Vegas Wont Stop Me

The saying usually goes, ‘What happens in Vegas stays in Vegas’. But for my much needed girls weekend in Sin City, I will make healthy food choices the whole time and document my meals as best I can. I was worried at first because as much as I want to keep eating quality, fresh foods I know it’s easier said than done. Last time I went I enjoyed the biggest slice of Sicilian pizza I’ve ever seen– without taking any insulin. This time, I’ll stick to lean meats, salad and veggies. Thankfully I’m going with my wonderful college friend who will keep me in check. It might not be a week long exotic vacation, but sometimes a few days away with the people you love is all you really need.

I’ve been going over checklists in my head all week so that I don’t forget anything. To start documenting this trip right, here is what I need to bring just to help manage my diabetes:

-3 infusion sets (in case I accidentally rip one out or it malfunctions)
-3 reservoirs
-1 blue inserter
-1 bottle of Novolog insulin
-2 AAA energizer batteries
-1 syringe (in case my pump decides to stop working)
-my insulin pump belt clip
-my insulin pump leg pouch
-my one touch blood glucose monitor
-2 tubes of test strips
-my finger pricker
-extra lancets
-glucose tablets
-if I had sensors, 2 sensors and my CGM, (but I’m still waiting to receive the sensors and can’t use my CGM without them so I wont bother bringing it because I’ll probably lose it).

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Wow, that’s a lot. I didn’t even realize how much stuff goes into regular day-to-day diabetes management. I’ve never thought about it before and when it’s all laid out like that it looks like I’m opening a clinic! Hopefully I have room for the 6 pairs of shoes I’m planning on bringing. I might be a diabetic, but first and foremost I’m a fashionista!

Way too early Wednesday

Last night was a tough one.  My BS was over 400 all night.  In my sleepy haze I didn’t even think to change my insulin pump site until an hour before I was supposed to wake up (4am).  I changed it gave myself a correction and woke up to my BS steady at 244.  Because of my early schedule I grabbed a couple quick (healthy)  food options before running out the door.  Early mornings suck, but at least I can go home at 3:30 and I have the next 2 days off.

As soon as I got to work, a wonderful member came in with a giant box of bagels.  They were warm, smelled amazing and looked delicious.  I didn’t eat any, but I could smell them all morning and if I hadn’t been so busy probably wouldn’t have been able to resist.

Morning BS reading: 437, then 244 when I woke up

Breakfast: 2 hard boiled eggs and half a medium sized banana

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-2 hard boiled eggs- they were made last night so Sean and I could both grab something quick and easy before work: 0 carbs

-1/2 a medium sized banana: 12 carbs

Post meal BS reading: 285 and steady

I felt great all morning.  I got so much done at work and I honestly had a ton of energy.  It was fantastic.  I almost didn’t care that I had to come in so early.  Today’s lunch at work was difficult to work around.  The options were pasta, potatoes, egg rolls, pork, black beans, rice and mushy vegetables.  I tried to grab the healthiest options.

Mid-day BS reading: 238

Lunch: pork slices over lettuce and 1/2 cup of black beans

-I put 3 slices of pork on my plate, but it was really really dry so I only ate about 1 and a half: 0 carbs

-The lettuce was good, it had a light vinaigrette dressing that I liked: 0 carbs

-1/2 cup black beans: 20 carbs- I made sure not to overdo it because I love me some black beans!

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Post meal BS reading: 264

I was really excited for dinner tonight.  I wanted something light and super healthy especially since my blood sugars have been running pretty high the past couple days. I messed up though.  I ate 2 enormous pineapple spears that were chillin in my fridge and didn’t even think about checking my sensor or even bolusing and didn’t realize I hadn’t bolused until I saw my sensor before dinner.

Dinner BS reading: 334

Dinner: Grilled Eggplant over salad with balsamic vinaigrette dressing

-plate of salad: 0 carbs

-2 slices of grilled eggplant: 0 carbs

-2 slices of gooey, melted provolone cheese: 0 carbs

-a filling, delicious meal: priceless

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post meal BS reading

My first steps

I started my journey at the beginning of this year.  My first appointment with my new, fantastic endocrinologist was on January 6th, 2014.  I had heard wonderful things about Dr. Peters from other doctors, diabetics and parents of diabetics.  So after some online research I prayed that she was still taking on new patients and made an appointment.  Just walking into her office made me feel better.  It doesn’t feel like a regular waiting room.  There’s nothing extraordinarily different about this one.  It’s actually smaller than most waiting rooms and has the same pamphlets, generic artwork and family photos you’d see in any doctor’s waiting room, but everybody who works there is just so positive and wonderful I couldn’t help but feel comforted.  She has the friendliest nurses and is the nicest, most comforting doctor I have ever met with.  As is my nature I completely broke down and just started crying buckets during our initial meeting.  She assured me that cases like mine are her specialty and that she will safely bring my numbers down and help me feel better, because after all, that’s why I was there in the first place.  I was sick of feeling sick and completely over waking up every morning with my sugars over 400.  I was ready for a change.

We’d take baby steps, Dr. Peters told me.  The first job I had to master was checking my blood three times a day and giving myself a correction before each meal.  I didn’t have to count carbs, I didn’t have to drastically change my diet, I didn’t have to start wearing my Continuous Glucose Monitor, I didn’t even have to lower my basal rate that much……yet. I would be doing all those things soon; however, for the next month my only job was to gather data for Dr. Peters.  I haven’t had an actual logbook in at least 10 years, but I was able to use my insulin pump to log my blood sugars that whole month.  I felt hopeful and capable of staying on track.

At my next appointment we discovered that my sugars are consistently between 300 and 400, with just correction boluses and a high basal rate.  I was frustrated, but I knew it would be a long and difficult journey to see my numbers where I want them to be.  I started meeting with Meg, a wonderful and dedicated dietician.  Together, we came up with meals and snacks that are not only easy to make, but absolutely delicious.  She answered all my texts and emails. How many carbs are in an acai bowl? How nutritious are those diabetic shakes really? How many carbs do I need to eat everyday? Do I need to give myself a full bolus if I eat a meal after I workout?  I discovered that avocados are ‘free foods’ and I don’t need to give myself any insulin for them- which is incredible because I could eat them for breakfast, lunch and dinner for the rest of my life. She is teaching me how to calculate the carbs in the foods that I eat, and she is showing me quality foods that don’t leave me feeling guilty for enjoying.

Since then, my blood sugars are consistently hovering between 250 and 350…for now.  I’m working really hard to do whatever Dr. Peters and Meg tell me to do. They still shoot up to 400+, but those readings are becoming less common.