Community.

I found the diabetes online community back in 2006 when I was researching insulin pumps.  Growing up I didn’t know anyone else around my age with type 1.  It was very easy to feel isolated or alone.  Finding others, even if they didn’t live very close by, that were going through similar challenges or experiences was amazing.  It was instant support.  Diabetes may have been what got my path to cross with all of these people but there are so many other things that keep us united.  Over the years since then, my network of friends continues to grow.  I’ve even made some very treasured friendships.

One downfall to finding such valuable people is that there are more people in your life to lose, even if it isn’t diabetes that takes them too soon.  Being part of a community like the DOC, you touch people’s lives.  Whether it’s blogging, chatting, posting, advocating, texting, sharing, exchanging cards/letters, talking, debating, FaceTiming, brainstorming, walking, teaching, running, suggesting, riding, agreeing, even just nodding.  Whatever your involvement is in a community like this one, you matter.  And even if it is just one person that you reach, that is one person that feels less alone.

In remembrance of a few people that I had the pleasure of knowing while coping with this thing called diabetes.  I hope you are all resting peacefully, my friends.

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Convenience.

I wore the OmniPod insulin pump for a few years so never had to worry about where to clip it on my clothing.  Since switching back to a tubed pump a few months ago (Medtronic 670G if you were wondering), I’ve had to get used to again finding a place for my pump that is both comfortable and convenient.

Most of the time it’s as easy as keeping it clipped to my pants pockets.  But in some situations it’s not that comfortable or convenient keeping it that way.  One of those situations is exercising.  I usually wear leggings or biking shorts/pants when I exercise and most of those do not contain pockets.  I certainly could (and have) just clip it somewhere on the pants but that’s not always comfortable.  So when I received an email to try out the newly designed SPIbelt, I was all for it!

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SPIbelt isn’t new to me, I’ve heard good things about them.  But when I received the new belt, I saw how convenient it is for insulin pump users.  There is a reinforced hole that secures the pump tubing through it.  This is fabulous.  Also it’s big enough to carry other supplies like glucose tabs, a small meter/strips or a Dexcom receiver.  Even if you are not having to carry around diabetes supplies it is a great accessory to carry secure headphones, hold a phone, keys, money, ID, etc.

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If you haven’t already, I would highly recommend checking it out.  The lovely people at SPIbelt have provided a coupon code for my readers for 15% off a SPIbelt: EYESPI.  Enjoy!

 

Making Diabetes Suck Less.

If you know me at all, you know that tech devices are my thing.  If something new comes out, I want it and usually wind up getting it.  And diabetes devices are no different.  I’ve used almost every insulin pump that has been on the market the past 10+ years.  I’ve used each CGM system with the exception of the very first version of Dexcom, the Medtronic Enlite and the Abbott Navigator.  There aren’t many glucose meters that I haven’t tried at one point or another.

When it comes to glucose meters, there are 2 features that I think are the most important – accuracy and cost.  I’ve posted a few times about accuracy, or lack thereof.   I also see so many posts on social media from people who can’t afford their insurance’s preferred test strips or they don’t have coverage for test strips at all.  That can leave people with the only option of using cheap meters and strips.  And we all know that cheaper is not always better.  Or even good.   That’s why something like the mySugr bundle is not only affordable but convenient also!  Why?  Because it provides you with an accurate glucose meter with reliable results (the Accu-chek Guide meter), test strips delivered to your door, all your readings via Bluetooth to a phone app PLUS a personal coach whenever you need advice.  All for $39.99 a month.  I don’t know about you, but that’s less than what I normally pay just for test strips.

How would you like a 6 month mySugr subscription bundle for yourself?  Or a mySugr voucher code for upgrades/enhancements to your current free mySugr subscription? (Please note the subscription bundle is only available to new US mySugr bundle users only; the vouchers are for those in all countries where the service is available)

If you leave a comment here on this blog post, stating how you would love to make diabetes suck less, you will be entered into the drawing to win a subscription or voucher.  Comment period ends July 10th at midnight, EST.

mySugr Bundle Starter Kit

 

 

 

*Disclosure* mySugr is compensating me for hosting this giveaway.  However all opinions relayed here are those of the writer and not of the company.  Lucky for them, they rock so all the writer’s opinions are good ones!

Time Flies.

Hello.

