Blog Entries With Tag: dsma


Posted: Nov 2, 2013

Well, here's my entry for today's topic of CHECK -  for more of the topics for each day this month during National Diabetes Awareness Month or NDAM - see Kerri Sparling's link for all the details (e.g. use the hash tag of #dmpad in your posts in various areas the DOC (Diabetes Online Community) post in)

UPDATE for my posts/pictures - they are going to be scattered due to amount of time I have on my hands - it all depends on my story behind the picture (I like to sometimes put explicit details in my picture posts LOL). Diabetes1.org won't allow me to use the hyperlinks for Twitter/Facebook/G+ - but just search for me under FatCatAnna you will ALWAYS be able to find my contributions at these places if it's not posted here at this website! 

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I woke up with a low blood sugar (#BGnow) this morning - this was even after PIGGING out on some of the leftover candy bars we had from Halloween (so much for buying a large box of chocolates - when only 10 Trick or Treaters came by on Halloween).

I am terrible when I'm around sweet things - I swear - REALLY I DO - they talk to me.  I cannot resist them.  I do justify the amount of insulin to eat them - but with my latest weight issue - hmmm - not good.

Here's my blood sugar 4 hours later (10.1 mmol/l or 180 mg/dl) - I hadn't given any insulin coverage (bolus - for meals - my basal insulin still does it' job in the background on my pump) - so not bad for what I'd nibbled on for breakfast ...

NB:  DH has now hidden the chocolate bars safely away from me - even if I'm foaming at the mouth angry/spitting/screaming - unless he feels I should have one - he is to resist my pleas for CANDY!!!  I am not the Tazmanian devil (the picture below is what was on my door Halloween night).

Also, you can find my entry for Day 1 - PAST - at this link - and it's abit of a shocker (it was for me) - a hint - my A1C number back in '94.

Taz screaming I WANT MY CANDY (really - I'm not THAT bad - or am I?)

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In a slump and scared  |  Jenna and The Hypo Fairy  |  Questioned by my pharmacist on my insulin regime  |  My First Night with Dexcom G4 CGMS  |  Dreamfields Pasta  |  Are you really hypo unaware?  |  The Brain Battle  |  NO DELIVERY  |  D4D dogs that can smell a low blood sugar  |  Am so excited!
Posted: Apr 12, 2012


My morning blood sugars (BG) lately haven't been making me happy.  It's probably due to many factors in my life right now - hormonal changes due to perimenopause, weight gain due to probably the happy pills that I'll soon be weaning myself off (with my doctors blessing of course - never EVER just suddenly go off of them like a friend of mine did last month - they've turned into a bit of a fruit cake in my books - and usually I love fruit cake).


So, yesterday I decided, enough is enough.  Have to do the basal test overnight - which means - having a good BG to start off with before proceeding with it - not having given any insulin within the last 5 hours prior to starting the test.  Along with every 1-2 hour - you wake up to test your BG to see how the basal rate is doing that you currently use (this works for both MDI (multile dosage injections) and folks who can afford the fancy gadget of an insulin pump.  I'm a pumper, for now, until it dies as I no longer have a warranty on my pump, and cannot afford to shell oout $8K for a brand new one.

So, here I am, all set to go, have read up on how to do it in ten easy steps from John Walsh's book - Pumping Insulin - and I hit a brick wall.  I had just taken insulin for my evening coffee earlier as well as a correction (was 7.2 mmol/l / 130 mg/dl at the time).  Well, as I'm about to start the test and my BG is in the "good range" (not over 8.0 mmol/l / 144 mg/dl) - I realise that darn bolus a few hours has now cancelled my plans - as you have to be free of residual insulin in your body for 5 hours to do the test.  SCREAM!!!!  The one free day where if I have to lose sleep due to the basal test is now not possible.

