Blog Entries With Tag: Endo


Posted: Nov 1, 2013

Last week I had gone to my local clinic (CLSC) for my blood work for my endo appointment I had on Tuesday. Two hour wait – fasting – wanting to pee like a horse – but I held fast – and wished I lived in Cornwall, Ontario – where you can make an appointment for a diabetic blood work – no waiting.  Welcome to my province of Quebec – where we diabetics get NO RESPECT !!  It's like lining up for a loaf of bread in Russia in 1915 !

Fast forward to this week – and I’m waiting in anticipation for what my results are.  Don’t we all go thru’ this (well – maybe not for you folks that can get your results the next day).  Here in my province in Canada – unless you go private - $$$ - or have private insurance coverage - you out of luck - you wait).  For some reason, I lucked in on only waiting 10 minutes (usually it’s much longer) – and my endo called my name. 

The first thing he said to me as I entered into his office …. “You’ve put on weight – what’s happened?”

I wasn’t really shocked by that statement – since I know I’ve been gaining weight (thryoid tests are normal - I'm just perimenopausal).  It's not from over eating – my habits haven’t changed - I actually am eating less due to work load – but my emotional state of being over the past year has been abit fragile plus … I’m a lazy cow (the job I do requires a lot of sitting on my behind).

Of course, as I explained this to him, he nodded, saying “Good excuses Anna”.  Onto the scale I went – since my last visit to him in July – I’ve blossomed.  I’ve never ever been the weight that I am – even after I’d had my DKA experience as a teenager – where I’d put on weight (memories of my Mum buying Hefty Boys corduroy pants for me always makes me cringe).  My Mum was often picking on me about my weight, and made me feel guilty about eating – sigh.  Writing these blogs sometimes brings back memories I don’t like to remember.

Promptly he took my blood pressure (BP) and this is sometimes the worst part for me – as I have the well-known ‘white coat syndrome” – my BP is never as good as what I have at home.  His first reading out of the corner of my eye was something like 185 over … at that point he said something that wasn’t good.  Meanwhile, in my brain I’m going WTF???  He retakes it on another machine – the regular wall version (before he was using one of the home versions we can buy) – and this time – it’s abit better – but still higher than my normal readings – 135/120.  Of course, at home, mine are in usually in the 115/70 area – sometimes lower.  I’ve never had a problem with high BP.

Of course, he says this is all to do with my increased weight (jab, jab, JAB) – and then asks – “do you eat a lot of processed foods?”  I tell him no, that I rarely eat processed foods;  when I have time/money I try to do all my own cooking without adding extra salt, etc.  Hmm, but inside my head I think … I DO LOVE CHEESE - which is high in salt!!! 

So, the jist of the whole visit was that I’ve REALLY got to lose weight - especially with his concern over my BP.  He stressed that I become active (he still insists that sailing is a lazy man’s sport – which in away – as a cruiser – it is – you don’t do much – not like he does with his golfing – where you have a goal – to find the hole).

And yes, my A1C despite my DKA episode over my holidays this summer – was pretty good (he says normally A1C will rise due to DKA) – it was abit higher – but still excellent.  And he admitted, if I’d been on multiple dosage injections (MDI) – that probably the DKA would never have occurred – which I totally agree with him.  Pumps do have their benefit - but not when they don't alarm for an occlusion, etc. like George Michael apparently didn't do in my case.  

So, now I’m off to test my BG, hopefully accomplish a 30 minute walk, then test my BG again, and post my results for the Big Blue Test that I partake in every year.  I’m hoping unlike the other day when I did it, I don’t drop in BG to the point of hypo land, and will be reducing my basal rate on my insulin pump abit (thank you Petronella Peach for that suggestion).

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Posted: Jun 3, 2010

 

First topic here is a semi-nonD subject to get you in the mood for what you about to read.  It involves a baby and stuffed toys (they weren't hurt seriously) – aka Iron Baby and with PWD blogger Kerri Morrone Sparling having popped a bun out of an oven recently I just couldn’t resist maybe suggesting her daughter call up Patrick Boivin (from Montreal) to ask him to put her in his next “flick”.  Even better, is the video he made of future of air travel – wait – where’s my pump supplies?

Okay now on to my continuing quest of the week as I figure out how to fix out my basal rate with my Lantus. I do love a challenge, oh yes I do!!!  I’ve been trying all this week to get help from my endo (endocrinologist).  Latest attempt today was sending a fax, trying to call a few times.  I’m getting his assistant saying a voice message, and no, they don’t take messages, just call back later.  I’ve tried this a few times, not succeeding.  I'm giving up, as I know they close up shop shortly, and on Fridays's they don't take calls.  Sigh.

