Category Archives: Lows

Sometimes the highs are worth it.

I have a lot to talk about this week. But first, I need to get this thing out of my head from yesterday. It’s about a low. One of those nasty, thrashing around, call 911 hypoglycemic events that we all hate to think about. Or talk about. I’m fine, no real harm done, and the EMS people were only at the house for about five minutes because I’m always better by the time they get there anyway, though the thing I hate most about those times (which have been very infrequent) is that they have to be there at all instead of being out helping someone who really needs to be helped.

The thing about the situation yesterday is that it could have been avoided. There are two ways that I could have avoided such a low. And I have a real point to make at the end, I mean it.

The first: I should lay the groundwork here by saying it was around five o’clock, it was already a full day, with a warm afternoon which included my first outdoor bike ride of the year and catching up on cleaning the kitchen within an inch of its life, cleaning the bathroom within an inch of its life, and doing the laundry. I had just come up from the basement after switching over the laundry for the third time, and Maureen said “Whoa, slow down, come sit down, you look pale”. I could feel myself getting low downstairs, and I took an extra couple of minutes (7? 8? 10? Who knows?) to finish everything down there before going back upstairs. You can see where this is going, yes? So I knew I was low when I came up. But I sat down anyway without getting anything or even grabbing my meter. Maureen is like, “You look low… I’m getting some juice and something to eat”. I told her not to, I have a tube of Glucolift tabs in my pocket, and if she could, please get my meter. I didn’t want to overtreat and kill my appetite for what was shaping up to be a nice Sunday dinner. I wanted to know where my BG was so I could ingest an appropriate amount to get back up to an appropriate range.

So in about two seconds (she’s superhero fast like that) she brings me juice, honey, and my meter. “Here, drink this before you test”. “No, I want to test first”. “No, drink this first”. I had to move her hand away from trying to hand me juice while I tried to get a drop of blood to my test strip. And now, with my brain turning to mush, each attempt by her, each word by her, meant that I had to start at zero again and concentrate from the beginning to inch my way toward that strip. And in the end, that drop of blood never made it there, and the meter, myself, and Maureen all made it onto the floor.

If I would have been left alone for just a few seconds, I probably (probably…) would have gotten that reading and then started treating right away.

The second reason: Of course, the worst could have been avoided if I would have just obeyed orders and immediately started drinking juice and eating honey. And popping Glucolifts like they were candy (they do taste like candy, I confess). But I didn’t. And that’s what brings me to the crux of this post.

Here’s what I learned from this experience: Sure, if I would have been on my own, I probably would have tested first, and I’m pretty sure everything would have been okay and there would have been no need for EMS intervention or anything like that.

But the thing is, I wasn’t by myself. There were two people in this scenario, and other than physically, the other person was affected just as much or more than I was by the whole episode. People With Diabetes: Do you think that the other people in your life aren’t affected at all by what you go through? Do you think that they don’t feel for you at these moments? Do you understand that they feel responsible, sometimes guilty for not helping you enough? If I can help it, I do not want to be responsible for heaping more on my loved ones than they already have to endure.

What I learned from this is that sometimes, it’s just better to risk overtreating and suffer the high BG later in order to save your loved ones the unbearable and unnecessary grief, guilt, and fear of the next time. Holy crap, I would give anything to erase that now. Including a little bump in my A1c or a CGM graph or a downward-carb modified dinner.
 
 
 

There should be stoppage time.

There’s not really a lot that depresses me about diabetes. Okay, there’s a lot that could depress me about diabetes. But I’m the kind of person that would let those things really get me down if I let them. So often, I choose not to think of them. Very often, I choose not to think of them, if you know what I mean. It’s one of the few parts of my life where I try to remain positive at all times.

But every once in a while… well, you just have to let yourself rant.

I was working around the house Saturday afternoon, cleaning, doing the laundry, that kind of thing. At some point, I went upstairs to make the bed that had been left unmade since morning. I had a couple of other things to do up there too, so I took the iPad with me and started up the Pandora® so I’d have some music while I worked.

Some 45 minutes later, the bed was only half made, and I was sucking back juice and honey. A bright 43 mg/dL showed on my meter.

