diabetes life

Living with Diabetes: March 2021

March 11, 2021

It’s been a while since I did one of these posts, and there’s quite a bit to catch up on. Heck, to be fair, I’ve barely touched the blog outside of the Photo Blogging Challenge, so I need to kick it.

The one thing I always loved about this monthly post was the accountability that it gave me. Without it, part of my accountability goes away.

And my numbers have shown it.

I also realized I started writing one of these posts in February, and I never finished it and posted. So I am going to take things from that one and add a little more, so this could be a little longer. But that’s OK. I realize not a lot of people read these so it’s, for me, usually a way I can get my thoughts out there about how things are going.

So where to begin?

As I write this, we are a year into the current pandemic. We’ve all been going through issues over the past year. The world is still crazy, mad, scared, upset, and every other feeling and emotion you can come up with.

It just seems everybody reaches a breaking point and, at times, I feel I’ve reached said point more than once.

First … the numbers

Since I’ve written about this last, I’ve had two A1C tests and they are up. But this was expected. I knew I wasn’t doing the best. The second one actually went down a smidge, but that’s because of how I rebounded in the final month. If I hadn’t, I can’t imagine what it would be.

And why is this?

I explained to my primary (after the first test) that yes, I knew, but I also knew what was part of it – everything going on. From the pandemic, to the political world, to everything else – I wasn’t being smart. I ate like shit, I wasn’t watching things, and when my finger prick checking of my blood sugars wasn’t great (even when I was being smart), I got frustrated and pissed off.

So I’d eat.

Yeah, not the smartest thing in the world, that’s for sure. And I knew it wasn’t smart, but I had no self-control. It was a crutch.

That being said, I was keeping up my walking, for the most part. I’d stay as active as I could, but my free time was often on a computer and kind of tuning out life.

But why?

Look, the past year has been tough. Everybody has their own story or narrative about the year. And if you are in different parts of the United States, or in another country – everything going on has a different impact on you. Some have taken it worse than others. The suicide rate is up. Depression is up. Tension is up. Some people haven’t worked in months. Others are working too much. Some want to be working. Some would rather be in their home away from everything.

The way one person has been dealing with the past year won’t be identical to the next person.

But, because this is from my eyes, let me outline a few quick snapshots.

When this pandemic started, I was in the corner that we’d figure a way to contain it and we’d be back at it by May or June. I came to this conclusion based on things that had happened over the past 20 years (Ebola etc) where the world didn’t have to shut down. As it wore on, I realized it wouldn’t be a quick fix. I, like many others, had to come to terms with that.

So, I buckled down and went at it. My workload from March through June was incredibly high. I did more hours in that span than I can account for, but it had to be done. And ever since, it’s been up and down with normal hours to many more. All part of life.

But the little things get to you. As you look back and reflect, you can start pinpointing different aspects. I couldn’t go to baseball games. I didn’t want to eat out (I still don’t). I didn’t go geocaching or explore. I didn’t go on photo trips. I didn’t get to travel at all. I barely saw family and friends.

This is the type of stuff that really gets to you.

Politics

And what else did it? The presidential election in the United States. It doesn’t matter what side of the spectrum you were on for this – it was overwhelming. You have a global pandemic going on, social justice movements, and an insanely polarizing election cycle. No matter who one backed, there was tension. There were heated arguments and then add in social distancing (or lack thereof) and it got worse.

No matter who one backed – we all had part in this situation. And the sad part is that it didn’t end in November, or even December, or hell, even January. It’s still going. We’re a nation divided and it doesn’t help with people and their mental well being.

I’ve learned the block/unfriend/unfollow/mute buttons are very helpful in the social media world when it comes to a lot of this. I do it quietly, though. I’m not one of those who screams out I am leaving a group or I am eliminating people off my lists … I just do it. And believe me, I’ve done this to people on both sides of the political spectrum. It’s been nice that things have been relatively quiet, too. We know neither side is perfect — that’s for sure — but things being quiet is nice.

