Tag Archives: illness

How are you feeling?

So… How are you feeling?

Hopefully, you haven’t had to go through the awful cold bug that’s been going around the USA. I got to experience that around Christmas and New Year’s. Lots of gunk in my chest, off and on nausea, and it took a little over two weeks to feel right again.

Now that I’m on the mend, I’m back to getting active. Mostly, that means time on my spin bike upstairs. I’ve been trying to get into better shape by simply electing to do more than I was doing the previous three months or so, and be more consistent about it. No big predictions about what I’ll look like in six months, no lofty goals about competing in the Iron Man triathlon in Hawaii (although, in reality, I’ve never dreamed that high).
Workout Room with Large Mirrors
Right now, it’s all about doing what I can do to feel better. Looking better will hopefully come later. Oh, there are athletic events on my radar… there always are. But at this point, I just want to be able to string together a few months of regular workouts without getting sick or having something else happen that will give me an easy excuse to give up.

My record-setting days are probably behind me now. Heck, even my personal record-setting days are probably behind me now. But I’m not dead yet. Far from it. Now I’m concentrating on feeling good, being healthier, and when I do participate in an athletic event, having fun. There ain’t nothing wrong with that. Especially if I’m able to make more efficient use of the insulin that squeezes from the pump attached to my waist each day.

Meanwhile, I’m making extra-sure that I cough into my elbow, dress in layers this time of year, and use plenty of hand sanitizer (but not before I perform a BG check).

What about you? How are you feeling? Have any personal goals this year, athletic or otherwise? Let’s talk.
 
 
 

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Still sick, but better.

“Sick, sick. He’s always sick. Why can’t he write about something other than being sick?”

That’s because I’m sick.

I’ve been up and down over the last few weeks, with a persistent cough and an occasional fever. Baltimore is a nice place to visit, but you don’t want to come here right now because there’s some kind of wicked virus going around, and everyone has it.

Which leads me to the point of this post. After all these years with diabetes, I’m still trying to figure out how to cope during this scenario:

On Saturday, this virus decided to attack my insides harder than ever (and just 24 hours after I had finished a round of antibiotics). I felt bad in the morning, before breakfast, but I figured if I just had something to eat, I’d be fine. And I was, for about 3 hours. Then, about 11:00, I started feeling bad again. I laid down on the couch for about half an hour, then tried to eat an early lunch. Good thing I decided to eat early, because my BG before lunch was: 64 mg/dL

I only got a little bit of lunch before I started feeling really bad. At this point, I informed The Great Spousal Unit that I was going to go to bed to try and sleep it off. Because I hadn’t eaten much, I checked again, and my BG after eating was: 84 mg/dL

This isn’t pretty, but suffice to say I didn’t make it to bed before everything came up, including lunch, breakfast, and any coffee I had in between. Now the question was before me: What to do about my blood glucose management?

I remember the only Diabetes Educator I ever worked with, in the hospital after my diagnosis. She said, emphatically, that if I ever had a situation like that, I needed to eat, or drink juice, or something, anything to keep my glucose levels up. I think that made sense for the times (1991), because I was on MDI (multiple daily injections). I was dosing insulin only twice per day then. So in that situation, I would have injected half a day’s worth of insulin in the morning, and would have needed to back that up with some carbs to remain at a safe level.

But since I’m on pump therapy now, I reacted differently. I immediately suspended my pump. Then I crawled into bed and slept for three hours. When I woke up, I still felt terrible, but somehow summoned the energy to test my BG again: 111 mg/dL

Then, back to sleep. For another 2 ½ hours. The pump was still suspended, and when I woke up, I checked yet again: 147 mg/dL. Now I decided to try to eat again, but could only manage a little soda and half a slice of toast. No bolus for that, even at 147. And back to sleep again.

When I woke up around 8:00 p.m., I checked my BG for the sixth time that day: 236 mg/dL. I had developed a fever by this point, and I guess having the pump off for 8 hours also contributed to this level. But at least I felt good enough to finish the toast that I started earlier.

Finally, I started the pump again and went to sleep, and kept sleeping until about 7:00 the next morning, which is very late for me. I felt better, good enough to eat breakfast, but still not too good. I still haven’t been able to eat a decent sized meal (more than half a plate of food, any food) since then. Haven’t had any coffee since then either. I worked about six hours from home on Monday and we cancelled our plans with friends and family both Christmas Eve and Christmas Day. No sense infecting those not already cursed by this virus. I’ve been getting to bed at around 8:00 every night since then too. The good news is that I feel better today than I’ve felt in a few weeks.

I think I handled the no eat, no insulin blood glucose management thing okay this time. But it’s interesting to think that I thought this out all on my own. I didn’t consult with anyone about what to do. Not sure who I would’ve talked to anyway, since my doctors were all unavailable on Saturday.

I don’t know if my strategy was clever or ridiculously dangerous. I know I’ll ask my endo about it at my next appointment. At any rate, it’s another example of how things are different today than they would have been a couple of decades ago. Diabetes changes, and the way we treat diabetes changes. Okay by me, as long as we stay healthy in the long run.

I hope this scenario never plays out for you. But if it does, is this how you handle things?
 
 
 

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