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Good Endo Visit

I saw my endochronolist yesterday.  My A1C was up, but I attribute that to cortisone shots, I forgot to tell her that... darn.

Anyway, we added Farxigo, which I picked up and took one this morning.  CVS is running a tad slow, but she might have needed to do a prior authorization.

I'm using less insulin, but I miss some dosing sometimes with getting accomplished to the InPen.

She actually doesn't want me to dose in the morning anymore and wants to start dosing around 1:00 pm I think.  She says my blood sugar starts climbing around 3:00 pm

She set a goal of 140 average blood sugar and 80% time in range.  Otherwise everything is the same.


The Glen Rose show was too much

It's interesting but I didn't feel the same during the Dallas Show.

However, the Dallas Show is indoors, cement / tiled floor.  

Glen Rose is dirt, where livestock has been.  There is a huge steep ramp to get into the show arena.  It was very hard to move the crate stack.  I have friends who call it "Satan's Outhouse".

I also had a 90 minute drive.  I will also share that I didn't sleep well.

I have until February 2 to decide if I want to enter Midland.  

Saturday didn't seem bad at all.  Sunday, I couldn't decide if I wanted to stay for owner-handler so napped in the car for a few hours.  I didn't stay.  Probably a good decision.

When I got home, I was completely stiff and locked up which I haven't seen for a while.  It eased up after about 5 steps.

My knees were also bothering me more than usual when I walked later in the evening.

The good news is that I have until February 2 to decide on the next show.  

They do say that this is a one year recovery.


Today was my second dog show since my surgery.

I entered Glen Rose, which is 90 minutes from the house, and was going to stay in a hotel room across the street from the show site.

I started stressing out about packing the car, getting ready, etc. and I realized that traveling with two dogs and staying at a hotel was the cause, so I canceled the room.

A huge sign of relief after.

I had no trouble getting up and driving there and back.  Unloading and loading the dogs and crate stack was MUCH easier than it had been pre-surgery.  One of the ring stewards grabbed an end going down the ramp, it's steep, and no one on the bottom of the ramp pays any attention and you don't want to run over a dog.

I had no issue going up the ramp except for having to ask clueless people to get out of the way.  I don't mind running over clueless people...

BTW, 90 minutes is the longest I've driven since the surgery, so this is a baby step.  I honestly don't think driving is an issue, especially after today, but I have two do the 90 minutes back and forth, two more times.

It was a great decision because Miss Summer decided she needed to go into heat.  I didn't really need that in a hotel room, in addition to the rest.

Here's our loot.  Summer got points  I don't think the judge did owner-handler correctly but there you go.  Anytime I've taken best of winners, I have had to compete against the owner-handler who got Select.

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Back stress -- over dog show -- so I'm taking baby steps

This weekend is the Glen Rose show.  I was planning on taking two dogs and staying at the hotel across from the show site, but I was really dreading the show.

I realized this morning that this is the first time I'm driving more than an hour since the surgery.

First time I'm traveling with two dogs since the surgery -- driving to dog agility doesn't count.  

Also, it's in a small town with very few restaurants and grocery stores.   Plus, I might not need both dogs.

So, I'm taking baby steps and driving there each day -- it's a 70 minute drive each way, so it will be a good test.  If the major breaks, I only have to take one dog on Sunday and Monday and don't have to worry about the extra dog. Or worry about getting food.

I do have hotel reservations for Midland, but haven't entered that dog show yet.


Weird day -- completely rearranged

Had to get my labs done this morning for my upcoming medical appointments.  They scheduled for 8:15 am, which is a bit earlier than I like.

No time for blogging first, and no time for work.

I went ahead and stopped at the gym and worked out.  Got done at 11:30, but had the siren test at 1:00 pm, so I picked up my sale items at Nordstrom and had lunch there.  I really like their cafe and get their salmon salad.  Since I don't have to feed my husband, I'll have Profile pizza for dinner.

Friday is going to be interesting too -- I have new living room furniture being delivered and a door bell installed.


Clinical Trial

The most interesting thing I've done in the last two years is to participate in the Pfizer clinical trial.

When covid started, I signed up for just about every clinical trial you can think of.  For example, I had to interact with an app daily as to my physical well being.  I had to send blood samples several times to a lab.  I still interact with an app that tracks both covid and the flu.

I was vaccinated for covid through the Pfizer trial on September 22.  I have to read a 22-page document, which was summarized verbally before they gave me the shot.  We were originally double-blinded, meaning we were told we wouldn't know our vaccine status for two years.  I had to give a blood sample before being vaccinated and again shortly after.

Being double-blinded upset a lot of bioethicists and my endocrinologist.  More on that in a bit.

They have me check in with an app weekly and have given me a covid test to take and send in if I do get covid.

I got my second shot on 10/12.

Since the double-blind upset so many medical professionals, we were unblinded at the time we would normally get vaccinated and given our vaccines then.  I was lucky as I had actually been given the vaccine.

I was so relieved to find out.  I suffer from allergies and am afraid a lot of the time that it might be something else.

I am a huge believer in vaccines.  Every vaccine I'm eligible for I've gotten -- none of them completely prevent disease, but they make the symptoms less deadly, or in the case of shingles less painful.  

