it hasn't helped with controlling eating.

So I've been playing with the dose. I will repeat the warning my doctor gave: "remerber we don't know a lot about Symlin yet"

He did say he's more comfortable with me playing with it more than other patients but I'm the one who emailed why I was coming in and had print outs of every piece of data he wanted.

So I am doing 25 units of Symlin until i can start losing weight again.

CPAP Problem

I'm on my way to solving my problems. Called my DME supplier for my CPAP masks and asked if possibily it was time to get a new mask as it was getting uncomfortable after a few hours. They said, yep, it was last September and I should have it in the mail tomorrow!

Coolness!

Especially since I woke up at 5:30 this morning and it was extremely uncomfortable.

I also ordered new filters and new humidifer chamber from CPAP.com this weekend. I ought to see about getting the machine itself transferred to the new company, since the old one is out of network, though I would think that by now I'd own the thing.

This is how CPAP machines work since so many people are unsuccessful with them (at least I'm guessing this is the reason). The insurance company pays to rent the machine from the DME, and they are responsible for maintenance. At some point, after several years, it becomes "yours". I suppose when it is out of warranty.

Traveling next weekend

I'm going to a dog show and agility trial in Shawnee Oklahoma, which is just outside of OKC. The hotel sounds pretty nice, there is a refrigator and microwave in the room, so I am going to take my food. I may still eat out a meal or two, it's nice to have a choice.

I think I might start packing today. I need at least double of everything.

May 21, 2006

The source of my stress

It actually all started about 4 years ago, shortly before I was diagnosed. We got a new principal whose mission was to get rid of any dead weight. Unfortunately I knew her by reputation, she was the principal that ran out an education classmate of mine her first year of teaching. I also knew she had been somewhat unreasonable to a friend of mine at her prior school. There is an article that describes her tactics on the internet but I'm not going to link to it. Even though the principal has retired, I don't want to say too much.

I was diagnosed with diabetes that September. I had a lot of problems as a result -- I think my blood sugar was okay until the glucose tolerance test, but after it my blood sugar was extremely elevated and stayed that way for several months.

I do believe that the problems I have had with diabetes has much affected how well I teach and also how well I get along with other people. It even affects adversely the way I deal with stressful situations. I still don't have the energy level I had before my diagnosis.

Anyway, I think the above all contributed to my feeling like I was a target. I still do not feel comfortable in my world as a result and it will be a long time.

Right now, I'm very much aware of the fact that my students are not prepared for their exams, and not only is there nothing I can do about it now, I already did the best I could give the time and materials I had to work with. I can intellectually tell myself that, and I'm even sure that my building leadership would agree with me, but I still am not comfortable unless I feel like my students are completely prepared.

The good news, is that I will have this summer to try to make things better for next year's students.

Endo's Appointment tomorrow

Spent the weekend thinking hard about my current issues. I've decided to have him write me a new prescription for Symlin for 25 units a day. I am also going to ask if adding "lizard spit" might be a good idea.

I'm also going to ask him for a prescription for an anti-inflammatory as I'm getting almost out of Bextra.

That's addition to working with the basals, and I've already emailed him about them.

May 17, 2006

And then there are people like me

Beyond 'I'm a Diabetic,' Little Common Ground - New York Times

Since I choose to treat my diabetes with a insulin administrated with a pump, I'm in the middle of the two worlds.

I actually fit few of the Type 2 stereotypes, other than weight. However, it has been theorized by my medical team, that the weight is a result of my medical conditions, not the other way around.

I've been treated for sleep apnea for over 10 years now, but it was untreated for about twenty years. In the last 5 years before treatment, I was sleeping two to three hours a day. I still have trouble sleeping.

Right now, I'm going through a period of stress -- ending up the school year, and have had some problems with sleeping for months, and binge eating the last week. I keep hoping it is over but not yet. The good news is that we only have 3 days with students and one more day after that.

But on to the sterotypes.

I often feel ostracised by the online diabetes committee because it is primarily made up of Type 1 diabetics, even though I was here first. I do have to clarify that there are really two online communities of Type 1 diabetes that I know of. The first is the insulin pumpers and the second is the bloggers.

