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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. 

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.

Cornea Dystrophy and lack of sleep

I’m thinking they are related.  Especially for me.

Doing a search on the internet on both conditions doesn’t get any hits.

This week, I didn’t sleep much — we had rolling blackouts, was worried about the house and everything else with the deep cold (for Dallas).

By the fourth day, I had familiar eye pain.  I’ll say that the sleep has been getting better, with each night more hours of sleep and less wakening.

The eye pain is getting better — pm eye ointment helps a lot if only to get rid of the crust I have in the morning. 

Can’t wait until we’re all over this.

Weight Milestone

I currently see my lowest weight on my scale since 2017.  It may be lower, as it is very close to my lowest weight since Lap Band.  I got on the scale three times to see if it was really true.

Profile by Sanford is a pretty easy plan for me.  First, it’s low carb.  I’ve always been able to do low carb.  Second, most of the meals are pretty easy to make.

I’ve been doing their meal replacement shakes for breakfast which is a great substitute for my old breakfast: McDonald’s Mocha.

I use their Mocha shake and add coffee and whipped cream to it.  Taste and texture is very similar and it’s been so long since I’ve done that.

Lunch has been their Pizza crust with veggies and cheese.  If I get hungry I add a salad.

Afternoon has been their protein bar and their fiber replacement, usually jello which I made when the pizza is in the oven.

For dinner I make us something from emeals.  One night was taco soup which Rich really like.  Most of the time he likes the meals, and I tell him he is free to eat more carbs.

One day a week I do lunch out — usually Nicoise salad with salmon and no potatoes.

One day a week we do take out — Chili’s and I do their steak and asparagus.

When I travel, I take my food with me, and stick to salads and Chili’s steak.

Here’s some fun stats.

I’ve gone from 80 units of insulin a day to 8.  

I’ve been consistently losing 1-2 pounds a week.  


What vaccination means to me

I've said this on other people's posts but finding out that I've had the vaccine since September / October is a huge relief.

First, I've managed to not get covid by masking, social distancing, and washing my hands. I've traveled to Oklahoma, East Texas, and Glen Rose. I get my nails done weekly, I go to Nordstrom's for lunch, and a few other restaurants. I go shopping. I go to the gym, but when they got really bad about not wearing a mask, I froze my membership again.
BUT, there was a little voice in my head, wondering if I am doing the right thing.

That little voice is gone now. It's very freeing.

Yes, I am still wearing a mask, but I'm back at the gym. I'm still social distancing, but I'll admit to getting a hug last week and it felt really good. Second hug since March.

When I wake up stiff and congested, I no longer wonder if I have covid.
Yes, I know that the science isn't proven yet whether or not, I can catch it and spread it BUT I didn't catch it and spread it before I was vaccinated or before I knew I was vaccinated.

What knowing I was vaccinated does is let me know I was doing the right thing.

That's freeing. Even if I still wear a mask, keep my distance, and wash my hands.

Just hit a goal that was supposed to be a short term goal

I have hit a weight goal I've had for several years.  I’ve always looked at weight loss as a short term and a long term goal.

My short term goal has been 245.  I’ve tried for two years to reach that, and I’ve been within a pound or two.

I've been on a great behavioral management plan, but I really needed the structure that Profile gives.

I know that I'm going to hit plateau's and I know I'll go off plan (I did a bit yesterday, broke down and ate a fun-sized chocolate bar).

I think I've finally found the key for me to lose weight!

For those who don’t know:

I started out at 320 pounds in May 2009, had bariatric surgery and lost 70 pounds. I stalled out a few years ago and in the last year, the band was so tight I couldn't eat anything healthy. I could have done the shakes, but not dinner.

I saw a bariatric surgeon this summer and after lots of testing we found that my band had slipped. She took all the fluid out of the band and I promptly gained about 5 pounds.

I literally found Profile by Sanford by driving down the street and joined that day. We couldn't get doctor's approval for Reboot for a few weeks, but I still lost weight.

Looking at a Revision

I haven't been happy with the lap band for a while. I've been stuck. I had lost over 90 pounds, then started gaining again and I'm at a total of 70 pounds lost. I've tried a bunch of stuff, but nothing has worked. Well, that's not true, I started losing weight again with Precision Nutition - an online program. I went saw the bariatric surgeon who initially did the lap band surgery but wasn't happy with his attitude. He wanted to put me under and look at the band. He didn't explain what he was talking about until I asked, and that was about 5 minutes of talking to me, with me totally confused. Before I left, I mentioned to the office staff I would rather talk to him about a revision before we did anything else, but that request went ignored. When I went to looking for him, he didn't come as being covered by my insurance. Another surgeon that I had seen for aftercare DID come up and after not hearing from the initial surgeon about the revision, I made an appointment with her. I'm very happy with her, and I've proceeded with her suggestions. Since I'm 60, we did a cardiac workout and apparently I'm cleared -- but haven't gotten the official word yet. I've also had an upper GI, and apparently the band has slipped slightly. I'll know more after the surgeon gets back from vacation. The best part is that I've gotten the office staff work with me. They wanted a sleep study and I finally got across to them that I don't need one because I'm under the care of sleep doctor and am on CPAP therapy. I'm happiest because I found a dietitian I like in June and I can use her instead of the one they referred that I don't like. That also means I've checked off two of the four visits I need for that. I'm hoping I can keep her.