Thursday, January 29, 2015

Conversations At the Gym

I went to the gym last night as I normally do and I was working out. I noticed when I walked in the gym there was a whole bunch of people who were given the tour of the gym and all the options available to them if they join. I noticed about three separate tours going on. I was on the elliptical at the time and a woman stops right next to my machine and just stares at Duchess. The employee leading the tour stops and the lady asks Is this dog here frequently. The employee responded that yes she is here frequently with me. He stated the company supports people with disabilities being able to workout at there facilities. I know the woman asked why I had a service dog and he stated her disability requires a service dog so they respect my need to have her. He also said the dog patches say medical alert dog. The woman seemed surprised by the employees answers.

The employee stated that they really enjoyed having Duchess in the gym and they felt that she caused not issues. They said they thought that anyone should be able to come and exercise and that they encourage people to stay active. I know I was surprised by the conversation and really appreciate spending my money at a gym that supports my right to exercise with Duchess there and also follows the law as well. I think we all need to exercise in one way or another and I really enjoy my time at the gym. I know I have had issues with a the man who was there with his wife. Thankfully I have had a no issues recently and even Duchess seems to enjoy our time at the gym. I bring special treats for alerts a the gym and I also give treats for following my commands. She also seems to enjoy it more than when we first started at the gym. I know it has been a learning experience for me.


Wednesday, January 28, 2015

Sticking with Routine

I went to the Dentist today for a cleaning. I know I will only have 3 cleanings this year verses the 4 I had last year. My teeth are looking great. My bones seems to have gotten better and my gums are completely normal. I am not sure why I started to lose bone in my teeth but now everything is looking great. I know I was worried that it was not healing up but it just took time. I am not the most patient person when it comes to issues at times. Thankfully I am getting better each time I see the Dentist and I will continue to see him two more times this year. I do not enjoy going to the dentist but I know that lapse of cleanings is why I have had to go back for this issue.

I know I learned my lesson I really need to keep up with my dental check ups just like all my other Diabetes related appointments. I know I have a bad habit if its not Diabetes related it can just wait but at times things should not wait. I know I am lucky I have a great dentist who has helped me get things back to the optimal place they need to be. I know I need to pay attention more to all areas of my health not just one part they all seem to come back and get you if you not paying attention.

So now I am just going through my normal routines of getting my teeth healthy by just keeping up my routine. I find that I am not doing anything complicated just flossing, mouthwash and brushing my teeth. Thankfully next year I will be down to two cleanings a year and back to old routine of two cleanings a year.

Tuesday, January 27, 2015

Article about Diabetic Eye's

I read a blog post this morning about " Are You Getting the Right Care For Your Diabetic Eye's" on A Sweet Life. I know my own personal journey with Diabetic Retinopathy was disastrous . I know I was told I had background Retinopathy but that was normal for the length of time I had Diabetes. The Dr. said he would see me in a year. They sit and wait for it to happen. They tell you there is nothing they can do.  I remember the day I go my first bleed in my eye. The first thing the nurse said to me you should have taken better care of yourself and you would not be here today. I told her to never say that to any Diabetic patient. I also mentioned that she should keep those thoughts to her self a truly professional nurse would never say that to a patient. Life for any Diabetic is not easy and mine has always been difficult. So today looking back on my journey with Diabetic Retinopathy has been a very difficult road.

I had all the tests they discussed in the article and most of the procedures are painful and archaic as they described. I know the whole process was difficult because they think all Diabetics have bad A1c's and high blood pressure because I have Diabetic Retinopathy. One thing I have learned is that they think we are all the same and fit a certain profile. Which I never have. I know I still fight with my Retina Specialist today he thinks I should be taking my blood pressure daily which is not necessary since I have never had high blood pressure.

I know that my situation has been rough from the start and I had to first my first Retina Specialist because he only wanted to operate when I did quite well with laser procedure instead. The Dr. did not follow standard procedures for using lasers. So I know my journey has been a very scary one but thankfully I fought and have overcome all the obstacles but one of the things I never got from any of my Dr.'s is compassion or understanding where I was coming from. Instead I got the opposite.



http://asweetlife.org/feature/are-you-getting-the-right-care-for-your-diabetic-eyes/

Monday, January 26, 2015

Wonky Highs and Lows

I know this past weekend my blood sugars were really wonky I know that on the weekends I tend to use more insulin at times and that I can expect my blood sugars to run a bit higher than normal. Which is not normally a bad thing. I however tried using a temp basal since it was runner slightly higher than my normal.

