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Starting on Insulin (part 2)

Thank you for returning to part 2 of the series Starting on Insulin. Blessings be onto you and yours.  As I mention in the previous blog, finding the right insulin therapy may take a little time, so don’t become discourage if you don’t see the desired results in the beginning of your treatment. Doctors are no longer waiting to place their patients on insulin like in the past.

There are a few different types of insulin:

  • Long Acting –  This insulin begins to work 1 to 2 hours after injection, and it can work up to 24 hours.
  1. Lantus
  2. Levemir
  • Intermediate- and long-acting – Are types of insulin contain added substances (buffers) that make them work over a long time and may appear cloudy. When these types of insulin sit for even a few minutes, the buffered insulin settles to the bottom of the vial. But insulin glargine (Lantus) and insulin detemir (Levemir) are clear liquids, not cloudy.
  1. Novolog 70/30 mix
  2. Humulin – N
  • Rapid-acting insulins work over a narrow, more predictable range of time. The insulin Humalog is a quick-acting insulin with a short length (duration) of action.
  1. Apidra
  2. Humalog
  3. Novolog

If you have type 2 diabetes, more than likely your doctor will start you off on a long-acting insulin which will be the Lantus or the Levemir. These insulin’s stay in the body longer than the others.  They can work in the body up to about 24 hours. If you’re waking up with high blood sugar, your doctor will have you take a shot just before bed time, which should help you out with your Dawn phenomenon.

If you’re waking up with high BG, your doctor will start you off with a small amount a insulin, monitor your blood sugar, and make adjustments as needed. You should have your blood sugars under control in a very short time. -And you will probably wonder why you didn’t start on insulin earlier.

So remember, you don’t have to feel as if you failed. Insulin is a natural hormone which your body must have to make the carbohydrates in your body useable. If you have a question, please leave a comment or shoot me an email.

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Starting on insulin

WHAT!!! There must be a mistake! How could this have happen? Am I really that sick? How did I come to this point, where I need to take insulin?

Shock, disbelief, and uncertainty grips your reality and understating, then plunges you into a state of confusion. This is what usually happens to you, just after your doctor tells you, you have to start taking insulin to help manage your diabetes. -I know his feeling all too well, just as many before me, and maybe you. The last thing you need to do right now is get depressed. Having to take insulin is not the end of the world, in fact, you may wonder to yourself why didn’t you start taking insulin earlier.

Most people can’t see giving themselves an injection, I know I had reservations, and needles didn’t bother me, but having to inject myself was another story. When my doctor called me into him office to teach me how to give myself the injection using a flex pen, I felt so ashamed. Why? Because it was no big deal, and it didn’t hurt at all to say the least. I feel more pain doing finger sticks than using a flex pen.

Now it’s very important to follow your doctor’s instructions. He or she may start you off with taking 10 to 20 units a day. You may take a shot only at bedtime. You may have to take one in the day and one at night. You will need to keep good record keeping, and do more testing to find what dosage and time interval works for you. So don’t get discourage, and give up, results does not show immediately. Working closely with your doctor will help you find the right combination that works for you.

Next part we will go over the different types of insulins and their interactions.

~LW~

The Summer is here!

I love warm weather. I like many people’s enjoy the summer weather, nothing to hot and nothing to wet.and like many other people I like to wear little clothing as possible with my toes out, but being a diabetic leaving my feet exposed can cause me in a lot of trouble if something was to go wrong. It is important that diabetics protect they see at all cost. We should not wear open toed shoes leaving little piggies open to danger, but who wants to walk around the entire summer in sneakers and shoes, certainly not I. So I will carefully disobey some good common sense precautions and where open toe sandals and close toe sandals this summer.

it’s not like I plan on having my tolls run over my sandals because that is definitely a no-no. I will wear sandals that will fit my feet and even gives me a half an inch of extra toe and heel space. I will also be careful where I walk and try to avoid things that will harm my toes or feet, like walking through standing water or even in tall grass. I’ll try hard not to be clumsy and drop things on my feet. I will avoid crowds of people to avoid them from stepping on my toes and just beat extra vigilant in my surroundings so that I may avoid things which I perceived to be hazardous to my lower extremities. It is important that you understand, I do not make these recommendations for everyone just myself. We all are responsible for our own health and should use great amount of caution in the things which we do,  knowing that we are diabetics. Always speak with your doctor or your primary care team on how you should dress and deal with the summer because there is going to be a lot of hot days out there and we need to find ways to be cool, comparable, and safe.he is in him and him and him and him

Please read this note on Pre-Caution

Please read this note on Care

 

So with that as a child and enjoy. God bless.

My open toe

 

 

 

 

 

 

 

 

Close toe saddles

 

 

 

LW

 

 

Foot Care

Hey family, I do pray that everyone is in a great frame of mind and in the best of health. Earlier this evening I got some disturbing news about a person I have acquaintance of knowing. At some point in time I received news that this person, a woman had to be dragged off to the hospital by her friends and family member to see about their foot.