The weather

Depending where you live, this may or may not be something you are dealing with, too. But this winter near me has been shitty. It seems like we can’t go a couple of days without snow. And it’s not like we are getting feet at a time. It’s that steady, annoying, an inch or two here and there sort of snow.

*We had a lot of snow this winter … which made things tough as well.*

Sometimes it’s fluffy, sometimes it’s that “wet” heavier snow – like snowball weather.

This really messes with your mind, too.

There’s a day of sun and blue skies and you feel, even if it’s cold, that maybe something is turning. Then what happens? The next three days it snows. Two inches one day. Four the next. Three the next. It’s depressing.

And it also forces me to stay in more. While I don’t mind walking in the cold, if I am out shoveling multiple times over a two- or three-day span, my energy is drained.

And sure, shoveling

The weather has been starting to turn for the better, though, so I am hopeful. But, I never think winter is done in my area until March ends. That being said, I’ll keep my fingers crossed.

Into my small world

Though I was a bit more outgoing and “free” when I was younger, I’ve become way more of an introvert in my adult life. “Adulting” absolutely wears me out. Small talk drives me crazy because nobody knows where to end a chat and all. Sometimes, I just want to put on some headphones and block out the world.

I’ve had my own bouts with different things. If I have a day or two where my blood sugar is too high, I can go in several directions. I can get angry. Or frustrated. Or upset. Or any other emotion. It’s a battle that goes up and down based on my daily mood.

The stress of work doesn’t help, either.

The stress of life, too.

I’ve been looking to buy a house, as well as a new car sometime this summer. I’ve thought about a dog (which I think would help me), and I’ve looked into buying a kayak this summer. I’d like to explore more and ride my bike more. And walk more. Some of these are big, some are small. But they all add up to make it hard, at times, to keep focused on other things.

Mental health

This is real.

Think about yourself through all of this. Have you had any mental health issues? Has it taken a toll on your health at all? How’s your blood pressure? If you have diabetes, how are your numbers? How are other things? Are there any other underlying issues that have worsened during this time?

I have had my moments, that’s for sure.

Overall, though, I’ve taken it in stride the best I could. I’ve found ways to cope – whether it be a walk or binge watching something on Netflix, or trying to figure a way to shape my new personal journal (which may be one reason I haven’t blogged as much). Too often, I tend to slink back to the computer and that needs to change a little. The computer can be fun, be it some games or surfing or researching — but turning off the screen is important as well.

I’m trying to find different ways to do things to ease stress and I think that will help overall. The warmer weather will help. I plan to start playing some golf again as the weather improves, and I’ll be walking the courses more. Maybe I’ll get back to playing some disc golf. I want to explore some state parks. If a dog comes along, well … that can only help. Home ownership could help as well with all that it would involve. I want to do more with photography, and especially videography.

It’s the little things that will help.

OK, we get it … the numbers.

So … about those numbers

The last two A1C reports were in the upper 8s – obviously not where I want to be.

But …

One of my recent readings before dinner.

A month ago, I met with a dietician. She was uber helpful. She helped shape my meals. She offered ideas based on what I like to eat. She talked about calories, and carbs. She explained certain things. And we worked on what I could do.

The results have been crazy good.

I made a spreadsheet to document what my finger prick readings were for the past month and it’s quite wild to see it drop. Over the course of four weeks my numbers have gotten much closer to where they should be and for that, I am excited and thankful. It gives me the drive to keep it up and see what I can do.

Look, the reality is this – I don’t want my medication upped. In fact, I want it downsized. For this to happen, I need to do the right thing. I also requested a new blood glucose reader – one that syncs up with the MySugr app, so that should help as well. I’ll be excited when that arrives.

And when I saw my doctor earlier this week? I’m down 11 pounds. So that is also a good thing that helps in many ways. If I can continue my progress and do things right — maybe I can finally build the habits I need to get healthier.

