Friday, May 29, 2015

Off to the Endo I go

I've uploaded the last month's worth of CGM data from Rose.

I've printed a summary of that data. Complete with pretty colours, pie charts and graphs.

I've breathed a sigh of relief after seeing how lovely my average blood glucose stats were. I then proudly saddle up beside Doug to show him so he could express his delight (or at least make supportive sounds as I clicked through the pages of data).

I have my blood pressure log with detailed notes about each pre and post long-run blood pressure fiasco. I also have my blood pressure meter set out on the counter.

I have my list of questions ready.

It's that time again.

Endo appointment time.

Here's hoping it's a little more helpful than my diabetes centre appointment was a few weeks ago.

I'll let you know next week how the A1C turned out and what her thoughts are on the blood pressure drop accompanied by heart rate spike that keeps happening during long runs.



Thursday, May 28, 2015

Stand Up!

I sit a lot at my job.

Like a lot a lot.

Like, on days when I don't have to leave the building for a meeting, I can sit for 8 hours straight. The only reason I don't is that I drink a lot of water which means a lot of trips to refill the bottle and empty the tank. But, even then, I do a lot of sitting.

Which, as I've been reading a lot lately, is the new smoking. Or whatever. I don't think it's actually as bad a smoking but it's certainly bad for you.

I work at a computer so it's not exactly like I can strap my laptop around my neck and type standing up.

And it's not as though I can stand up, bend over my laptop and type and a half-crouch sort of position.

And it's not as if there are stand-up desks out there that I can purchase.

Omigod wait. What?!? There are stand up desks? Built just for laptops? That fit on top of a regular desk? And that can then can be adjusted to be used either sitting or standing.?

Guess who is getting one? It's being delivered next week, complete with a comfy foot mat thing to keep my feet happy while I'm upright. 

It is wrong that I am this excited at the thought of standing up? 

Because I really really am.

Wednesday, May 27, 2015

Should I?

Sometimes it's easy to weigh the pros and cons of medical choices we have to make.

Should I take insulin?

It's a synthetic hormone that, if taken at the wrong dose, can be lethal.

Well when you weigh that information against the knowledge that not taking insulin has a 100% chance of killing me, I'm all for it.

Bring on the insulin!

And thank you Doctors Banting and Best for giving me the choice.

Other health decisions are a little less cut and dry.

Should I take calcium?

Pros - it will help reduce the risk of bone density loss, something I am at high risk for and have already shown early signs of.

Cons - the are health risks associated with calcium supplements, include cardiovascular disease risks which, as someone with T1, I am also at risk for.

Should I take a low dose statin?

Pros - it will help reduce the risk of cardiovascular disease and stroke, things I am at risk for as a person with T1.

Cons - there are all sorts of side effects that come with taking statins including, I recently discovered, memory loss. For some reason that one I find particularly disturbing...but I can't remember why.

Should I take iron? Should I take digestive enzymes? Should I take vitamin D? Vitamin K? A multi-vitamin? Low-dose aspirin? A pill whose name I can no longer remember that is supposed to help protect my kidneys? Birth control?

All of the above have been prescribed or strongly recommended by a doctor at some point in my diabetes care. Some I have said yes to, many I have said no. All I have agonized over and still second guess as I pop open the daily pill bottles.

Despite all of the no's, I take three pills when I wake up, one with breakfast, one mid-day and one before bed.

I can only hope that they are doing more good than harm.

Tuesday, May 26, 2015

Operation Combo Bolus

Sunday was a rather bizarre day where everything ended up taking longer than it was supposed to take. We had a nice day but, by 6pm, we had only just arrived home and we were both too hot and tired to care much about cooking. 

We decided to order sushi but, after picking our favourite sushi items from our take out menu, we discovered that our favourite sushi restaurant was closed on Sundays. 

Plan B involved getting back in the car, still sweaty and sunscreen-covered, and driving to another sushi place downtown that was one of those all you can eat kinds. 

"You sure you want to do this?" Doug asked. "Sushi usually messes up your blood sugar". 

"Yes, I do want to do this" I replied "and I have a plan". 

The code name of this plan was Operation Combo Bolus and I was about to take it out for it's first dry run. 

I have been using an insulin pump for 6 years now and have known about the Combo Bolus since the beginning. Yet I have never used it. Not once. 

Why? 

Because it's always been described as a good tool for dealing with high fat high carb meals like pizza and I don't tend to eat too many of those types of meals. The concept makes sense - take insulin over an extended period of time so that it can work in harmony with the food that is digesting over a long period of time, avoiding post-meal highs hours after eating. 