As the story was told to me, the woman hit a foot against something, somewhere, and thought nothing of it. They worked, shopped and did what they do, which also included ignoring the pain in their foot. One day the swelling of the foot forced her to come out of her shoe, and it was then concern co-workers urged the woman to seek medical attention. She told them she would take of it. They didn’t believe her and called for a ambulance right then and there.

Well this evening I received the update on the woman, and yes who happen to be a diabetic, lost that foot. That bothered me. The one thing that fears me the most about being a diabetic is  amputation. I don’t know, but the thought of losing my body parts doesn’t sit well with me. Did you know statically 85% if diabetics die within 5 years after being amputated?

Living the life of a diabetic is not easy, but I do believe a long life can be achieved if we take time to take care of ourselves, and foot care must be second to monitoring our blood glucose levels. -Our feet must be protected at all times, and inspected everyday. -I do try to take of my feet, I think I do okay for a guy. My podiatrist commend me on keeping them nice, and I really do work at them.

I visited my podiatrist every six months, I go the nail salon once/twice a month, and I will give myself a touch-up twice a week after a salon visit. I know a lot of diabetics were told to stay away from nail salons, but my doctor actually encouraged me to go because he said they will groom my feet better than I, and they will come to know my feet just as well. When I do go (it have been a few months since I last been, due to my out of control eczema), I see my usual girls for my manicure/pedicure. They all know I’m a diabetic, and they know not to cut my cuticles, and to square the nails. So far going to a nail salon for the hand/foot care has been working out, and with my little pedicure treatment kit I purchased (All-in – 1 Pedicure from Avon for only $10.00) keep my feet smooth and looking good, even for a man if I must say.

At home we must protect our feet by not walking around barefooted. I wear saddles around house. There are times when I may wear socks. I need to buy me some diabetic socks, they’re much thicker than the ordinary tube socks. -Always remember to check the inside of your shoes before placing them on your feet, and ask your podiatrist to prescribe you a Urea/Carmol Gen cream for the bottom of your feet, which thins (soften), and moisturizes.

Remember never wear tight shoes, keep between your toes dry to prevent fungus,  and wear a good pair of socks that’s thick enough to protect the foot. -And never, never, never ignore pain. If we practice care and keep all these things in mind, it might help us to live a long, non-amputated life.

P.S. if you would to order the Avon’s – Foot Works All-in-1 Pedicure Tool 113-904, check with your local Avon Representative, or I’ll be more than happy to place your order.

I have finally been hospitalized!

Hi! I’m writing this from my hospital bed which I have occupied for a week now. My reason for being here could be diabetes related. I have suffered with Eczema since infancy, some years was good, some years was bad. Growing up with dark blotches, bumpy skin, and chunks of flesh missing here and there wasn’t easy as a child nor as a adult. Many times children would ask me if I was burned in a fire, and yet I managed to maintain a pleasant attitude and reply, “No I wasn’t, it’s a skin condition.”

I have lived this way my entire life, but for the last two, three years since becoming a diabetic my eczema has become uncontrollable. It have become extremely difficult to keep my skin moist, I seem to dehydrate faster, and it’s hard to maintain a healthy glow. -It is a fact that diabetes does effect one skin and cause dryness. I can only guest that since I already have eczema my problem skin issues have compounded.

The eczema had affect 90% of my body, from scalp to toes. Once I was no longer able to maintain my body heat my doctor rushed me into the hospital for treatment, which I must say, WORKED! -I was placed on a treatment of steroids, Benadryl, blood thinners, insulin, and high blood pressure medicines. The treatment started working the second day. I was given steroids every 8 hours. The steroids really did a number on my blood sugar, and blood pressure. My blood sugar was out of control, well for me they were. I was not use to seeing my BG in the 200’s and 300’s, and my levels stayed up there the whole time. Although I did bring my insulin and gadgets with me, I was told to stop taking them.

Not taking my insulin, and seeing these high numbers really did not sit well with me. They were giving me two shots of Novolog Mix 70/30, one 30 unit shot in the morning and one 15 unit shot in the evening. “What the hell were they thinking?” Came to my mind. My normal dose of Levemir is 30 units twice a day, keeps me at a normal level. My Novolog shots average between 5 and 10 units per meal normally. My ratio is 1 unit per 30 mg of carbohydrates, but it seems more like a ratio of 1 unit per 15 mg of carbohydrates. So I had to intervene. Most of my meals was well proportion, and the total count for carbohydrates seem to average around 70/80 mg, and I would take 10 units of the Novolog to help the absorption, and streamline my numbers. This did help keep my numbers in the 200 range, a few times it had fell below 140. Great!

I must say my heart was working hard, my blood pressure stayed high. It averaged 170/115. Even the nurses stated that my pressure was too high for this treatment, while taking my blood pressure medication. I kept a headache. Sudden movement would cause my brain to bang against my skull, very painful. The Tylenol helped sometimes, but for the most part, I was in pain.

