Pages

Wednesday 6 August 2014

On Being a Diabetic

Being a diabetic isn't always easy. There are so many things that affect the blood sugars and when the only source of insulin is external it's tricky. Things that make blood sugar crazy include weather, excercise, food, stress, and any combination of these. I started working as a cleaning lady and I was working on my feet 7 hours a day and in bad heatwave. Yeah, this is not the best combination. First week I had at least one hypo a day, that means hypoglycemic or low blood sugar. And several at home. It's not good. And it was only from the heat and work. If I had been working at winter, my blood sugars would have been more manageable but this way I had to lower my basal insulin 35% and I had to cut at least one unit from bolus insulin. Basal means long acting or with pump it means the basic dose you need to get all of the time. Bolus means a bonus insulin with pump or short acting with just injections, and that's a correction for food or high blood sugars. It's really tricky sometimes to try to predict what to take, because I need to know what's going to happen during the day. I take long acting insulin twice a day which makes it easier, since I need only to know what I will do today and I don't need to take into account for tomorrow as well, like I did with Lantus. I've got some spontanious streak from ADHD and sometimes I feel I need to do something because of the hyperactivity so the Levemir gives me better leeway with this. 
My work ended last Thursday and my blood sugars have been rising. I've been slowly increasing my basal insulin. Well I finally had some proper relaxation last night, good movie and laughing and since then I've had 5 hypos. My highs were from stress not from less excercise.. Sometimes, it's a guessing game with this condition. Some diabetics have problems loosing weight because we need to take so much extra meals because of hypos. Sometimes it's really hard to predict how much to lower basal insulin! We don't often have weight problems, or let me rephrase that: we have less weight problems than type 2 diabetics. Our condition isn't cured with low carb diet or the like. Our bodies don't make insulin at all! We'd die without any insulin!

But sometimes it is easy. Before the heatwave, every time I took my blood sugars, they were perfect! My hypothyroidism was, or is, under my control, not other way around and that helps with blood sugar control. I didn't have to worry about lows or highs. I didn't need to be religious about injections, I mean I didn't need to count the carbs with too much care. When my diabetes is balanced, it doesn't get off balance too easily. If I missed injection complitely I would be screwed for a while, but having a meal and counting the carbs slightly off wasn't big mistake. I could even eat a kiwi or similar, and not have any insulin and highest BS would get, was 12. For a short while, that's nothing dangerous. I'd just take unit or two more with next injection.

No comments:

Post a Comment