Author: kathleen

  • So far, good…

    I ended up running a bit of a basal test on the new basal rate, since I was able to go all evening without eating.

    It’s good.

    And this morning ate breakfast, and the new bolus rate looked good. At least so far, I’m not chasing a high

  • Research on Tight Diabetic Control

    DB’s Medical Rants

    As a patient, I know that there is a raging debate among endos as to whether or not tight control is a good thing or bad thing.

    Some of that is up to the individual patient, few patients are as sensitive to insulin and or blood sugar as I am. Most diabetics and most doctors (my own included), tend to think I’m nuts. My doctor at least humors me.

    However, I have trouble with my vision when my blood sugar is over 160 … this is a problem. I’m dizzy at 90-110, especially if I have come down from a higher number. This is a problem too. And those are just the beginning sympthoms.

    But who knows if the tigher control I tend to prefer is better for me in the long run? I do run the risk of hypoglycemia. Look at the last week. If I lose my awareness, I could get into real trouble.

    At least now I can point back to some research and maybe more is coming. It’s only in the past few years we could even achieve tight control.

  • Don’t do this at home!

    Photos

    I’ve updated my photo album, adding the Spring 2004 – Best Friends

    This is the most interesting photograph. Maggie doesn’t like the camera and decided that she didn’t want her picture taken, so the photographer and I decided we’d see if we could get them to interact and maybe she would forget the camera.

    I was baiting Maggie over the teeter, and I forgot that Marcie would of course, follow.

    I should have grabbed the board, but didn’t think to do that, I don’t even know if I realized they were both on the board until it tipped anyway. Baiting them all the way down to the bottom assured their safety — the teeter automatically tips back into the original position.

    FYI, having both dogs didn’t really work, whenever the photogather thought harder than I was thinking about food, Maggie was off.

    Obviously Marcie LOVES the camera.

  • Basal rates

    Glad I changed that basal rate — woke up at 3:00 am with a blood sugar of 108 and again at 5:00 am with a blood sugar of 103.

    I’ve decided to go ahead and add the 1/2 hour decrease (by .05 units) in basal tonight, as it looks like I am right where I want to be.

    Still seeing some weight loss too.

  • Changed basal rate

    Since I’ve woken up with fairly low blood sugar three mornings in a row, I’ve decided to drop my midnight to 4:00 am basal rate by 0.05 unit. I’m reduced my basal by a whole .20 units ๐Ÿ™‚ Actually every little bit helps reduce the total.

    I’ve also been slowly, from midnight back, decreasing my biggest and longest basal rate during the day. I’ve been dropping by .05 unit every half hour, and am now dropping from 9:00 pm on.

    It works out pretty well, the basal rates are now
    12:00 – 4:00 0.85
    4:00 – 8:00 1.10 — this will be the next place I change
    and I half it on cardio in the morning days
    8:00 – 9:00 1.00 — this is the rate I’ve been decreasing by half
    9:00 – 12:00 0.95

    So things are going well.

    Here’s the really good news, my daily total insulin usage has dropped to 38 – 45 units a day with an occasional excursion to 78. That’s a whole lot better than it was before I started working out regularly.

    And I know I’ve lost at least 20 pounds since I discovered my scale wasn’t working.

  • Tight control IS important

    This is why I like my pump, and why I work so hard, and I do document what is going on.

    DB’s Medical Rants ยป Long term benefits of tight control in diabetes

    I’m actually quite pleased how things have been going. I’m not only maintaining control, but losing weight.

  • Losing weight while on insulin

    It isn’t easy, but I know of a Type 2 diabetic who has cut her insulin usage dramatically and has lost lots of weight. I met her on iShape and she’s an insulin pumper too.

    Here’s what is working for me:

    Regular cardio and resistance training.

    I have a treadmill and weights here at the house. I belonged to a gym, but I will say I’ve been more regular since I set up at home.

    I also have iShape as a support system. I track my workouts, track my food, and my other progress. I also have people to work with. Right now, we’re doing a two week challenge with partners (that’s a first).

    I really think you need a good regular schedule — which iShape provides, and a tracking system — which iShape also provides.

    I will say that it is a long hard progress. I’ve got about 4 weeks without any weight changes. At the same time though, I was tracking everything else — during that period I saw a change in insulin usage.
    See that, kept me sane.

    All of a sudden I’ve seen a drop in weight (about 3 pounds), though I admit to making a change in my definition of “clean eating”. That’s a challenge term. I was making sure I was 600 calories under what the program said I burned, but right now, I’m using their calorie level. Some days it’s 500, some days it 700 under what I burned.

    And I’m not feeling deprived. Yesterday I had a Subway sandwich with a small bag of chips. I’ve had gummy bears, and other “treats” through the week.

    Oh, and I really think you need to be on a pump. Or at least really really understand what you are doing if you are on insulin. Thursday, and Friday morning, I was fighting low for about 12 hours. If I had been on my own regimen, I would have had to have added even MORE calories than I did with the pump, defeating the whole purpose.

    You need to be able to cut your insulin usage to match your decreased needs, or you ARE going to have a hypoglymic episode.

  • Blood sugar was almost too low last night

    I woke up clammy and feeling funny, and with a blood sugar of 89. I did sleep in a bit and did use my “non-exercise basal”.

    I’m going to start changing my evening basal again, since I’m “back” to where I was.

    And yesterday insulin use was actually under 40 units.