Now that I am back home, I have taken control of my BG. My doctors wanted me to keep with the same insulin doses which they prescribed in the hospital, but you know I did not sign on to that. The numbers still climb into the 200’s, but I do get them down to normal. I have increase my Levemir dose to 50 units twice a day, and I keep with the same ratio of Novolog.The steroids I’m taking still keeps me with a headache, while in addition the Benadryl, and Hydroxyzine keep me from itching, they help keep the BG high

For the most part I have just been blogging about my experience in the hospital dealing with a condition while being an diabetic, and I guest for want it’s wroth. Make sure when you are in the care of a hospital, make sure you continue to track your numbers, find out what medicines they have you on and monitor their affects closely. Always travel with your diabetes medications, and meters. Do not lack on your diabetes care because you’re in a hospital and you feel they have everything under-control. Voice your concerns about your diabetic condition. Keeping your blood sugar levels under control helps the body to heal by keeping the body’s stress level down. Let me just say, listen to your doctor! Once again, listen to your doctor, follow their instructions, if adjustments need to be made, see to it that they are addressed.

Stay healthy, and stay strong.

Are your numbers running high most of the time? Do you know what’s causing your high numbers? If not then you’re certainly not testing in pairs. I see too often in T2 (type 2) diabetics running high blood sugars hours after a meal. Different foods effect people differently, and the only way to find out the effects of different foods and/or portion relates to you is to test in pairs.

Testing in pairs simply means to test before the meal and test again 1 1/2 – 2 hours after that meal. Testing this way will arm you with such valuable information on how to control your diabetes. I can eat potatoes, potatoes salad, and pastas with little worry about feeling guilty for doing so because it burns off quickly. I’ll start at 100 mg/dL, eat 9 oz. to 12 oz. of steak fries, lite on the salt, heavy on the black pepper. My sugar will spike upward between 190/220 mg/dL after an hour, but somewhere between the second and third hour I have dropped below 130 mg/dL without exercising, or doing much of anything. Now let me have a plate of Stew Chicken w/rice & peas, oh just forget it! -My glucose will spike over 240 mg/dL, and descend to about 189 mg/dL, after 2 1/2 hours, which lead me to research I can only eat 1/3 of that meal to stay within my limits.

Testing in pairs should also be done when exercising. How else would you know how effective your workout truly is?

Many T2 diabetics are told to check their fasting sugar in the morning and again at night before bed. The only working data here is before and after sleep, which is very little information for a 24 hour, 7 days a week disease.

Hello world!

Hello and welcome to The Diabetic Writer. Hi my name about the publishing world is, Author Lord’Williams, and among my friends, and co-workers, well they just simply call me Lord, (not to be confused with our Heavenly Father above).

I am an diabetic. I believe I had this disease for several years, or since 2007. I was not officially diagnosed having diabetes until April of 2009. This came just after having surgery on my right hand. I was told by one of the attending physician my sugar was high. She told me that each time I was tested, I had elevated numbers and that I should have my physician check for diabetes. -Well for me this bit of news was conformation. Why? Because in 2007 I was experiencing a few of the symptoms of  having diabetes. The thirst, the running to the bathroom, and boy was I always tired!

I’m a fairly healthy person, so with all of this going on, and actually I just so happen to have the time he needed to give me that test, after-which he told me to go home and he would contact me if needed. Well a week later I got the notice to come to his office immediately. -I knew what that meant, and decided, I did not want to hear what he had to say, and all I needed to do was take better care of myself.

I like many others diabetics, refused to accept those words from your doctor telling you, you have diabetes, and in my case I didn’t even want to hear my doctor at all, so I avoided him for almost a year, and even then we fought over my readings!

In 2008, I had a A1c reading of 7.1. When I went back nearly a year later my A1c was up to 8.4. -I wanted more testing and for him to tell me something other than, “you have diabetes.” -Reluctantly  and slowly I began to accept the fact that I was a diabetic. I had joined the, “Stickem” population.

I was given a glucose meter, some training, and a prescription for medformin. Even after my doctor telling me, “accept the fact that you have this disease and work with it, or do nothing, and let it kill you painfully,” I still resisted. I tested here and there, took my pill here and there, and after a few weeks I started my research, because even up to that point, I really had no knowledge of what diabetes was. All I knew was those around me who had the disease lost body parts and died.

After researching diabetes, and learning that I can stay on top of it, live an almost normal life, and keep slow down the effects of the serious complications, I was all in. I always had a competitive nature, and I refused to down go without giving myself the very best of me.

I am an 52 year old, diabetic. I was diagnosed in April, 2009 with Type 2, which feels more like type 1 (more on th,is later), I test at least 6 times a day, and I’m on insulin therapy. I’m an author who writes in the genre of Romance-suspense, Drama, Erotica, and Spirituality. I made a decision that in every fiction novel I write will have a character who has diabetes, and it is through this media where I will attempt to teach my readers about living a life with diabetes.