The insulin pumpers have been the least easy to deal with, and in fact, I recently reduced stress by unsubscribing from the insulin pumpers list.

I understand the frustration the Type 1 group has with Type 2 diabetes. They don't understand it any better than the non-diabetic community and maybe even less. Many Type 1 were diagnosed as children and don't remember living any other way.

It is extremely difficult for someone in their 40's and even later to change their life style. Since Type 2 has such a strong genetic component many of us grew up with grandparents and even parents who have had to deal with diabetic complications.

For example, there was absolutely no understanding of Type 2 diabetes when my grandparents were diagnosed. They were told not to eat sugar and had no tools in which to manage their diabetes. Both of my grandparents died of cardio vascular compliments -- in the form of strokes.

My father was diagnosed with diabetes when I was about 20. I know a bit more about how they dealt with him. He chose to try the Pritiken diet, tried to lose weight through exercise, told not to eat sugar and even test strips to test his urine. There were no pills and no meters at that point. He contracted congestive heart failure two years later, and was confined to the house and on oxygen for three years.

Changing my own life style even with all the knowledge we have now is difficult.

I started this post describing my sleep problems -- They are the root of my weight problems and some of my stress problems. Right now, I am having difficulty even going to sleep. Once I get there, lately I'm falling asleep well, but I am waking up. Part of the problem is that my CPAP mask get uncomfortable, and part of the problem is GERD sympthoms. I know if I can get a good handle on my GERD sympthoms sleep will be better. I also know that getting a handle on stress will help me actually get to bed.

Because I am tired all the time, I tend to eat more. I know mentally that eating does help me be less sleepy, but I can't tell my body that. I also tend to make poorer choices when I'm tired. It's easier to eat food that is preprocessed. I help that by using a good food service, but I still have to deal with "extra" food.

I've always been very active, competing in dog sports, I have been competing in dog agility for the last 5 years. I've had a regular exercise program for even longer, but I still dread working out. Lately it is even harder since I've been experiencing knee pain.

The point of all this? Remember, changing decades of life style habits is difficult, and many of those life style habits contribute to making diabetes worse.

I haven't even mentioned that the worst sympthom of uncontrolled diabetes is sugar craving, have I?

Don't worry, I think I'll spend more time whining these week about being an ostrasized diabetic.


May 16, 2006

Seeing my endo next week

Decided I should go in to see my endo -- I would see his CDE but she is only seeing Cosmo patients (she works for Smith's Medical now).

My schedule is drastically changing. First we go on exam schedule starting on Friday -- I figure for now, I will just go on my weekend basal.

Then I am on break for about two weeks, but have three workshops during that 2 weeks.

Then I am on summer school schedule for 6 weeks.

Then go to Pittsburg for a 3-day workshop on Computer Science and visit my aunt.

Two weeks break with one day of workshop.

And then back to school.

I think that will freak out my pump.

As I write this, I think it would be wise to send him my current basals and my current schedule and give him a way to look at my logs for the past few weeks.

This make take some research.

Delayed Decisions

There are two major decisions I've mentioned on this blog that I've decided to delay.

The first is getting a puppy -- I've decided to wait a year. Shopping for one, picking out a litter, etc was really fun though, and really helped me get through a rough patch. I need to remember that and try that as a stress reducer in the future.

The second is Dexcom. I'm going to wait until August 1 when the flexible spending account starts up again. Hopefully by then there might be another player in the market place, and the price will be even better.

May 14, 2006

Finally...

Finally got Medco to ship Protonix again. This round was aggravating. They had approved the Protonix for a year, but then that approval got lost, so the doctor had to go through that again. They faxed him twice for prescriptions, and he finally got it in.

This is just nuts!

May 11, 2006

Insulin Usage

Not sure what I did, but had a "break through" today. My insulin usage is under 40 with very little effort and under 140 after each meal. Of course, that helps -- no corrections.

Right now my average TDD is about 42. I know I will lose weight if I can get it in the 30s without driving up my over all blood sugar. That just makes me ravenous all day.

Best and Worst Jobs

Trying to get back in the habit of blogging.

