Wednesday, September 23, 2009

Eating Out

is something I don't do very often. Matt and I, we just like being at home. But, occasionally, we splurge. Today, for my birthday we went to the Olive Garden. I didn't think to check the webpage for nutritional values, so I guesstimated. 79g Carbohydrates, actual Carbohydrates 106g!! 2hour post BG: 89

so the question is, who calculated the carbs? The menu values say a seving of salad w/ dressing is 22g CHO. 22g?? Where? Two little croutons?...okay big croutons, but still. 22g is like 2 peices of bread. dressing? That's mostly fat... some sugars. I don't know. I do know that if my sugar was 89 2hours later, taking insulin for 106g of carbs would have be the end! :D

It makes me feel a little frustrated, because the fact is, there are too many variables sometimes to get it right. The fat content was pretty high, totaling about 46 g. Sooo, that probably means I'll spike a little later. Fat slowing the sugar/carb absorption. I'll be interested to see what my sugar is in another two hours. I've tried the Dual Wave bolus--that gives me a boost of insulin but also a dose over a few hours--and I don't like it. My sugar is HIGH after the meal then back to normal in about two hours. I'll keep playing with it, hoping to get it right, but unless I have a high fat meal, which is rarely, I don't know that I see the point. :)

Am I making any sense?
What are we to do? How can we manage without hiccups when there are so many variables? From person to person, from food to food--X amount of carbs means nothing unless you know what the food is and how YOUR body will react to it. And how WILL your body react to it? Well, let's see....

Did I exercise? Did I just wake up? What time of the month is it? Am I sick? Do I have a cold? Yeah, it's that EASY. :P

Monday, September 21, 2009

My Trip to St. Louis

BG: 120 <-- quick story, I'm trying to work out this bolus delivery thing. I know the dual wave, which gives a quick boost and then also a square dose of the insulin, is supposed to be most like the body's use of insulin. BUT, I have no idea how to make the ratio. Does it work to just 50/50? If my meal is high protein, would I go more on the square? How long should the square last? OMG! It's insane! The better question is who do I ask about this? Keep reading for the rest of the story.

Tonight, after a long day in St. Louis for my son's Endocrine appointment [he has growth hormone issues], we stopped a Wendy's to get him chicken nuggets, and... well, I got the Frosty-cino Shake. It was, by far, the yummiest, yummy I've eaten in...I don't know how long. It was rich, coffee-like, creamy. Mmmm. And I took enough insulin...so, I guess I'm confused about insulin action. Or, more likely, I just shouldn't eat THAT GOODNESS!! because in one hour my sugar was 221, then in another hour it was back down to 120. So, nevermind... I'm a diabetic, if I splurge, I'm going to see it. That spike just proves I am diabetic. Haha. Taking more insulin wouldn't have made the insulin more affective[/effective? Ugh!]. And if I'd taken more, I probably would have bottomed out later--evidenced by the 120 at 2hours. *sigh* It really was heaven through a straw.

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Sidenote: I met with the Dexcom representative today and saw the SevenPlus CGMS. Way cool! I still can't believe that Minimed isn't on this... that they can't even give me a projected date for when they might have something updated from their current sensor. That sorta pushed me over into the Dexcom camp. If Minimed could say, yes, by the end of this coming year, we're looking at a sensor that is smaller, more accurate, etc, etc, etc, I might have waited. Now, it looks like I'm just going to have to wait until next fall to get my Dexcom linked up with my NEW PING. *shrug* Maybe? Nothing is ever set in stone, but that's what I'm seeing right now. It would be nicer, if the MM sensor was more compatible with my lifestyle. Of course, Dexcom won't be without its cons, either [but let's be honest, it's diabetes that's inconvenient!]. I will have an extra thingy, about the size of my pump, to carry around with me. I'm thinking of where I can put it. Any ideas?

Sunday, September 20, 2009

Basals, Fine

Dinner: 120

Did the basal test again through the morning, and everything stayed in range.
So, I'll mess with my boluses for the morning. Was at 1 unit/10 grams. Changed to 15 grams. Will do a two hour check in about 45 minutes to see what it is.

Had a great weekend.
Meeting with Mike Thomas tomorrow after Sean's appointment. Whoot!
Very excited about that.
Have a great week, all you who visit, and those that don't.
Love,
Bethanne

Saturday, September 19, 2009

End of Day Report

BG: 92

Well, today was interesting... sugars were closer to where I like them, but on the other side of the fence. A little lower than is good. An hour ago my sugar was 41... now, me? I'm functioning at 41. I ate something, and expect to even out through the night, since it seems that's my most stable time... If all works out well [meaning no lows through the night], I may end up doing that basal test again through the morning.

I didn't make it through today. By 10am I was under 70 [and at the library, I might add!! LOL] and I ate a breakfast bar, 26 grams of carbohydrates. I stayed on the lower end, dipping again after lunch. I'm hoping this is a bolus issue...and I'm hoping if I do another basal test, I'll be able to prove that. I ate a bagel this morning with cream cheese, 53g carbs. Maybe I'll have to go back to 1unit for 15 grams? I don't know. I'll tell you tomorrow.

I'm off to St. Louis, MO for my son's appointment on Monday and am hoping that I might be able to meet up with the Dexcom rep that day. Wouldn't that be awesome? It's seems destined. I'd love to see the product, talk to the guy, get a feel for the logistics... etc. My fingers are crossed... I wish I had his email address, but I don't so I'll have to call his cell tomorrow. Hate doing that on the weekend, especially a Sunday. :( Oh well.