So it’s been over a year since I’ve last posted.  And I think that’s okay.  That just means I have a lot of important things going on in my life and nothing exciting to share 😉 I thought I’d not only give the site a make over but also provide some kind of update on what went on in the past year that flew right by!

The hubby and I took a couple of trips last year – back to Turks and Caicos (where we honeymooned) (and thankfully before the hurricane season), Boston, which is our favorite close-ish getaway spot and Alexandria, VA for the Diabetes Unconference.  Looking forward to doing some more traveling this year as well.

Health wise I am doing okay.  Totally recovered from the elbow surgery I had at the end of 2016.  I was very pleased at the outcome of that and it’s great to have a fully functioning arm again!  Anxiety wise, that is mainly under control although I did have another bout of panic attacks at the end of last year.  Those are not pretty.  I would not wish them on anyone.  Ever.  My PCP was extremely helpful during that time and sadly she has left the practice since.  So I cannot even thank her.  Cue the sad face.  I’ve had some PT recently for my existing back issue (spinal stenosis) which was becoming very bothersome.  I’m not sure if the PT actually helped but the bothersome-ness has lightened up a bit so I’m glad for that and hoping it continues. I had my first mammogram in the summer and had to actually go back for an ultrasound.  And then was asked to come back in 6 months to repeat both.  Talk about nerve wracking!  Thankfully all seems to be fine in the boob department.  I’m still dealing with gastroparesis flares.  It’s been a while since I’ve met with my gastroenterologist so I’m seeing her again soon.  Not sure if there are any new treatment options or not but it will be nice to catch up with her and discuss stuff.

I was able to try out the Freestyle Libre system a couple of months ago.  I used it in conjunction to my Dexcom system since it does not send alerts of low or high blood sugar readings.  And I do not want to go without those.  Otherwise it’s a great system.  Very easy to insert a sensor, the sensor is nice and small and very slim, accuracy was very good for me and very convenient to just hold the reader up to the sensor for a reading as opposed to doing a finger stick.  The 12 hour warm up period (for the US version) kind of stinks.

My portable pancreas has recently gotten a make over.  I am a long time OmniPod user (love that pump!) and Dexcom user (love that CGM!).  However I do like to have, or at least try, the latest D technology that is out there.  One thing that other pumps have over the OmniPod in my opinion, is more precise I:C ratios.  I am very insulin resistant so have pretty low ratios.  Even those don’t work well for me sometimes yet my endo hates to lower it even more.  With the Tandem and Medtronic pumps, you can have ratios lower than whole numbers, which seems to work in my favor.  Last year I traded in my Animas Vibe pump (before they actually announced they were going out of the pump business!) for the Medtronic 630G.  It had been a long time since I used a Medtronic product but I was pleased with the changes they made.  I liked the pump but it was my back up.  Shortly after that, the 670G hybrid closed loop system came out.  I didn’t think I was interested in that at first so didn’t initiate the upgrade program.  However, after some months of hearing experiences with it, I began to wonder if it would benefit me.  So I recently upgraded to the 670G and started in auto mode yesterday.  More to come on that………..

If I didn’t bore you to death, and you’re still reading, thank you 🙂 I will try to check in more often around here!

 

No Joke.

“Am I having a heart attack?” I asked the assistant at my cardiologist’s office as she was reading my EKG results.  Then I broke down sobbing.  Again.

I have dealt with some anxiety in the past but nothing like this.  And it seems like it was from a whirlwind of events.  Let me take you back to before that moment in the doctor’s office.

A few weeks ago, a close family member was seriously ill unexpectedly.  Thankfully he is better now.  However those couple of weeks were very worrisome for us.  My husband also had a cardiac procedure.  It was scheduled and fairly routine but it was at the same time as the other family member was in the hospital.  And it took 6 hours which was not what was expected.  That day in the hospital was a long one.  We were there at 6am and I didn’t get home until about 8pm.  Foolishly I did not have anything to eat or drink that whole day.  My BG were pretty good, even dropping low at one point in the afternoon.  When I got home that night, leaving my husband in the overnight cardiac unit to recover, I realized I should’ve eaten something.  Or drank something.  But I honestly do not think I could’ve stomached anything.  I checked ketones and of course they were moderate.  I drank a lot of water and forced myself to eat what I could.  They were lower before I tried to get some sleep.