During the night, as I did a basal test, pigging out abit on sweet things as I coped with BG’s in the 2-3 mmol/l (36-54 mg/dl) range.  My brain was just ticking away with how to figure out what to tweak with my Lantus shots I’m doing twice a day.  Many suggestions from people who presently are successful on MDI (multiple dosage injections), but alas, they use Levemir as they say Lantus gave them lows like I am experiencing.  Go back to my blog of last week and you’ll know why I’m back on Lantus again.  It seemed to be serving me well before, but now I’m facing these fun brain challenging lows.  Sometimes I think being high – 8-10 mmol/l (144-180 mg/dl) - range isn’t maybe so bad.

Today, I decided that there must be an overlap in when the Lantus meets up with the previous shot.  I’m not exactly doing 12 hour segments – it’s more like – 23h00 and 09h00.  As I type this up, my basal is not working; I’m in the 13 mmol/l (234 mg/dl) range.  I could handle 8 mmol/l (144 mg/dl) but 13 is a bit high for me, and it’s way past when I ate and gave my shot of NovoRapid.

So, today, I’m going to post this blog in all the D forums I belong to and see if I can get any help/comments from experienced MDI folks.  I know you are out there!  Any suggestion is helpful, as I try to figure out what’s up with these morning lows (and yes, I have a snack before hitting the hay – endo had told me to do this with Lantus – never did this when on the pump).  I swear I’m going to gain weight after going MDI – but it’s all for the cause man – all for the cause – as I figure out a way to make this MDI experiment of mine work.  I have to admit, I really don’t miss being attached to a machine 24/7 – just wish I could have as good control as I did with the pump!

 Help! I need somebody – anyone?

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Tags: NovoRapid (1) Iron Baby (1) weight (1) blood glucose (1) BG (1) endo (1) pump (1) injections (1) MDI (1) Levemir (1) Lantus (1)
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Posted: Apr 12, 2010




As most of you know from my scribbles yesterday, I've been having some issues with my blood sugars (BG's) lately.  To the point that on the Sunday I was close to going to ER due to high blood sugars in the 400 mg/dl (22 mmol/l).  On the advise of some of my online PWD's (People With Diabetes) - I went to my pharmacy to pick up some Chemstrips UGK to measure the amount of ketones in my system.  For diabetics, ketones in the blood makes it more acid and is poisonous to the brain if left undected for too long (coma and death can happen - ugh).  I've been thru'  Ketoacidosis as a teenager where I slipped into a coma. Not fun at all for either myself or my family.  So, with the way my blood sugars have been lately, I was scared to the point of running around like a chicken without it's head on, but I stayed "somewhat" calm.

The short and the sweet of it.  I'm now back to normal.  Went to bed with 270 mg/dl (15 mmol/l) and woke up (didn't sleep well of course) with 74 mg/dl (4.1 mmol/l).  Still it's going to be a waiting game, as I've not been MDI (multiple doseage injecting) for the past 3 years since being on the pump.  Like I did with the insulin pump, I'm relearning how to keep my BG's in control via needle injections - compared to my pump which had all the calculations for IOB (insulin on board), I:C (insulin to carb ratios), and some of the other goodies that help make insulin pumping in my opinion a "slice of cake".  In my case, I wasn't sure if I was having issues with scarring due to infusion sites, so decided to take a pump break.

I called up my GP's office this morning to discover she does not have any available appointments until .... July!!!  Three months from now. I explained the situation - only suggestion they gave to me - " come into the clinic ".  Clinics are my last resort, having to go thru' your history with a GP that doesn't know you, been there, done that.  Next option was my Endo, this is where I lucked in, cancellation on Thursday.  I'll have to work something out with my clients for that day, but as you're all probably saying ... "Your health comes first".

So, for now, as I finish this up, I feel my BG's coming down.  I probably overdosed in the NovoRapid for my breakfast (yes - I had a normal breakfast of toast/PB/OJ - oh joy).  Off I go to test, report my results on Twitter and the other areas that I report my daily roller coaster ride with diabetes.

UPDATE:  Just Tweeted this -  #bgnow 13.2 | 238 So much for thinking I'm low.Either I:C ratio or basal rate is not correct with MDI.Used to work with pump :S #diabetes 
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