That's all for now.
Have a wonderful Sunday.
~Bethanne

The Morning After

7am: BG: 107 <-- that is wonderful. Yesterday at seven, my sugar was probably closer to 150 and steadily rising. After messing with my basals and this is what I see...

I'm really happy this morning.
I'm going to eat breakfast and do my midday basal testing today.

I was over visiting Keri's blog [again] and she mentioned [in passing] that she had been flatlining at 98 mg/dl all day. And that stopped me. Because--and I'm horribly out-of-date in my education, even though I do have a pump--some lessons get stuck in your brain...and I'll have alzheimers and still know that my after meal glucose levels are going to be about 50 mg/dl higher. [crazy run on, i know] But the thing is, since I've been doing more research and talking to people and...stuff. That just doesn't ring true anymore. Does a nondiabetics bloodsugar rise by that much after a meal? I'm starting to doubt it. And all around me are diabetics with 5 A1Cs...and i'm sorry, but that's not possible if you're going up to 150 after every meal....

Wow, that was a long paragraph.
So, a couple of things I'm going to do in the near future.
1) finish my basal testing
2) find a diabetes education course for my family--I think my kids need to know what's going on... they know I have diabetes, and sometimes I act crazy, but they should take a class. :P Something family and/or kid oriented.
3) Get the Dexcom, have it ordered before the end of September when we have decided we are going to switch over to the Medicaid card for good, until Matt starts a new job.

Friday, September 18, 2009

Basal Testing -- Finally

BG: 106 :D

I love seeing that number, although the truth of the matter is... that's a one hour post meal check. It should probably be a little higher than that. *eyeroll*

So, Basals. Did my night-time and morning basal testing.

It was pretty simple, and reflected the results of the 3 day iPro--normal to lower until morning hit.

4:30am 116
5:30am 92
6:30am 90
7:30am 168 -- can you believe that? in one hour...
8:30am 183 --
9:30am 195
10:30am 166
11:30am 167
12:00pm195 -- and I ate lunch.



I'm not a professional at this basal changing thing, so the next day or so is going to be edgy. I know that I have to go two hours prior from when I want to see different results. So, at 5:30 to 7:30, I need a boost. Tell me if I'm wrong, but I have my sensitivity figured [as accurately as possible] at 40mg/dl for one unit. In that case, I need about one unit to get that 7:30 number down to 130, so I added half a unit for each of the 2 hours before 7:30. Will it work?



I have no idea. You tell me. :D

Wednesday, September 16, 2009

Meme: I've come to realize...

BG: 95

Stolen from Kerri, who lifted it from George... A good way to end my day--reflecting.

1. I’ve come to realize that my chest-size … is about 2 feet by 3.5 feet and holds about 7 blankets.
2. I’ve come to realize that my job … has matured me and brought me joy.
3. I’ve come to realize that when I’m driving … I am usually going over the speed limit.
4. I’ve come to realize that I need … facts, details, action.
5. I’ve come to realize that I have lost … a kind and generous father-in-law.
6. I’ve come to realize that I hate it when … my kids are frustrated.
7. I’ve come to realize that if I’m drunk … I get emotional and weepy--> EW! I cry in my beer!
8. I’ve come to realize that money … DEFINITELY shouldn't be the only reason why people stay at their jobs. <-- that was Kerri's answer too, and I'm on it...like white on rice.
9. I’ve come to realize that certain people … don't understand what makes me tick.
10. I’ve come to realize that I’ll always … go to church on Sunday.
11. I’ve come to realize that my siblings … always got my back.
12. I’ve come to realize that my mom … has a very BIG heart.
13. I’ve come to realize that my cell phone …. oh, i don't have a cell phone!
14. I’ve come to realize that when I woke up this morning … I was clueless to what the day would bring. ...just when you think you know!
15. I’ve come to realize that last night before I went to sleep … I really needed to work on my basal rates and bolus configurations.
16. I’ve come to realize that right now I am thinking … of watching That 70's Show.
17. I’ve come to realize that my dad … is supportive and loving.
18. I’ve come to realize that when I get on Facebook … I like seeing what everyone is up to.
19. I’ve come to realize that today … was the first day of the rest of my life.
20. I’ve come to realize that tonight … the cool breeze brings me hope for the fall and a new season--literally and figuratively [like Mary Poppins, waiting for the wind to change...something big is bound to happen]
21. I’ve come to realize that tomorrow … I will still love my husband.
22. I’ve come to realize that I really want to … tell a story that people will like.
23. I’ve come to realize that the person who is most likely to repost this is … LOL no one.
24. I’ve come to realize that life … is a grand journey
25. I’ve come to realize that this weekend … will be a first ever for me. My son will get a BB gun for his birthday. eek! he'll shoot his eye out!
26. I’ve come to realize that marriage … takes grace.
27. I’ve come to realize that my friends … make my life more well-rounded.
28. I’ve come to realize that this year … is one big freaking turning point for me, for my hubby, for our entire family.
29. I’ve come to realize that my ex is … still out there, and who cares?!
30. I’ve come to realize that maybe I should … wax my eyebrows.
31. I’ve come to realize that I love … food. This didn't just happen. I didn't take long to realize, actually.
32. I’ve come to realize that I don’t understand … how a man's brain works.
33. I’ve come to realize my past … has made me who I am.
34. I’ve come to realize that parties … really can be a good time, if there are friends.
35. I’ve come to realize that I’m totally terrified … of one more change.