Saturday, May 24, 2008

education nation~

i was at my little part-time job (a day spa) yesterday and i have to say it really amazes me when people just reach out and understand.  my boss, clare, was so kind about my type 1.  i know, i know, it's our 'right' to be given time for snacks and breaks.  but it really means a lot to me when people are just real and do things for another person because it's the right thing to do, you know?  they just get it. everyone moves on from there and it's all cool---no drama, basically.   
     i guess i'm saying this because sometimes it really gets to me how random people i talk to now are like, "um, how did you walk around not knowing you were diabetic?!"
     that's when i take a deep breath, smile at them and begin what i now call:
 "The Difference Between Type 1 and Type 2 Diabetes Discussion."  
( i know all you type 1's are laughing right now...)
 as irritating and assumptive as it is to deal with it, i like that i get to be just one more person out there advocating for education, better food for all of us, better treatment for people that just feel...misunderstood.  
        but i've also realized something big lately:
you can't be understood 'til you understand.   

Monday, May 19, 2008

ayurvedic cuisine, anyone?

so i had ayurvedic food the other night for dinner (no boos!) and it was dal with a big bowl of steamed veggies.  because i'm still working on those higher night sugars (let alone post-meal numbers)  i usually take extra insulin due to the lantus wearing off, and the tendency for high nights.  but, i had a LOT of food---with the dal being my carbohydrate and protein portion of the meal. with only 3 units, i got super hypoglycemic.  this got me thinking about how an ayurvedic diet may help me out.  it's great because it's all complex carbs, and although i'm not a vegetarian (more of a fishken), i could incorporate these and do my mediterranean diet elements also.  
      hmmmmm, i'll think on this and see what happens the more i run.  i mean, i'm down to 5 units a day of Lantus because my Endo says i have 20% function left (for the time being...) and so i'm always needing more pre-dinner insulin...  but also because of those terrible lows when Peabody just randomly decides to help me out (thanks, buddy.  i know you're trying!) but those dinner results really got me thinking about diet and complex carbohydrate, etc...(even more than us crazy type 1's already do, eh?)

Thursday, May 15, 2008

himalayan hemoglobin~

so i had my first post-diagnostic hemoglobin A1c this week.  (This measures a 3 month average of your blood glucose 'saturation', essentially.)  It should be between 6 and 7 (at the most.)  
mine was 7.8.  
whewhooooo!  i'm two months into being a type 1 and i cut my number in half.  
oh, by the way, it was 15 when it was taken at the ER two months ago.  
oh me oh my.
anywho, i was pretty excited that things were balancing so fast.   i'm even allowed to run again because they don't think i'll 'exhaust my endocrine system.'  

oi ve!  sometimes it feels like all my parts are on an assembly line being talked about by that guy in the back office who drinks tar-coffee.


Tuesday, May 6, 2008

don't fight when you're down~

i learned a lesson yesterday.  matthew and i started having some spat and it was like, "whoaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa, 
this is like a huge deal!"

ya, right.  i realized that i felt kinda  low, so i whipped out my handydandy glucose monitor, and 
ta-da!!!  sure enough....

lesson # 3,790, 261, 421, 863 
well, you get the picture...  :

don't fight when you're low, birdybird!

Saturday, May 3, 2008

well, since you asked~

some people have been asking me what my regimen is, being a new type 1.  my sugars tend to stay in the target range, although i do have slightly elevated evening sugars (about 150.)  my lantus dose keeps getting lowered because of how low i tend to be in the morning and afternoon.  so, my bolus dose is quite low, also.  i think a lot of this is due to honeymooning.  (see post entitled 'juiced' for a description of honeymooning.) 
   in the morning, i eat yogurt with berries, nuts, and wheatgerm.  no insulin.  my naturopath prescribed 200mg alpha lipoic acid (wonders!) in the a.m, 1 gram niacinamide in a.m (only for the next year will i do this), and 400 mg gymnema (ayurvedic herb for diabetics) in the a.m. i also have a cup of green tea.  i then bike to school.
    around 10am i have a piece of fruit or a handful of seeds or nuts.
   at lunchtime, i am usually in the 90's or low 100's.  i usually do not need insulin.  i always always eat greens with cheese, and beans or quinoa for lunch.  i then take 1 gram of niacinamide, 100 mg gymnema, 1000mg  fish oil, and a whole food vitamin (not the brand!)
    around 2 or 3 pm i have some more fruit or nuts. or cheese and whole wheat crackers. then i bike home. 
   for dinner, i make veggies with fish, vegetarian protein, or white meat. rarely, if ever, do i eat red meat.  my 'natural medicine for diabetes' book (see "books to devour" section of blog) recommends red meat only once a month, if ever.  i always eat greens with dinner, too.  then i take my final 1 gram of niacinamide, 100 mg gymnema, and 200 mg alpha lipoic acid.
    i have a cup of green tea before bed and 2.5 mg melatonin (assists in glucose control.)  
of course, there are days i have sweets and 'treat drinks' as i call them.  i'm just careful not to do it everyday.  
     i can't stress enough the importance of greens.  it really helps to keep my sugar stable and to burn fuel slowly.
     the supplement protocol my naturopath has me on is temporary for new onset type 1's.  it is meant to assist in glucose control, beta cell function (if there is any left...) and to begin complication prevention.  i will most likely continue with the alpha lipoic acid and green tea, though.  i will begin taking gamma vitamin e, (once i remember to buy it! ha!)
       all in all, i feel a lot better.  the last week or so, i've experienced quite a few lows even with very little pre-meal insulin, leading me to not really need it, with the exception of dinner, as that is my highest carb meal of the day. 
       in total, i only take approximately 12 units of insulin (including my lantus) a day right now.  we'll see in a few months, when my body is fully adjusted to being type 1, how this all pans out.