Blog Entries With Tag: hypo


Posted: Jul 21, 2015

It’s rare for me to compose a #dblog that is not all “chirpy chirpy” … I think the last time I did one that was kind of down was at Diabetes1.org  and sleep apnea testing.  Sleep really is vital to everyone, diabetic or not … without a good sleep … well … we become exhausted, depressed, need I say more?

So, here’s the jist. 

  • Been in our new home now for close to a month.  Yippee!!!  Searching for new team of doctors is a job in itself.   
  • Trying to figure out where to shop that isn’t all “meat and potatoes” food (the grocery stores I’m used to that are more Middle Eastern are so far not to be found here)  … yippee … sigh. 
  • Realising the street you moved on is a major artery when you were told otherwise by real estate agent who sold you the property … sigh (so far my explorer cat has survived not getting hit … very scary).  
  • Trying to motivate your DH to unpack with the limited time they have at home due to their work schedule … having lived with limited things since putting our previous house on the market back in March … it’s getting old. 
  • This promise of a new beginning, yadda, yadda, yadda, in the land of insulin pumping program (ADP) … isn’t all it’s built up to be.

Basically, I miss Montreal … my home for the past 26 years (that the new owners just LOVE …. Urrhhh …. why did we make our house so cute).

The biggest thing that is hitting me for the past few months though is that finally I can admit that diabetes is bringing me down.  I rarely will admit that, and am all smiles (damn they create wrinkles around the eyes … and I’m already feeling like I’ve aged 20 years in the past few months with stress).

My basal rate is almost down to ½ of what it used to be … and still needing to be tweaked.  Why I’m become even more insulin sensitive is making no sense at all with the extra hormonal issues I’ve been experiencing that were making life the opposite.  Has my body gotten used to them?

With the use of the Dexcom CGMS … I am now at least getting a better vision of where to tweak things … but what has finally dawned on me lately is … is with my basal portion of my insulin coverage pretty well covered (I mean … .450 / hr seems to be my average hourly rate) it maybe lowered if I continue in this hypo fairy land I seem to exist day in day out.

limp noodle joke

As we all know, hypos are exhausting, they leave you like a limp noodle, and the things you have set out to do that most people take for granted … get in car, drive to store, do your shopping … get on bicycle, go for a cycle, get active … go for walk … yadda, yadda, yadda.  I think you get the drift.  To do these simple tasks lately, I’m not able to do them.  It’s bringing me down to the point where I had a friend force me OUT OF MY HOUSE, to go out for a trip with her (searching for green bacon along HWY 2 of eastern Ontario). That did help, but sadly, getting behind the wheel, even with my Dexcom alarm set at 4 (72) … is not much help.  I am crashing in the blood sugar area … and luckily it’s not behind the wheel.

So, what dawned on me lately is that my other ratios I have been using are wrong for insulin coverage.  I’ve upped my I:C (insulin to carb) ratio … and giving it a test … I see a few times where it will have to be upped more.  Just like our basal rates are different from hour to hour on a pump … and this is where a pump is VERY handy.  You’re sort of stuck with MDI (Multiple Dose Injections) … once injected … you are the insulin slave.

cat at the wheel

My other fear?  Tomorrow, I am going to visit my family that I haven’t seen since last year.  I’m driving alone which I never used to feel.  It’s not far, but it’s that background fear of going low.   So my CGMS alarm for going low is set abit higher for that drive (I usually have it at 4/72 … for driving I put it to 5/90 … to allow for any variance in the blood meter verification test).  I did this last week when driving back to Quebec to have the Ontario MOT form filled out by my endo to certify me that I’m insane … JOKING … that I can drive a vehicle in Ontario safely.   The form from Ontario really goes into hypo unawareness unlike the form my endo filled out for the province of Quebec last year for me.  This all stems from Allan Makii, a T1D  who caused a TRIPLE fatal crash while driving with a low blood sugar back in 2009.  

 comic look at unpacking

So, as I post this blog, and I’ve missed posting them lately, but life has been whacky as you’ve seen … wish me luck … on sorting out my insulin requirements … getting my new home organised with help from my DH when he’s home … and trying to get out of what I think is one of the worst depression bouts I’ve ever had. 

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Tags: Ontario (1) Quebec (1) dexcom (1) unawareness (1) hypo (1) sleep (1) driving (1) MOT (1) insulin (1) cgms (1) depression (1) moving (1)
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Posted: Dec 24, 2014

As I suspected, the basal settings that I’ve got overnight on my insulin pump Ziggy are a wee bit too much.  A month ago, Animas Canada sent a CDE over to see me (also a pump wearer) – to go over my settings in my pump program as I was having issues with high blood sugars with menopause.

