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Thursday, 27 April 2017

Day-by-Day. April 27, 2017

sugar is 102 mg/dl.
Yesterday insulin dose was less then 300 units, just 287. Fasting sugar was 129 mg/dl
Day before Yesterday it was 127 mg/dl and 247 units of Lantus solo Star.
Cross my fingers.
On Tuesday it was Wound Care Clinic. All bandage was removed. Very smelly. It is difficult to say, but I hope leg started to heal. As I said, cross my fingers. New bandage was put on. Was so much pain! I hardly able to walk. When we went back to home suddenly  all energy left, and I was almost out of my foot to get back to home. Just now so far, just from back door to the apartment, and I was almost not able to walk. Low sugar. It hit so unexpectedly! I could take time and take some coffee and eat protein bar in my car. I always do have it in my car. But we already were home, so it was so big surprise for me, I could not walk.
    I did not check sugar. No energy. Just eat right away. After I went to bed, and fall asleep instantly. When I woke up pain increased. I hardly was able to get from room to bathroom. Every step just pure pain. All around left leg. Once I put off all bandages, and ... it was big mistake. Now I try to tolerate this pain, just tolerate it. I staid in bed, kept leg elevated, tried to read some book, and was happy I fall asleep soon.
     Today is Thursday. There is no longer pain. Leg is comfortable. I would not say I am easy to walk. I try to stay in bed, try to sleep if I can, or read, and be in bed.But there is no pain. No any medicine to kill pain. I cannot take painkillers. It is my severe headache. When I take painkillers I do have severe headache, so it is kill one pain and create another. The choice is mine. I take to tolerate pain I cannot avoid, and do not add insult to injury.
     
       In all other aspects there is no any differences. Just bore usual life, day after day.
It is interesting with fasting sugar and how it goes up and down. As I just said, two days it was up, over the control. Say me, why? There is no reason for this. Still, if there is reason or not, it is unexpected.
       In all education programs medical educator teach us how to dose insulin, and it is based on the carb we eat or going to eat. In real life it has nothing to deal with reality. Beside, it is not logical that carb counting can provide blood sugar control. Every doctor do know it very well. If it did work then there would be algorithms how to inject insulin according to the meal we eat. The problem with this algorithm, blood sugar does not depend on the carbs we eat.
      Still, blood sugar depend from pain I am in. Pain in leg eased, blood sugar dropped. Together with dose of insulin I injected. This is direct connection. No need to count calories or carbs. But keep blood sugar under control just mandatory. So, I do, I increase dose of insulin according to the level of sugar taken by my glucose meter. 
      I think, there is every one diabetic have to do by himself. There is no one way that anyone can say how units of insulin to inject. We have to develop feeling and relay on it. We have to accept the risk we take with every injection, and be ready to deal with insulin reaction at any time it hit. No way to prevent it. But there is way to learn how to fight this condition. I usually do have protein bar in my bag, so I can take it at any time anywhere. My understanding, we have to have this bars in special color that if I take it in public place security team would not arrest me. This is medicine for me.
      With eating it is also interesting. If woman breastfeeding her baby in public place, it is acceptable. When diabetic old fatty woman try to eat protein bar in the same place, security team will come over to take off protein bar. This is how we seen by public. And I even cannot take any step to take any move when sugar is too low. There is no one low to protect diabetics. every one out of ten Americans is diabetic, and there is no one protection we us.


via Ravenvoron

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