Instead, what did I do you are asking?  Since I am getting fed up with waking to 10 mmol/l / 180 mg/dl plus highs in the morning.  I skimmed through a few more pages of John Walsh's book - and decided to bite the bullet - and raise my overnight basal rate by 10%.  He suggests 5% - but due to my laziness - and not wanting to go into the few settings I have set up for overnight basals and change them manually (I have a total of six different basal settings believe it or not) - I just decided to wing it like I usually do and set a temporary basal on George Michael and had to start off at 10% as he doesn't allow anything lower then that.  The good thing is that I did wake up this morning with a reading of 4.5 mmol/l / 81 mg/dl.

You have to remember, I'm self taught on how to use my pump - with only a 4 hour training course in the Fall of 2008 - where the CDE said - "you know how to do it since you've been doing the same thing with MDI".  Great - I'm a wanna be CDE - NOT - but at this point in time - I wish the endo that I saw last year would have taken me on as her patient.  She understood insulin pumping unlike my current endo who just sees me for my A1C and info that I give to him in the diabetes area due to the work I do.  This endo had a team that you can call up - instead of seeing her in person via a long awaited appointment (it took 6 months to see her).  She said she wouldn't take me as a new patient - since I'm in such good control (though at the time she said my A1C of 6% was dangerously low - that comment from her made me wonder about her at the time). So, it's just me, myself and Irene and the rest of the D-OC (diabetic online community) that I go to for advise - which really - isn't that bad - but sometimes it would be nice to have a doctor who understood insulin pumping.

So, now, after licking my lips and consuming a frozen Michelina's dinner (I was having a low - maybe due to the basal change - who knows?).  I am silently feeling guilty at the 48 grams of carbs this small frozen dinner (Parmesan Bacon Linguine).  I never eat that many carbs in one sitting - and it's only lunch time!!  So, now is the time I would love to post some things about feeling guilty - since that was the topic of the DSMA discussion last night on Twitter! LOL

Alright, off to test my BG - see where I stand (my pump prior to eating said not to bolus due to low BG reading).  I will do my best to correct the spike(s) that maybe occurring with this guilty meal I consumed (and thankfully - there are no more frozen meals in the freezer - where this one came from - I'll never know - but it was there - pleading with me to eat it).

Basal testing, carb ratio, insulin on board, low blood sugars .... all these things that "normal" folks don't have to think about when they have a functioning pancreas that didn't decide to pack it's bag for a long holiday 45 years ago - without filling me in on the details of what blow up water floaty to pack in my bag - so I could join them!!!

Ahhh the roller coaster ride of diabetes!
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Posted: Oct 18, 2011
President Jean Claude Mbanya from the International Diabetes Federation (IDF) is calling the world via video to go BLUE for diabetes on the 14th of  November which is World Diabetes Day (WDD).  This day was created by IDF 20 years ago to bring awareness to the global epidemic of diabetes that is hitting our big blue marble.  Many of us don't just bring awareness on this day but all year round wear the blue circle pin that was created in 2006 to become the global symbol for diabetes.

To top it all off, Cherise Shockley from the Diabetes Social Media Advocacy (DSMA) and a few members of the D-OC (diabetic online community) have put together a fantastic video asking to not just wear blue on WDD - but for the month of November to wear blue EVERY Friday.  You can check out this great video at this link to get motivated to join in with us all!

The great thing for me? I love to wear blue!!!





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Posted: Nov 30, 2010

I was one of the many bloggers asked to post a guest blog at the DSMA (Diabetes Social Media Advocacy) website during the month of November.  You can read some of the great discussion that followed there after my post. 

 

Being a Type I diabetic and/or having a Type I child can be extremely demanding, both mentally and physically.  I never really thought about this before joining up to DOC’s (diabetic online communities). I didn’t realize that others were in the same boat - I basically dealt with my diabetes on my own, and it’s been a roller coaster ride.  Yes, I do have an endocrinologist that I see every 6 months, but all he is concerned about is my A1C reading.  Sometimes we’ll discuss the ongoing research that has come across my desktop, but basically, he feels I do a good job managing my diabetes, and leaves me to it.  That’s where the DOC has played an important role in my life, as it has for many other diabetics around our big blue marble.  I can talk about the day-to-day issues, the ones we all have to live with.

