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Jennifer E. Thomas
...... .:::.:.:

It's almost like there are these periods where our relationship is smooth and steady, and then there are times when it's like standing on the edge of this gorgeous, wonderful waterfall and just letting yourself drop, knowing that there's a safe pool of water ready to catch you at bottom. You take the plunge and you're in wayyyy over your head, but oh man, it's exhilarating, it's breathtaking, it's just incredible and you feel better than you ever have before and the water is cool and refreshing and exactly what you needed.

Sam is my waterfall.

- LJ entry from 8/2005


Every Human Has Rights

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December 2017
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Jennifer E. Thomas [userpic]
Diabetes and getting aggressive

So, once again I am trying to get aggressive with my diabetes.

This time, I'm not screwing around. I'm terrified that one of these days this disease is going to kill me. My blood sugar has been over 300 every time I've checked it for the last few weeks. Last night it just registered as "HI", which on my meter means it was over 700. That is DANGEROUS. Insulin doesn't seem to help it (YAY for insulin resistance! NOT!) and it laughs at my oral meds. I keep imagining my kidneys and retinas just melting into some sort of weird ooze.

So that leaves.. the diet.

Damn it, I love food. I love lasagne and I love stuffing and I love mashed potatoes and all that good carb heavy stuff. I like the occasional bit of candy, but I don't have a huge sweet tooth, thank God. But the carbs? Oh my.

Why is it that when I had gestational diabetes with Amy it was EASY to stick to an aggressive program, and now I just.. fail every damn time?

Here is what my diabetes management will be from now onward:

Six meals a day, three small, three moderate.

7:00 AM, wake up, check blood sugar, take 20 units 70/30 standard dose.

7:30 AM, eat breakfast, which is 1/2 slice of bread and one half cup of cottage cheese with bermuda onion and tomato (one thin slice of each, as they both have a fair amount of natural sugars) chopped up in it. If the blood sugar was good, 1/4 of a small apple or orange.

15-20 minutes exercise

9:00 AM, (or one hour after finished eating), check blood sugar. Take adjustment dose of R insulin if over 150, using sliding scale of two units for every 25 points over 150.

10:00 AM, mid-morning snack, which will consist of a sandwich made with one slice of bread, one slice of turkey or roast beef, as much sprouts (I use a mix that is clover and radish, very tasty!) or romaine as I want, dijon mustard. OR one cup of my homemade chicken soup. If I did not need an adjustment dose of insulin after breakfast I may add one thin slice of tomato.

11:30 AM, take lunchtime insulin, 20 units of 70/30.

12:00 PM, Lunch, consisting of one sandwich made with two slices of bread, two slices of roast beef or turkey, sprouts/romaine, and a thin slice of tomato, dijon mustard. I can also have a salad on the side with fat free dressing, or some celery sticks with organic peanut butter or low fat cream cheese.


1:00 PM (or one hour after eating), check bloodsugar, adjustment dose of insulin if necessary.

3:00 PM, 1/2 sandwich as detailed on morning snack, or soup.

5:30 PM, take suppertime insulin, 20 units of 70/30.

6:00 PM, supper. This is the tricky one, as I will be eating with the family, but I don't want to deprive them of the foods they love. For this reason, I have a two-fold supper game plan. On nights when supper is carbo heavy, such as spaghetti or lasagne, I will have a pot of my homemade chicken soup in the fridge. It's delicious, low in fat, very low in carbs, and easy to make and keep around.

On nights when we're having steaks or chicken or fish, I'll have a 4 ounce serving of the meat, all the green veggies I want, and a very small serving of rice or potato.


7:00 PM (or one hour), check bloodsugar, adjustment dose if needed.

10:00 PM, late snack, either half a sandwich or some soup.

12:00 AM, (bedtime, which will also be harshly regulated so that I can stick to a schedule and get this thing in hand) check blood sugar, adjust as needed.

I am also getting these fitness products:

Sit and Be Fit, an exercise program that I used to do back when I was first diagnosed. It is designed for the elderly and the mobility impaired, and all of it can be done in a chair. There are several DVDs available, I will be getting the original one as well as the diabetes workout and maybe one other, so I can have variety.
http://www.amazon.com/Sit-Be-Fit-All-Sitting-Exercises/dp/1931367035/ref=sr_1_2?ie=UTF8&s=dvd&qid=1234783424&sr=1-2 - I'll be ordering these later today.

And one of these:

http://www.amazon.com/Isokinetics-Pedalers-Pedal-Exerciser-Assembled/dp/B000KDWA82/ref=sr_1_1?ie=UTF8&s=sporting-goods&qid=1234783724&sr=1-1 - already ordered

This is going to be serious work.

I don't want to die.

I need to buy a scale so that I can keep track of any weight lost or gained.

Borderline symptom of the day: determineddetermined

Good luck! I know it's a tough battle, but this sounds like a good plan.

glad you're taking care of yourself - i don't want you to die either!

Yes, please do take care of yourself. I will get to the questions as soon as I get half a chance. Life has gotten "interesting", in the Chinese sense.

Why is it that when I had gestational diabetes with Amy it was EASY to stick to an aggressive program, and now I just.. fail every damn time?

because when you're pregnant, something messes with the wiring in your head so you don't hurt yourself.

My theory, anyway.

You're going for whole grains right? That can help a lot too.

You can do this! *hughug*

Dsmn, you'd better take care and get that under control, or I'll come down there and have Sam tickle you.

Seriously, I hope you are successful in getting it under control. *hugs*

Hi Jen!

I've been living with Type 2 since diagnosis in 1999 ... and yup, the weight is unfortunately the big factor. When I got down to around 195 pounds (from 243), I went completely off meds -- and I really hadn't changed my eating patterns much from when I was diagnosed and started eating "right".

Of course everyone's different, but you'll be pleasantly surprised how much getting your weight down will decrease those blasted sugar readings!

The good news is you'll probably be able, once you get it down, to add back in some of those carbs, but again everyone's different. One thing I do know about pasta -- it has less of a glycemic effect if you cook it to just al dente -- the harder it is, the less it seems to affect you. And, my doctor says, that's the thing to watch in foods - their *glycemic index*. For example, I was surprised to find out that Minute Rice has the lowest GI of all rices! Oatmeal is another of our friends, for grains.

Good luck, you can and WILL do this, and the other payoff is you won't believe how good you feel once you get that in control. Your plan sounds great, and know that once in a while you will break it -- don't worry, just jump on again! You can and will beat this!

Actually, I've given myself permission to break it once a week.

I get together with the women in my church every Friday morning in the church hall, and we do coffee and something breakfasty. Usually bagels or danish or some such.

I figure that's a good time to break out of the diet, because a) my friends will nag the SHIT out of me if I try to overdo it, and

b) There won't be a dozen bagels sitting in my kitchen calling me by name. The leftovers will be in some OTHER woman's kitchen! :)