REAL WORLD EVENT DISCUSSIONS

In the garden, and RAIN!!! (2)

POSTED BY: SIGNYM
UPDATED: Sunday, April 28, 2024 15:47
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Thursday, April 20, 2023 9:16 PM

6IXSTRINGJACK


Quote:
Originally posted by SIGNYM:
The meters are calibrated around 100. I don't have experience with readings that high, but my guess is that the only way to interpret the result is "way too fucking high". I think the lab result is prolly more accurate than the strip, bc theyll dilute the sample to be in-range.

But even at around 100, with strips you're still going to be about +/-5 or so, and about every 20th reading or so will throw out a spurious reading that needs to be re-done.


I don't understand what you mean by "calibrated around 100". Could you explain that to me in layman's terms?

Quote:
So I think what this is saying is that you're still maxed out on your glucose and need to add insulin, according to schedule.


Perhaps not... See the end of the reply.

Quote:
Oh BTW, if you're liquid intake is lower, everything in your blood is more concentrated including glucose. You should be drinking the usually -recommended 6-8 * 8oz glasses per day (appx 1/2gallon) of water) preferably before 8 PM so it doesn't interfere with your sleep.


Oh. Okay. I thought it was good that I wasn't thirsty and wasn't drinking water. I assume coffee doesn't count.




I did some reading on the instructions... The LONG instructions....

There is no calibration required on this particular device. However, you are supposed to have extremely clean hands when you test, which I didn't even consider. Before those first two high results of 505 and 495 with the 2 error strips, I just did a real quick hand wash.

Just about 30 minutes ago I washed my hands thoroughly for over a minute and dried them with fresh paper towel instead of the towel I have hanging on the stove right where I cook all that rice every night.

I screwed up 2 more testing strips, but I did get a reading that was 308 the third time, which isn't 200 or below yet, but it IS a lot better than my last two readings at the hospital and the doctor and more in line with how I'm feeling, I would say.


So... My question now is, do you think there's any chance the meter could ever possibly give me a reading that is LOWER than what my sugar level currently is? (Hoping the answer to this question is no and/or negligible).

I think I just had some foreign shit on my fingertips that made those two readings a lot higher than they actually were.

I'm hoping that the 308 reading right now means that I'm at least down to 308.



Tomorrow morning when I test before eating/insulin/medicine, I will make sure to clean my hands with rubbing alcohol before testing.


ETA: Interesting...

Based off of all of the quick improvements (which were also aided by a change in diet and physical exercise too)< I thought that the effects of this medicine were basically immediate.

Mayo Clinic says that many people being put on Metformin/Insulin will see results in the first 1 or 2 weeks, but it can take 2 to 3 months to stabilize blood glucose levels.

If that 308 reading is legit, I feel a lot better about it after only 2 days since seeing Dr. Endo than I did before reading that. Maybe this isn't too bad. I always think the worst.


--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Thursday, April 20, 2023 11:02 PM

6IXSTRINGJACK


Nah...

These things are bullshit. You're never going to get anything accurate out of them.

Even under the "best case" scenario, they say the meter is "accurate" if it's within +/-15%.

When you're legit at 300, that could mean a reading anywhere from 255 to 345. When you're at 400 that could mean 340 to 460. Even at 200 that could vary from 170 to 230.

How is that even useful? And why would the doctor send me home to test myself without any training or knowledge about these things and make that decision to up the insulin on my own when even under ideal circumstances I could easily be showing far greater or lesser than 200 tomorrow morning depending on which way the meter feels like reading?


Hell... since all they did was use one of these things at Dr. Endo on Tuesday, I could very well have been only 340 instead of 400 with that 15% in mind.


And if I "squeezed my finger too hard" to get the blood out, that can make the reading low.


Maybe when I get myself down in the low 100's and 15% doesn't matter that much it will have a use, but right now and with what I was directed to use it for I have zero faith in this thing and it was a complete waste of money.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Thursday, April 20, 2023 11:21 PM

SIGNYM

I believe in solving problems, not sharing them.


Quote:
Originally posted by 6IXSTRINGJACK:
Nah...

These things are bullshit. You're never going to get anything accurate out of them.
Patience, grasshopper.

Quote:
Even under the "best case" scenario, they say the meter is "accurate" if it's within +/-15%.

When you're legit at 300, that could mean a reading anywhere from 265 to 345. When you're at 400 that could mean 340 to 460. How is that even useful?
It tells you that you're still way too high. That's useful.

Quote:
And if I "squeezed my finger too hard" to get the blood out, that can make the reading low.


I have zero faith in this thing and it was a complete waste of money.
You need more experience with it, that's all

Hubby and I have used different meters with different strips for quite a while. (Me to check that my blood sugar- which is quite normal- doesn't go low, with all the shit I've been on.,)

At one point he took seven readings from the same drop of blood or a different poke at the same time, and came up with somewhere in the realm of (IIRC) appx 140 +/- 5.

Right B4 his spinal fusion they insisted he get his blood sugar DOWN, OR ELSE! they wouldn't do the operation and he didn't have enough strips so we tested my meter and strips against his meter and strips, and- in the realm of appx 140 they were within 6 of each other.
I was impressed!

Also, he has tested his blood sugar at different times of the day. As you might expect, sugar varies throughout the day. It the AM, before anything, is the most consistent. After he eats, it goes up. After he takes his meds, it goes down. After he does both, it's kind of a wash.

Counterintuitively, and fir reasons that would take far too long to explain, after STRENUOUS exercise for more than 30 minutes, it goes UP by appx 30 points. Getting different readings at different times of the day is expected. That's why you're supposed to test under the same conditions every day: before meds and before eating. (Generally, having fasted for 8-12 hours)

But for what they and how cheap they are, they're amazing little gizmos.

Washing your hands is important, but I just rinse mine for about 10 seconds and dry them before taking a reading (assuming my hands aren't extraordinarily dirty, like after gardening or cutting up a chicken, or something.)


****

All analytic devices have a range thru which they can be expected to be linear. Back in the day, when glucose was measured by something called Fehling's solution, it would turn from blue to clear in the presence of sugar, and the less color the more sugar.

BUT, if there was way more glucose than Fehling's reagent, the color disappear but couldn't get any clearer than "clear", so there was a maximum amount of sugar that could be measured.

I don't know what's on the strips, but I assume it's some sort of color- developing reagent.

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Thursday, April 20, 2023 11:49 PM

6IXSTRINGJACK


There's no color in these strips.

They've got computer chips on the one end you put into the device,and you just press your finger to the yellow end of it that is sticking out and the device tells you the number.

I've had 5 errors, 505mg/dL, 495mg/dL and 308mg/dL.

Worthless.

I'm just going to keep using 15 units of insulin unless i feel lousy until I see him in 2 weeks.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Friday, April 21, 2023 12:16 AM

SIGNYM

I believe in solving problems, not sharing them.


SECOND, there's no such thing as measurement by a chip.

