This is the last two weeks of TDD (total daily dosage) of Insuiln
Unfortunately I always obsess over this when I lose weight. The neat part, is that you could see a similar curve if I graphed my weight (and I should but I found it so frustrating for so long).
I’m sure it’s the combination of the fill I did on Dec 1st, the meeting with the dietician and with the other support person last month.
And the Christmas Eve illness seems to have jumpstarted things.
One of the things that has bugged me the most since I've had lapband surgery is that I had been running high.
Probably one of the reasons I wasn't losing weight or a side effect from not losing weight.
My A1C has absolutely sucked — over 8.0 which really disturbs my endo, as I hadn't had an A1C that high most of the time he's treated me. I think I started hitting that when they made me Campus Technologist, but might have been before then, I might ask at my next appointment.
The good news, is that since I got so sick, I've been running low. And it's challenging my pumping skills as I don't want to gain any of the weight I've lost.
Here's what I've been doing when my blood sugar is under 140, especially post pranial — turning my temp basal to 50% down. So far it is working, though I should get around to eating lunch at some point, and stop playing with new toys.
I really wanted to lose 10 pounds over the Winter Break and I think I'm going to. So far, every day I've been off I've managed to walk on my treadmill at least 40 minutes (except for Christmas eve).
And the best sign, is that my TDD has dropped from 100 units a day down to the high 50's. I might be able to start changing my set/etc. every three days again, instead of every two. In fact, I was able to do that today.
I think I've finally solved my manicure problem.
Sounds a bit nuts, but I am really into having good looking hands. Probably one of the few things I have control over.
I go through phases, and since about the time I had my surgery, I've been getting regular manicures and pedicures.
However, the place I had been going to changed management, and they are quite rude to customers. Don't tell you how long the wait is, don't really like walk-ins, etc. And are even rude if you have an appointment and you're 5 minutes late.
So I found a place off of 635, but they were more expensive, farther away, and I didn't like some of their people.
Then I found Hawaain Nail Bar, which I love but are even more expensive. They also offer a lot of services which they try to sell you when you're not in the mood for more. Plus the receptionist is a bit rude, odd, since I've been going about every week and most of the time have an appointment.
So today, I finally decided to try a place that is around the corner, literally from the house and it has new management. Much cleaner — which is one reason I stopped going, expanded, AND a girl I used to go to down the street is working there.
She did a beautiful job. Much better than the more expensive manicure I got last week.
My blood sugar this morning is #bs 102. Weight is still down, too, which is fabulous. Not the way I recommend to lose weight, as it has been no fun at all, but it's good.
Instead of eating something, I just put in a temporary basal of -50%, and we'll see how it goes. I don't do welll with food in the morning, especially carbs.
I've still been feeling a touch queasy but haven't had any gastro intestinal problems other than the normal lap band effects. In fact, my band feels a bit tighter than it did before, but not in a bad way.
I've had three days in a row with lower TDD so I dropped my basal insulin by 10%. It might be a bad move, but I'd rather fix a high right now, rather than a low. Nothing worse than having to eat when you don't feel like it or worse, when you can't, and I can always fix by doing a temp +10% basal.
But wanted to write it down as if it works, I need to do it to all my basal rates.
I managed to keep down some chicken soup last night and slept all night without waking up.
My plan today is to slowly introduce solid food. Physically I feel much better, which verifies my food poisoning guess.
Really good news: My weight is down 10 pounds since my last fill. Do I believe I'll stay that low? No, and I also don't recommend losing weight this way. However, if I can just gain three pounds I'll be happy. That would mean that I had lost 35 pounds.
So I'm starting with peppermint tea and slowly adding more solid food.
I also don't recommend this as a way to start Christmas.
And am important reminder to me, watch my blood sugar as my TTD is down. My morning blood sugar was 110, which is the lowest I've seen in ages. Yesterday my TTD was 58, and it was 65 the day before. I think the safest thing and best way to keep any weight off is to up my carb and corection ratios by 1.
This is something I've learned losing weight before — insulin and your body wants you to maintain your weight — if you keep your basal rates the same, you end up having some lows, and you have to eat food to get over them. It's better to run slightly high (not massively, like I have been since surgery), than to have to deal with the lows.
It's a balancing act, because if you keep the blood sugar too high, you crave sugar.
And there is nothing worse for both diabetes and lapband patients to have gastro-intestinal distress.
I woke up at around 2:00 with bad diarrah — then up at 3:00 with it, when I really wanted to vomit but was able to manage to avoid at.
At 4:00, I was up again, but this time was spitting up. Got my husband up, told him we had two choices, PepmoBismal or the hospital. He was very good, didn't ask any questions, picked some up and brought it back, also feed the dog so she wouldn't have me up — his dog doesn't care, and is hiding because we've been storming.
I'm going to hit the Pepto again, and probably back to bed. And cancelled our dinner reservations as I know I am not up for that.
Good news–I'm seeing a decade on the scales I haven't seen before. Bad way to do though.
One of the goals I have for this break is to reduce the amount of insulin I take. One way to do that is to walk after I eat, rather than take insulin. I've been able to avoid bolusing for three meals in a row, and I've gotten my walking time up to 20 minutes.
However, my knee is very tight for quite a while afterwards.
The longer I teach, the more I value quiet time which is something I've definately gotten this break. And I'm enjoying every moment of it.
I did get my teeth cleaned yesterday. My dentist is doing quite well, he's doubled his office space and upgraded everything. It's very nice. He is Korean, has been in this country since a teenager, and services English-speaking, Spanish-speaking and Korean patients. Biggest plus is he takes my district dental insurance.
With SlimFast off the market, I was forced to find another "Ready to Drink" shake that is high in protein. Wish I had been told about the EAS brand sooner.
I've purchased and liked their Advant Edge, Carb Control. The taste isn't bad, and their protein to carb ratio is better — 17 grams of protein to 4 g of carb. That means I use less insulin — Slim Fast is 10 g protein to 24 g of carb, which I don't like near as much and won't be going back. Even the high protein is 15 g protein to 24 g of carb.
Since this is what I have for lunch, and breakfast when I'm not at work, I'm glad I found a better product.
Bloodsugar is 149. Weight is down, but not as much as I would like. I know what to do though.
I went back to my "fired" chirapractor, and he did listen, and did work on my knee. It was better until I got my 40 minutes in on the treadmill, and is still bothering me some today, but I expect that. It took me a while to get the whole 40 minutes in, but I did it. Tomorrow might be problem. It's a pretty full day.
My gastro doctor's office cancelled my appontment and it is rescheduled for next week. It's a follow up, and I am cool with everything, so I'm not anxiouls about the appointment.
I've ordered a late Christmas present for my husband — a picture of "his dog" and a calendar for myself. They are both on the way. My Zune HD Order is completed, but don't have a shipping date. I really miss my Zune HD, and my chiropractor noticed it was missing too.
Haven't heard anything from school on that incident, but I'm not surprised.