Insulin Pump Training

Way back in 2009, in order to use an insulin pump, my endo’s office required a series of classes. I got to skip one class as I showed up with my Omnipod sample pod along with tons of documents about the other pumps available at the time. Thanks to the DOC – Diabetes Online Community, I was (at the time), the most well informed soon to be pumping d-patient they’d seen. And I knew I wanted the Animas. I’m so, so going to miss the remote bolusing from the Ping meter. I will really, really miss it.

On Monday, a Tandem trainer is coming to our home to do the T:slim X2 start up with me. I’ve been good. I haven’t started it – yet. And to be honest, I probably won’t before we meet on Monday. I know, I’m a wimp. But – I’m a very organized wimp. I no longer have the Animas stuff on my computer after a lightning hit last summer – but got my pump settings downloaded using Diasend. I also have all my recent Dexcom numbers thanks to Clarity.

IMG_2127I’m now a Medicare patient but – have enough Dexcom supplies to last me for a couple of months. So – I don’t need to order Dexcom stuff and so… Medicare won’t know/care that I’m using my iPhone to get my Dexcom info. That whole iPhone thing drives me nuts. We do not live close to an ambulance service. If I had an issue it would take awhile for help to arrive. Having the “Share” available so there are two of us to get any low alerts, helps keep me alive. My transmitter is almost dead but I have two in the box to go when ready. (I’m frugal and annoying.) I’m using expired/almost expired sensors and so far (knock on wood..), so good. Although – tonight it said I was HIGH (I’ve never seen that) (see those two dots up there at 400? NOT!) when the number was around 120. Did a couple of calibrations and it seems to be settling down.

IMG_2126And this evening? Well – the snow is gone, the Official Ice Out – a VERY big deal up here on Lake Winnipesaukee – has been announced and we were able to enjoy a cocktail on the porch. Life is good.

 

Lucky me!

Had an endo appointment today.

I was sure the A1c was going to be the worst ever.

I was sure she’d look at me like I had two heads when she examined my Dexcom and Ping Pump graphs.

As I sat with her- looking at the graphs – the assistant came in with the magic piece of paper, handed it to my doctor who then laughed as she handed it to me.

I felt it was going to be my HIGHEST ever. It wasn’t. I don’t do numbers here but I’m fine. The number was better than usual. I guess I’m not killing myself with Diabetes.

We went over some strategies. We changed two basals. We changed an I-C ratio.

And – I got my flu shot. As an “over 65” person, I get the high test shot.

The Dexcom Clarity thing now goes to them automatically once I sign up. She asked me to use it regularly and just email her if I need some help.

I got in the car – heading north on the interstate and feeling so very lucky to have a physician who gives a rat’s ass about me. Called Moffett who made appropriate “Yippee” responses. The radio was on – The Four Tops-I Can’t Help Myself (Sugar Pie, Honey Bunch) (released in 1965) – and I giggled.

I’m not a perfect Diabetic – but with the help of d-friends, I can do this.

PS – Thanks Kim Hislop for meeting me for lunch. We’ll have to do that more regularly.2016-10-18

PPS – Charli – Yes, you may ask, “Who are the Four Tops?”

Try to remember…

Here’s the big question. Do I even remember how to do this blog thing?

I’m going to make this one short and sweet. Well, no. I guess it won’t be sweet cuz then I’d have to take insulin and I don’t consider blogging as being Bolus Worthy.

Endo appointment this week. The office is just over an hour away and it should be a not so bad drive. (Fall in NH. People pay big bucks to ride around on buses and check out the “foliage.”) Nicest part? Kim Hislop is going to meet me for lunch before my appointment. I met Kim in Las Vegas at the first Diabetes UnConference. And last month my husband and I both did the JDRF walk with her team in Manchester, NH.

I’m trying to get back on the D-Wagon. Today I did my first Big Blue Test. Number plummeted and as usual I said to myself, “Self – why don’t you do this more often?”

Here’s hoping I get back on the stupid treadmill tomorrow morning before work!

