It's So Noisy at the Fair: The Diabetic Thread

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Had my last two bi-weekly blood tests, won't go back for three months now. In view of how engaged my doctor is--not at all--I'll be on my own till the spring.

Readings are good: 6.7 then 6.5 for the three-month levels, 5.2 at home last night (lowest yet). Had my first cheeseburger in almost three months to celebrate, probably the worst thing I could do--but added chick peas to my nightly salad as penance.

clemenza, Monday, 16 January 2023 22:32 (two months ago) link

lol yeah my doctors office called after my lab results came in & they’re like “yep everything looks stable ok bye”

last 3-month visit i waited in the exam room for 30 minutes for a pointless 5 min “keep doing what you’re doing” consultation

so i guess no visit at all is an improvement

werewolves of laudanum (VegemiteGrrl), Monday, 16 January 2023 23:18 (two months ago) link

My doctor's receptionist retired a couple of weeks ago, and she was an intermediary I had some rapport with. Typical: I didn't realize that when we'd been communicating via e-mail, it was her address, not the office's. ("I've just retired...please contact Dr. _______ at the office.) Wouldn't be shocked if my doctor doesn't even have an e-mail address attached to the office.

clemenza, Tuesday, 17 January 2023 04:53 (two months ago) link

one month passes...

Buses cancelled where I was today, so a lot of absent students; it was pizza day, and there was extra for any teachers who wanted some. So I had my first pizza since getting the diagnosis in October. Plain cheese, two small slices--I was fine with that, though there was a little guilt about not limiting myself to one. I probably should have self-tested tonight to see if there was a spike, but it would have been nine hours later, so I doubt it would have shown up anyway. Plus I only like good news.

clemenza, Saturday, 18 February 2023 06:32 (one month ago) link

sometimes not knowing is more manageable than knowing & not being able to do anything abt it.

i had a work dinner last week at a thai restaurant. except the catch that i didn’t learn, that no one knew until we all got there, was that my boss was ordering for everyone! for 25 of us. unhinged. random dishes would get passed around unannounced so it was like a game of telephone trying to establish what any dishes were - not great for me but worse for ppl with serious food allergies

i just ate like 12 random scoops of various curry & like a teaspoon of rice …. and then made a protein bowl when i got home.

not ideal

werewolves of laudanum (VegemiteGrrl), Saturday, 18 February 2023 07:18 (one month ago) link

if i could have ordered an actual dish for myself like i had expected, it would have been fine! grr

werewolves of laudanum (VegemiteGrrl), Saturday, 18 February 2023 07:19 (one month ago) link

Yeah, I wasn't totally happy with the restaurant (pub, really) my sister chose for her birthday last night--the fish was good, but nothing in the way of vegetables except salad. But you don't want to end up being a drag when it's her night (what I ate was fine)...I've been eating this Thai soup once a week and the food-label numbers are really good.

clemenza, Saturday, 18 February 2023 13:40 (one month ago) link

Just to be clear, I wasn't ambushed like you; we both thought the mains were okay from the online menu, and I think just assumed there'd be a vegetable option on the side.

clemenza, Saturday, 18 February 2023 13:46 (one month ago) link

i had a work dinner last week at a thai restaurant. except the catch that i didn’t learn, that no one knew until we all got there, was that my boss was ordering for everyone! for 25 of us. unhinged. random dishes would get passed around unannounced so it was like a game of telephone trying to establish what any dishes were - not great for me but worse for ppl with serious food allergies

Ugh, this sounds like a nightmare. "Welcome to the mandatory meal! Here's your slice of cake!" "Uh, thanks...?"

but also fuck you (unperson), Saturday, 18 February 2023 14:16 (one month ago) link

yeah it was quite stressful

werewolves of laudanum (VegemiteGrrl), Saturday, 18 February 2023 16:46 (one month ago) link

