Tuesday, May 11, 2010

Making the Low Go...

When I was first diagnosed, my mom made a little pouch for me to hold a pack of lifesavers. She would pin the pouch into all my pants and shorts. As I became more daring, I would take a couple lifesavers each day. My mom would ask why I ate 2 or 3 lifesavers and I would say, “because I had a little reaction.” (this mostly happened when she stocked my pouch with butter rum lifesavers. Or when I could sneak a little peak through the end of a regular pack and see that the white one was on the end. Then I would always eat that one) Honestly, how could I ever really know when I was low. Urine testing wasn’t accurate and that was the only reference I had. I said that I felt low, and my parents treated me. They didn't have me run to the bathroom to do a urine test. (since it wouldn't give good information anyway!) I might have been low my entire childhood. No wonder my grades were never very good. I was probably hypoglycemic (or hyperglycemic) through a good part of elementary school. :-)

When I was a kid, I used to love using regular pop for a low. As a child, the only diet pop available were Tab, Fresca, and Diet 7up. I used to stand in the convenience store oogling over the choices of regular pop. Oh, how I longed to have a swig of Tahitian Treat or Orange Crush. As a kid, my mom used to let me have some pop to treat a low.

I’m pretty boring when it comes to treating lows now. I guess the boring part comes from figuring out what works best, and sticking to it.

If I’m low in the middle of the night, or early morning, I drink Juicy Juice small apple juice boxes. Depending on the number, I might have a packet of GU energy gel too. Don’t get me wrong... I have no intention of expending energy in the middle of the night. I use that because it’s simple and easy to eat. Just rip open the package, squeeze the contents in my mouth, done.

Dixie carries GU packets in her vest. When I first got Dixie, I tried a couple different items in her vest. Most things ended up melting or being too bulky for her to lay on. GU smooshes flat and I can keep a couple packets in her vest. I use GU when I need something quick during the day.

At school, I keep juice boxes, GU, gatorade, and fruit snacks. I use different combinations of the three things depending on my number, time since/until a meal, and how much time I have to treat.

I try to avoid eating for lows whenever possible. Dixie helps with that. She will often alert to tell me that I have too much insulin on board. (because of some wild a-- bolus or guessing at carb counts for mixed foods) When that happens, I have figured out how much/how long to turn my basal rate down. When Dixie alerts and I’m in the 70s, I will usually not eat, I’ll just turn my basal off for a half hour. I use Gatorade or Powerade sometimes when I just need “a little something.” (for an alert from Dixie in the high 60s, I can take a couple swigs of Gatorade, turn my rate off for an hour, and coast)

Those are my preferred low strategies. Thanks to Dixie, I can make more subtle adjustments to my basal rate to anticipate or prevent a low.

Monday, May 10, 2010

One day at a time

8:30 am - no alarm set today because it’s Saturday. A black paw hits at my arm, which is hanging off of the side of the bed. I reach over and pet her head, then roll over. Now a black paw is hitting me on the back. All right. I reach over on the table and grab my tester. Load it up with a strip and poke. Countdown, then a number appears in the screen. 56. I open a straw wrapper and push it in the juice box. The black dog sighs and leaves the room. I drink the juice and then fall back to sleep.

9:55 am - I wake up. Stretch. Get out of bed. The black dog is happy that I’m finally awake. Check blood sugar. Happy that I had the whole juice box earlier because blood sugar is still a little low. (78) Have a piece of toast. Bolus for 15 grams of carb with correction for 78.

10:30 am - Disconnect pump and hit the shower. After, dry off and then reconnect. It was a short shower so I didn’t use the disconnect feature to cover the missed basal rate.

10:45 am - Check blood sugar to check that I gave right amount for toast.

1:00 pm - Time for lunch. Check blood sugar and bolus for carbs.

2:15pm- Black dog starts hitting me with her paw. I check. Blood sugar is 135. I check Insulin on board. Shoot. I overbolused for guessed carb content. Turn basal rate down to 10% for an hour to correct.

3:30 pm - Check blood sugar to make sure that I turned basal rate down enough to make up for the overbolus at lunch. I guessed right this time. Blood sugar is holding steady.

5:00 pm - Check blood sugar. Still holding steady.

6:30 pm - Check blood sugar before driving. Load black dog in the back of the car. Drive to restaurant to meet friends for dinner.

7:00 pm - Check blood sugar. Give bolus for estimated carbs in dinner and beer. Black dog seems to agree with bolus. She continues to snooze under the table at the restaurant. People are starring at the black dog and me. Someone comes over to the table and asks if the dog is in training. I say no. Then the person asks if I’m almost blind. I say no, and tell the story of what Dixie’s job is. The person says that she’s never heard of that before, but she has an uncle with “brittle” diabetes who has had his foot amputated.

8:45 pm - Get in the car and check blood sugar before driving. Guessed carb content pretty well, so I'm in a good zone and ready to drive home. Roll back windows down in the parking lot so the black dog can sniff the air outside.

10:00 pm - Give black dog some treats and snuggles. She loves having a bedtime snack.

10:30 pm - Check blood sugar one last time before bed.

Friday, April 23, 2010

April? Really?




Yikes. It's April already. And not just April... the end of April quickly approaching May. Seriously, where does the time go?

This photo is from our spring vacation up north in March. The weather (even on the Canadian border) was unseasonably warm and Dixie (and I) had a wonderful time. She loves sitting outside and just watching and being part of nature.

I also visited the endo in March. Not much new on the diabetes front. A1c is holding steady, Vitamin D level was finally in the average range, BP is fine, Kidneys are healthy, and all other random labs were fine.

This week, a special aired on PBS. If you didn't catch it... it was an amazing show about service dogs. Through a Dog's Eyes.

Here's looking at Dixie's eyes right after she dug a nice hole on vacation. :-)