Blog Entries With Tag: GP


Posted: Jul 7, 2013
Image of high 5 cat from reallyfunnypictures.co.uk

I had attempted an overnight basal test on Friday - but that was a failure with going low (3.2/57) - but last night - with having tweaked basal rates abit was SUCCESSFUL!!  I went to bed at 6.2/112 and woke up to 5.4/97.  During the night around 5 AM I had gone to 4.2/75 - but according to Gary Scheiner's book 'Think Like a Pancreas' - he says staying within a 1.7/30 up/down range from your original starting BG (blood sugar) - I was in the good zone. 


I have to admit - I'd like to be abit higher overnight with my BG - more in the 6-7/108-126- - so will tweak basals eventually - but am so looking forward to having a solid sleep tonight - as last few nights have been very broken with getting up every hour.

I guess this would be where a Continuous Glucose Monitoring System (CGMS) would come in handy - I know of some US health centers loaning them out to patients - but when I asked my endo about whether this was possible here in Montreal - he said no.  Anyway, the good "old fashioned" way of testing with the blood meter went well.

So much more precise than the urine testing in my earlier days of diabets control as I'm sure many of you will agree on!

Curious - how often do you test your basal rates (pumper or MDI)?  I have to admit - I blog about it "how to do it" - but have never really done a full night one before until having had difficulties the past month with low BG's since starting back on the pump after my break from George Michael.

I know that due to not having a Certified Diabetic Educator (CDE) or endocrinologist (endo)  to show/tell me how to do these sort of tests - I've pretty well had to go with what I read in books that others have recommended within the DOC (diabeties online community).  I have to admit - this time I was using Gary Scheiner's book I mentioned above instead of the John Walsh book - 'Pumping Insulin'.  I actually found Gary's book abit easier to understand - he writes more from the heart with being a Type 1 diabetic (T1D) like myself - and a pumper as well.  Both books though are very good - so they have many dog earred pages!

Picture courtesy of Fiction Writers Review
                                                 Picture courtesy of Fiction Writers Review

There's a few more tests I'm going to be doing over the next few months - to get more use out of my pumps programming (e.g. I have a feeling due to my sensitivity to my insulin - that perhaps my carb ratio is set too low - there are tests in both books that talk you thru' how to perform this).  The pump as some people think doesn't mean you'll have better control of your diabetes if you DON'T use it properly.  The same applies to multiple dosage injections (MDI).  You are the brains behind these devices we use - they can only help - if you know how to use them - along with help from your health care team (provided they are up on all the latest and greatest).

I know some of you may think it's dangerous for me to be doing this on my own - but sadly - not all of us have the resources / services available to us - and this is the only route we can go.  I would LOVE to be able to have a CDE or endo that understood the fine tuning of the pump - but alas - I've not lucked in as of yet.  A few years ago my GP had referred me to an endo here in Montreal that does research in the diabetes field and works with pump patients.  Sadly, when I saw her (Dr. Natasha Garfield) - she told me that my A1C of 5.9% at the time was dangerouosly low if she was to take me on as a patient.  I had hoped due to her having a team of CDE's trained in the pump area - that I'd be able to go to them for help when I needed it.  So, I walked away with my tail inbetween my legs and carried on the way I always do.

The Cat that Walked by Himself - by Rudyard Kipling
The Cat That Walked By Himself - by Rudyard Kipling - picture courtesy of  -http://www.mainlesson.com

So, this is why I do my own thing - and again - some of you maybe in the same boat as I am.  So far though, I seem to be on the right track - despite the little roller coaster ride from time to time that we all have with this disease!
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Posted: Oct 13, 2009

slug

Well, I've been having a fun time dealing with the dreaded menses (guys - you can stop reading if this doesn't interest you - but for us diabetic gals - it can play havoc in the control of our diabetes).  I can't remember if I had written about this before, too lazy to search back into my blogs to find out if I did, but if I did, here I go again.  For my latest "bout",  having the monthly dreaded has made me into a slug like you see above.  It just seems as I'm nearing closer to the age of menopause, that things are changing for me in how it affects me.  It never has before, and I used to go "poo poo" at women who would miss work because of how they felt.  Now I go back on how much of a workload they left me, with being out of the office, I know exactly how the feel!

Today, I signed up to a new GP, one that I hope to be with for many years to come.  I haven't had a GP in almost  15 years, let alone find one that takes on new patients, and the ones I've found here in Quebec, tend to not be proficient in English, this one is - hallelujah!  She seems quite satisfied with my handling of my diabetes, and didn't pressure me too much in seeing an endo that understands pumping, unlike my present endo.  He has always let me do what I want to do, which for now is fine for me.  I am fortunate that I take my health into my own hands, not everyone can do that, but it is good for me to have some medical advise when I've tried different ways of keeping myself alive and healthy with diabetes.

Anyway, back to the menses bit. Seems that now as I near that time of life, that my periods will be more like when I was a youngster.  Ohhh, I feel ready to leap thru' meadows with wild flowers again!  She advised me to take Advil to control the discomfort, which for the past 3 days has left me a quivering weakling.  I fought with all my will to not let it conquer me, and the wierdest thing was, my BG's remained below normal, which for me in the past, I've had to increase my insulin doseage due to hormonal imbalance.  Combined with low blood sugars, lack of energy, this was a new experience for me in the 41 years of my having diabetes!

So, with that bit of advise given to me. I know next time I will be able to cope better.  I'm still feeling like I've been hit by a truck as I'm typing this out to you.  Resisting the urge right now to go to take a nap.  I am a cruel one to my poor body sometimes, driving it past it's limit, but that is how I deal with little hiccups like this.  I fight back.  Not sure if this is to do with having diabetes, and not allowing it to take over my everyday life.  Hard to say.

Alright, my energy is just about zapped from doing this blog. Time to test the BG, find out what's going on, then rest in front of the telly for abit, catch up on Coronation Street!

 

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