There has to be SOME kind of sensor and there are only a few ways to measure chemicals: spectrophotometry (absorption of a wavelength, whether it's visible, IR or UV), conductance, direct mass measurement, or emission photometry, or the energy in fast-moving electrons or a few exotic nuclear techniques that I guarantee don't apply.

I'll bet you dollars to donuts it's some sort of spectrophotometry altho it might be in the UV or IR range where we can't see.

"Back in the day" each box (batch) of strips would come with a number on it, between 1 and 9, and you would have to tell the meter which number you were using. That was compensation for how much reagent was on each strip since manufacturing was a little inconsistent from batch to batch. They would also come with a solution of "100" so you could check your meter and strips.

The chip seems to allow for self-calibtation, but it doesn't change the basic technology.

Only measure in the AM before food or meds or even coffee. Rinse and dry your hands thoroughly. Write down your measurements every day and increase your insulin until you get closer to where you need to be. The meter will work well enough to get you in the ballpark of good health, and your doctor can help you fine tune your meds.

We have plenty of experience, it'll become easier and you'll get more consistent readings with experience.

EDITED TO ADD: I think you don't like the meter and strips bc the readings are scary. And you're looking for a reason not to have to deal with it directly. If I were seeing the same kinds of readings, I'd want someone else to deal with them. But you can control it, SIX, because you have knowledge and control of what to do with your meds. If you increase your insuln like you're supposed to, you WILL see readings come down over time, from where they are now down to 200 and even lower. It might take a week or two, but that's such a short time! That'll put you well into a spot where you and your body will be a lot more comfortable. Just breathe deep, and try again. You've tackled bigger and worse things before. I know you can do this. Chin up.

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Friday, April 21, 2023 9:27 AM

SECOND

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at https://www.mediafire.com/folder/1uwh75oa407q8/Firefly


Quote:
Originally posted by SIGNYM:
SECOND, there's no such thing as measurement by a chip. . . .

EDITED TO ADD: I think you don't like the meter and strips bc the readings are scary. And you're looking for a reason not to have to deal with it directly.
Signym, tell 6ix to use something electronic that will give him continuous glucose readings: "With readings every minute and real-time optional alarms†, you will know when your glucose levels are too high or low. Start Your FREE Trial!"
https://www.freestyle.abbott/us-en/myfreestyle-freestyle-libre-2.html

7 Best Glucose Monitors and Meters:
Best for blood-free readings
FreeStyle Libre
https://www.healthline.com/health/diabetes/best-glucose-monitors#our-p
icks

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at
https://www.mediafire.com/folder/1uwh75oa407q8/Firefly

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Friday, April 21, 2023 9:37 AM

6IXSTRINGJACK


Quote:
Originally posted by SIGNYM:
SECOND, there's no such thing as measurement by a chip.

There has to be SOME kind of sensor and there are only a few ways to measure chemicals: spectrophotometry (absorption of a wavelength, whether it's visible, IR or UV), conductance, direct mass measurement, or emission photometry, or the energy in fast-moving electrons or a few exotic nuclear techniques that I guarantee don't apply.

I'll bet you dollars to donuts it's some sort of spectrophotometry altho it might be in the UV or IR range where we can't see.

"Back in the day" each box (batch) of strips would come with a number on it, between 1 and 9, and you would have to tell the meter which number you were using. That was compensation for how much reagent was on each strip since manufacturing was a little inconsistent from batch to batch. They would also come with a solution of "100" so you could check your meter and strips.

The chip seems to allow for self-calibtation, but it doesn't change the basic technology.

Only measure in the AM before food or meds or even coffee. Rinse and dry your hands thoroughly. Write down your measurements every day and increase your insulin until you get closer to where you need to be. The meter will work well enough to get you in the ballpark of good health, and your doctor can help you fine tune your meds.

We have plenty of experience, it'll become easier and you'll get more consistent readings with experience.

EDITED TO ADD: I think you don't like the meter and strips bc the readings are scary. And you're looking for a reason not to have to deal with it directly. If I were seeing the same kinds of readings, I'd want someone else to deal with them. But you can control it, SIX, because you have knowledge and control of what to do with your meds. If you increase your insuln like you're supposed to, you WILL see readings come down over time, from where they are now down to 200 and even lower. It might take a week or two, but that's such a short time! That'll put you well into a spot where you and your body will be a lot more comfortable. Just breathe deep, and try again. You've tackled bigger and worse things before. I know you can do this. Chin up.

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger




Alright. I'll up the dose of insulin today. Doesn't hurt nothing.

My reading this morning (with zero failed attempts beforehand) was 390, which means it's anywhere from 330 to 450, which is decidedly not under 200.

What's your opinion on my working out right now? I hate being in this limbo where I don't even know if working out is helping me or killing me.



Tell Second I'll be looking into his link and other alternatives. It's 2023 and having to prick your finger like a savage a couple times of day for the rest of your life is bullshit.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Friday, April 21, 2023 9:41 AM

SECOND

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at https://www.mediafire.com/folder/1uwh75oa407q8/Firefly


Quote:
Originally posted by 6IXSTRINGJACK:

Tell Second I'll be looking into his link and other alternatives. It's 2023 and having to prick your finger like a savage a couple times of day for the rest of your life is bullshit.
7 Best Glucose Monitors and Meters:
Best for blood-free readings
FreeStyle Libre
https://www.healthline.com/health/diabetes/best-glucose-monitors#our-p
icks

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at
https://www.mediafire.com/folder/1uwh75oa407q8/Firefly

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Friday, April 21, 2023 9:48 AM

SIGNYM

I believe in solving problems, not sharing them.


Well, this whole question of "how does a glucose meter work?" kind of put a bug in my ear. Good thing you didn't take me up on my dollars to donuts bet, bc I would have lost!

Having used one, or seen it used for YEARS, I finally ... FINALLY... looked it up, and the actual sensor is an electrode. Good old electrochemistry!

Quote:
It’s usually the job of the pancreas to keep track of sugar levels and to secrete glucagon and insulin to keep them at 100 or so milligrams per deciliter of blood. But for diabetics — either because their pancreas doesn’t function properly or because their body can’t process the hormones it secretes — glucose testing is a do-it-yourself proposition. And a crucial one. Blood-sugar checks show if it’s time to inject a few units of insulin — or grab a lifesaving snack.

That’s where the glucometer comes in. “Current glucometers use test strips containing glucose oxidase, an enzyme that reacts to glucose in the blood droplet, and an interface to an electrode inside the meter,” explains Michael Strano, the Charles and Hilda Roddey Associate Professor of Chemical Engineering at MIT. “When the strip is inserted into the meter, the flux of the glucose reaction generates an electrical signal,” he says. “The glucometer is calibrated so the number appearing in its digital readout corresponds to the strength of the electrical current: The more glucose in the sample, the higher the number.”