I will say that it can be hard to recommend the vaccine, anytime anyone suffers side effects -- which I never do -- I cringe.  

I was given the opportunity to participate in the booster trial but wasn't able to participate as I had recently taken steroids.  

I had to go back in for a blood draw, this year on September 27, and I got my booster shot at the same time.

I still check in weekly, with an app.  I'm still supposed to contact them if I test positive and send in my covid test.  They gave me a new kit the last time I was there.

 


Current Diabetes Technology

I've come full circle...

I started out with Metforum, almost 20 years ago, which appeared to be a random number generator.  That was VERY frustrating.  I moved to insulin -- multiple daily injections, but kept having problems with lows.

I switched to the Animas Insulin pump which I loved, but my insurance wouldn't cover so I ended up with a Medtronics pump.  I lost my endochronolist, as he retired, and it took a while to get a new one.  During that time, Medtronics refused to upgrade my pump since I was a) Type 2, and b) didn't have an endo.  It still worked but wasn't the one I thought my insurance had paid before.  It certainly wasn't according to their documentation.

When I found out that the Omnipod was covered by pharmacy benefits I switched to it.  I really like it and keep some supplies at the ready.

I am also on Ozempic and have been a few years.  I was first on Victozia but my current insurance covered Ozempic.  Oddly enough my back surgeon suggested I try Wegovy, which as I mentioned early, is just a double dose of Ozempic.  I tried it but didn't find much difference.

Right now, with my weight loss, diet and exercise, I'm down to 12 units a day so I'm using the InPen.  I went to it because I need an app to keep track of my injections and to calculate how much insulin I need.

I'm also using the Dexcom G6 system, which I have been using since I found that it too, is covered by my pharmacy benefits.  I started with the G4 system.

I have a few other tools at my disposal -- since I am in Texas and carry the InPen everywhere, I am using the Vivicap to protect it from heat.  It does make the pen bulkier, but at the same time easier to find in my bag.  If you need this, use this referral link: ViviCap Referral link

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I also have the version that works with my Ozempic.

I just started being an ambassador for Vivicap, which is an interesting program. 

So currently, I am on insulin and Ozempic.  I use an InPen and Vivicap to keep my insulin the proper temperature.


My LapBand Slipped

First, I have always felt being pressured into bariatric surgery, and lap band surgery to begin with.  I had gone to my doctor and asked for permission to do Jenny Craig.  He wouldn't give it.  Come to find out the company that ran the business part of his practice owned a Lap-Band practice.  

I ended up firing that doctor and the same visit he fired me.  He has since retired and the Lap-Band company has gone out of business.

The person who coached me through the process no longer has hers.  It's also no longer a modality of choice.

I honestly didn't want to do anything permanent but wanted help dealing with binging issues.

I did lose 60 pounds and it has helped me learn to manage that better, so it's not a complete loss.

I sensed there were some issues with the lap band leading up to the pandemic and I had made an appointment with the surgeon but the appointment got canceled. I was more and more miserable, having trouble eating the correct food and seeing food again a lot.  When I finally saw the surgeon, I didn't like his attitude so went to a different bariatric surgeon, who I recommend -- Colleen Kennedy.

We went through the process to see what was wrong and to revise the band.  We also removed half the fluid from the band, and then a month later the rest of the fluid.

I felt SO much better.  I absolutely do not recommend bariatric surgery.

I ended up deciding against any more surgery, with the idea we will continue to document my attempts at weight loss so we can revisit it in the future.

Frankly, it's not happening.  The lap band is still in my body and I will discuss removing it at the same time we remove any lung nodules.


Weight Loss -- the blog has got lapband in the title

I am currently at my lowest weight in probably decades.

I'm doing it through diet and exercise.  Specifically I'm doing Profile By Sanford.  If you decide to try them, use this link: Profile Plan Referral Link. I think we both get something from it.

I just signed up for another year.

Here's what I like about Profile -- they teach you how to eat correctly.  It's very flexible.  I've done their balance -- both when I started before my doctor gave permission, and while I was preparing for and recovering from surgery.  They have plans for pregnant women and breast feeding moms.  

I also exercise a lot, but that's mainly because I'm recovering from surgery.  I have several memberships to give me access to gyms.  I'll blog about my favorite soon.

This is the only plan that has gotten me off my very long McCafe Mocha addiction.  I'm currently drinking a peppermint mocha, with 8 oz. of coffee, Veggies Plus, whipped cream and a dash of dark chocolate syrup.  15 carbs.  

I really like the current plan, as I'll grab a protein bar and eat it mid workout.  Lunch will be their meal replacement and veggies.  I'll have another bar mid afternoon and a fiber drink.  Dinner will be on my own, probably Chili's sirloin and broccoli.  I'll eat a Profile chocolate cake before I go to bed.

It comes with a coach, app which links to a scale, and a food scale.  

I've lost just about 35 pounds this year while on profile.  I also had major surgery -- L4-L5 fusion and several steriod shots for hand pain.  

My insulin usage is down from 70 units a day to less than 20.  However, I am on Ozempic.