Moving forward

I have some goals for this year. I’d like to continue the weight loss. I’d like to get a bit more active with my walking (pick up the pace again), and hike/explore some. Maybe do some biking and kayaking. All that will help. And by the end of the year (I would have 2-3 more A1C tests this year as I go every three months), I want that A1C staying under 7 – as low into those 6s as I can get.

And, I need to get blogging about these things more – not just this monthly write up, but the other features I have on here that have been neglected – such as the walking with a purpose and On The Trail.

I can’t guarantee I’ll be full force, but I am going to try and do a bit more. I’ve really crawled into a shell and I need to come back out and experience life a bit more.

And in the end, I think that will help me overall.

I hope everybody is getting through this pandemic. Be safe. Mask up when needed. Have some distance. Be healthy. Be happy.

Feel free to leave a comment, or e-mail P.J. at hoohaablog@gmail.com. Also, please “Like” A ‘lil HooHaa on Facebook! You can also follow me on Twitter @softball29!

Living with Diabetes: Managing during a pandemic

May 7, 2020

For those of you who read my blog, you likely know I’ve been working my rear off to get my diabetes in control. I’ve been doing pretty well with it, too.

In fact, at my last blood test in February, my A1C dropped .5 points and I’m on the cusp of dropping under a 7 for the first time in a while.

That has me pumped.

However, then COVID-19 hit,

The world went into a lockdown. People lost jobs. Others work remotely. Some are afraid to step outside. Being diabetic, I’m told, I’m at a higher risk.

Just what I needed.

I’m thankful I didn’t lose my job. I’ve worked remotely for the most part, but I go into the office a couple of times per week. I utilize social distancing. When I’m in a store or in a public area where I might be around people and can’t be 6-10 feet away, I wear a mask. I’m doing the items I’ve been asked to do. Do I like or want to do them all? No. But I’m also in the belief that I am doing many of these things for other people, not just me.

My work has really amped up, though. I’m having to juggle a lot of things and I know the next two months are going to be high-stress, probably longer hours at time, and definitely a time where I might not always be smart.

First, let’s take working at home. For me, it’s not the best. You do some Zoom meetings and all and you might snack a bit. I don’t always check my blood numbers as I forget. I’m out of a rhythm.

Now, I will say I get way more walking in. My morning and afternoon walks are usually a lock. Sometimes there’s a third. When I’m at the office, I tend to try and move more because there’s so few people around and if I don’t move and stare at the computer all day, I’ll go bonkers.

Sometimes on weekends, I’ve found nature areas and places to hike so I can get a change of scenery. I’ve tried to take photos and videos. When the weather is nice, I’ve tried to take advantage of it.

But this time for everybody is hard. We’re not doing normal things. We want to, but we can’t. And that takes a toll on somebody’s body.

The times I’ve checked my blood sugars, there’s some elevation at times. Not always mind you, but sometimes. I know there are times I pick at snacks because of the situation I am in. I don’t think I’ve really packed on pounds as clothes tell me otherwise. I’m trying to be as smart as I can. My portion sizes haven’t increased.

Still, I know I haven’t been great.

My next doctor’s appointment is June 30. I am supposed to get blood taken before then, so we’ll see how that goes. I hope I don’t see my numbers go flying back up, though I know that will be possible.

For now, I need to get back to where I was before all of this started. That means watching what I eat. Moving. Not snacking all the time. Sometimes it can be very hard, as I am sure others will note, too.

I keep plugging away. The best I can, anyway. It’s also my hope you are all doing well.

Stay safe and healthy.

Feel free to leave a comment, or e-mail P.J. at hoohaablog@gmail.com. Also, please “Like” A ‘lil HooHaa on Facebook! You can also follow me on Twitter @softball29!

Living with Diabetes: Medications and the ups and downs of it all

February 12, 2020

There are days when I want to scream when it comes to diabetes.