Well, the one thing I've learned over the last 20 years is that one bad meal won't kill you. There are definitely times when I've eaten really poorly and felt it (I remember once at work having a bowl of macaroni and cheese, with bread crumbs on top, for lunch and being basically in a coma for the rest of the afternoon) but I can always stabilize my system pretty well by the next day. I've even had days where my sugar spiked for no reason at all — I was eating healthy, getting an acceptable amount of exercise, and it just shot into the 300s for no reason at all, like my pancreas had just decided to take the day off. So, you know, do your best. It'll work out.

but also fuck you (unperson), Saturday, 18 February 2023 17:10 (one month ago) link

Which is actually something I've been wondering: if your level spikes and then returns to normal, is it like it never happened, or does every spike weaken your system a little more. (And I'm not even sure what I mean by "system.")

clemenza, Saturday, 18 February 2023 18:08 (one month ago) link

No question mark, but there is a question in there.

clemenza, Saturday, 18 February 2023 18:08 (one month ago) link

Based on my own experience, while diabetes does weaken your system over time, the process can be very gradual (like "river water wearing down a stone" gradual), especially if you are doing your best to be healthy. If you're disregarding the disease and eating pizza and snack cakes all day, drinking a lot, etc., etc., then sure, it'll progress faster than it otherwise might — that's just logical. But getting the right medication, eating as healthy as you can whenever you can, exercising (without even being a nut about it), all helps a surprising amount.

but also fuck you (unperson), Saturday, 18 February 2023 18:27 (one month ago) link

Mr. Jaq who has been trying to manage type 2 with oral meds for quite awhile (with occasional very long spates of denial and bursts of keto) is now on a small amount of insulin overnight. Hoping he takes it seriously and is consistent with it. Kudos to all y'all for dealing with it.

Jaq, Saturday, 18 February 2023 20:12 (one month ago) link

keto as an idea offers some useful recipes for me like when i am experimenting w desserts or baking or looking for a no carb option here or there but there is no way i’d ever go down that road as a whole lifestyle

rolling the dice on ketosis seems so scary to me & anecdotally v hard to achieve without encountering some p serious complications?

werewolves of laudanum (VegemiteGrrl), Saturday, 18 February 2023 21:41 (one month ago) link

After a day of Peg-Lyte and more or less fasting--if you know what I mean, you'll know what I mean--had a reading of 4.9, first one under 5.0.

with occasional very long spates of denial--this is what I worry about most. With me it would be complacency, brought on by good readings like that one, more than denial.

clemenza, Tuesday, 21 February 2023 22:13 (one month ago) link

Which is actually something I've been wondering: if your level spikes and then returns to normal, is it like it never happened, or does every spike weaken your system a little more. (And I'm not even sure what I mean by "system.")

― clemenza, Saturday, February 18, 2023 6:08 PM (three days ago) bookmarkflaglink

as a type 1, the thing the doctor checks these days (which they can now monitor) is 'time in range' and therefore it seems like the spikes don't matter as much? i'm guessing type 2 would be the same

just sayin, Tuesday, 21 February 2023 23:56 (one month ago) link

I had my first eye exam in three years this month and the optometrist said it's still not possible to tell from the close up pics of my eyes that I'm diabetic, so good result there. And my PCP checks sensation in my feet at every quarterly visit. Otherwise my A1C still hangs around 6.3-6.5, fasting sugar around 110, and the doc is not too worried about it. Steady diet of metformin and glipizide as usual. (Actually she may have taken her eye off my diabetes recently as she made a big error in my thyroid meds, raising my dose when she should have lowered it, and she's been focused on those getting those numbers back in line the last 2 visits.)

The Terroir of Tiny Town (WmC), Wednesday, 22 February 2023 00:14 (one month ago) link

(xpost) Thanks, that's how I've been approaching this--home-testing once a week, and picking an opportune moment. I figure if that number's good, then the whole week's good.

clemenza, Wednesday, 22 February 2023 01:39 (one month ago) link


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