Periodic tests via glucometer play an important part in the diabetic’s treatment plan, but current models fall short in giving a true picture of glucose fluctuations in real time. “The complications of diabetes stem from the blood sugar going outside the safe range,” says Strano. Catching those times and intervening appropriately can, in theory, lessen the negative effects of the disease, which can include heart disease, blindness, limb amputation, and kidney failure.

https://engineering.mit.edu/engage/ask-an-engineer/how-do-glucometers-
work/

"They have been working on thru-the-skin readings for - literally - decades. It was one of the research projects hubby was working on almos 50 years ago. It wuld be GREAT if you could just clip a meter on your finger, like a pulse-ox meter, and get painless realtime near-continuous readings.

Unfortunately AFAIK there aren't any sensors that can read through intact skin. All of the continuous glucose monitors require that SOMEthing be stuck into your skin This is the only picture I could find of an actual sensor, which must be changed every 10-15 days


Here is a diagram


There is also an implantable one which overall looks more comfortable. Some people don't like the into-the-skin sensors bc they fall out or get sore or infected. And implantable sensor solves that problem.



The nice thing about continuos glucose monitoring is that it allows people to inject, or eat, as appropriate whne their blood glucose rises too high (like after a meal) or falls too low, Even better, it can be used with an insulin pump which, alas, also needs to be injected through a hole in the skin.

*****

If your fingers are sore and bruised after a blood sample, you may be holding the lancing device too hard against your skin. Also, most lancing devicescan be adjusted to depth, so you can pick the depth and pressure that works best. I find that I get the best sample with the least pain in the sides of my pinky and ring fingers. My other fingers are too calloused. So I rotate right hand -outside pinky, inside pinky, outside ring, inside ring, and then to my left hand.

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Friday, April 21, 2023 11:11 AM

6IXSTRINGJACK


I had to pick a VERY deep depth. They said start at 2. I maxed it out to 5 this morning and finally got a good blood droplet without much squeezing to coax it out.

I'll look into other possible ways to do this reading when that time comes. Dr. Endo said he hopes the insulin is just temporary, so we'll just see how this goes for now. We're still very early in the healing process.


Did you see my question about working out, Sigs? I feel a lot better now that I've been doing it, but I skipped my workout last night (partly because I'm a little worried with the glucose level still so high, and partly because I haven't taken a single day off of at least 2 if not 3 or 4 sessions and I figured taking one night off might not be a bad idea).



Anyhow... Going to take my shot and my meds shortly.

I was 148lbs even this morning.

(It would have been the first week of March when people were telling me I looked skinny and I found out I got down to 156lbs when I know I had weighed myself last in November and was over 170lbs. I WAS kind of chubby from the winter blues and there wasn't any muscle definition to be found on my body in November. In fact, even when I was working a lot on the house and in pretty great shape by the end of last summer in the high 150lbs range, I still didn't come close to the muscle definition I have right now.)

April 01st: 146.0 (When I decided I had to eat a lot more than I was eating)
April 03rd: 149.0
April 08th: 143.8 (The day I declared that I was dying, still losing weight even though I was eating way more than 2k calories per day.)
April 10th: 145.0 (Day before initial diagnosis and 500mg Metformin 2x per day, but also day after Easter where I ate what had to be 5000 calories and I weighed over 150 the night before I went to bed)
April 12th: 146.4 (Day after diagnosis/Metformin 500mg 2x)
April 13th: 148.0
April 14th: 146.8
April 17th: 145.6 (Day before Endo/1000mg Metformin 2x, 15units insulin 1x, 5mg Glipizide 1x)
April 19th: 147.2 (Day after Endo/1000mg Metformin 2x, 15units insulin 1x, 5mg Glipizide 1x)
April 20th: 148.4 (308mg/dL reading in the evening)
April 21st: 148.0 (390mg/dL reading first thing in the morning / First day upping insulin to 18 units 1x)

We're trending right, anyhow. Rome wasn't built in a day.

It looks as though I started working out again on either April 8th or 9th, from a post I made on the 10th. That sounds right. I was pretty sure it had been 2 full weeks by now.

Workouts were hard and not very long at first, leaving me really winded by the time I was done with only about 5 minutes of 5 or 6 different exercises without breaks in between with the 10lb dumb bells.

Now the workouts are roughly 15 minutes with a lot more reps and workouts added, including push ups, crunchies, and some yoga leg lifts to finish them off, sometimes going back to 20lb dumb bells for some shoulder/back/bicep reps until I can't even move my arms anymore. I'm winded by the time this is done too, but recovery is much quicker than it was on the 8th/9th.


--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Friday, April 21, 2023 11:26 AM

SECOND

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at https://www.mediafire.com/folder/1uwh75oa407q8/Firefly


Quote:
Originally posted by 6IXSTRINGJACK:

April 20th: (308mg/dL reading in the evening)
April 21st: (390mg/dL reading first thing in the morning)
A reading above 300 mg/dL can be dangerous, according to the University of Michigan, which recommends immediately informing your doctor if you have two or more readings of 300 mg/dL in a row.
https://www.everydayhealth.com/type-2-diabetes/high-and-low-blood-suga
r/

9 Signs Your Blood Sugar Is Out of Control
https://www.everydayhealth.com/hs/type-2-diabetes-management/blood-sug
ar-uncontrolled-pictures/

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at
https://www.mediafire.com/folder/1uwh75oa407q8/Firefly

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Friday, April 21, 2023 12:10 PM

6IXSTRINGJACK


Quote:
Originally posted by second:
Quote:
Originally posted by 6IXSTRINGJACK:

April 20th: (308mg/dL reading in the evening)
April 21st: (390mg/dL reading first thing in the morning)
A reading above 300 mg/dL can be dangerous, according to the University of Michigan, which recommends immediately informing your doctor if you have two or more readings of 300 mg/dL in a row.
https://www.everydayhealth.com/type-2-diabetes/high-and-low-blood-suga
r/

9 Signs Your Blood Sugar Is Out of Control
https://www.everydayhealth.com/hs/type-2-diabetes-management/blood-sug
ar-uncontrolled-pictures/

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at
https://www.mediafire.com/folder/1uwh75oa407q8/Firefly



Yeah. Thanks. This has been pointed out to me by 3 people before you mentioned it.

None of them were my doctors, who both were aware that they sent me out of their offices with 400mg/dL +

The first doctor from the hospital immediate care sent me home with a referral to the endocrinologist, the scrip for 500mg Metformin twice per day and zero information about dieting or any other guidance.

He wanted me to see the endocrinologist 1 or 2 days after the visit, but it was a full week before I got to see him.

Then the endocrinologist put me on 1000mg Metformin twice per day, 5mg of Glipizide, 15 "units" of insulin, and a directive to up the insulin 3 "units" every 3 days if I still am not testing under 200mg/dL. A follow up visit was scheduled for 2 weeks, with no directive to call him if numbers were over 300 or close to 400 still.


So yeah... This is still pretty bad as far as the meter is reading even though my weight seems to have stabilized, my "splotchy" complexion on my face appears to have cleared up, the gauntness of my cheeks seems to have filled in nicely, my energy levels are up quite a bit since before the meds started and my level of thirst went through the floor compared to the 2.5 or more gallons of liquid I was drinking every day.

