I’m very proud of myself, because my pump tweaks are working well. HOWEVER, I’m calling Monday and asking for a new pump because last night the occulsion alarm went off again and this time I slept for 3 hours.
The good news, is that my blood sugar was 117 when I woke up.
iShape and the personal gym in the house is working out extremely well. iShape gives me a means of tracking and the support I was missing from the gym that closed.
Having the gym at home cuts down on the excuses, especially morning ones, and I’ve been able to do most of my working out in the morning since I got the new CPAP mask and got the insulin adjusted correctly. Both are contributed to the lack of morning grogginess.
I am guessing I’ve lost at least 15 pounds, but since I don’t really know what my highest weight is, that is only a guess.
The good news is insulin usage. Last night, I cut my midnight to 4:00 am basal to 0.95, from 1.0, cut my 4:00 am to 8:00 am basal to 1.10 from 1.30 and my 8:00 am on basal to 1.05 from 1.10. I’m not sure how that all refects in total basal yet, or in total insulin usage, but most days I’m in the 60-65 units a day range right now. And that’s with good control. I occasionally still have a bad day, but since it takes almost a week to recover from a bad day, I think I’ll be avoiding them more and more.
I see my CDE on Wednesday to work on planning for more weight loss.
This article requires registration. And the article was sponsored by Slim Fast. But interesting, non the less.
Weight Management and Type 2 Diabetes Mellitus
Weight loss is an important but difficult therapeutic objective for people with type 2 diabetes. The best dietary weight-loss strategy has not been defined, and all such strategies are compromised by the body’s potent methods of maintaining energy homeostasis and defeating weight loss. The ADA currently recommends a reduced-fat diet as part of a structured program of lifestyle change for weight loss. Daily use of meal replacements can be an effective strategy for some people but must be continued long term if weight loss is to be maintained. Currently available weight-loss medications have modest efficacy but also must be continued long term if weight loss is to be maintained. More effective weight-loss medications will probably become available in the future as the biochemistry of energy balance becomes better understood and new pharmacologic tools are developed. Gastric bypass surgery is currently the most effective long-term weight-loss strategy, but this approach has not been compared with medical therapies for patients with type 2 diabetes and should be reserved for those with type 2 diabetes and BMI > 35 kg/m2.
I went around the corner to a day spa — I’ve been there only once before — and had a stress release massage. I think that helped, as last night was the best night I’ve had AND the husband wasn’t at home — that always bothers me.
Did wake up at 2:00, but I’ve been worried about blood sugar. Glad I did as the massage did elevate my blood sugar. At least I assume that’s what did it.
I also think the adjustment I made on the basal was on the money since I’m at 106 now.
I’m also still able to get up in the morning work out — though tomorrow will probably be difficult. Tonight’s my dog agility night and between the physical activity and the stressful drive home — it’s a good hour in bad traffic — I usually have trouble shutting down.
BBC NEWS | Health | Sticking plaster to aid diabetics
Interesting. Of course, it takes forever for these things to reach the patient.
Sticking plaster to aid diabetics
Even a commenter has complained on my blog about the Animas pump noise. I’m calling them today, because I slept through their siren for almost 2 hours.
WEIRD!
I have never thought my pump was very loud, and have always thought the complainers were nuts.
I talked with my CDE — who I will see on Tuesday, and I want us to make a comprehensive plan for me to use in reducing insulin while I continue to lose weight. Yeah, I’m being a optimist. I am believing that nothing weird is going to happen to throw me off.
Oh, and I still haven’t heard from the sleep doctor … snarl.
We’re going to reduce the night time basal first, since I don’t know if I will wake up if I am low. Actually the 4:00 am basal. We’re reduced it by .10 units.
If I can keep mornings stable, but still hit lows in the afternoon, I’m going to go from 5 grams of carb per unit to 6 grams, since I really like the afternoon’s without carb freeze.
And I’m doing my part on the sleep — I’m heading over to a day spa and having a stress massage.
Well, the first question — yes, it was the siren, and yes, I had to take the batteries out to fix it, is yes — that’s the way the pump is designed.
The second question left the customer service rep with his mouth open, no one had ever complained that the siren was TOO quiet. We decided we’d wait until I slept through another siren before dealing with it.
Also — I had to turn the pump down by 10% this morning. I was at 96 at 8:30, down to 93 at 9:00 so cranked it down and stayed stable all morning.
I haven’t changed my lunch basal setting yet. I want to make sure there is a problem before I do, but am watching close. Abbott/Therasense/Medisense will love me because I am going through so many test strips.
I might want the CGMS now. I can get one for three days, but need to find out hw often. I would rather use it when I need it.
First, I’ll apologize with boring everyone with the sleep reports, but here, I can pull them and get them just about whereever I am at. Could even download them to the Palm. Yes, I’m geeky. But what else would you expect.
The iShape thing is really working out well. It’s nice to get up in the morning and know what I need to do to work out. It’s nice to let someone else make all the decisions. I get up, check iShape, delete their meals, put Diet Gourmet in, and then sort of plan snacks so I keep as close to 600 calorie deficiet as I can.
Yes, I’m losing weight. Yes, people are even noticing. One of the counselors said something about it today. Clothing is fitting well. However, I’m not noticing it on the agility field yet, BUT Excellent is a long way to run. I’m going back to the beginning with a different venue on Sunday and it will be interesting to see how that goes.
Oh, and I’m also seeing a decrease in the amount of insulin I need. I actually ended up eating 4 lifesavers at school WITHOUT insulin, as I could feel I was headed for low. I had a piece of chocolate WITHOUT insulin on the way out the door to get a manicure, because my blood sugar was in the 90s. (I actually eat some sugar if I see the blood sugar in that range before I get in the car). I even ate a low-carb sandwiche with two pieces of bread WITHOUT insulin, and right now, my blood sugar is 133!
I’m going to have to keep a close watch on the blood sugar for the next few days, and may touch base with the CDE.
It is 9:35 and I am STILL groggy. I had a heck of a time driving in, and I am STILL cranking.
Right now, I am playing with the idea of planning on taking tomorrow off and catching up. It certainly didn’t happen last weekend, and I know it won’t happen next weekend.
And nobody is real happy with me cranky!