Five Things

2015 has had a bit of a rocky start, and high stress situations don’t really bode well for diabetes management. I feel like I have hit a diabetes plateau. I have some really good days, and still some, what I like to call, see-saw days. While I’ve become an expert on what I need to do to regulate my blood sugars, I ‘forget’ in the moment (aka, decide that whatever else I’m doing is more important), and end up cutting corners. So I try to eat better, healthier, more quality foods. I set reminders to check my blood and set aside at least 30 minutes to exercise everyday. And that lasts for about a week. And then I buy greasy, salty, delicious, handmade pita chips and convince myself that cleaning my apartment is the same thing as exercising.

I went through some of my old notes with the amazing nutritionist I was seeing last year. I revisited some great recipes and decided to try and eat mostly foods that are low on the Glycemic Index. These foods do have carbohydrates, but they take a long time to digest and therefore don’t spike blood sugars like other foods can. I got the GI list months ago, but didn’t utilize it. At the grocery store, I tried to remember which foods were lower than others, and for the most part, I succeeded, but it was always a half-assed attempt.

I’m tired of my a1c hovering around 8.5.  It’s been the same since November/December. So I made a new promise to myself, a mid-year resolution. I’m going to bring my a1c to < 7 by the end of the year.

I’m going to bring focus back to the foods I eat, are they quality foods; and regular exercise, for at least 30 min. each day.

I’m going to start using the 530 G minimed pump with the sensor feature included. I tried this about 6 years ago and hated it, but I’ve been assured that updates and changes since then have made it much more reliable and easier to use.

In addition to seeing Doc. Peters monthly, I’m going to start seeing Donna Miller, her nurse practitioner, and hopefully bring my a1c down safely.

I’m going to organize a diabetes bag so that I never run out of supplies ever again. I’m embarrassed to say that this happens more than I’d like to admit.

I’m going to qualify for pump studies, approved by my doctor, so that I can get free testing/pump/sensor supplies or better yet, money!

I’m going to bring down my a1c to <7.

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Read the Coke Can

At lunch today I decided to treat myself to a soda. I try not to buy too many at work but it was a beautiful day, I woke up and felt really good, got a lot done before I had to go to work and decided to splurge on a diet coke. I got excited when I saw an new option for Sprite Zero. Perfect! I love Diet Sprite Sprite Zero might be even better!

I feed the machine 75cents, grab my drink and head to the employee lounge to read my nook. 30 minutes go by while I read and sip and talk to my co-workers.

Once I get back to the golf shop, after I’ve already drank most of the can I realize that I haven’t been drinking Sprite Zero like I thought I was. I’ve been drinking regular old Sprite. I race to dump out the rest (still don’t understand the urgency to throw it away) and about 4 drops laugh as me as they go down the drain. I check my blood, 350 and shooting up, take a correction and drink an enormous cup of water.

I wish I could say this is the first time something like this has happened to me. I guess I’m so used to having only diet coke in my house or…. hitting the sprite zero button and assuming that that’s what I’m getting, that I don’t fully read what the coke can says.

Trick me once…

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Interrupted Workouts

I hate it. I just wish that I didn’t have to keep diabetes in the back of my mind all the time. I would like a day off from testing and calculating and remembering blouses. I had the whole day off today. No plans all morning or afternoon. I had nothing until late this evening. This past weekend I had decided to go for an easy 4 mile run today. That’s 2 times around Cheviot Hills park. But I’d make it more interesting by riding my bike the 1.7 miles to the park, so roughly 3 miles. Nothing too outrageous. I planned to take breaks and stretch, I had my sensor to monitor my blood sugar, I brought glucose tablets and my iPhone. I was all set.

At around 10 this morning I make sure my bike tires are pumped, I check my blood- 236 and trending up. Perfect. I leave my pump on and head out the door.

The route to the park is tough. It’s mostly up hill and I adjust the gears a few times to help me get there, but overall the ride is nice and the wind feels good against my face. Once I get to the park I lock up my bike and check my sensor. 198 and trending down. Still good. I don’t want it too low before my run. I stretch for about 5 minutes and start out with a slow jog but I pick up the pace a bit as I go. My sensor doesn’t leave my hand and I check to make sure my BS is ok. It goes down to 184 and then 177 and by the time I’m done with my first loop it’s 154 and trending down quickly. I stop, stretch again and eat 4 glucose tablets. I wait about 10 minutes and it’s still trending down. Double arrows pointing down. It doesn’t look good.