Oh – here’s the photo I used on our Thank You notes that I sent to my JDRF donors!

jdrfwalkphoto

Diabetes Grief

Today – one of the attendees of the Diabetes UC (UnConference) posted this:
My biggest struggle lately has been the grief over diagnosis. Before attending, I’d been having some rough weeks with sadness and worry over how my life was going to be now that I had diabetes. But something clicked over the weekend, and since returning I have felt so much more positive.

And yes – that was me, 10 years ago.

And yes – it’s still me, now.

D sucks. And you can “Pollyanna” it all you want. (And I’m one of the best Pollyanna people around.) But Diabetes sucks. Lots of other diseases suck – but I don’t have one of those at this time.

So for now, Diabetes sucks.

I can be positive. I can be angry. I can be sad. (I’m really, really good at sad.) I can be happy that there’s all these DOC people in my computer who help me. I can be angry that there’s all these DOC people in my computer who are stuck with the same sucky disease.

Sometimes it’s hard to be positive.

I’m lucky. When I started pumping, I was invited by our Animas Rep to join a group that met about an hour away. It was awesome. The pumping people were friendly and helpful and nice. Unless it was snowing, I drove to every meeting. Sitting around talking with other d-people made a HUGE difference. I wasn’t scared. I learned stuff. It really, really made me more confident in pumping.

Then – Animas phased out our Rep. She went to Rhode Island. And that was better for her family situation but, I miss her and our meetings…

And – apart from this – in speaking w/ a doctor’s office this week, and saying that I have Type 1, the person (nurse/receptionist/whatever) told me that she has a friend with diabetes who just doesn’t take care of herself. And she was angry. I told her that it wasn’t easy, and to try to NOT be angry at her friend with diabetes. And I told her that maybe her friend just needs another d-friend and gave her permission to share my name and number. I am far from the perfect d-person but sometimes, as we all know, just having someone else say, “Yes, me too.” makes a huge difference.

 

Not much

The d-life here goes on. And on. And on. Oh wait, is that a copyright problem? Somehow, I doubt that they know who I am…

Endo this past week. A1c up a little, but considering all the yummy corn on the cob I’ve eaten since July, I’m not too worried. It was an absolutely gorgeous day to drive down to Manchester. Sun was shining! Lots of leaf color. Not many tourists on I93. I had the car with Sirius so I could sing out loud with the 60’s, 70’s and even some blues and jazz. I’m sure I looked funny but at my age, I don’t worry about it. The endo and I ended up with all sorts of stuff to look at and I think I blew out her schedule. I did feel a little bad as there was a cute elder woman in a wheel chair in the waiting room who was a little upset that she hadn’t gotten in yet. I told her it was my fault after admiring the purple horn on her wheel chair.

I was looking forward to getting together with a d-mom, Shannon but – her son had his appointment at Joslin that day. So we’ll have to plan on another day to meet.

This is our last “tourist” weekend up here in the mountains of New Hampshire. The busses have been rolling through town. It’s fascinating to watch them make the tight turns on our small streets. Sad this week – the campgrounds up in the mountains, although privately owned, have had to close. I don’t do politics here but… campgrounds closing and everyone who isn’t getting paid really, really pisses me off. That’s all I’m going to say. (I don’t like writing the plural form of bus. It looks funny.)

The last fair of the year is this weekend. We’re not going. It’s the Sandwich Fair and it’s wonderful. But there’s a whole lot of fried dough, and blooming onions and salty French fries, and other carby foods. It’s easier to stay home. Besides, been there – done that.

I worked on my postcard for Lee Ann’s World Diabetes Day Postcard Exchange this afternoon. (It was more creative than cleaning a bathroom…) It was drizzly and chilly and yucky and so, I pretended to be artsy. It’s done! Are you signed up? It’s fun. You meet new d-friends. You don’t have to spend lots of money. And who doesn’t like getting something in the mail that makes you smile? Check it out!

Just because – some photos!

2013-10-02 016My “commute”

2013-10-02 017 2013-10-04 003October Sunrise

2013-10-06 001 (2)The acorns can be quite annoying and you can’t sit on the deck without a helmet.