I decided to try it for all you can eat sushi night. 

So we ordered our first few sushi rolls and I dialed in 6 units of insulin and a duration of one hour. 

Every five minutes I could hear the pump gears whirling as I received another small dose of the 6 units of insulin. 

I started my dinner with a blood sugar of about 7. We ended dinner and I was 8.0. We went home, did a few things, sat down to watch an episode of Bloodline and I continued to hover between 8.0-8.5. We went to bed three hours after finishing dinner and my blood sugar was holding steady. 

No extra insulin needed to combat skyrocketing blood sugars. 

No pre-bed snacks do deal with rage bolus-induced lows.

No midnight pump alarms ruining our sleep. 

Operation Combo Bolus was a resounding success. 

Monday, May 25, 2015

Back in the Saddle Again

Last week I took an unplanned blogging holiday.

I was still working my regular job. I was still doing my regular stuff. But, for some reason, I wasn't into blogging. So I didn't blog.

Perhaps it's because the week before had been D-Blog week and, as much as I love it, I'm usually pretty tired of writing by the end of it.

Perhaps it's because Doug and I are busily repainting all of the rooms in our house so evenings and weekends revolve around when we can squeeze in another wall, another handful of doors or some baseboards.

Whatever the reason, it was nice to have a break and just as nice to be back.

Since we last spent time together, I've managed to play in a Mixed Doubles golf tournament (my first golf tournament ever) as well as a Mixed Match Play game. Doug and I did not win the golf tournament (no shocker there) but we did end up with a respectable final score. We also managed to win our first Mixed Match Play game so we are off to play a second round...yet to be booked.

I took a deep breath and signed up to play Thursday golf with some of the more experienced ladies at my golf club. I played my first game with them, followed by wine and dinner, and loved it. I'm all signed up for this coming week and look forward to some very supportive yet challenging golf.

I also ran my last two long runs before my half marathon. A 20k run that turned into a 13.5k disaster thanks to a blood pressure/ear plugging nightmare and a 16k that was the perfect redemption run. I sailed through that one without a hitch.

I got back in the pool again and managed two 2k swims last week. My tendonitis flared a little bit afterwards but not enough to hinder my Sunday golf so I'm hopeful that my poor elbow has turned a corner and is on the path to a full recovery.

I was knocked down for a day with the stomach flu but the diabetes gods didn't seem to notice or perhaps they felt too bad for me to cause any mischief. Twenty-four hours after the first stomach twinge I was back to feeling great with hardly a high or low blood sugar to show for the ordeal. It felt almost too easy.

Other than that, I signed up on a whim for a local Spanish conversation group and will be attending my first meeting next week. I had been looking for a local French group to practice with but couldn't find one. Spanish works just as well since I'm just as rusty in that language as I am in my French.

Well that's my big news.

See y'all tomorrow

Saturday, May 16, 2015

D-Blog Week Day 6 - Favourites and Motivations

Today we were encouraged to go back into our blogging past and re-post something that we have written. A favourite sentence or blog post. Well, after years of blogging, I still think that the post I'm reposting today is my favourite. If you missed it the first time, enjoy.

Diabetes - What it's Like on the Inside

It's always the same and yet it's always different.

Sometimes it starts with a dry throat and a gentle headache right between my eyes. The kind that makes me squint a bit and brings out those frown lines that I get when I'm thinking hard about something.

Sometimes it starts with a yawn. And then another one. And then another one. I usually start slouching in my chair a bit or get up to make some tea in an effort to wake up.

Sometimes my elbows start to feel a little less bendy. Like the fluid in my joints is starting to solidify.

Sometimes I get a funny taste in my mouth.

Sometimes the symptoms stop there. Sometimes they get worse and my dry throat becomes a crushing thirst, my gentle headache starts to pound, my yawns flow into each other and my joints all begin to join the stiffening chorus. Sometimes my hands start to ache.

Sometimes I clue in quickly. Other times I don't.

I always clue in eventually and grab my glucometer - knowing I'm going to see 16+ on the screen.

Sometimes my lips and tongue start to tingle just a bit. The way they feel when the freezing is coming out after a trip to the dentist.

Sometimes my heart starts beating a little faster and feels like a fluttering bird in my chest.

Sometimes I start to yawn. And yawn. And yawn. I go make a cup of green tea in an effort to wake up a bit.

Sometimes my limbs start to feel light, like gravity was turned down a notch. I become a little more awkward and clumsy than usual.

Sometimes little things annoy me. Things that didn't annoy me even a minute before and things that don't normally annoy me...ever.

Sometimes I clue in quickly. Sometimes I don't.