My best job

The one I have now. I love teaching. I am certified to teach computer science, mathematics, and technology applications. By far, I like computer science the most, but it is hard to get enough students to teach it all day, thus the other certifications.

That can be a curse, or a blessing. This year it started out as a curse as I was teaching math only all day. Next year I'll teach 4 sections of CS and Webmaster the other classes periods.

Frankly, Webmastering doesn't turn me on. First, the kids don't know what it is about when they take it. They think it is going to be a class where they can sit and play on the internet. Nope, we need to write webpages. I also don't like teaching it because I am not good at drawing. So between fighting with students who don't want to do anything and trying to get people to draw who don't like it, it's not fun. Besides, I don't think I am accomplishing as much.

When I teach computer science, I have two groups of students -- a small subset that are really good at computer programming and usually had no idea they were when they started. And then a group of students who will just learn how it all works and will be able to better cope with it in the future.

When I teach math, I get the struggling kids since I'm guaranteed not to have taught them before. I can really make a difference to them, as I can reach them a bit differently with the computers.

My worst job

Programming for Zales. In fact, that was my last full time programming gig. I wanted a job that was low stress, come in and do it 8 hours a day, and be done with it. It started out that way, but within a short time it wasn't that way. I left after 3 months, and haven't gone back to professional programming.

By the way, teaching isn't exactly a low stress job either -- but the stress doesn't last very long.

May 9, 2006

Getting There

We've got 2 weeks and a day to go. We're hitting all our milestones.

Today was the first day of senior finals (rolling eyes -- I have never figured out why we let them out two weeks earlies, but then there you go, it's been going on for fourteen years.) I've got two more classes with seniors tomorrow and one more on Thursday.

Got my schedule for next year. I'll be getting my old schedule back.

My insulin usage has gone to just over 40 units, but I'm still not losing weight.

And best yet, it was warm enough to swim in the pool today.

May 8, 2006

Jaime's School Lunch Project

I'm hooked. Okay, I'll admit I'm a TLC junkie anyway, but being both a diabetic AND a teacher, Jamie's School Lunch Project was guaranteed to grap me. I'm DVRing it right now.

Here's the deal. Jamie Oliver, a chef, decides to tackle the British health issues at a "source". School lunches. I'll be upfront, I don't think our lunches are as bad as the ones they were showing. My favorite of the school lunch items is our salads. We have various versions of Chef Salad -- Southwest, with chicken, corn and beans in it, Tuna salad and Chicken Salad. They are super and cost 1.25. The key is shaking them in the box with dressing. Kids taught me that several years ago.

We have lots of versions of TexMex food, burritos, tacos, etc. Those are some of our biggest sellers.

However, our lunches are high fat, high carb and high salt. They could be better.

Any back to Jaime. He actually DID get Great Britian to put more money into their school lunches and they are doing a better job.

FYI: I am a victim of school lunch myself. For years, the only way I would eat rice is if it had brown sugar and cinnimon on it. Not the healthiest way to eat it.

May 5, 2006

Lifescan Ultra II

I picked one up tonight at CVS since they were $69.98 and have a rebate for up to $70. Not a bad meter, it has the best features of the Ultrasmart -- backlight and ability to make comments.

It is not smaller though, it's the same size as the old Ultra and not significantly smaller than the Ultra Smart. However, it is lighter.

Downloading data works fine, after I downloaded the software update. However, right now, I don't konw how to make it work with EzManager, I have an email out to EzManager support.

May 1, 2006

May 1

I am still exhausted, which makes blogging harder.

However my TDD (Total Daily Dosage is still dropping). I'm just about at 43 units right now, which is great, since I had hit 65 units a day a few months ago.

I have figured out that pain is what is the biggest factor in keeping me from sleeping, so I'm doing Bextra -- I have a few months of it left. I tried doing without an anti=flammatory for a week, and I think I was the most exhausted then.

I am still doing the treadmill 6 days a week, and weights 5 days a week which is definately helping the TDD.

We've got 2 weeks, 3 days and finals to go! Yes, I'm counting. And we get rid of the seniors next week.