This has been a tough diabetes week for me. After getting back from vacation during the second week of August, we had a guest come over and visit for a week. We spent quite a bit of time out and about, which means I had to dine out a couple of times. Of course, with the outings and not knowing exactly what’s in the food come the rises and falls in blood glucose that my body hates. Even though my numbers never ended up high, they were higher than usual, which then ends up affecting my numbers all week. Slowly getting back on track but it takes a couple of days to get my blood glucose levels back to where they should be as even when I’m in the range I want to be in my liver just keeps dumping out glucose whenever it detects I am dropping too quickly and thinks I am low. Ugh! I have to say, the NovoPen Echo has been extremely useful to get back on track. Having the ability to add that extra half unit during certain meals has been extremely helpful. I love my NovoPen Echo!
Among other things, I met with my Diabetes Educator/Dietitian and with my Diabetes Educator Nurse this week for follow-ups. My Diabetes Educator/Dietitian gave me some good advice on using Dexcom data to figure out when I’ll need to take more or less insulin for meals to avoid spikes and adjustments to make to my basal on days when I know I am going to be more active, which I think will be helpful. With my Diabetes Educator Nurse, we took a look at my Dexcom data to see if any adjustments needed to be made to dosages or whatnot. No dosage adjustments necessary for now. Will continue with my current 6 units of basal (Lantus) and insulin to carb ratio of 1:20 for my meal-time insulin (Novolog).
Both my Dietitian/DE and DE Nurse thought that my blood glucose fluctuations are pretty small and look like “normal person without diabetes” fluctuations for the most part=small rises and falls blood glucose, no highs, and very few lows. However, it takes a lot of work and sacrifice to achieve that so we also talked about how maintaining my numbers has been impacting me and how it seems to be taking over my life. They say it gets easier with time to cope with the diagnosis of a chronic condition, but for me that really hasn’t happened. I am a problem solver and like finding solutions to problems. The thought that I can’t “fix” what is broken in my body is overwhelming at times, especially since I am extremely sensitive to blood glucose fluctuations and these can make me feel quite crummy at times. I try to control as many variables as I can to avoid the fluctuations that make me feel awful, but it has honestly become a part time job and I am exhausted. I feel like I don’t have much time for myself anymore due to all the time I have to spend tending to my diabetes (cooking, prepping lunches and snacks, logging blood glucose numbers and meals for my appointments, intensive exercising) and that really has to change.
My Diabetes Educator Nurse said that maybe some therapy where I could talk to someone could be beneficial for me. Not sure that this will fix all my diabetes problems, but I think it may be helpful. I agreed to trying out therapy. Therefore, she is going to talk to my endocrinologist to get the referral. It seems this therapist works specifically with people with chronic conditions like chronic pain and diabetes, which is great. She leads a group for people with diabetes as well. Her main focus is working with people that do not take care of their diabetes though so I think I will be a completely different challenge as I try to maintain control that is extremely tight. We’ll see how this goes. I have been to counseling in the past for other reasons and didn’t really feel like I got much out of it. I hope it’s different this time. Will post with an update once I attend my first session. 🙂