Psst - if you want to see a full size of above to see descriptions - go to this link - sorry Diabetes1.org doesn't allow me to load up larger pics

I actually didn’t get going on the pump until about 3 weeks after seeing her, when I decided to get off MDI (I go back / forth between pumping and MDI).  After 2 weeks of battling lows at night, tweaking basal settings, I lucked in on getting the DEXCOM G4 (see my day before blog on this).

As I went to bed last night, I started seeing the trend going down and put the pump into temporary basal setting.  A few hours later, alarms started,  (freaking out the cat under the sheets – she likes to cuddle up to me at night) – DH … slept right thru’ like a baby (which is usual <lol>).  At that point, because I’m a smart kitty kat, I “lowered” my basal setting abit more.

Little did I know, in my hypo state, I was actually INCREASING!!!

So, here I was dipping in the upper 2ish mmol/l (40 mg/dl) range and thinking – “wow – this is the greatest things since sliced bread” and “no wonder I’ve been tired so much lately, I’ve been sleeping through all of these lows that are alarming”.

Come 0600, with alarming / vibrations almost every ½ hour … I decided in my infinite wisdom to lower the temporary basal setting ….  and when I looked at the history of the basal’s … BING … I’d increased instead of lowered.

Scary stuff – lesson learnt – that sometimes the Hypo Fairy makes me a dumb diabetic – who doesn’t think before they press buttons. 

Overall though, I think this will be a useful tool for me.  If only this tool was available to every diabetic that wants it or even better, if your diabetic clinic/endo could loan you one at a lower cost than what a personal one costs.  I would splash out the cash, with the hopes that insurance might cover part of it.

Sadly, when asking the endo at the Lakeshore hospital that I went to for pre-op earlier iin November – if this was available … no (and neither is Diasend for them to see how you are doing).  The same applies to my other two doctors I see for health concerns.

On the bright side of all this, the Animas CDE has told me of a new young doctor, in my neck of the woods of Montreal that is seeking insulin pump clients.  She said I’d be a good patient to help him learn the ropes, while he’s training with Animas Canada.  I sort of like that idea, and the fact I’ll finally have a doctor that will get what I’m saying when I talk about my insulin pump.

Things are looking good for the New Year for … Ziggy … Stardust … and _______________ fill in blank for name of Dexcom D4 (if you can think of a neat name – let me know).

So, now I’m going to slink away from the desktop, get cracking on my visitors arriving today (ehgads the house is a mess), and I’ll see you all in the New Year (have promised myself and visitors I will not work during the holidays … easier said than done, but I’ll try my best).

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Tags: blood (2) hypo (1) trend (1) BG (1) sugar (1) pump (1) T1D (1) diabetes (1) insulin (1) CGMS (1) Dexcom (1) Animas (1)
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Posted: Jul 28, 2014

This past weekend we finally got the Mum of Jenna who our sailboat Jenna’s Journey (a Catalina 30) is named after onboard.  It's been something we've been planning for awhile, but with my friend losing her DH to cancer only a few years after Jenna, it's been a very difficult time for her.  Jenna, sadly died at the age of 17 after battling a form of cancer called aveaolor Rhabdomyoscarcoma .  Jenna lives on through our sailboat – she will never be forgotten.  And she looked over the two newbie sailors, her Mum and her boyfriend Billy, as we heeled over gently at 15 degrees in winds of 10-15 knots.  It was a great weekend of reliving memories of Jenna and the weather held out for us to perfection. 

Of course, preparing for visitors, especially the MUM of Jenna was nerve wracking.  I wanted this to be perfect for my friend of 25+ years.  So, between working during the week and trying to get things ready food wise, that would suit both “normal” people and myself as a diabetic.  It was abit of a challenge.

So of course, the Hypo Fairy came to visit me quite abit last week (and from other FB postings during the week – I was not alone – warm weather just makes our insulin work much better).  All I can say is THANK GOODNESS for Michael George aka my Animas 2020 insulin pump.  I was able to SUSPEND his delivery at times that we’re not convenient for me (e.g. going out for a quick grocery run WITHOUT any fast acting sugar … bad bad bad – even worse – not #BGNow meter – but I know when I’m going low / high still at least).  Also, with being able to lower your basal insulin, compared to my usual MDI (multiple dose injections) is VERY handy.