2013-10-07 003The view…

2013-10-09 014A bus

2013-10-09 017

I’m off to see the Endo

Endo appointment on Friday. Appointment #3 with endo #4. I like her. I like her attitude.

I think I probably ruined any chances for a stellar A1c for this appointment but I’m not going to sweat it. Oh, and my idea of “stellar?” Around 7. That would make me happy. I’ve only had one A1c under 7 – and it wasn’t much under… (but you shoulda seen me doing my happy dance in the office parking lot!) I haven’t had any over 7.9 (I think), not even when I was diagnosed (at age 55). Weird…

Tonight’s chore – getting the Ping & Dexcom down (up?) loaded to the magic internet. (I’m still not happy that Diasend stopped doing the CGMs.) I called my PCP’s office a couple of weeks ago to have all my lab reports sent to the endo’s office AND, they sent me a set of copies so I think I’ve got that covered.

Nicest part of the day will be meeting Shannon Lewis for lunch! Two d-meetups in one month! That just doesn’t happen to me…

There are a few, very few, daffodils just coming up in my yard. Most of them were destroyed during our reconstruction but a couple were spared. Next fall? More daffodil planting!

Oh – “Ice Out” was declared this morning for Lake Winnipesaukee. Let Spring begin!

 

I need to…

With my PCP appointment last week, I finally got around to uploading my Ping and Dexcom to Diasend. Took some info with me to the appointment and let my Endo know that I’d done it.

2013-01-09 002

The PCP appointment was great. All lab results are fine. A1c was up a tiny, tiny bit but her’s always reads a tiny, tiny bit above the Endo’s test. I’m not worrying about it. Did the foot check, had lost 2 pounds and BP was fine.

Later that day I received the nicest note from my Endo. (Oh, I have to send my messages to her through the Dartmouth-Hitchcock site – and noticed I could attach a jpg, so I sent her a photo. I’ve only had two appointments with her so… thought it might help.)

You always make me smile.
I really enjoy hearing from you.
I was able to view your ping upload – but not your Dexcom – I wonder why ???
However just based on the fact that you check quite often and very well – I think you have maintained a pretty steady blood sugar range (when you behave!!!!)
There are occasions when you do go high – but I am sure you figured this out yourself – there is no consistent pattern.
I would not recommend any changes.
I am glad you like the Dexcom. I think it is the best out there.
Lastly – you look beautiful in the picture.
Happy new year.
Please let me know if you need any refills – will be more than happy to help you.
Take good care….

Yup – she’s a keeper!

Back to the title. I need to upload the Ping stuff more often and look at it. It’s really simple to do, well – sort of… I have to unplug a printer usb from the front of the computer and then shove in the Ping usb. The computer is under a table next to the desk so it involves getting on the floor and if it’s night, I have to shine a light on the computer to see the stupid usb thing. But – as a friend says, “You Can Do This

I also need to get back on the treadmill. I may have to dust it off, first…

And finally – a photo of the fam.

2012-12-28 004

 

 

 

What a Great Endo Appointment!

I’m going to wait to title this (hope I don’t forget…).
I’m writing a post on a Friday night… but the night sounds are beautiful, the acorns keep falling and bouncing on the deck. It’s really quite nice…

Went to the endo today. Second appointment with Endo #4. I loved the first appointment and today, well, today was even better.

The office is a little over an hour away. It was a simply gorgeous day for driving down I93. Not much traffic as I was heading south and the sun was shining and I had the radio loud and since I was by myself, I could sing!

Arm is still paining so I also did some arm stretching since it’s my right arm and no one was in the passenger seat.

I cannot imagine what anyone thought if they saw this person with her arm stretched out and obviously talking/singing to no one. Oh well.

I’d done all the requested lab work back in June before my PCP appointment and just to be sure, had faxed everything to the endo’s office this week. Even called to make sure they got it.

I uploaded my Ping to Diasend (had some problems, called, had to wait for a call back when Christy politely reminded me that I had to suspend the pump before it would connect… I knew that. I just didn’t do that…) Incidentally, it uploaded much faster than it has in the past. Yay!

