Showing posts with label crisis avoided. Show all posts
Showing posts with label crisis avoided. Show all posts

Monday, September 21, 2015

Troubleshoot

Current location: bathroom floor of our hotel

Current time: 10:55pm

Last four BG's
  1. 7:57pm- 139
  2. 8:50pm- 180
  3. 10:34pm- 229
  4. 10:49pm- 230 *after a bottle of water
 Last meal's carb count? 106 carbs, 7 units of insulin administered.

Cause of high BG? Probably all the processed junk I've been eating on this trip and lack of physical activity due to sitting on my bum in the car.

Ketones? Negative.

Action being taken? Almost finished with my second bottle of water, retesting at 11:05 to see if my BG is still rising or if it's decided to cooperate and drop for me.

Future preventative measures? Lowering carb insulin ratio for lunch and dinner from 15/1 to 12/1, trying if at all possible not to eat as much junk tomorrow and maybe try to get some exercise in.

Why don't you take insulin? Because my endo recommended no insulin before bed right now.

****UPDATE****
BG at 11:05pm is now down to 205. Goodnight folks!

Friday, September 18, 2015

Lows

When I was first diagnosed I remember thinking, How am I supposed to know when I go low? 
Ah ha ah ha. That was a good joke. Lets talk about low symptoms here for a sec. Thoughts that run through my head during a low:

  • I am going to die of starvation
  • Holy smokes, these hot flashes though 
  • Legs, if you could work properly that'd be great 
  • Why is my tongue not coordinating with my brain?

One of my worst lows yet was only 58, I believe, but it was one of those, I need to sit down and recover kind of lows. Our youth were working hard to prep a meal for a fundraiser we were hosting, and I'd been so busy I hadn't caught my early symptoms (fatigue, shakiness). When I finally realized I was low, I corrected with some carbs (duh, what else would I correct with? :b) then had to sit down and take a breather.

Well tonight at work I'm preeetty sure I went low. I was bagging drive through which had been slammed for about two or more hours. I started feeling tired (normal side effect of working in general though), and my legs didn't seem to feel right. Then I started having difficulties concentrating (also not really unusual). I didn't really have time to check my sugar. One, because we were so busy and two, drive through bagging is kind of a coveted position and showing your manager your interested enough to stay put may give you more opportunities to bag later on. Oh the joys of fast food.

Back to the story. I felt like those cartoon characters with the devil on one shoulder and an angel on the other. The conversation may have went something like this, Devil: "Just drink the Dr Pepper! If you go low you'll pass out!" Angel (or rather, my mothers voice ringing inside my head): "You know you need to check your sugar first, what if your symptoms are all in your head? You could go high later! *GASP*".

Well I drank the Dr. Pepper with nothing to go off of except the fact that I felt like I was trying to go low. I started feeling better though, and I checked my BG as soon as there was a break in the monsoon of cars. 125. Shew! 
Whats your most prominent low symptoms? Have you ever corrected without a number? 

Thursday, September 17, 2015

Long Acting Insulin

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Lets talk about it for a moment, shall we? Lantus and I have never gotten along. From the first injection at the hospital, to last nights affair. Lets start with the hospital story first.

Well, actually, let me describe long acting insulin's purpose to those of you reading who don't know what it does. Long acting insulin does just as the name implies- it acts over long periods of time to maintain your blood sugar. It absorbs slowly as apposed to fast acting insulin (ex. Humalog or Novalog) which works quickly with your body's digestive system to process your food. Fast acting insulin is takin 4-6 times a day (any time you eat or need and extra insulin boost to bring down a high).You take long acting insulin at the same time every evening and it works throughout the next 24 hours to maintain your BG.

Back to the hospital: Very first injection of Lantus happens the night I am diagnosed. The nurse injects it into the back of my arm and it stings going in (which it is apparently not supposed to do, but all insulin stings going in this gal). 5 minutes later the injection site was still burning, along with welting, and itching. My first thought- Great, I'm allergic to insulin. We call the nurse in there to take a look at my lovely little welt, and she states she's never seen it do that before. She will call the doctor and let us know what to do. She comes back with an icepack and says that the doctor said its just skin sensitivity. So we hold ice on it until it feels better. It did this for days after. I finally bought an icepack and just always had it ready when I took Lantus. Eventually it stopped welting, so that was good.

That was my first experience with LAI (long acting insulin. Your welcome for my made up, unofficial abbreviation :b). I set an alarm on my phone that goes off every night at 10 pm, because I've found I'm not very good at remembering to take Lantus. It frequently gets forgotten, especially when my phone is dead or I go to bed early. Which is a story coming up here in a sec. Before we talk about early bedtimes though, I want to tell another story.

One night, about a month ago, ten o'clock came around and I COULD NOT find my Lantus pen. Like, freak out mode, OH MY WORD what did I do with it. The night before I had taken it at work. I often work a closing shift which puts me getting off around 10:30, if not later, so I take my insulin at work. Another privilege of the pump my friends: No more having to stop in the middle of stuff for Lantus. If only my pump would get here.. another story for another time.

So I cant find my Lantus. I'm freaking out. Of course that was my last pen I had in reserve, and we have no 24 hour pharmacies around us. We called my emergency endo number and the sweet endocrinologist on call at the hospital told me to check my BG every 3-4 hours and inject fast acting insulin according to my sliding scale: "And hopefully you won't get ketones" she adds. Lovely. It was going to be a looong night. Before I went into panic mode, I called work to see if anyone was still there and if they could look to see if my pen was anywhere around. Long story short, my Mom and I made an 11pm trip to CFA to grab my Lantus pen that a coworker had found under one of our coolers. Dumb Kelby. Apparently it fell out of my pocket. BUT, I took Lantus that night and the inevitable all-nighter stabbing catastrophe was avoided.

Now we are to the whole point of this post, with a surprisingly shorter story than those above. I had a headache last night, went to bed at 9pm and accidentally turned of my Lantus alarm in my sleep instead of hitting snooze. Woke up at 7am, realized I HAD NOT taken and Lantus, told my Mom who preceded to say my FULL name in exclamation followed by a, "Check your sugar now!". It was 99. Wow! Gods good, right? I took Lantus right after I checked my sugar, then made it through the day without any major highs or lows. Thank God.

Moral of the story: Lantus hates me. The End.