Like, top of my lungs, off the mountain tops, and filled with profanity sort of screaming. You know, the type that makes zero sense, but at the same time makes you feel a whole heap better.

I mean, if it’s just for you, it’s not often a few cuss words won’t make you feel better … right?

Let me back this up a little to explain.

At my last A1C test in November, my numbers had come down. I was happy about that, but the unfortunate part is that the past two tests had gone up … so I hadn’t been doing well. This made my primary and my diabetes educator each have a chat with me about kind of looking at what I was doing etc. I made a lot of changes since then and things are going well.

They also suggested I might want to look into an injectable medicine – not insulin, but one of the weekly ones. I agreed to do my research and that I’d let them know.

So I kind of went headfirst. I read about these medicines, such as Trulicity and Ozempic. I read reviews. I looked at all the possible side effects. I looked at the positives and negatives. I watched videos on how they worked and how I would have to use them. I emailed the diabetes educator with questions.

I did my homework.

In the end, I was actually highly interested. Knowing at least one of my medications would be cut in half and the hopes it would eventually be taken away because of using this medicine, I decided to give it a try.

I chose Ozempic.

I liked some of the studies and things to go with this medicine a bit more than the others. It just seemed like the right fit. I took the first dose in late December, and have done it weekly ever since.

And I like the direction it’s going.

My numbers as I check throughout the day have noticeably gone down. One app I use – mySugr – gives an estimation of your current A1C, based on the numbers you have in there. If this is remotely close, then I’m going to be stoked next time I go, which will be in about 2.5 weeks.

And I can’t say if it’s Ozempic, but things are going in the right direction. That leads me to believe the medicine is working and working in a positive way. It’s easy to use and I’ve not felt a negative side to it. I also like that it’s easily stores.

One thing the medication is supposed to help with – suppressing appetite. I know this much – over the past few months, I haven’t been eating as much. I get full much easier, which is a good thing. I’m not usually one that gets excited about a new medicine. I’d rather subtract than add, but this has been really good for me so far. Here’s hoping it keeps going in the right direction and allows me to fully drop one other.

I’ve also been walking a ton more than I used to. I always made sure to walk, but I’ve been really good about getting up and doing the 5 am walk (during the main work week), and then one at night.

Add all that up, and things are going very well in the right direction.

Let’s go back to the screaming part, though.

My one issue is the morning. Recently, my overnight readings have been awesome for my standards. It’s always been my hard area. But it’s been good. I get up, check my numbers and go for a walk. I can’t eat beforehand, as I have a medicine I take that needs to be in me for 30 minutes before I eat. So I go take a walk, come home and get ready for work and then eat.

Now, I realize because there’s nothing in my body, my numbers could rise (they usually do a little), but there are days where it goes way up. I don’t understand how one day it pops way up, other days it goes up a little, and other days it stays the same or goes down a little.

It makes no sense.

If there was a small bit of fluctuation one way or another, I get it. Or if it always went flying up. But it’s so random how things go.

I’ve tried getting up earlier, taking the medicine, going back to bed and then eating before my morning walk. That didn’t work out well. For one, there’s no time for the food to digest, so walking isn’t the best. But my numbers never improved all that much from it, and oftentimes – again – got worse.

So I am at a standstill. I’m not sure how to approach this or what to do. I have appointments March 3, so this will be on my question list.

I know this is an endless fight. I know there are times I’m going to want to scream and there are times I pump my fist knowing I am going in the right direction. But I also realize there will always be frustrations with this battle.

For anybody reading this … do these things happen to you? And if so, what do you do about it? I’m open for ideas and suggestions!

Feel free to leave a comment, or e-mail P.J. at hoohaablog@gmail.com. Also, please “Like” HooHaa Blog on Facebook! You can also follow me on Twitter @softball29!

Living with Diabetes: Plugging away

January 30, 2020

As I start to plan out being a bit better about the blog, I realized I hadn’t run one of these since November – and before my last blood test.