 So everything was fine at first but then I had a big drop down low. It took me several hours to reach above 80. Then next thing I was moving back up so I dosed a small amount then I was back to low again even with snacks. I ate lunch as normal and my routine was pretty typical but I could not figure out why I was constantly trying to move up quickly then drop even faster. I could not seem to find my groove. Sunday again was much the same.

Sunday I had more lows and less dramatic drops I could not figure what was spurring the low blood sugars on. I was not blousing too much insulin and my pump sites were fine. So I was not sure what was going. Thankfully today my blood sugars have been pretty normal and in fact less lows than usual I guess I got them taken care of over the weekend to an extent. I am not sure why but I know it made it difficult to get much done over the weekend when I was low for several hours.

I know it was a wonky weekend of changing blood sugars I know I am hoping that I am not catching anything. I know even though my weekend did not end up being what I wanted it to be I am just glad that none of the lows were bad and that it wasn't lasting all day. Those are some of those times I tend to get beyond frustrated. I know I plan on working on adjustments of my weekend rates because it looks like I need some. The funny thing is that I am at the lowest basal rate in the past seven years. I have a feeling that is related to working out regularly.

Friday, January 23, 2015

Sometimes Calling The Sales Representatives Help

I know everytime I have an issue with my pump or my CGM  I know it will mean several phone calls which normally end up with tech support blaming me for the issue. I know my recent issues with my CGM is not my fault and I have not done anything currently to cause the issues. Sadly when I change over to my new CGM the issues started. I know some of the issues have to do with the locations I have been using to an extent but things seem to be getting worse using an area I have not used in over half a year so I am now trying to get resolution to my issue in the most painless way possible. Normally with  the CGM I hear constantly from them that they think I am extending beyond 7 days on my sensor but I actually have been changing them out regularly so I was really upset that it became lets blame the customer and not look at how we can solve the problem. I have experienced this several times last year with my pump and CGM. I know when they are blaming me is because the issue is really complicated and they would prefer not to have to help me figure out the issue.

I know my nightmare with the skin issues from a while ago was several issues at once so I get how they would not want to solve the issues. I know I recently have gotten a phone call from Dexcom sale representative because he was assisting with the Animas Vibe order I had placed. So now I am off to call the sales represenative to help me get this resolved. In the past when I call the sales person who I bought the product from I tend to get the best results. So I am hoping that will happen now. I know dealing with insurance companies can be tough but so can the pump and CGM companies as well.

Thankfully I will be getting my new Animas Vibe with the Dexcom so hopefully that will help to eliminate some of the issues I have been having. I know I will have some things to learn each time you buy a pump there is differences and this time I am really looking forward to this.

Thursday, January 22, 2015

Slacking on My Responsiveness

Some days I do wonderful at responding to my Dexcom alerts but recently I have been really ho hum about it all. I have been ignoring alerts in the middle of the night because they have been wrong some of the time and then I just don't want to deal with I would rather sleep which I know is dangerous. I know just last night I put the Dexcom under my pillow so I could sleep. I woke up around 55 but sadly it looked like according to my graph it thought I was under 55 all night long which I am finding not to be true. I know I have not been happy with my current Dexcom replacement unit I received I am having more issues with accuracy with this verses my previous one. So that also makes my motivation to be less especially when I know it is wrong. The other day the Dexcom had three arrows up and it turned out my blood sugar was only moved up 10 points and stopped. I continually get my Dexcom when I eat saying I am moving up quickly when I am moving up slowly.

I have tried to move my Dexcom to different locations but same issue. So I am trying to get myself at least back to not ignoring my Dexcom and just dealing with it as it comes. I know my nights my Dexcom thinks I am low all night but most of the time I am low for brief periods not the whole night. For example it was saying I was in the 40's but I tested I was actually 57 so it was doing the low alert. I know I need to get more in gear but I know with dealing with the constant alerts it can be enough to drive anyone mad at times. So I know I need to get back to my normal more responsive routine.