But the doctors don't seem to worry too much about it. I'm not sure why since everything online says that I should be calling a doctor with the levels I've still got.

I probably shouldn't assume that they know what they're doing. I dunno. Maybe I'll just follow the plan through the weekend and contact somebody on Monday to give a status update and see what they say.




Incidentally, I'm looking forward to seeing my brother again. I hadn't seen him in months and after I was with them on Easter he told my dad he was glad I finally decided I was going to get checked out because I looked like I had AIDS. I appreciate his candor, because now I know I can get an honest answer from him about how I look when I see him next time.

It's easy to lie to yourself about how good/bad you actually look.


--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Friday, April 21, 2023 1:12 PM

SIGNYM

I believe in solving problems, not sharing them.


Er... I missed your question about working out.

Workouts are good, but keep them less than 15 minutes. For reasons that are hard to explain*, working out strenuously for more than 15-20 minutes INCREASES blood glucose. Hubby would play tennis like a demon for 5 hours, or do heavy-duty wood planing by hand for 5 hours and find, to his dismay, that his blood sugar would go UP 30 points after working or exercising so hard for so long!

* here's the explanation, if you're interested: Strenuous physical effort for extended periods of time is perceived by your body as STRESS. Under stress, you produce cortisol. And cortisol prompts your liver to dump sugar into your bloodstream. A lot of articles point to cortisol as an "aging" factor that increases belly fat. So, like my g'ma used to say: "Do, but don't overdo".


-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Friday, April 21, 2023 1:27 PM

BRENDA


Out for my walk in the rain then I have to get the kitchen garbage out. Nothing serious I've just been putting it off for a bit.

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Friday, April 21, 2023 1:27 PM

BRENDA


Finding every so often I almost forget to put my denture in in the morning.

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Friday, April 21, 2023 3:31 PM

SIGNYM

I believe in solving problems, not sharing them.


Now that I'm feeling better I'm back to making progress in all directions. I FINALLY got a crew to do the front yard cleanup! They're working on it right now. When that's done I'm going to finish moving some dirt around, and then I can put carboard and mulch down to keep the weeds at bay.

Waiting for my surveyor's stakes to come in to go with my mason's string and line level.

Also been listening to online workshops on a variety of low-water landscaping projects (while doing dishes)-
rainwater havesting and how to grade your yard and various ways to move and infiltrate water,
plants suitable for a swale,
lansdcaping for bees, butterfiles and birds;
landscape design
... and so forth and I FINALLY have a plan gelling!

Gonna need to get some cobble from my sis's yard, tho!

Got in touch with our auto insurance to reduce the yearly mileage on our vehicles which will save us some $$.

Saw my cardio yesterday and my echo is good; so far the cancer treatment hasn't had the expected cardiotoxic side effect, and the farther I get from treatment the less likely it is. Now she wants to tackle my (hereditary) high cholesterol with a different med since I'm so intolerant of statins and I've done all of the "modifications" that I can do at this point. Also I noticed some calcifications in various tests (xray for foot fracture, ultrasound for kidney, and catscan/PETscan for cancer) that don't belong, radiologist recommended a follow up with my PCP. I can think of a few conditions that can cause that: excess vitamin D springs to mind, but I'm gonna let my Dr handle that! There are a few other findings that need followup but that's for another day.

Gonna FINALLY review the contractor proposals and get back to them with any questions I might have. I've been keeping in touch with them leting them know they're still on our list, the delay is on our end, but now's the time to do my due diligence and evaluate them (like I used to evaluate proposals at work!)

So, chipping away at stuff here and there.
Onward thru the fog!

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Friday, April 21, 2023 4:14 PM

6IXSTRINGJACK


Damn. You're getting a lot done.

I'm not getting much done at all around here. Just taking it easy hoping that I can stabilize things a bit. Taking a day off of working out too. Got a cold weekend ahead of us. The lawn can wait until next week.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Friday, April 21, 2023 4:46 PM

BRENDA


Back from my walk and of course it is now dry and the sun is out. What terrible spring it is up here.

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Friday, April 21, 2023 4:58 PM

SECOND

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at https://www.mediafire.com/folder/1uwh75oa407q8/Firefly


Quote:
Originally posted by 6IXSTRINGJACK:
Just taking it easy hoping that I can stabilize things a bit.
Looking back on what most helped him return to life after the stroke, Walt Whitman echoes Seneca’s wisdom on calibrating our expectations for contentment and writes:

The trick is, I find, to tone your wants and tastes low down enough, and make much of negatives, and of mere daylight and the skies. […] After you have exhausted what there is in business, politics, conviviality, love, and so on — have found that none of these finally satisfy, or permanently wear — what remains? Nature remains; to bring out from their torpid recesses, the affinities of a man or woman with the open air, the trees, fields, the changes of seasons — the sun by day and the stars of heaven by night.

https://getpocket.com/explore/item/walt-whitman-on-what-makes-life-wor
th-living

The Joss Whedon script for Serenity, where Wash lives, is Serenity-190pages.pdf at
https://www.mediafire.com/folder/1uwh75oa407q8/Firefly

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Friday, April 21, 2023 8:19 PM

SIGNYM

I believe in solving problems, not sharing them.


Quote:
Originally posted by 6IXSTRINGJACK:
Damn. You're getting a lot done.

I'm not getting much done at all around here. Just taking it easy hoping that I can stabilize things a bit. Taking a day off of working out too. Got a cold weekend ahead of us. The lawn can wait until next week.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.
Oh, well, that's an accumulation of a week's worth of activity.

Hey, you're dealing with an unexpected and serious kink in your health. And health comes first!

But just in case your mind becomes a hamster on a hamster wheel of worry... just give yourself a project or two to think about. Nothing too consequential or worrisome, just to give your mind a break from your current crisis.

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Friday, April 21, 2023 8:23 PM

SIGNYM

I believe in solving problems, not sharing them.


Quote:
Originally posted by Brenda:
Back from my walk and of course it is now dry and the sun is out. What terrible spring it is up here.
Well, naturally!

BTW it was 90F (32C) today. We blasted straight into summer, at least for a couple of days. So I'm doing "indoor work" for the next couple of days, and Monday hubby has a Dr appt that I will accompany, so outdoor work will have to wait until Tuesday I guess.

Sigh. Everything takes longer than I think it should!

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Friday, April 21, 2023 10:32 PM

6IXSTRINGJACK


Quote:
Originally posted by second:
Quote:
Originally posted by 6IXSTRINGJACK:
Just taking it easy hoping that I can stabilize things a bit.
Looking back on what most helped him return to life after the stroke, Walt Whitman echoes Seneca’s wisdom on calibrating our expectations for contentment and writes:

The trick is, I find, to tone your wants and tastes low down enough, and make much of negatives, and of mere daylight and the skies. […] After you have exhausted what there is in business, politics, conviviality, love, and so on — have found that none of these finally satisfy, or permanently wear — what remains? Nature remains; to bring out from their torpid recesses, the affinities of a man or woman with the open air, the trees, fields, the changes of seasons — the sun by day and the stars of heaven by night.