Shame on me!

If you recall from last time, my A1C (long-term blood sugars) had gone up a bit dramatically. I got spooked with the talk of insulin and realized I had been a bit aloof about the whole situation.

In fact, the last time I posted about this, I gave myself a bit of a plan of action. Thus far, it seems to be working.

Let’s recap where I went in 2019. My A1C in January of last year was pretty good. I was trending in the right direction and seemed to be doing things the right way.

I got into the Freestyle Libre, which when I wore it and it stayed on my arm, was awesome. I could check my readings a lot. But, when it popped out or one ended, I tended to lax.

And when that happens, that means I’m not checking and “think” I know what I am doing.

I don’t.

So the next two blood tests didn’t go as well as the first – my numbers went up 1.6 points at the May appointment, and another point in August.

Needless to say, my primary wasn’t pleased. I went to work on it and started keeping track of things a lot better. When November came around and it was time for my blood test, I was cautiously optimistic.

It’s dropped 1.1 points.

Am I where I need to be? Not yet. But I’m getting there.

The next thing my primary though was… what are my thoughts on injectables. Not insulin, but the long-range medicines. He wasn’t telling me I had to do it, but to think about it.

I talked to the diabetes educator I see and she thought it would be worth thinking about. By doing this, one of my other medicines would become a lower dose with the possibilities of it being taken away.

Over the next month, I did a lot of research on the main players. In the end, it seemed Ozempic would be a good match for me. In the end, I decided to give it a go.

For four weeks, I’ve used this. It seems like it is helping my daily sugars, mixed in with the exercise and everything else I am doing. I still have a ways to go, but I seem to be trending in the right direction once again. I’ll expand on this medicine and my thoughts in February’s post.

Some things have been harder than others, but everything is working well. I’m doing walks on a regular basis and trying to get myself feeling better overall. I push myself and I watch things. I sometimes still get higher readings and it’s frustrating because I can’t always pinpoint why it’s happening. My other issue is the morning and trying to figure out how to get it all to work well, especially mixing in a morning walk.

In time, I am sure.

I’ve changed some habits and am being much more cognizant about everything I am doing. I just have to stick with it.

My other goal here is to stay more on top of this feature on the blog. I found in the past when I was doing this monthly, it allowed me to reflect and look to what was working and what wasn’t. In the coming months, I’ll have a range of topics to cover, as well as the personal updates.

I realize some of my other past goals, namely a food journal, haven’t been going as planned. That is still on my radar, but I’m trying to figure the best way for me to pull it off.

It’s an endless fight and it’s one I will keep at because it’s the only thing I can do.

Feel free to leave a comment, or e-mail P.J. at hoohaablog@gmail.com. Also, please “Like” HooHaa Blog on Facebook! You can also follow me on Twitter @softball29!

Living with Diabetes: Awareness

November 14, 2019

Today is International Diabetes Day.

It’s a day for awareness. And it’s a day those living with the disease really can reflect (though, to be fair, that is something one should do daily). For me, it’s a day to look back over the past few months to see where I’ve come since my last bout of “rock bottom.”

The last A1C reading I had went up quite a bit to the point where my primary physician said I need to start figuring this out or I might have to think about the “I” word. And that is not somewhere I want to go – now or ever. On another note, there are things now that can work in lieu of it, but I don’t even want to do that. I need to work on improving this without adding more medication.

In a perfect world, I’d like to subtract.

One thing he noted at my last checkup was that as we get older, sometimes it’s not what you do – it’s just your body. Still, I know there’s a lot I can do before that is the decision that has to be made. For one, taking care of myself better and I think I am doing just that.

Since that last checkup in August, I’ve done a lot more:

Watching numbers: I’ve been diligent about checking my blood sugars, and have made a Google Sheets setup to be able to keep everything together. I have color-coded number so I know when I’ve been in range, closely out of it, and way out of it. This is something I’ll be able to print out and bring to my next appointment.

