{"id":3042,"date":"2005-02-19T16:39:51","date_gmt":"2005-02-19T16:39:51","guid":{"rendered":"https:\/\/kweaver.org\/diabetes\/my-decisions-ve\/"},"modified":"2005-02-19T16:39:51","modified_gmt":"2005-02-19T16:39:51","slug":"my-decisions-ve","status":"publish","type":"post","link":"https:\/\/kweaver.org\/diabetes\/my-decisions-ve\/","title":{"rendered":"My decisions, versus others"},"content":{"rendered":"<p>I really hate it when people say I have a worse case of diabetes than other people.  For one thing, thinking that, lets the other guy off the hook if they are not managing their diabetes.<\/p>\n<p>That said &#8230;<\/p>\n<p>I&#8217;ve looked at what was posted at <a href=\"http:\/\/www.matthewholt.net\/2005\/02\/quality-alternative-approaches-to.html\">QUALITY: Alternative approaches to diabetes, by Pamela E. Mack<\/a> and I&#8217;ve been keeping up with Alwin at <a href=\"http:\/\/ahawkins.org\/2005\/02\/18.html#a372\">code:theWebSocket<\/a><\/p>\n<p>Pam appears to be managing her diabetes by diet, exercise and doing a lot of testing.<\/p>\n<p>Alwin appears to be using oral medications and testing.<\/p>\n<p>Pam was lucky, she expected diabetes and was keeping on top of things, so she probably can control it with diet and exercise.  I knew diabetes was coming, but was never given enough tools to prevent it.  I think my primary care physician should have sent me to diabetes education and should have had me testing when he first told me he was watching it.  <\/p>\n<p>I had already been working on diet and exercise, but not very successfully at it.  I&#8217;ve also got a lot more than 60 pounds to lose.<\/p>\n<p>According to this <a href=\"http:\/\/ahawkins.org\/2005\/01\/29.html\">post<\/a>, Alwin got hit in a crisis too.  Mine wasn&#8217;t as alarming, but a crisis none the less.<\/p>\n<p>For those who haven&#8217;t kept up, haven&#8217;t explored the site, here&#8217;s what when on with me.<\/p>\n<p>My primary care physician was watching my blood sugar for a while while treating lipids.  My fasting blood sugar was in the 120&#8217;s.  I don&#8217;t know why he didn&#8217;t just treat the diabetes, but he decided to do a glucose tolerance test, which I failed spectatularly.<\/p>\n<p>Within 10 minutes of drinking the glucose, my vision blurred and I got into a really lousy mood.  At the time, I thought the reason I was so down was two factors:<\/p>\n<p>The lab where I was getting the test was jerking me around. <\/p>\n<p>and<\/p>\n<p>I was a couple of miles away from where my best friend got killed &#8212; and both the fact I was near there, and the fact that he&#8217;d gotten killed was unexpected.  In fact, between blood draws, I went and visited the site where he died.<\/p>\n<p>The nasty mood never left.  In fact, I felt really really lousy, really really angry, and I kept the vision blur.  <\/p>\n<p>I had the test done on Friday, and was still feeling awful on Monday morning.  It was so bad, that when I got to school, I immediately asked for a sub and started trying to get a hold of the doctor&#8217;s office.<\/p>\n<p>About the time they got me a sub, I got a hold of the doctor&#8217;s office and the reason the phone line at the doctor&#8217;s office was busy, was because they were trying to call me.  They had gotten a fax from the lab company telling them to get ahold of me immediately.<\/p>\n<p>My blood sugar was over 500 when I was tested, and was still over 500 when the doctor tested me.  He immediately threw glucophlage at me, and scheduled me for diabetic education.<\/p>\n<p>I arranged the first class available, that Thursday and Friday.  <\/p>\n<p>FYI:  The educational experience was the most painful part of being diabetic!<\/p>\n<p>Anyway, my blood sugar was still over 500 when I got to diabetes education, my first time to get a blood sugar monitor.  At one point that weekend, my blood sugar hit over 600, and the CDE urged me to get ahold of my doctor.<\/p>\n<p>He&#8217;d just left for a conference, so I ended up at an urgent care center.  That doctor also found my blood sugar over 600, and sent me home to take double glucophlage.<\/p>\n<p>I saw my own doctor the next week, but my blood sugar was still in the 400&#8217;s.  In fact, no matter what I ate, what I did, my blood sugar was staying before 400, even fasting.  And he was furious that the doctor had not given me any insulin or any other treatment other than increasing the glucophlage.<\/p>\n<p>I talked to my cousin, a CDE who is a pharmacy PHD, and she suggested adding insulin to pull my blood sugar down fast.  When I asked the doctor about that, he gave a huge sigh of relief, wrote me a script for it, and sent me to more diabetes education to learn about insulin.<\/p>\n<p>It took a while, but I finally got my blood sugar down to a reasonable level.<\/p>\n<p>However, I ran into major problems with the long acting insulin &#8212; I was one it for 6 months, kept gaining weight, and kept having problems with hypoglycia episodes, especially when trying to exercise.<\/p>\n<p>Nothing like spending an hour on the treadmill than having to drink a sports bottle of gatorade, and then going into roller coaster mode.  That will guarantee you gain weight.<\/p>\n<p>To shorten a long story &#8230; after about 6 months on shots and changing doctors (not my choice), and coming in every month and complaining &#8230; my primary care physician said on the way out the door &#8212; why don&#8217;t you look into insulin pumps.<\/p>\n<p>Man, best parting shot I&#8217;d ever heard.  I went to an insulin pump user&#8217;s group, did hours of research on the internet &#8212; even going so far as to looking up pumps on the FDA&#8217;s Maude database.  Read back months of conversation of the insulin&#8217;s pumpers mailing list.  Decided to take the plunge and go with the pump.<\/p>\n<p>Since being on the pump, I haven&#8217;t suffered from a real hypoglymic episode.  I&#8217;ve lost weight &#8212; about 35 pounds since last year&#8217;s spring break.  My lipid levels are finally normal, as is my blood pressure.<\/p>\n<p>I&#8217;m probably the healthiest I&#8217;ve ever been.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I really hate it when people say I have a worse case of diabetes than other people. For one thing, thinking that, lets the other guy off the hook if they are not managing their diabetes. That said &#8230; I&#8217;ve looked at what was posted at QUALITY: Alternative approaches to diabetes, by Pamela E. Mack [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-3042","post","type-post","status-publish","format-standard","hentry","category-diabetic-issues"],"_links":{"self":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts\/3042","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/comments?post=3042"}],"version-history":[{"count":0,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/posts\/3042\/revisions"}],"wp:attachment":[{"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/media?parent=3042"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/categories?post=3042"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kweaver.org\/diabetes\/wp-json\/wp\/v2\/tags?post=3042"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}