Hey, as much as we would like them not to, these things happen. But where was my brain during this time? What happened to those 45 minutes? I have a right to ask… I’ll never get those 45 minutes back, and I feel cheated somehow. For three quarters of an hour, my brain was jello. It let me down.

Then I had to explain it to everyone in the house, and answer the questions like: “Did you know you were going low?” “Did you bolus too much at lunch?” “Why didn’t you get some juice sooner?”

The answer to all of those questions is, I DON’T KNOW. My brain checked out for that time. I have almost no recollection of anything other than fidgeting too much with the sheets and blankets and pillows on the bed, and walking around the bedroom what seemed like a hundred times. I don’t have an explanation for any of that either.

But I want my 45 minutes back. I feel like someone, something, some cosmic timekeeper, owes me 45 minutes extra. Stoppage time, they call it in soccer. I want my time back! At the end of my life, there should be a lot of stoppage time left over.

If, somehow, I ever do get my time back… trust me, I’m going to make very good use of it. What would you do with your extra stoppage time?
 
 
 

A new favorite.

I have a new favorite juice:

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I was treating a low last night and opened this bottle of Ocean Spray® 100% Juice Cranberry-Pomegranate juice. It‘s been made by the Ocean Spray® people since 2009. And it’s delicious.

Don’t let the label fool you though… this “Cranberry-Pomegranate Juice” is actually a mixture of grape, apple, and plum juice from concentrates, plus cranberry and then pomegranate juice from concentrates. In that order. At least here in the USA, that means there’s more grape, apple, and plum juice in there than cranberry or pomegranate. But it still has the cranberry-pomegranate taste, and for me, it’s still all juice (with a little fumaric acid and ascorbic acid—vitamin C—in there). It’s still tasty, and that’s what matters in these moments.

It’s got a higher carbohydrate count than the average orange juice from concentrate. OJ generally has about 29 grams per 8 ounces. This stuff has 34 grams per 8 ounces. So if you can stand to have just about 7 ounces instead of 8, you’ll get right around 30 grams of carbs.

Whatever. I like it. Ocean Spray® makes a point on the FAQ page of their website that “Ocean Spray® Light Juice Drinks are appropriate for people with diabetes”. Well, maybe, but not if you’re treating a low. When I need to get my BG up in a hurry, this stuff is my new favorite juice.

I’m Stephen, and I approved this message. This just means that I like the product, not that anyone is giving me anything for saying I like it.
 
 
 

Juice Discussions.

I was a little low the other night when I got home from work. So, after staring at a 60 mg/dL, I opened the refrigerator door to find… no juice. We ran out before I could get out to the store for more.

That’s okay. We always have some backup in the form of the old, reliable juice box. Doesn’t matter which brand. I’ll drink it if I need it. So I grabbed one of the boxes we always keep in reserve.

But wait… this juice is awful. The taste is not good at all. I started looking for a reason why. And then I found it:

The dates on the box said “Best if used by Oct 17 2010”.

In other words, “Worst if used two years later”.

We did a little more searching, and found some new juice boxes that weren’t so far past their prime. But I’ve got to rethink how much I buy of these things when I see them on sale. I need to restock on a more regular basis.
 
 
 

Low Redux.

This Sucks! Sucks!

As if it happened because I wrote about my Saturday night low, I was low twice Wednesday. This does not happen often.

Once at work, about 4:00 in the afternoon. Typical symptoms… shaky, sweaty (always appealing in an office setting), trouble focusing. No one noticed. That’s okay.

Then again, about 2 hours later, after walking to the train (it’s about 1/2 mile from my office). By the time I get there, I’m sweating again and very, very tired. I shut my pump off and reached for the candy in my pocket. Just then, my nephew walks up. He works nearby and rides the train too.

We rode together to my stop. I couldn’t put two intelligent words together for about half the ride, but by the time I got to my stop, I was fine. Of course, on the way home from there (it’s only a mile), I get a phone call from The Great Spousal Unit.

“How are you feeling?”

“You’re kind of late, and I was getting worried about you.”

“Yes, Brian called and told me you were low.”

How nice is it that I have great, caring family around me?

There is that.