Once I get to 132 I give up any hope for a second loop, unlock my bike and head home. My workout that I had been looking forward to all weekend was just cut short because of my stupid disease. The ride back is easier as it’s all downhill but scary. My sugar won’t slow down and I know that there is a 20 minute delay on the sensor so it could be even lower than what it’s registering at. Once I get into my apartment I’m at 106 and still going down. I drink about half of a small glass of regular soda and make egg beaters scrambled eggs with spinach (my fridge is hopelessly empty at the moment) about 30 minutes later it’s 260 and shooting up. I want to cry. After my shower I’m at 368. Today has been a roller coaster.

Frantic Fridays

So I was too exhausted to post last night.  I was going non-stop from 4:30 in the morning until about 11 at night.  I’m finally off today and I couldn’t be happier!

Earlier this week I knew that I would have a really early morning and I would have time or even want to make anything for breakfast, so Thursday, when I made my pancakes, I also made breakfast muffins for Friday.  They were really quick and delicious.  I brought them into work (didn’t tell any of my co-workers that I used a diabetic recipe) and they disappeared immediately.

Breakfast: Banana Blueberry muffins

Pre-meal BS reading: 277

Post-meal BS reading: 237

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Ingredients:

-Banana

-Blueberries

-Whole Wheat Flour

-Cinnamon

-Baking Power

-Baking Soda

-Vanilla extract

This is the perfect grab and go breakfast.  It has 22 carbs and I feel really good about eating it.  Since I had made the muffins the day before so they had already been cool by the time I ate one.  I nuked it for about 30 seconds once I got to work, and it was really good warm.  I’m sure they would have been even better fresh out of the oven.  I think these muffins are something I’ll try to keep in the fridge, ready to go for early mornings just like this.  My only problem with this breakfast is that it didn’t keep me full as long as I would have liked.  I ate at around 7:30 and by 11:30, my stomach was growling.

Lunch: Beef tacos (2)

Pre-meal BS reading: 234

Post-meal BS reading: 247

Ingredients:

-2 corn tortillas

-1 large scoop shredded beef with onions and spices

Usually at work Friday’s are Fish Fridays, so I was really happy to see that we had something different, because to be honest, the fish is never good.  I calculated about 10 grams of carbs per tortilla and had a small side of steamed veggies, so my total estimation was 25 grams of carbs.  My sugar was pretty steady afterwards so I think it was a good estimation, I probably should have given myself a little more to bring my BS down to below 200.  I felt full, but not stuffed and wasn’t hungry until dinner time.

After work I went to the Third St. Promenade to shop for a few things for my anniversary trip with Sean.  We’re going to Monterey, and I’m really excited.  It’s going to be hot in July so I needed some new tanks and shorts.  I kept an eye on my BS and had glucose tablets and an apple in my bag.  Trying on clothes seemed to make my BS drop and when it got down to 104 I ate my apple and started heading home.  Of course once I got home I changed into running clothes and decided to go for a quick 3 mile run.  At that point my sugar was just below 200, but I ran with glucose and my sensor anyway.  Just as I was wrapping up I checked my sensor and saw that I was just below 100.  Not too bad.

Poor Sean was working until about 9:30 so I had plenty of time to get dinner started.  In my rush this morning I forgot to take the chicken out of the freezer so I had to wait a bit for everything to thaw.

Dinner: Apply Thyme Chicken with Onion and Red Bell Pepper

Pre-meal BS reading: 257

Post-meal BS reading: 213

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Ingredients:

-Chicken breast

-Apple slices

-Thyme

-Balsamic Vinegar

-Red Bell Pepper

-Onion

This was a quick and delicious dinner.  I wanted to make something extra because the chicken only had about 7 grams of carbs.  I know a cup of cooked veggies has about 15 grams so I decided to use some of the bell pepper I had chilling in my fridge.  It probably took about 30 minutes to make everything, and I calculated about 22 grams of carbs total.

After my busy, early day on Friday, Saturday couldn’t have come soon enough!

Terrible Thursdays

Today was a crazy day at work.  I was literally moving non-stop. Although, even with all of that activity, I was able to keep my BS pretty steady.  I have to keep this post quick because I have an early day tomorrow.

Breakfast: Onion and Corn Pancakes

Pre-meal BS reading: 229

Post-meal BS reading: 290

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Ingredients:

-Whole wheat flour ((I didn’t have white flour)

-Baking Soda

-Salt

-Corn

-Green Onions

-Eggs

-Milk

-Butter

-Chili Powder

I really liked this breakfast. I usually don’t like spice foods, but the chili powder gave it a really great kick.  I almost skipped the chili powder all together and that would have been a huge mistake.  I think that the carb nutrition info was pretty right on.  My sugar went up a little bit, but that’s because I had a second cup of coffee that I hadn’t calculated insulin for.  My breakfast kept me full and gave me ton of energy.  I definitely needed it, I spent a majority of the day cleaning out the backroom and moving around large, heavy, boxes full of shoes.