I like that.

I think we all need to go outside and touch the grass more often.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Friday, April 21, 2023 10:33 PM

6IXSTRINGJACK


Quote:
Originally posted by SIGNYM:
Quote:
Originally posted by 6IXSTRINGJACK:
Damn. You're getting a lot done.

I'm not getting much done at all around here. Just taking it easy hoping that I can stabilize things a bit. Taking a day off of working out too. Got a cold weekend ahead of us. The lawn can wait until next week.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.
Oh, well, that's an accumulation of a week's worth of activity.

Hey, you're dealing with an unexpected and serious kink in your health. And health comes first!

But just in case your mind becomes a hamster on a hamster wheel of worry... just give yourself a project or two to think about. Nothing too consequential or worrisome, just to give your mind a break from your current crisis.


I'm already going to ask my Dad to come over this week to force me to clean the house.



--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Friday, April 21, 2023 11:20 PM

BRENDA


Quote:
Originally posted by SIGNYM:
Quote:
Originally posted by Brenda:
Back from my walk and of course it is now dry and the sun is out. What terrible spring it is up here.
Well, naturally!

BTW it was 90F (32C) today. We blasted straight into summer, at least for a couple of days. So I'm doing "indoor work" for the next couple of days, and Monday hubby has a Dr appt that I will accompany, so outdoor work will have to wait until Tuesday I guess.

Sigh. Everything takes longer than I think it should!

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger



I know, right.

Man, my area isn't suppose to dry out until Monday and then we might hit the 20s by Wednesday which is 70F. That's if we are lucky.

I have a dental appointment on Tuesday and it should be dry then. I hope so. One more back area on the left that needs dealing with. Lower jaw. Not sure if it is root tip or just pieces of a broken tooth. Anyways it will be a relief.

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Friday, April 21, 2023 11:20 PM

BRENDA


Quote:
Originally posted by SIGNYM:
Quote:
Originally posted by Brenda:
Back from my walk and of course it is now dry and the sun is out. What terrible spring it is up here.
Well, naturally!

BTW it was 90F (32C) today. We blasted straight into summer, at least for a couple of days. So I'm doing "indoor work" for the next couple of days, and Monday hubby has a Dr appt that I will accompany, so outdoor work will have to wait until Tuesday I guess.

Sigh. Everything takes longer than I think it should!

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger



I know, right.

Man, my area isn't suppose to dry out until Monday and then we might hit the 20s by Wednesday which is 70F. That's if we are lucky.

I have a dental appointment on Tuesday and it should be dry then. I hope so. One more back area on the left that needs dealing with. Lower jaw. Not sure if it is root tip or just pieces of a broken tooth. Anyways it will be a relief.

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Friday, April 21, 2023 11:21 PM

BRENDA


Quote:
Originally posted by SIGNYM:
Quote:
Originally posted by Brenda:
Back from my walk and of course it is now dry and the sun is out. What terrible spring it is up here.
Well, naturally!

BTW it was 90F (32C) today. We blasted straight into summer, at least for a couple of days. So I'm doing "indoor work" for the next couple of days, and Monday hubby has a Dr appt that I will accompany, so outdoor work will have to wait until Tuesday I guess.

Sigh. Everything takes longer than I think it should!

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger



I know, right.

Man, my area isn't suppose to dry out until Monday and then we might hit the 20s by Wednesday which is 70F. That's if we are lucky.

I have a dental appointment on Tuesday and it should be dry then. I hope so. One more back area on the left that needs dealing with. Lower jaw. Not sure if it is root tip or just pieces of a broken tooth. Anyways it will be a relief.

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Saturday, April 22, 2023 8:21 AM

6IXSTRINGJACK


Hey, we're back up.

Good luck at the Dentist on Tuesday, Brenda.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Saturday, April 22, 2023 8:44 AM

6IXSTRINGJACK


I was going to post late last night that I got on the scale a few hours after dinner and I was 151.6! The last time I even hit 150 was when I ate everything I could shovel in my mouth on Easter with over 1/2 gallon of water and the next morning I was right back down to 145.

Just did my morning weight and I'm 149.0.

That's still a lot of water I shed at night. I know I'm not supposed to be drinking liquids several hours before I sleep, but I don't know if I'm ever going to do that one right. 2.6lbs is about 1/3rd of a gallon of water, which is roughly 2 to 2.5 times more than I should be (Although, not all of that loss was liquid). But this is still very much in line with what I've been doing for years before this diagnosis, and should probably be considered (mostly) a separate issue. And apparently they have a name for it... Nocturia Ployuria.

I drink a lot of coffee, and I know I drink liquids later in the night than I should. Some of this might still be diabetes related, but I don't think so, just because I'm not waking up thirsty and drinking more water. In fact, I have no memory at all last night of drinking any water after I went to sleep.

I got up once again, but it was technically twice and I just didn't bother going back to sleep again after around 6.5-7.0 hours sleep. If I could cut back just enough liquid at night where I could get a full 8 hours with only one bathroom interruption I think I can live with that quite nicely.


April 01st: 146.0 (When I decided I had to eat a lot more than I was eating)
April 03rd: 149.0
April 08th: 143.8 (The day I declared that I was dying, still losing weight even though I was eating way more than 2k calories per day.)
April 10th: 145.0 (Day before initial diagnosis and 500mg Metformin 2x per day, but also day after Easter where I ate what had to be 5000 calories and I weighed over 150 the night before I went to bed)
April 12th: 146.4 (Day after diagnosis/Metformin 500mg 2x)
April 13th: 148.0
April 14th: 146.8
April 17th: 145.6 (Day before Endo/1000mg Metformin 2x, 15units insulin 1x, 5mg Glipizide 1x)
April 19th: 147.2 (Day after Endo/1000mg Metformin 2x, 15units insulin 1x, 5mg Glipizide 1x / This is the day that I stopped intentionally overeating)
April 20th: 148.4 (308mg/dL reading in the evening / Only 1 workout in morning*)
April 21st: 148.0 (390mg/dL reading first thing in the morning / First day upping insulin to 18 units 1x / Also, first day in 2 weeks without any workout*)
April 22nd: 149.0

*From April 9th onward, at least 2 workout routines were completed every day unless otherwise noted.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Saturday, April 22, 2023 1:07 PM

BRENDA


Quote:
Originally posted by 6IXSTRINGJACK:
Hey, we're back up.

Good luck at the Dentist on Tuesday, Brenda.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.


So, I see.

That's why the triple post from me. It went funky just as I was posting that to SIG.

It should be okay at the dentist. Have to see. Not sure what they are pulling because to me it feels like a broken tooth. They will tell me before they get going on me.

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Saturday, April 22, 2023 1:08 PM

BRENDA


Out for my walk in a bit. It is now dry and we will see how long it hangs around.