The ability to adapt to this chronic disease is really a testament to the human spirit and our ability to adapt to difficult situations.  However, as we adapt I think we can lose some of our perspective.  I have read in blogs and/or forums where diabetics are struggling with issues and looking for help.  The responses they get from other diabetics are sometimes so self-righteous and insensitive that they are downright hurtful, and honestly sometimes have made me want to no longer be involved in the DOC.   Because we are all so different (e.g. age, metabolism, activity level, and other medical issues), the level of difficulty in maintaining ones diabetes varies from individual to individual.  When a parent writes that they are struggling with their child’s diabetes, do we step back and consider that they may be a stressed out single parent who work long hours to support their family?  Or perhaps that active child may have other health issues impacting their overall diabetes care?  If you have near perfect control but do not exercise and/or maintain an active lifestyle, you may think we have it all figured out!  The question that goes through my head at that point …  

Are you really doing what is best for your overall health, and how can I or someone else judge you? “ 

One specific subject that really bothers me, is when someone blogs about pump related problems; they are either immediately dismissed as to not knowing what they are doing - “go read the manual you dummy, I don’t have this problem!”  or “it’s a one in a million chance” and “it can’t happen to me” type of response.   That is BS as far as I’m concerned – especially with some of the emails I’ve received in confidence ever since I blogged and opened up forum discussions about the pump and Stephen Krueger at Diabetes1.org and a few at Tudiabetes.  Stephen's insulin pump primed the whole contents of his insulin cartridge into his body while he was sleeping, resulting in his untimely death.   

We have to realize that  insulin pumps do malfunction, perhaps more often then we are willing to admit.  Earlier in the Springtime the FDA called a meeting to discuss the numerous reported problems with insulin pumps – and since then – the ball has started to roll (more information can found at this link.  I understand the desire to not want to confront this issue, but it is ultimately better for all of us to take each story seriously, to encourage those that may have had a bad experience to come forward, and to hold the manufacturer’s accountable.  

Yes, we all do dumb things sometimes, and unfortunately diabetes is not very forgiving when this happens.  Let’s have some empathy towards our fellow humans who are impacted by this disease, and always show our civility when we are in forums or responding to a heart-felt blogger.  We are bigger than this disease, and lets help each other beat it!

 

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Posted: Jul 21, 2010

If you are not doing anything around 21h00 EST (9:00 p.m.) on a Wednesday night then come on out and chat up a storm with other PWD's (people with diabetes) in the D-OC (diabetic online community).  I've personally never taken part in something like this before (not big on chat rooms) - so for me - it's going to be an interesting experience!  Tonight will be the premiere night (no glamourous outfits required) - and it will only take up 1 hour  of your time.

Cherise Shockley who posts here at Diabetes1.org from time to time (she's a busy lady) who also has her own blog page at Diabetes Daily thought of this idea when lurking around a similar chat session on Twitter on Sunday evenings with Dana Lewis .

To read more on how to partake in this weekly event - check out Karen (aka Bitter-Sweet) blog - she has interviewed Cherise on "how to participate" following a few simple steps ( http://bittersweet-karen.blogspot.com/2010/07/chatting-about-diabetes.html?spref=tw ). 

Hope to see you there tonight - we'll all be sitting around a BIG round table (with a mug of coffee or your choice of beverage) and looking foward to your thoughts!  
I'm now one step ahead and already following DiabetesSocMed so I can participate in the gab hour session.  Flexing the fingertips in preparation!

UPDATE:  Fifteen minutes to go for the 1st Wednesday session of #dsma (Diabetes Social Media Advocacy) - didn't know about this - now I do - and am passing it onto you/vous - just go to the following link and you'll be in with the rest of us Twitty Birds - http://tweetchat.com/room/dsma

Photo by ZigZagCat at Photobucket
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