Artwork courtesy of http://marasop.deviantart.com/

So, Friday rolls around, we are off to Jenna’s Journey.  Both my DH and I are trying to finish up work abit earlier (didn’t happen) – and then try to make sure the furball children are all settled in for a few days alone (I know – they’re cats – but still …. ).  Again, that day, the Hypo Fairy decides to play games with me earlier in the day.  We hit the road, for the 70 minute drive to where we keep our sailboat and then I realise my lips aren’t tingling because of the wind hitting my face (driving with the top down on the car).  And what seems to be a normal with diabetics that I've met over the years - I get an unusual hunger pang.  

I don’t like to broadcast to the world I’m having a low #BGNow .  So of course, the Tim Horton’s server is all chatty and so am I.  Meanwhile, my eyes start to go blinky, blinky and I’m trying to control my jerks/twitches (like I have Tourette’s Syndrome) and at that moment I think … “Why am I such a polite person in a mini-me crisis?”   When all I want to do is SCREAM out …

“Give me my Fing donut NOW”. 

If I had TS as my DH told me later, that’s probably how it would come out – and save me some time in getting what I need … NOW!

So I enhale my donut (below is EXACTLY what I had) - along with a coffee - and there goes my chance of ever shedding the 20 lbs I'm attempting to lose on my goal to one day being 40 lbs lighter. Urrhhh.  

Strawberry Shortcake Donut

The nice thing – it worked out fine – though I battled with the Hypo Fairy over the next few days with people who don’t really understand diabetes (e.g. “How often do you have to use your insulin pump?” or  “Where’s my food?” … this coming from the nondiabetic person whose NOT having a visit by the Hypo Fairy with a 2.2 /40 #BGNow  ).

As most of us do with people who don’t understand Type 1 diabetes – we are forever trying our best to educate them – and maybe one day – they’ll get it.

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Tags: cancer (1) coffee (1) donut (1) suspension (1) pump (1) insulin (1) bgnow (1) low (1) hypo (1) sailboat (1)
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Posted: Feb 23, 2014

I was just about to post on my Facebook page with a follow up to my  sweaty dripping wakeup call at 0202 (see below) – then thought – ahhh heck – why not post another entertaining #dblog –

As I dealt with a #BGnow of 1.8/30 in the wee hours of the morning - and scooped into an imitator Nutella - I came across this great site. I now have more info into the pros/cons of hazelnut chocolate spreads (shoulda gone for the PB route after eating sweet stuff to bring myself out of this low). Back to testing again - to see if I can lay my head down to sleep for a few more zzzzz's before getting up for work (and hockey game - go Sweden - go Canada)

I decided that “what the heck” - LIFE IS GOOD – Canada won against Sweden (now – tell me – who did NOT get up early today – even out in the western sector of Canada – that is 12 hours behind – THEY WERE UP!!) #goCanadago

Canadians win Gold in hockey

On top of it all – despite how some of you may react to this ... my #BGnow reading – taken AFTER the hockey game ended (who has time to test???) – had spiked all to heck at *** 17.4 / 313 *** with my inhaling of the hazelnut spread - lick lick lick (inferior to the one I’d bought from Cedar last year by a long shot – which lead me to the original post on Facebook with reading the #blog from veggirlrd.com ).  Have ou ever seen those huge jars of Nutella at Costco?  Have you ever bought one yourself? LOL
 
Chemistry Cat
 
Wait - I'm getting off track here (nuts do this to you - excitement of hockey game win) ....  maybe my #BGnow went up as I was actually playing the hockey game alongside the team members??  Ya know what can happen when we do exercise – and how our #BGnow spikes up ( you can view ongoing discussion here at Diabetes1.org on that subject )

The conclusion to this post is - with the use of insulin – lovely rapid stuff we have available today – as a professional human dart board (back to using the i-port again and sometimes bad diabetic when having a hypo and goes overboard with correcting) – I am now happily coming down to regular programming with #BGnow – along with having had an espresso with a bit of cream in it.

LIFE IS GOOD (it all depends on how you lick LOOK at it!!!)

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Tags: hypo (1) Canada (1) Nutella (1) insulin (1) hockey (1) Olympics (1) low (1) blood sugar (1) bgnow (1)
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Related posts:

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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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Tags: check (2) Halloween (1) chocolate (1) low (1) hypo (1) candy (1) bgnow (1) doc (1) dsma (1) ndam (1)
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Related posts:

Are you really hypo unaware?  |  The Brain Battle  |  Revina Garcia: Diabetic Handcuffed, Dumped On Pavement By Police  |  Riding thru' the mountains of the Adirondacks  |  King Tut and his diabetic owner Marilyn Pharo  |  My shocking endo appointment  |  Brownie in a Mug (FatCatAnna Style)  |  Questioned by my pharmacist on my insulin regime  |  World Diabetes Day - Wear BLUE!  |  A birthday treat gone evil ...
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