Wednesday, November 07, 2012
It's been a year since my last entry, and what a year it has been!
A year ago my doctor took me off of my cholesterol medication because my liver enzymes were high. My blood sugar was also out of control (A1c ranged between 7.9 and 8.9). My thyroid was underactive and I just didn't have the energy to exercise. I was hardly eating, but still wasn't losing weight.
Finally she referred me to an endocrinologist. That was probably one of the biggest turning points in my life.
First, he put me back on (a lower dose) of Actos. He also put me on Victoza. Within 3 months I had lost 20 pounds and my A1c was down to 6.2. He raised my thyroid medication from 75 mcg to 100 mcg and said it should improve my metabolism even more and I should have more energy.
When I first went to see him, he said he wanted to get my A1c down below 6. My regular doctor said "I don't think that's going to happen." Well, if I can get it down to 6.2 I can probably get it below 6.
Anyway, I'm pretty happy with my progress. I've changed my goals a little here. I want to lose a pound a week and I set my goal to 130 instead of 140 (which I had before.) 140 is at the top of my weight range and was probably realistic when I was younger and did strength training and had solid muscle mass, but now (age 56) I think I will never have those kind of muscles again so I think a lower weight goal will be good. (my range is 105 - 140 based on the BMI charts)
Oh, I almost forgot! I am also off the pre-meal insulin!
Thursday, November 03, 2011
I had an appointment with a diabetes educator today. If there is any place to go hypoglycemic, it's while you're talking to a diabetes educator. We were discussing what I had for breakfast and how much insulin I took. She asked me how I was feeling and I told her "I think I'm having a low right now." I happened to bring my meter with me, and I tested - a blood glucose below 70 is considered low (hypoglycemia). My reading was 59 and I had just eaten 3.5 hours earlier. She gave me some glucose tablets and a small can of orange juice and about 20 minutes later it was 125. (and by the time I got home it had stablized to around 110).
She also gave me a new meter (like one I already have) and now I'm keeping one in the kitchen so I'll remember to test before dinner (where I have the most problem.)
But looking over my log in my meter, my control has been pretty good except for evening because I keep forgetting to inject before dinner. I asked what would define a good candidate for an insulin pump. She said 'You are not a good candidate. You have to test consistently at least 4 times a day - before meals and before bed.' That is what I'm working on now.
We also discussed exercise. Um. Yeah. Something I *KNOW* I should be doing. I told her how tired I was all the time, how I can go to bed at 10 pm and wake up every couple of hours and still feel tired at 9AM and end up taking 2-3 hour naps sometimes during the day. She is going to mention it to my doctor. I told her I would like to hire a trainer. She told me their gym has a "punch card" program where you can buy 10 punches for $40 - that means for just $4 I can come to one of their water aerobics classes (or any class). She also said since my schedule was flexible, I could probably join (after my medical membership - which would only be for two months) on the senior plan (I'd have to attend the gym during normal business hours, something like between 10am and 3pm).
Monday, October 31, 2011
I can't possibly be getting as much sleep at night as I think I am. Today at around 5pm I could hardly hold my head up and took a 'nap' until 7. I missed all the little trick-or-treaters. Roger said they were really cute.
There is just so much that needs to change. I think that is part of what is making me so tired.
1. I need to get my weight down
2. I need to exercise
3. I need to make those lifetime habits
4. I need to remember to inject insulin before every meal
5. I finally am consistent at taking my meds twice a day every day.
I can't work on everything at once, no matter what anyone tells me to do. It's too easy to get discouraged. I am working on taking my insulin before every meal now, no matter what I eat. That is going to be key in getting my numbers right. Once that becomes an ingrained habit, I'm going to work on the food part.
Which brings me to another dilemma. I am allowed 45 grams of carbs at every meal and two snacks of 15 grams of carbs. (This is my dietician's recommendation, not SparkPeople's). It's easy enough to do that at lunch and dinner where I can eat a lot of non-starchy veggies and some form of protein, but at breakfast, it's really tough. It amounts to something like this:
1 slice of toast with 2 Tbsp of peanut butter, half a cup of high fiber cereal and 1/4 cup of soy milk. (lactose intolerant - something I am hoping will go away as I lose weight because I really miss dairy products! Even lactaid isn't working so I have to forego them altogether)
That will leave me starving in two hours.
The other alternative is to have an egg sandwich - but I can't eat just egg on it (well, I suppose I could if it was all I had - and maybe I could acquire a taste for it.) So an egg, cheese and sausage sandwich would leave me feeling full and satisfied for about 5 hours.
For now, though, I'm concentrating on making the insulin a habit - one I don't even have to think about. Once I get my blood sugar from spiking and dipping, I might not be so fatigued all the time.
Thursday, October 27, 2011
I'm not doing very well at updating every day like I had intended. NaBloPoMo is a site where you vow to write in your blog every day for a month. It started in November...forget which year. But it stands for National Blog Posting Month. I am going to try in November to write something every day.
I am still tracking everything. Today is my weigh-in day but I usually do it in the nude right before my shower and I forgot this morning so I'll do it tomorrow. It's the only way I know of to get a correct and consistent reading. Too bad I can't weigh in nekkid at my doctor's office.
I have so many changes I need to make but I am concentrating on just a few at a time. Hopefully, by this time next year, when I am near my goal weight I will have developed great habits that will last me the rest of my life.
Tuesday, October 25, 2011
When I get up in the morning (at the crack of 9) the first thing I do is take my thyroid meds. I have to wait to eat so I will do what I need to do to get ready for the day then go sit at my computer and log into work. (I work from home 10am to 6pm.) Next thing I know, it's 11:30. So if I eat, is it a late breakfast or an early lunch? Do I skip Breakfast and just wait another half an hour and eat lunch?
I know skipping meals isn't a good thing to do. Maybe I should really just adjust the timing so that breakfast is at 11, lunch is at 3, dinner is at 7. Being diabetic, I'm supposed to eat every 4-5 hours and this is 4 hours apart.
Someone suggested getting my breakfast ready and putting it on my desk so I don't forget. But I normally eat cereal for breakfast, so that's not really feasible.
I wonder what other people do who tend to be busy right through a mealtime without thinking about it.
I have an appointment with a diabetes dietician next week. I may ask her if it's possible to shake things up a bit. Snack, Breakfast, Lunch, Dinner, Snack instead of snack between meals (I'm rarely, if ever, hungry between meals.)
I wish I could just get up earlier, take a walk while waiting for my thyroid meds to work, but right now, while I'm trying to get everything regulated, my sleep is so broken up at night that going to bed at 10pm and getting up at 9am usually nets me about 6-7 hours of good sleep.
Maybe I'm just making excuses.
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