It's now over 3 months since I was diagnosed as having the Big D. My BGs continue mostly in the 80's to low 100's (lowest to date 48, highest 293 -- and that was the very first time I ever checked). Checking my BGL about 4 times/day (less than before), but still checking before driving every time, and giving myself shots about 5-6 times/day (doses of rapid-acting insulin after every meal, sometimes as corrective boluses if after-meal sugar too high, plus 2 shots a day of a long-lasting insulin).
Most shots through clothing -- I'm amazed that I never recommended it to my patients in the past, but maybe that's because my diabetes nurse educator with diabetes used a pump so it wasn't an issue for her. I'll have to set up a poll at the Diabetes Monitor to see how many readers inject through their clothing...
Made it through the holidays, although with some screwy numbers (due to guessing wrong on how much rapid-acting insulin to cover for holiday treats). Still no severe insulin reactions. I'm carrying a tube of liquid gooey glucose with me in my shirt pocket (along with my insulin pen) anytime I leave the house.
Almost every time -- there was one time Steph & I decided to eat out, and I totally blanked on remembering to bring the insulin pen with me. So, afterwards, I rechecked sugar, and gave a VERY late shot. Things settled down a few hours later.
Presently, my biggest unknown is how much BG screwiness to expect whenever I have the bad luck to have a bad virus. I've suffered through the standard winter cough-and-crud without losing either BG control nor appetite, but someday when I get the inevitable chills/fever/loss of appetite, I will have to see how it goes.
Still having very mixed emotions about whether to seriously entertain using a pump (although it's a consideration now and then). A pump would resolve some issues (like forgetting to bring the pen), but the flexibility of a pump in allowing an extra bolus of rapid-acting insulin is just as do-able with a pen injecting though clothing. Maybe someday...
Bill the diabetesdoc
wwq@diabetesmonitor.com
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