I know I have to do better with keeping a food journal as I think that will help me look back and reflect on why my numbers may have gone up or down.

Exercise: I’ve kept up with walking. Though my goal is to do a couple of dedicated walks each day, that doesn’t always happen. I always get one and always make sure to get at least 30 minutes of exercise. The Apple Watch has been a huge addition to me. To some it may sound silly, but closing those three rings each day is big to me and I am doing what I can to keep it up. That has helped immensely.

With this, I also keep several Google Sheet files so I can track my walking and steps each month and see where I’ve gone up and down.

Eating habits: This is still an area to keep improving, but I’m getting better. I watch my portions. I watch what goes into my body. From the end of July until the end of October I didn’t have a piece of candy, and even since then, I’ve only had a couple. When I do it, I make sure it’s small, and that I haven’t already been eating a ton of carbs. I usually also try and do it when I am going for a walk right after.

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The thing is – these items I have worked on have shown improvements. My numbers have come down over time. I still have some numbers that go up , but now I can usually figure out what made my blood sugar jump. Don’t get me wrong, I’m by no means perfect. But I do think I’m truly moving in the right direction and hopefully it will continue.

Speaking of that, what kind of things can I do to keep moving in the right direction?

Things to keep working on:

Exercise. I can’t lax off, even when it gets cold. If I stop, that’s when things go wonky. It takes time to get yourself going right and I can’t lose my months-long work over laziness. And hey, I know I’m not getting any younger. I have aches and pains like anybody else. But, eventually. I want to jog/run a bit more. I know I can get down to a 13-15 minute mile (I’m at 18-19 when I’m just walking) if I push myself and that’s my goal. I’d like to actually run in a few 5Ks and know I didn’t walk it all. The couch-to-5K program is something I am looking into.

Food journal: Now that I feel I have gotten things better in regard to eating habits, it’s probably time to keep a food journal. But here’s the thing – I’m not sure how I will be with watching calories and things like that. Some things are hard to find the nutritional info, so I just need to be smart. But, a general food journal (this is what I had for dinner etc.) will be helpful with different things.

Apple Health: Being an iPhone and Apple Watch user, I’ve really gotten into the Apple Health things. But the main app is pretty in-depth and intense and I want to do more with it. There are other apps I looked into, but some just didn’t have what I wanted to see. There are a few I want to revisit as I continue along this journey to become healthier and I think they will help. As I check them out, I might blog about them as well.

Apple, at their stores, hold free classes to help with some of these items. I might look to see if I can get into one or two of them over the holiday season when I have some time off. I always have said I want to try and find a way to keep things on one app.

Start utilizing other apps: This seems like so 2019 – but I have several apps that I think can work well with my battle. The key is getting my glucose reader to actually sync up with my phone (which, for some reason, it’s not doing even though my Bluetooth says it’s connected). One of the apps I want to use is mySugr, which helps you keep track of your sugars, which might allow me to get rid of the spread sheets eventually. Again, it would be nice if these apps all connect to one spot (a lot can connect with Apple Health) so I can see things in one spot.

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I like the direction I am heading. My next blood test will be done the weekend before Thanksgiving, and I’ll have my next appointment a couple of days before Thanksgiving. Though I don’t know if my A1C will be a drastic improvement, I am confident it will be going down and an improvement. I’m excited to see it though and hope I can stay on the right path.

Thing is, when I was using that reader that stuck in my arm for 10 or so days, I did well because I had constant feedback. I’ve found with the Google Sheets I can check and see the color coordination to know where I’ve been and where I still need to go.

It’s a battle I continue to work at and hopefully I will keep going in the right direction!

Feel free to leave a comment, or e-mail P.J. at hoohaablog@gmail.com. Also, please “Like” HooHaa Blog on Facebook! You can also follow me on Twitter @softball29!