I let Dr. G know via email that my info was on Diasend and she let me know that she’d gotten it and was concerned about the lows the last couple of weeks. I’m calling it the Advil treatment.

So, the nurse, whom I hadn’t met, did the weight, BP and A1c. (The MA was out sick.) She’s also the CDE, was dx’d at 17, wears a Ping and a Dexcom. She came back in a few minutes with an orange sticky and I asked for the number. She gave it to me and I did a little cheer. I don’t like posting A1c’s but, today’s was the lowest since I was diagnosed back in 2005.

Dr. G. came in and we talked about the lows. She suggested I work with temporary basals more often to help. She sat next to me and basically said I’m doing great. She said she’s awed with my understanding of d and working with carbs, insulin and the pump.

AND I TOLD HER…
I wouldn’t be where I am today without the d-bloggers. I told her I don’t panic because someone else has already posted a similar situation. I SWAG because I’ve learned from some of the best. I choose what to eat because I’ve learned from some of the best. I thoroughly enjoyed a (small) piece of Key Lime pie yesterday because – you know… I told her about writing about my bent cannula and feeling stupid and that people commented (thank you!) and let me know I wasn’t stupid – that Karen said, “Diabetes is stupid!” She laughed. And then I told her about Meri, and the boys, and Ryan – and she got tears in her eyes. I told her I’ve not met most of these people but that I depend on them for support, hugs, advice.

Called M as soon as I got to the parking lot and just said the number – and he was appropriately congratulatory.

Did some shopping on the way back north. Went to Chili’s by myself and ate a cheeseburger and less than half of the fries!

And so, as I’ve said in the past, thank you to everyone who takes the time to write about their diabetes. It’s kept me sane – well, as sane as I can be these days…

Love you all!

“Oh, I never go low…”

“Oh, I never go low, well hardly ever.” Yup, that is exactly what I told the new endo earlier this month. Bite your tongue, girl. When will I learn to shut up? Although, it was my answer to her when she asked, “How do you treat your lows?”

That night I put in my first leg site and since then, I’ve had lows. Not terrible lows, like in the 50’s lows.

Yesterday, I went back to the stomach area for the inset. I wanted to find out if I needed to come up with a new basal program just for leg sites.

Nope, Dexcom (thank you Dexcom) woke me twice last night for lows. Again, not terrible, low 70’s, but not what I wanted to see at 3am in the morning. Tested! Swallowed the juice and went back to bed. I know I was doing ok as I’m now snipping the corner on the juice box and pouring it in a glass – this straw stuff is ridiculous. 6am, same thing again. This time I just gave up, got up and started the day with coffee. Normally I give myself a unit for coffee. I didn’t this morning and BG stayed around 80-90 until I ate some breakfast.

There have been a couple of other instances. This week I met M at the building store to look at doors. Checked Dexcom when I left work, fine. Checked Dexcom before leaving the door store, fine. Got home and it showed 60 something. (5 minute drive)

So – my exciting Sunday evening activity will be getting all my pump/meter stuff onto Diasend and letting Dr. G. (new endo) take a look. She’s emailed me twice with questions after I let her know how the leg site worked soooooo well.

Here’s Saturday evening’s Dexcom photo. (The blank part is where I restarted the sensor.)

Meanwhile (I don’t post every day so…), thanks for the ad info responses. I Google everything, usually. But didn’t Google my question that day… Today, I found this:
At WordPress.com, we sometimes display advertisements on your blog to help pay the bills. This keeps free features free!
We only run them in limited places, and we do not show ads to logged-in readers, which means only a very small percentage of your page views will actually contain ads.
To eliminate ads on your blog entirely, you can purchase the No-Ads Upgrade. The upgrade is especially attractive and useful to business blogs in order to eliminate any possibility of competitors’ ads displaying on their domains.
The No-Ads Upgrade costs $29.97 per blog, per year.

I’m not fond of armpit hot dog ads but – I have better places to spend $30. (copays?)