When I don't, my lips and tongue start tingling a lot - to the point where I can hardly feel them. My heart beat gets crazier and I start to sweat. It comes on fast and furious at that point and I can easily sweat through a hoodie and a jacket as well as my jeans in minutes. The yawns progress to the point where I can hardly get a sentence out between them. The world starts to spin. I need to sit down.

What I really need to do is grab some juice.

Diabetes is a textbook disease made up of numbers. Dosages. Ratios. Units. Time.

Diabetes is often summarized on a piece a paper with pictures of people drinking water or looking pale and shaky. It comes with warnings that a person is in one of the two ends of the blood sugar spectrum and helpful suggestions about what to do.

Diabetes is all of those things. And it's none of those things.

Diabetes is the horror of waking up drenched in sweat and hardly able to reach the Dex 4s on your bedside table and wondering, through the haze, "what if I hadn't woken up?"

Diabetes is the fear of going back to sleep in case it happens again. And it's the feeling of isolation when you get to the pool the next morning, tired and shaken, and no one has any idea what you've been through and how scared you were...and how important it was to get up early anyway so diabetes doesn't win.

Diabetes is the horror of struggling to control a blood sugar of 25 with dose after dose of insulin and feeling that every minute you spend up in the clouds is another minute that diabetes is doing damage to your body. The only body you have. And diabetes is wondering if this high will be the high that puts me over the edge to the land of no return.

Diabetes is the fear of going low 1500m from shore during a triathlon swim and yet still getting in the water because the fear of letting diabetes dictate your life is greater than the fear of an open-water low.

Diabetes is squinting at the tiny air bubbles in your insulin tube, carefully priming to get them out, and then wondering if anyone will do that for you if your eyesight fails and you are no longer able to do that for yourself one day.

Diabetes is listening to people talk about other people with diabetes and all the horrible things happening to them...and refusing to let that stop you from trying to be healthy even though it's just so easy to give up and hand diabetes the reigns.

Diabetes is about doing the same thing, day after day after day, knowing it's only going to work half the time.

Diabetes is about finding a way to be proud of the fact that you test your blood sugar in public and have tubes coming out of you as you walk around the change room after your swim. Because the alternative is hiding and that's not an alternative you're willing to entertain.

Diabetes is all numbers and ratios and signs and symptoms on the outside.

On the inside, it's a never-ending battle between fear and courage. Between motivation and depression. Between the will to fight and the urge to throw in the towel.

Sometimes I'm the one on the left. Sometimes I'm the one on the right. 
Depends on the day. 

Friday, May 15, 2015

D-Blog Week Day 5 - Foods on Friday

Today is all about food. Specifically the food I ate yesterday. So y'all are getting a glimpse into a day in the life of CĂ©line's stomach.

5:30am
I'm up and ready to run. My blood sugar was 4.6 so I ate two dates. Two fresh, plump, delicious medjool dates.

7:00am
Run done and breakfast is warmed up and ready for eatin'. My favourite breakfast these days is steel cut oats (cooked ahead of time and then put in the fridge in one-serving batches for easy heating). I warm them up with some almond milk (plain, unsweetened and fortified). Once heated, I toss it all into a bowl that already has 1/3 of a cup of All Bran buds ready and waiting. I stir it all together and then top with 1/2  of a banana (sliced), 3/4 cup of plain greek yogurt, 6 walnut halves broken up into bits and, when we have them, some berries on top. Yesterday there were several blackberries and raspberries adding some zip and colour.

12:30pm
Lunch time! I didn't eat anything between breakfast and lunch because a) my blood sugar was well-behaved and b) I was in meetings and it wasn't easy to snack. Lunch was leftover greek chicken salad (chicken, cucumbers, tomatoes, olives, feta cheese, lemon juice and olive oil) topped with an avocado. I followed that up with 1 cup of kefir (delicious) and a small green apple.

3:00pm
Peanut butter chocolate chip Larabar (I was golfing at 4:30pm so this was my pre-golf snack)

6:45pm
9 holes of golf done and I was eating dinner at the golf course with the ladies I golf with on Thursdays. Dinner was the Urban Sombrero salad with flank steak on top. The salad is made up of quinoa, black beans, veggies and cilantro with a chipotle orange dressing. Topped with a few pieces of avocado. Oh, and a 9 oz. glass of red wine.

8:00pm
Home and settled in for another episode of Bloodline on Netflix. A frozen yogurt bar (chocolate fudge flavour) kept me company.

10:00pm
Rose buzzed. I was dropping. Two fig newtons later I was topped up and heading back to sleep.

And that, my friends, is what this T1osaur ate yesterday.