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Saturday, April 22, 2023 2:53 PM

SIGNYM

I believe in solving problems, not sharing them.


Quote:
Originally posted by 6IXSTRINGJACK:
I was going to post late last night that I got on the scale a few hours after dinner and I was 151.6! The last time I even hit 150 was when I ate everything I could shovel in my mouth on Easter with over 1/2 gallon of water and the next morning I was right back down to 145.

Just did my morning weight and I'm 149.0.

That's still a lot of water I shed at night. I know I'm not supposed to be drinking liquids several hours before I sleep, but I don't know if I'm ever going to do that one right. 2.6lbs is about 1/3rd of a gallon of water, which is roughly 2 to 2.5 times more than I should be (Although, not all of that loss was liquid). But this is still very much in line with what I've been doing for years before this diagnosis, and should probably be considered (mostly) a separate issue. And apparently they have a name for it... Nocturia Ployuria.
IDK about everybody else, but I routinely dump 3-4 lbs of water at night. Part of it is bc my legs swell up during the day a little bit (incompetent veun valves allow blood to stagnate a bit in my legs) so when I get horizontal the fluid flows to my kidneys to get dumped. Part of it is I'm thirsty in the evening so I drink about three cups of water within an hour or two of bedtime. So I pee at least once at night and usually twice.
But a pound of that is sheer evaporation from my lungs. When pll exhale they don't just exhale air, they exhake warm MOIST air. So even w/o peeing I lose a pound. And don't forget, there is fair bit if weight and water in stool, too.
Your AM weight loss isn't enough to worry about, I don't think.
When it gets to be in the realm of 5+ pounds they start thinking about early heart failure. But that's not you.



Quote:
April 01st: 146.0 (When I decided I had to eat a lot more than I was eating)
April 03rd: 149.0
April 08th: 143.8 (The day I declared that I was dying, still losing weight even though I was eating way more than 2k calories per day.)
April 10th: 145.0 (Day before initial diagnosis and 500mg Metformin 2x per day, but also day after Easter where I ate what had to be 5000 calories and I weighed over 150 the night before I went to bed)
April 12th: 146.4 (Day after diagnosis/Metformin 500mg 2x)
April 13th: 148.0
April 14th: 146.8
April 17th: 145.6 (Day before Endo/1000mg Metformin 2x, 15units insulin 1x, 5mg Glipizide 1x)
April 19th: 147.2 (Day after Endo/1000mg Metformin 2x, 15units insulin 1x, 5mg Glipizide 1x / This is the day that I stopped intentionally overeating)
April 20th: 148.4 (308mg/dL reading in the evening / Only 1 workout in morning*)
April 21st: 148.0 (390mg/dL reading first thing in the morning / First day upping insulin to 18 units 1x / Also, first day in 2 weeks without any workout*)
April 22nd: 149.0

*From April 9th onward, at least 2 workout routines were completed every day unless otherwise noted.

Your weight is steadily heading in the right direction and bc you're working out I think it's muscle. Yanno, good weight.
Just keep adding insulin according to protocol and keep checking your blood sugar bc at some point it may go too low.
: smile:


"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Saturday, April 22, 2023 4:25 PM

BRENDA


Back and it and it rained a bit on my way back and of course the usual. Sun is out now. Stupid Spring.

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Saturday, April 22, 2023 7:05 PM

6IXSTRINGJACK


Quote:
Originally posted by SIGNYM:
Quote:
Originally posted by 6IXSTRINGJACK:
I was going to post late last night that I got on the scale a few hours after dinner and I was 151.6! The last time I even hit 150 was when I ate everything I could shovel in my mouth on Easter with over 1/2 gallon of water and the next morning I was right back down to 145.

Just did my morning weight and I'm 149.0.

That's still a lot of water I shed at night. I know I'm not supposed to be drinking liquids several hours before I sleep, but I don't know if I'm ever going to do that one right. 2.6lbs is about 1/3rd of a gallon of water, which is roughly 2 to 2.5 times more than I should be (Although, not all of that loss was liquid). But this is still very much in line with what I've been doing for years before this diagnosis, and should probably be considered (mostly) a separate issue. And apparently they have a name for it... Nocturia Ployuria.
IDK about everybody else, but I routinely dump 3-4 lbs of water at night. Part of it is bc my legs swell up during the day a little bit (incompetent veun valves allow blood to stagnate a bit in my legs) so when I get horizontal the fluid flows to my kidneys to get dumped. Part of it is I'm thirsty in the evening so I drink about three cups of water within an hour or two of bedtime. So I pee at least once at night and usually twice.
But a pound of that is sheer evaporation from my lungs. When pll exhale they don't just exhale air, they exhake warm MOIST air. So even w/o peeing I lose a pound. And don't forget, there is fair bit if weight and water in stool, too.
Your AM weight loss isn't enough to worry about, I don't think.
When it gets to be in the realm of 5+ pounds they start thinking about early heart failure. But that's not you.


Right... I did forget about exhalation being a factor in weight loss since I've been so hyper-focused on the liquid. Of course. Duh. I just sent a video to my old man about that a few weeks ago to watch and send to both of my brothers (before I got my own diagnosis).

When I was saying that my weight loss at night is 2 to 2.5 times what it should be, I was only considering the amount of urine that one should void when they wake up in the morning (after a full night of sleep without getting up to pee), which would be only about 1/3 of what I lose in a night now that things are being regulated. But yeah, that doesn't take into account your carbon dioxide/h2o exhalation and stool.

I really do want to get it so I only wake up once in 8 hours though, and that second time I get up to go isn't getting me up 60 to 90 minutes earlier than I want to get up for the day.

Quote:
Your weight is steadily heading in the right direction and bc you're working out I think it's muscle. Yanno, good weight.
Just keep adding insulin according to protocol and keep checking your blood sugar bc at some point it may go too low.
: smile:


I don't think I'm imagining things when my arms and shoulders just look bigger already. I'm not using heavy weights, but when you go from zero legitimate workout sessions for 20 years to doing it 2-3 times a day nearly every day for 2 weeks you get some pretty immediate results. Until I got sick I didn't lose much of the muscle mass because I'm doing a lot of physical work, but there really is nothing like shocking your muscles everyday with dedicated and targeted exercises.

And my back feels GREAT, BTW... I can't tell you how many times they've just "cracked" while stretching and doing warmumps. Seems to happen just a little less every day, and hopefully I get my body back to where it hardly happens at all. All of those "cracks" are potential tweaks when you're doing hard labor and you don't regularly stretch and exercise.

Ask me how I know...

Now that I've added in some leg exercises, I can even tell that they're firming up. Unfortunately for me, it would appear that my leg/butt muscles were the feast that were on the menu after all the body fat was eaten up. My upper body doesn't look any smaller than it did before I lost all that weight, but there's no doubt that I lost leg mass. Most people probably wouldn't even notice it because I never leave the house without jeans on even when it's 100 degrees out, but I used to have legs like tree trunks. I don't have no chicken legs now and they're still decent sized. I think they can be saved. But this, along with the low energy, is probably why I had started losing my balance several months before the diagnosis. Your whole system of walking is probably likely to be very different if you've lost 15 or more lower body pounds without knowing you were losing it.


