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Cardiology appointment



Fun appointment. 

My tricuspid valve isn’t leaking as much as it was last year when I was thinking about weight loss. The cardiologist was patting herself on the back for the improvement. 

This puzzled me because I couldn’t remember what she did. 

She said it was because she counseled me weight loss.  

Oh well, if she wants to take credit, okay. 

Kathleen Weaver


Big Scale Victory

I reached a new scale victory today.  This weekend I had reached a loss of 95 pounds since I had lapband surgery.  30 pounds since I joined Profile by Sanford.

I currently have no fluid in my band.

My insulin usage has gone from over 100 units a day to 100 units a week but that’s because Profile by Sanford is so low carb.

I still have a high amount of arthritis pain but I am finding it easier to get around.


Lipiflow

I have severe dry eye.  So bad, I couldn’t do a full time remote teaching job.  At the end of the day, I couldn’t focus enough to drive safely.

I had my early visit with my eye doctor and saw a poster for Lipiflow.  I signed up immediately and my only regret is the charge, but I’m hoping it will go down in price.

There is a lot of after care to it but I should have been doing a lot of the care already.

They warned that I might have more trouble the two days after than before but I didn’t notice that.  4 days out and my dry eye is the best it’s been in ages.

Very happy with it.

They put you in a chair, put relaxing music on, give numbing eye drops and then put on special equipment on your eye.  They stayed and observed, while I babbled about the weekend’s dog show.

Sent me home with a bag of ointments.  Another than that helped is that they switched me from PM Ointment to Oasis Plus at night, which means I still have some useful vision.

Definitely worth it.


InPen versus Omnipod

The latest experiment is different.

I’ve gone from medformim, to insulin only (70/30) to pumping and now I am doing MDI with rapid insulin and Ozempic.

I’ve lost enough weight that I don’t need basal insulin.  I need bolus insulin and corrections.

With the Omnipod, I was having to put 100 units in the pod, give the least amount of insulin possible, bolus and corrections.  

It’s been 5 days, and I’ve used the first 100 units of insulin, so I’m not wasting insulin.

The Dexcom is making a huge difference.  I’m not sure I could do finger sticks and MDI.

I think I just convinced myself that Inpen is the answer. 


NSV I think. Using a Smart Pen instead of an insulin pump.

I saw my Endocronolist Friday.  

I've lost about 30 pounds since I started Profile by Sanford.  My A1C is down to 6.5

I've gone several days without dosing insulin, and basically had my pump off.  

She suggested that I set the pump to deliver the minimum amount of insulin as she was concerned about clogging and asked if I wanted to go off the pump.  I asked about smart pen's and she suggested the InPen.  We jumped through insurance hoops and prescription hoops and the InPen arrived today.

They are a bit difficult to load (I was sent two, I'm keeping one loaded in the refrigerator).

It's going to feel a bit odd -- going from the Medtronic tubed pump to the Omnipod was odd, but I still had a large device attached to me.  Now I just have the CGMS.

 


Super trip to visit family

I just got back from a week trip to visit family.  Got to see everyone, including the latest member of the family.

It’s rare to visit them without another event going on — usually a dog show.  It’s also the first long trip I’ve made after starting the new job.

I stayed at a Home 2 Suite and booked a mobility accessible room.  It was very nice.  I was able to work all week.

I learned that I could drive all day after a full week of work.  I’m still exhausted at the end of the day, so I wouldn’t want to drive after work.  I also learned that currently I can work remotely effectively from a hotel room.

I also lost weight — I have a feeling it was walking Summer.  She desperately wanted to go and she was a great traveling companion.  

On a sad note, I lost a ring that means a lot to me.  We’re hoping it in the car.  I remember, an odd sensation as I was adjusting my technology power cables.  My next task to is to clean out the car and look for it.


New Low / New Sizes

I’ve been a bit stalled, but not too bad, since I had the job.  Less sleep, more siting, less moving.

Since I don’t think your grandmother should be teaching in leggings and athleisure tops, and our dress code is jeans and t-shirt, I have gone shopping.

Wearing size 18WP for the first time in decades.  Though it’s hard to find that size.  I snagged three pair from Macy’s for under $35.00 and free shipping so I went ahead and snagged some 16WP.  

I also tried my 1x exercise clothing and I’m going to start easing them into the wardrobe.  There isn’t much difference in size between 1x and XXL, but there is some.

I’m taking very little insulin and less I cheat and eat more than 20 carbs at a sitting.

I’m at 11.3% weight change and 29.1 pounds until my goal according to the Profile Scale.

That also means I’m at 94 pounds loss total since the lap band surgery and I was at my heaviest.


Yesterday was interesting

I’ve been losing weight, eating less carbs, and as a result I need less insulin.

In fact, my basal insulin was down to 4.5 units a day and I was only bolusing for food more than 10 carbs and the random correction.

I wasn’t losing weight this week so I turned off almost all the basal insulin — I’m doing .05 units a day so I can keep the Omnipod running.

That seemed to help, until Friday happened.

Friday I was working in my new office (new to me), and got cold.  Also probably should have drank a shake.  Even though I got a sweatshirt, I was approaching 90 with a down arrow after 11:30.

I’ve gone low before when I got cold, didn’t know that could happen when I didn’t have insulin on board.  I literally didn’t have any insulin in my body.

Anyway, I drank a Profile shake and walked around for a bit, which is counter intuitive but it solves the being cold problem.  That seemed to fix it but I still want an answer from my endo.

I’m not sure she understands the question, so I keep pushing.


Pfizer - 6 month followup

Want to know the biggest side effect from the vaccine?

You have to talk about it -- did I mention I was in the Covid study?

Anyway, I went in for my 6 month follow up -- had to sign new forms, give two large vials of blood, and get an appointment for the one year follow up.

It's crazy because the first blood draw was horrible and the two after have been easy.


Saw my Sleep Doctor

I saw Dr. Luterman today, I see him yearly.  He’s been out of the office for 11 1/2 months.  He told me that coronavirus wasn’t going to be a big deal last year, that we get one of these every election cycle.

He was happy with my numbers but agreed I should sleep more hours with the machine.  He isn’t doing fittings, and isn’t up today on masks, so we’ll need to leave it to Hope Home Medical, scheduled for next week.

I think I need a mask that spreads the weight/force of the equipment further across my face.