The next morning, I felt horrible.  I knew it was from stress/anxiety. I made sure to check ketones again – they were just about negative and I ate a little breakfast and kept up on water intake.  I went to the hospital to pick up my husband as he was being discharged that day.  After I was there for a little while, I checked my BG and it was elevated.  Something made me take my ketone meter with me (I do not normally carry it with me) so checked those and they were high.  I don’t remember having high ketones in a very long time.  I started drinking water like a crazy person even though I knew in the back of my mind that may not be enough.  After a little while, I re-checked and the ketones were higher, not lower.  My heart sank.  I called my endo’s office, knowing full well what they were going to tell me, but I called anyway.  Sure enough they told me to get to the ER.  Fortunately (?) I was already in the hospital so it was a very short trip there.  It turned out I was in mild DKA but fortunately I caught it early and they were able to treat me with fluids and released about 12 hours later.  In 35 years with Type 1 diabetes, I have never been in DKA.  Needless to say I was scared as hell for a few days and drank more water than ever before.  And cried.  A lot.

The next few days were spent worrying about myself, my husband and also our other family member.  I kept getting this feeling in my chest, not pain or pressure, more like a knot or something.  It was hard to explain.  It would come in waves and that would get me panicking that something was wrong with me.  There were times that my heart would start racing.  Then that morning, where this post started, I knew I had to get checked out.  I seriously thought I was having a heart attack.  After some back and forth in my mind of where to go, I decided to call my cardiologist.  They were able to squeeze me in so I asked a friend of mine to bring me.  I was not having a heart attack.  At all.  My heart rate was through the roof  but it was all from anxiety.  She ordered me a 24 hour holter monitor just to be sure and sure enough my heart is fine.  While I was seriously thankful that I did not have a heart attack and nothing seems wrong with my heart, I could not believe that I felt so physically bad from anxiety.

I’ve been doing a lot of soul searching lately.  I have a lot to work on.  I’m being treated for the anxiety and I’m happy to say that I’ve been feeling a lot better.  There was a lot going around social media recently with This Is Us having an episode that showed a character having a panic attack.   It’s no joke.

Long Time No See.

Hi there.  Believe it or not, this blog here does still exist.  I can’t believe it’s been over a year since I’ve posted anything.  WordPress even looks different since the last time I’ve written!  To anyone that may care, I apologize (and I do not mean that in a snarky way!)  I feel that life gets in the way a lot of times.  Or it could just be something that I’ve realized about myself recently ….. I am lazy AF.

 

My friend George posted recently and maybe you can say he gave me a little motivation to post for the first time in a while as well.  I would have a lot to go over to update you on the past 14 months so I won’t go down that road.  I’ll just mention the big parts 🙂

 

I commemorated the 35th anniversary of my diabetes diagnosis on December 24th.  It’s truly hard to believe I’m old enough to have had type 1 for so long!  I didn’t necessarily do anything to “celebrate”.  Being that it’s on Christmas eve, that always steals the thunder 😉

 

Let’s see.  Most recently, I have been recovering from surgery to repair tennis elbow (or lateral epicondylitis).  Don’t ask me how I got that because I haven’t the slightest idea.  I first went to the doctor for it March of last year after it had been bothering me for a few months.  He tried a cortisone injection but sadly, there was no improvement.  I went back in September after the pain was getting worse and the doctor was straight with me that if it was lasting this long with no results from cortisone, it was highly unlikely any other treatment would work beside surgery.  This doctor had performed not one but two trigger finger surgeries on me in the past so if I had to have another surgery, I was glad it would be by him.  He sent me for an MRI just to verify the condition and it showed that not only were the tendons damaged, there was a tear as well.  No wonder it hurt so much!   So a bit over 6 weeks ago the surgery was done and recovery has been going well so far.  It’s been challenging at times since it was on my dominant arm, but the incision healed nicely and I hope to be using my arm again fully soon.

 

I’ve had some struggles on the blood sugar management front – my A1c was at its highest in years in the fall.  I’ve managed to get it back down some at my endo appointment last week but it still needs work.  I do attribute some of the rise to a change in birth control pills (TMI?) that occurred in the summer.  Man, did I have some awful insulin resistance!  My insulin was like water for quite a few weeks.  I am more independent when it comes to changing insulin rates and whatnot but it came to the point where I called my endo in desperation.  She could not believe how much insulin I was taking.  But I’m glad I thought of the new meds because other then raising my ratios, she didn’t offer much in terms of finding the root cause.  Things got more “normal” when I switched back to the pill I had been taking previously.  Thank goodness.