I'm doing all my pills and shots right, with the upped dose. I will check the blood sugar every three mornings and adjust accordingly until I see the doc next.

This week I'm going to be making a plan with a nutritionist. I still have some old food to go through that I'm NOT going to throw or give away, but I can start weening myself into a new diet and off of the old stuff (I'm still giving all that peanut butter away though).


--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Saturday, April 22, 2023 10:21 PM

6IXSTRINGJACK


I'm beginning to wonder if upping that insulin to 18 and/or just having been diagnosed two weeks ago and all the meds/food/activity change is finally starting to stabilize things.

I haven't even eaten dinner yet and I just weighed myself at 150.2. There is a possibility that I might see north of 152 tonight which would get me a hell of a lot closer to the weight I had fallen to when people started to comment that I had lost weight instead of the 143.4 I'd gotten down to when I decided I needed help.

I know that's not my REAL number since the numbers I'm officially recording are in the mornings, but at this point any 1lb barrier crossed is exciting to me.





Interesting to note, even when I was down to 143, at my height, that was still a BMI of 22.4, which is on the higher end of "healthy weight" for my size. My current 149 in the morning is a 23.3. When I get back up to 156, that will be toward the very top of "healthy weight".

Ideally, I want to be back to 165 and a muscular build. That would be considered "Overweight" by 0.8. Obviously it's not a perfect system because you're not overweight for your height if you have an athletic build, but I did find it interesting that even when I had been withering away before the diagnosis that I was still nearly 25lbs heavier than what would have been considered "Underweight" for my height.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Saturday, April 22, 2023 11:11 PM

BRENDA


My layman's guess SIX is that you are starting to stabilize. To me 2 weeks is time enough for that to start happening.

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Sunday, April 23, 2023 1:53 AM

6IXSTRINGJACK


Yeah. I think so, Brenda. I'll be checking my blood sugar Monday morning, so hopefully I'm finally under 300 this time. I'm feeling better, but outside of my workouts I'm not really doing all that much right now.

I was 151.4 after eating, so no dice on 152 tonight.

I still don't really eat breakfast. Maybe it's kind of a waste to be frontloading all of the meds in the morning with just a banana when I don't really eat until afternoon and night time.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Sunday, April 23, 2023 9:52 AM

6IXSTRINGJACK


150.2

I'm still feeling a little "full" down there though. Probably not a legit morning read.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Sunday, April 23, 2023 1:46 PM

BRENDA


Quote:
Originally posted by 6IXSTRINGJACK:
Yeah. I think so, Brenda. I'll be checking my blood sugar Monday morning, so hopefully I'm finally under 300 this time. I'm feeling better, but outside of my workouts I'm not really doing all that much right now.

I was 151.4 after eating, so no dice on 152 tonight.

I still don't really eat breakfast. Maybe it's kind of a waste to be frontloading all of the meds in the morning with just a banana when I don't really eat until afternoon and night time.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.


This is just my opinion and from my own experience with my seizure meds, you probably should be having breakfast. Some medications work better on a full stomach and I think diabetes meds are one of them.

I eat with my seizure meds but that is because they can do damage if you don't protect your stomach.

So 3 meals a day I think would be good for you.

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Sunday, April 23, 2023 1:47 PM

BRENDA


Sunday and I got to check something on my book proposal. I am hoping to have it all together and off to the lady who is helping me this week.

Wish me luck.

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Sunday, April 23, 2023 2:31 PM

6IXSTRINGJACK


Quote:
Originally posted by Brenda:
Quote:
Originally posted by 6IXSTRINGJACK:
Yeah. I think so, Brenda. I'll be checking my blood sugar Monday morning, so hopefully I'm finally under 300 this time. I'm feeling better, but outside of my workouts I'm not really doing all that much right now.

I was 151.4 after eating, so no dice on 152 tonight.

I still don't really eat breakfast. Maybe it's kind of a waste to be frontloading all of the meds in the morning with just a banana when I don't really eat until afternoon and night time.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.


This is just my opinion and from my own experience with my seizure meds, you probably should be having breakfast. Some medications work better on a full stomach and I think diabetes meds are one of them.

I eat with my seizure meds but that is because they can do damage if you don't protect your stomach.

So 3 meals a day I think would be good for you.


Yeah. You're probably right. The doctor's probably didn't mention it just because they assume everybody eats at least 3 times per day.

It's strange eating twice and having a banana first thing when I wake up.



Good luck with the book!

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Sunday, April 23, 2023 2:42 PM

SIGNYM

I believe in solving problems, not sharing them.


We don't eat bfast until around noon, so we don't take our meds until then. Since some meds are twice a day, we don't take meds until bedtime - around midnight.


WHEN we are asked to fast (no bfast) due to a procedure that requires anesthesia or sedation, they always tell us to HOLD OUR MORNING ORAL DIABETES MEDICATION bc they're afraid that blood sugar will fall too low.

I think insulin is a little different.
I found this:

Quote:
Rapid-acting insulin: This type starts to work just 15 minutes after you take it. It peaks within 60 minutes, and its effects last for 3 to 5 hours.
Maybe used in the ER??

Quote:
Short-acting insulin: This type takes about 30 to 60 minutes to become active in your bloodstream. It peaks in 2 to 3 hours, and its effects can last for 3 to 6 hours. It is sometimes called regular-acting insulin.
Possibly used just before or with a big meal to manage blood sugar peaks?

Quote:
Intermediate-acting insulin: The intermediate type takes 2 to 4 hours to start working. It peaks in 8 hours and works for 12 to 16 hours.
I'm not sure what the use would be. For overnight?? For twice a day?

Quote:
Long-acting insulin: This type takes the longest amount of time to start working. The insulin can take 2 to 4 hours to get into your bloodstream.
This kind seems to make sense for daily dosing, since it takes the longest to get going and lasts the longest.

Quote:
Pre-mixed: This is a combination of two different types of insulin: one that controls blood sugar at meals and another that controls blood sugar between meals.

https://www.healthline.com/health/diabetes/long-acting-insulin

There were a couple of ppl at work who were insulin dependent. I knew they injected just before meals, but they also used a longer-acring insulin regularly.

Anyway I suspect you're on a longer-acting kind and that's to give the oral meds a chance to start working, so maybe not so important when you eat.

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Sunday, April 23, 2023 3:20 PM

6IXSTRINGJACK


Your assumptions were right. (I didn't even know there were different types until you mentioned that, so thanks.)

Looking that up inadvertently provided what might be even more good news. Apparently my insulin is not approved for Type I diabetes.

I'm not saying I don't have Type I until the doctors say it, but all the drugs I'm on including the insulin appear to only treat Type II and I am making obvious improvements over the last 12 days.



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Growing up in a Republic was nice... Shame we couldn't keep it.

