I was going to push back my sleep doctor’s appointment because I just knew I would gain weight this week. Face it, sitting all day in the same chair for 4 1/2 days does not burn calories. HOWEVER, I’m wrong. Something has happened because this morning I weigh 5 pounds less than I did on Sunday.
I’m not counting it as “real” weight, since it hasn’t shown up on Sunday morning, but it is encouraging.
It worries me. I haven’t been pleased with either Caremark or Medco. Insulin handling with both are stressful, though Caremark was a bit more considerate.
DB’s Medical Rants » Patient’s rights and managed care
And of course, this is one that I’m going to be on the side of — if the doctor orders, the insurance company should pay.
I feel 100% better because of my pump. The cheaper alternatives just weren’t doing it for me.
Insurance should cover it.
There is a deal going on now — the insurance company denied a claim on a CPA machine because my doctor didn’t show medical necessity. Who requests a CPAP machine for someone who doesn’t need one?
Okay, the true issue is that my CPAP machine was over 5 years old and we all agreed it needed to be replaced since the newer technologies have compliance information and apnea information.
The rest of the issue is that the insurance companies tend to deny new masks unless the doctor’s have proof that the patient is compliant. Bit of a catch 20/20 here. At least we’re talking $600 and not $6000.
I’m surviving.
I did the BEST thing I could do today, I took “big dog” to agility, just her and I to an advanced class. She is feeling well enough to compete this weekend, even if she does have a punk beagle haircut.
This will give me the choice to skip her class tomorrow evening if I am tired. Though I probably won’t.
It was very nice for her to have her mom to herself, and have a “fresh” handler. She’s had to deal with a tired handler, and one with low blood sugar at that — I’m still fighting the lows.
I woke up feeling funny three times last night, but my blood sugar was low when I went to bed. No danger of that right now, 186!
1 and 1/2 days to go, and then I’m off to the dog agility thing.
If you don’t care to go back to the archives, a short recap ….
My doctor and I decided that I should go on the pump because I was gaining weight on MDI and had what I felt was inadequate control with shots.
It was the right decision, but the idiot HMO said, NO, you have to throw all the diabetes meds in the world at her in combination before we’ll approve it.
I’d had my full of diabetes drugs after the first one, and besides, insulin really is better and the pump is the most efficient way to deliver it.
And by the way, I’ve been steadily losing weight again.
Family Medicine Notes: Psychiatry Archives
Any time I get frustrated with my doctor or insurance I’m going to go back and read this.
So far, none of our lunches have been under 1000 calories, and I shudder to think what the snacks have been (I skipped the snacks).
Don’t get me wrong, it’s GOOD food. Yesterday was a box from Jason’s Deli. Good food, but when I entered it in iShape, it totaled over 1000. I’ve been averaging about 600 a meal lately, so that’s been different.
Today was Taco Cabana. Again, good, but adding it all up, 1200 calories! Slow carbs too
I’m still “clean eating”, but it isn’t going to be easy this evening. I’ve also managed to workout. Though tomorrow I have to force myself to get on the treadmill, or I won’t make it. Same goes with either Thursday and Friday. I’ve been doing the workouts in the afternoon but I’ve got dog agility both evenings. Decided to “spoil” Marcie and let her have a dog agility night to herself for a change.
Survived yesterday. I am convinced though that I turned down my temp basal instead of up, but have not proof. I have asked Animas yet again, to provide that information.
By surviving, my weight is less than it was yesterday morning, and my blood sugar was at 108. Kind of wish I’d switched to the exercise basal, and I really had time to walk even though I didn’t but I am having heel spur problems.
I can always walk afterwards anyway. And I probably need an off day after the 55 minute walk yesterday.
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On the friend’s job — well, she took the SS early retirement. Which I am very much against, it never should have been available anyway. I’ve never really understood the whole thing, but she ends up with $827 more a month, and supposedly can get her job back. Supposedly they have to post it. Okay, right now, I’m not believing much of what she says since she spent so much time and energy lying to me, and what was the point? It really wasn’t nice to freak me out like I was yesterday.
But it doesn’t change. The things I like about my job are staying the same. The things that bother me, change and always do. I like the neighborhood kids. I would even consider living in that neighborhood, if it wasn’t in Dallas, and didn’t have Dallas services and politics. We live in a suburb with a less than 5 minute response time on emergency services, and a city council who runs things and doesn’t drive people nuts.
Funny, but when I really analyze what is going on, it gives me more time in the classroom and more time to concentrate on what matters. Teaching 5 preps — the norm for me — is hard. One class never gets my attention. 6 was worse, two didn’t. I’ll be down to 3 preps, and I will be able to spend lots of energy on PreAP which is where I should concentrate. A good PreAP program will make a really strong AP program which is what people want.
I get paid pretty well for a teacher. I consistently take home $45000 a year, and may top that this year. I get lots of time off, after this workshop, I’ll actually have summer — I still have 2 days of staff development in July, but I understand most of that is on line.
They are paying for a master’s degree and I’ll have the majority of that work done soon. The classes I’m taking are pretty easy, more paperwork than anything. Most of that is online too.
So why change?
And I’m going to walk in and turn up the basal to 20% (not down) and test all day. And get through another workshop day.
I’ve been meaning to blog about my bolus rates. It’s been pretty interesting. When I first started I saw fluctutions, my total daily dose swung widely, and I thought I might even end up at a 1:12 ratio but each day the average usage got closer and closer.
Right now I’m consisent around 45 units a day with fasting blood sugar at under 110. My post pranial is in the mid 130s.
moblogged with Treo
Actually it pertains to me. The people that I have trained agility with have noticed that Marcie (big beagle), often “stops” me from running when I am not feeling well. Often when I was having GERD related asthma, she would actually stop and urinate to get me to stop.
Last Thursday night my blood sugar was a tad low and she wouldn’t work.
And tonight, my blood sugar was also low while I was on the treadmill and she insisted that she HAD to go out now.
Seeing as how I came close to dropping a pickle jar on her last year when I was low (yes, I dropped the jar, missed the dog), you can see why she might learn to stop me when low.