 

And back to my laziness.  In being a hermit for a few weeks recovering from surgery, it highlighted just how lazy I really am.  And that definitely plays a part in the work that my A1c needs.  I do not log.  Ever.  I almost never upload Dexcom or pump info.  I occasionally check the Clarity app to see what my estimated A1c is (which was spot on with my latest reading at the endo by the way) but don’t look at the trends really.  I don’t exercise like I should.  I don’t eat like I should.  I don’t pre-bolus like I should.  Yet I do bolus for every food I eat.  I do wear a medical ID bracelet.  I do carry some form of glucose with me.  I do not over treat lows.   Those things my endo always looks for makes me look like a super star.  But how do I get over my laziness and do the little things that will make the most difference?  I wish it were as simple as telling myself to just do it but I already hear in my head – I don’t feel like it.  Have you ever been faced with similar feelings?  Have you found something that gave yourself a good kick in the rear?  I’m open to suggestions 🙂  Being that I’ve had strong anxiety about something happening to me health-wise (more on that in another post), I’m surprised that hasn’t been the kick that I need.

World Diabetes Day Giveaway Winners!

Thank you to those who commented to enter my giveaway!  It is currently after 5pm on World Diabetes Day so here are the winners.  (I randomly chose three numbers between 1 and 9 for the number of comments and the prizes were in the order listed in my post).

  
The winner of a copy of Daniele’s new book is Karen.

The winner of the blue Prikkedief supply case is Melody.

The winner of the pink Prikkedief supply case is Andrea.

I would appreciate if the winners could send me an email (staceydblog@gmail.com) with your mailing address.  

Cograts and enjoy your new goodies 🙂

World Diabetes Day Giveaway. 

Hi! Yup I’m still around 🙂 Things have been hectic around here lately but I’m still alive & kicking! 

Since World Diabetes Day is just two days away, I couldn’t think of a better time to give some things to my readers. In honor of the day on Saturday (by midnight), I will randomly choose three people who have left a comment on this post, to win one of the below items. 

 A copy of the new book by the wonderful Daniele, the Diabetes Dominator.  I just started reading it myself, but I’m already sure it’s going to be a great read 🙂 

One of two diabetes supply cases from Prikkedief. One is blue with a gold zipper and one is pink with the same color zipper. (The picture of the inside is just for reference – they are both the same on the inside).   

    
 

All you have to do is leave a comment here. Unfortunately you won’t know which you could be selected for, but they’re all great wins!  

Good luck and happy world diabetes day 🙂 

Updates.

So summer 2015 is almost over already.  And only 4 months left of this year.  How on earth did that happen??!?  This year is completely flying by.  It’s been months since I’ve posted, so I thought I’d give a general update.  In case anyone wants to know 🙂

Since mid-March, I’ve been back on my beloved OmniPod.  I switched to a different pump at the end of last year because of insurance changes.  My durable medical equipment is no longer covered at 100% and the cost of pods are significantly more expensive compared to traditional pump infusion sets and reservoirs.  However, I received a promotion at work in March that came with a decent raise.  So I jumped back on the OmniPod since I could afford it better.  And I’m one happy pumper!

I was using Apidra in my insulin pumps for over 3 years.  Come January 1st, my insurance stopped covering it.  Since they were already not covering Humalog, that left me with switching to Novolog.  I used Novolog for some time before switching to Apidra and it worked ok.  So I went back to it.  Until recent weeks, I was noticing high postprandial readings and realized it could’ve been the insulin.  One of the benefits I found from Apidra was better postprandials.  I consulted my CDE about it and she offered to file a pre authorization for me.  I figured why not?  Well it was approved!  So I am now able to get Apidra for the next year.  Phew.

I had my quarterly appointment last week with my retina specialist.  Since it’s going on 4 years since I was diagnosed with retinopathy/DME, these appointments are always a little nerve racking.  But I received a good report!  After just one treatment of Lucentis, my eyes have been stable since.  For this I am EXTREMELY thankful.