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Sunday, April 23, 2023 4:34 PM

BRENDA


Quote:
Originally posted by 6IXSTRINGJACK:
Quote:
Originally posted by Brenda:
Quote:
Originally posted by 6IXSTRINGJACK:
Yeah. I think so, Brenda. I'll be checking my blood sugar Monday morning, so hopefully I'm finally under 300 this time. I'm feeling better, but outside of my workouts I'm not really doing all that much right now.

I was 151.4 after eating, so no dice on 152 tonight.

I still don't really eat breakfast. Maybe it's kind of a waste to be frontloading all of the meds in the morning with just a banana when I don't really eat until afternoon and night time.

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Growing up in a Republic was nice... Shame we couldn't keep it.


This is just my opinion and from my own experience with my seizure meds, you probably should be having breakfast. Some medications work better on a full stomach and I think diabetes meds are one of them.

I eat with my seizure meds but that is because they can do damage if you don't protect your stomach.

So 3 meals a day I think would be good for you.


Yeah. You're probably right. The doctor's probably didn't mention it just because they assume everybody eats at least 3 times per day.

It's strange eating twice and having a banana first thing when I wake up.



Good luck with the book!

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Growing up in a Republic was nice... Shame we couldn't keep it.


That is probably true.

I know I've been asked over the years by doctors if I eat breakfast and I always say yes.

Thanks. Just loose ends I am tying up and then fingers crossed on what the lady will say once she has had a double check on the whole thing.

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Monday, April 24, 2023 10:01 AM

6IXSTRINGJACK


Yeah. I can't trust that glucose meter at all. Did it twice this morning and had 479 first time and 499 the second time.

I'm going to call Dr. Endo today and just tell him that I'm upping the insulin every three days until I see him and somebody can give me a proper test. I'm done pricking my fingers.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Monday, April 24, 2023 11:29 AM

6IXSTRINGJACK


I didn't ask what her title was, but I'm meeting with the "Nutritionist" in the Diabetes Center on Thursday for a one-on-one appointment, so hopefully I can finally have somebody to talk to about all of this that knows what the hell she's talking about and isn't in a big goddamned hurry to run out of the room and see somebody else.

She told me to bring my meter and my insulin with me so she can verify that the meter is working right and that I'm using both of them properly.

She also told me to call Dr. Endo and try to talk to him and let him know how high my levels are despite sticking to the medications and that they may need to be tweaked before my follow up in 8 days.


She told me I shouldn't be exercising until I'm back down under 200, but I can't abide that one. It's the only thing making me feel good at all right now, and the one day I didn't work out I was really depressed... at least more so than usual.

Had a really crap night last night. Late to sleep and early to rise because I needed to get all of this stuff done before going to the dentist for a cleaning, so the morning routine is out of wack. Took my uppped insulin already, but still need to eat and take all the pills. Haven't even done my business, so a morning weight isn't going to be accurate at this point since I've already had water and coffee.

ETA: LOL... Wow. I did the ritual, I haven't eaten yet, but I just weighed myself and I'm 152.2.

That's a new milestone, but there's a big asterisk with that one since it's a few hours after I've been up, I've been drinking coffee and water and I've already taken my shot. My usual morning weigh-in happens only after 1 cup of coffee and before any meds.

But we have managed to hit a new 1lb barrier, regardless. I probably haven't seen 152lbs since sometime in February before I was paying attention, somewhere in between the time people said I was looking skinny and weighed 156 and when I weighed myself a few weeks of over-eating later and found out I'd lost another 10lbs.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Monday, April 24, 2023 12:03 PM

SIGNYM

I believe in solving problems, not sharing them.


Quote:
Originally posted by 6IXSTRINGJACK:
Yeah. I can't trust that glucose meter at all. Did it twice this morning and had 479 first time and 499 the second time.

I'm going to call Dr. Endo today and just tell him that I'm upping the insulin every three days until I see him and somebody can give me a proper test. I'm done pricking my fingers.

--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.
Wow, those readings don't make sense at all!! If you were THAT high I think you'd be a lot more symptomatic. I wish I was there, I could loan you another couple of meters and take comparative measurements.

We've had good experiences with a lot of different meters and strips but I suppose there's are bad ones out there.

I'm glad your seeing someone soon

I'd cancel a dental cleaning if I were you SIX. It always introduced some bacteria unto the blood, and being diabetic makes you prone to all kinds of infection. Or at least tell your hygienist that you have so far) uncontrolled diabetes

-----------
"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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Monday, April 24, 2023 1:15 PM

BRENDA


Out for my walk in a bit on a dry day. It did rain earlier this morning though.



Oh, and I agree with SIG. Tell your dentist so that it is on file that you are now diabetic. Also anytime you go to any kind of doctor as well. It will effect how they treat you and what meds they recommend.

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Monday, April 24, 2023 3:56 PM

6IXSTRINGJACK


Quote:
Originally posted by SIGNYM:
Quote:
Originally posted by 6IXSTRINGJACK:
Yeah. I can't trust that glucose meter at all. Did it twice this morning and had 479 first time and 499 the second time.

I'm going to call Dr. Endo today and just tell him that I'm upping the insulin every three days until I see him and somebody can give me a proper test. I'm done pricking my fingers.


Wow, those readings don't make sense at all!! If you were THAT high I think you'd be a lot more symptomatic. I wish I was there, I could loan you another couple of meters and take comparative measurements.


RIGHT!!!!!!

I feel fine. I worked out again no problem this morning and stuff that I was only doing 10 reps of in the beginning I'm doing 22 to 25 reps of now. Full 15 minute workouts without any down time in between and I feel great after they're done.

I just weighed myself after eating a banana and a handful of peanuts and I'm 152.2 lbs. That's the highest I've ever been since I got down to 143.4.

Quote:
We've had good experiences with a lot of different meters and strips but I suppose there's are bad ones out there.

I'm glad your seeing someone soon


Me too. I'm very excited about seeing somebody who will be dedicating an entire hour to educating me on this and seeing if my meter is even working right at all.



Quote:
I'd cancel a dental cleaning if I were you SIX. It always introduced some bacteria unto the blood, and being diabetic makes you prone to all kinds of infection. Or at least tell your hygienist that you have so far) uncontrolled diabetes


I already did it, and I told her about the diabetes. She didn't seem to think we should reschedule. I need my teeth cleanings if I want to keep the remaining teeth.



--------------------------------------------------

Growing up in a Republic was nice... Shame we couldn't keep it.

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Monday, April 24, 2023 5:57 PM

BRENDA


Back from my walk a while ago. It is dry and the sun is out now. All done including some more book work. Now, I just have to tidy up and sort through what I have done and email it to the lady who is helping me. After the dentist tomorrow.

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Monday, April 24, 2023 10:12 PM

SIGNYM

I believe in solving problems, not sharing them.


Good luck with the dentist, BRENDA.

And it sounds like you're in the home stretch on your book. Congrats! I hope I get a chance to read it.

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"It may be dangerous to be America's enemy, but to be America's friend is fatal." - Henry Kissinger


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