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).