Other things have been a bit hectic over the past two months.  I’ve had numerous doctor appointments with no end in sight yet.  It started with a trip to a cardiologist, which was a first for me.  I mainly went for peace of mind and not because I was having symptoms.  Of course with type 1 diabetes, especially having it for a long time, the higher chance is there for heart issues.  I had an echo-cardiogram and a stress test which thankfully came back normal.  Although not without major anxiety.  I was having some periods of dizziness so that lead to a bunch of tests including a cat scan of my frontal bone and carotid artery test.  Luckily those were normal and the dizziness subsided.  I had a full blood panel completed which did not reveal any major health issues.  It did show that my A1c went up a bit but I’m hoping Apidra will help get that back down.  I found my very first primary doctor.  I do not actually see the need for one since I have a multitude of specialists and see my endocrinologist regularly.  However it seems for certain things, she may actually be helpful.  And I liked her so that’s a plus.

I’ve been dealing with leg pain when walking for years and years.  I had an NCV test done a few years ago which showed no signs of nerve damage.  I also had an arterial doppler done two years ago which showed no sign of any vascular abnormalities.  Along with the echo-cardiogram and stress test, my cardiologist ordered an ABI test, which tests for peripheral artery disease.  This test was inconclusive which in one way is a good thing since there was no definite sign of PAD.  My primary doctor ran blood work to check muscle enzyme levels.  Normal.  She referred me to a neurologist who I saw today for a consult.  She ordered an MRI and an EMG which I will have done in the coming weeks.  She thinks it is a mechanical issue which I’m not even really sure of what that means.  This chapter is to be continued.

I was diagnosed with gastroparesis a few years ago and IBS before that.  And they have not been playing nice lately 😦  I’m paying a visit to my gastroenterologist next week (she’s probably feeling left out!) to see if we need to explore other treatment options.  And praying she doesn’t want to send me for any tests!

While all of these issues may not be diabetes related, they have most certainly been explored more thoroughly and seriously because of it.  My head is spinning because of all the appointments and tests, and it’s hard not to get down from it all, I’m trying to remain positive.  Staying on top of my health is something within my control.  I am more than happy to endure endless tests and meetings with doctors if that means I can identify issues early and treat them accordingly.  Diabetes be damned.

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Gentler Testing.

As of today, I have done approximately 48,836 blood glucose checks.  That is an estimate based on the 33+ years I have had type 1 diabetes, checking on a low estimate of 4 times a day.  The past number of years I have checked daily many more times than that however I wanted to take into consideration the first couple of years not having a glucose meter to check with or the number of years I unfortunately checked less than that.  So that’s the number I calculated and I’m sticking to it 🙂

It’s no wonder my fingertips are a mess!  I cannot tell you how often I need to re-stick myself in order to get blood from my fingertip.  My fingers are marked with scars and are hard to the touch.  It may sound gross but it comes with the territory.  When the team at Genteel reached out to me, asking if I’d like to try their lancing device, of course I said yes.  Why wouldn’t I want to see if there is a gentler-on-my-fingertips way to check my BG?

My very first impressions when receiving the Genteel device was that it was pretty (of course I got the princess pink).  And big.  But those were just based on how it looked and nothing yet on how it works.  After reading the material on how to use it – it comes with various contact tips for different depths of penetration so I chose the one I thought best suited for my fingers – I gave it a try.  To my surprise, it didn’t hurt at all!  You can also use the Genteel to test on other areas, not just your fingertips.  I may be a creature of habit (a 30 year habit) so I haven’t branched out to other areas.  But I may give it a try at some point 😉  You can also use multiple types of lancets with this device which is a great feature since it doesn’t limit you to just one particular type.

Genteel

Overall the device is comfortable for your fingers.  It also comes in various colors (yes I do like “pretty” diabetes devices and accessories.  And choices.) and the stickers are a cute feature for kids to dress theirs up.  I even put a sticker on mine 🙂  One thing I honestly didn’t love about it is that it’s pretty bulky.  However comfort should precede looks if it’s an important enough feature.  Your diabetes may vary of course.

The great team over at Genteel (https://www.mygenteel.com/) have provided a code to be used for readers here, for $10 off the purchase of your own Genteel lancing device.  The code to use during purchase is “stacey10off”.  Keep in mind they have a 120 day money back guarantee in case you’re concerned about buying something you haven’t tried before.

After all these years of fingersticks, I actually never knew this (from Genteel’s website) “All lancing devices on the market today mainly rely on extracting blood from the fingertips, because they are the primary area where blood capillaries are closest to the surface of the skin. Unfortunately, they also have the most abundant supply of pain nerves.”  See, it’s never too late to learn!