I know I am waiting for my new Animas Vibe to be shipped and hope that gets me spurred back into my old routine. I don't in particular feel burnt out about my Diabetes or frustrated at this point. So I need to get back to paying more attention. I really I think I am intolerant of my CGM being off frequently. I know I am lucky to have Dexcom which is the best I have tried. I know I hated the Medtronic CGM and would waste my money again on such a bad product. My results were so far off most of the information it provided turned out to be incorrect. So I know I need to be more patient but it can be tough at times.

Tuesday, January 20, 2015

Resolving to Reduce the Stress

I have been feeling okay recently about things have had a couple higher blood sugars in the past couple of weeks but not too much to worry about. I am coming up on my Endocrinologist appointment on the 31st. So I thankfully notated on my calendar the date I need to get my lab work done for my up coming Endocrinologist appointment. I know twice last year I forgot to get blood work but got the blood work done the day of my appointment which was fine but I know they prefer to have that information prior to my appointment. I know I tend to get deficiencies in my vitamins and they normally prescribe prescription strength and they I am fine for a while. Normally the deficiency relate to my Celiac's disease. So I know I am not sure if it is going to show up again if it does its fine and if not that's great too.

So going into my appointment this year I am not as much worried about my Alc because it has not gone up in the past three years but I get so worried about it going up. I know as I prepare for my appointment I am doing some things differently. I am now going to be more flexible it is okay if it does go up because I am currently in the range I need to be and I have some flexibility so it is okay if life happens. I also know that getting myself all worked up before my appointment will only affect my blood sugars with more lows or highs which I don't really need. I also need to realize that just as long as I am prepared for my appointment it should be fine. I have a wonderful PA and Endocrinologist who I have to help me through the difficult situations. So I am hoping to get myself to not fret when I know they have never told me once I was a bad Diabetic but instead they tell me they wish all their patients worked as hard as I do. Its a very nice compliment. I appreciate them recognizing all my hard work.

I know as I approach my upcoming appointment I have a list of items I need refills for and information as to where I am changing who I order my pump supplies from. I am now ordering my sensors and pumps supplies from one company. I am also have a list of questions for my Dr. and how to handle the issues. I am also going to thank my PA because she refereed me to my current Dr. who help resolved my issues that I had been dealing with. Right now I would not be feeling as great without her referral. I know the Dr. was incredible and really helped me to decide what I needed to do for me. So I am almost ready for my appointment but I also feel so much better with my new goal for this year.




Friday, January 16, 2015

Looking at Foods

I have been looking at my food choices to help me reduce lows. I for example know that oatmeal when I eat it on the weekends tends to keep me level for quite a while while for example when I eat cereal spikes me up quickly then drops quickly. I know during the weekday mornings I am so busy rushing around getting oatmeal cooked would require me to get up earlier. I am one that I know I need sleep so I tend to try to get as much as possible. So I do granola bars with oatmeal they don't have the staying power that oatmeal does but there is not normally a large rise and fall. So I know I am trying to get healthier options but also convenient enough so I have time to eat it when I get to work or before I leave.  I know for example my choice of cereal was not a good choice for the day I had to go shopping after church. I normally was eating oatmeal but that day my dad was pushing us out the door so I could only grab something quick and I did not have my granola bars like I had at home.

I also know that I look for certain types of meals before I go to the gym. For example I do better when I have pasta and rice dishes verses just a sandwich. I know I looked at this previously but now I am trying to make a better effort to make sure I am following what I know. I know I am always looking at my information and I know I have been using it more and more but this year I am going to try and look more at the food choices that help me to keep lows away or least reduce them. So I am trying to continue to expand on what I know that works and also try new foods that might help as well. I know with using as much information as possible can only help. I know last year I felt stuck in and out of Diabetes burn out so I am feeling much better now so I am hoping I won't burn myself out by trying to work on my Diabetes. I also know last year tackling exercise with high intensity was not easy and I am still working on attempting to exercise with very little lows.

So I am off to trying new things this year and I know I accomplished so much last year hoping to keep myself a little less burned out as well. I know how to handle burnout but this time it seem to linger around much longer than I like to see.