Lunch: Cucumber salad with baked beans and a cheeseburger (no bun)

Pre-meal BS reading: 121

Post-meal BS reading: 190

I wasn’t able to take a picture of this because cell phones are not allowed at the club (except for employee break areas).  I ate very close to what I had yesterday, except today I have about 2 tablespoons of bakes beans.  I figured they would have a lot of carbs so I didn’t want to have too many.  After lunch my sugar started climbing.  I kept an eye on it and gave myself a correction when I saw that it had reached 290, but I didn’t want it to go too low since I was running around so much, so I kept my sensor in my pocket and glanced at it every time I remembered to.

Dinner: Grilled Sole with Corn and Asparagus Salad (I changed the recipe slightly, the grocery store didn’t have Halibut…)

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Pre-meal BS reading: 131

Post-meal BS reading: 174

Dinner was a disaster.  I completely forgot to get half of the ingredients for the dressing and when I grilled the sole it stuck to the grill and fell to the bottom.  I was really upset because II had been working hard all day, lost my apartment key and all I wanted to do was eat and go to bed since I had to be up so early.  It just felt like everything part of the recipe (except for boiling the corn and asparagus) was wrong.  So Sean had to make himself Nachos and I had like half the sole I should have had (the recipe was supposed to make 4 servings, and I barely got one).  Looking back I should have used tin foil, especially since I changed the recipe and cooked a different kind of fish.  Not everything cooks the same and that was my first mistake.  Well my first mistake was not reading my ingredients list as carefully as I should have.

Going to sleep now.  Hopefully tomorrow is better!

Wake up Wednesday

I’m trying really hard to keep my BS’s steady.  Dr. Peters said she’s fine with my sugars being slightly higher (150-200) as long as they’re steady because then all she needs to do is bring it down.  So this morning I saw that my BS stayed around 200 all night and into the morning and I was happy.  I woke up early and ran a few miles before it started to get hot and surprisingly, my knees and ankles didn’t kill me.

Breakfast: Veggie Cheddar Frittata

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Pre-meal BS reading: 257

Post-meal BS reading: 368

Ingredients:

-Zucchini

-Broccoli

-Red Bell pepper

-Mushrooms

-Onion

-Eggs

-Milk

-Salt and pepper

I really enjoyed my breakfast.  I’ve never made frittata before and in the recipe it said to put a plate on top of the pan and flip it over then slide it back into the pan.  Well I did that step way too early and ended up losing some egg.  But after I cleaned up my mess and put the runny frittata back on the stove, it came out great.  I was a little skeptical of the carb count on the recipe.  I got this from dlife.com and figured they would be right on in terms of nutritional facts, but it said that one slice was about 4.5 grams of carbs.  Meg has told me that 1 cup of cooked vegetable is about 15 grams of carbs and I know that I was definitely eating close to that.  I was also drinking coffee which raises my blood sugar.  So I listened to the nutritional facts on the recipe and gave myself insulin for 19 grams of carbs.  About an hour later I discovered that I way underestimated.  My sugar was over 300 and trending up fast.  So I gave myself a correction and hoped that it wouldn’t ruin my day.

Lunch: Hamburger patty with tabouleh and cauliflower

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Pre-meal BS reading: 138

Post-meal BS reading: 164

Ingredients:

-Grilled hamburger patty

-Slice of cheddar cheese

-1/2 cup tabouleh salad

-3 large cooked cauliflower

It was a strange mixture for lunch today but I was excited to see Tabouleh.  I looked up the carb count on my phone and saw that 1/2 cup equals roughly 11 carbs.  The patty is 0 and the veggies are about 15 so I gave myself insulin for 26 carbs.  I felt full, but not stuffed.  I also drank a diet coke.  My sugars stayed pretty level, they started going up a little during the day but didn’t really go that much over 200.  I did give myself a correction when it reached 206.

Dinner: ‘Fried’ chicken with veggie kabobs 

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Pre-meal BS reading: 228

Post-meal BS reading: 231

Ingredients:

-Chicken

-Breadcrumbs

-Plain greek yogurt

-Broccoli

-Zucchini (I added some of the zucchini left over from breakfast this morning)

-Mushrooms

-Onion

Dinner came out pretty good.  The chicken came out perfect, but I probably could have cooked the kabobs a little bit longer.  I was starving though and didn’t want to eat too late.  I liked this meal because it kept my BS pretty consistent and I’m not about to go to bed feeling too full.  I’ve had a pretty good food day today.  I love that besides this morning my BS didn’t spike too much and I was able to bring it back down fairly quickly when it did.  I’m using the alarm on my pump to check my sensor and see if I need a correction, otherwise I’d probably never remember.  Not looking forward to tomorrow.  It’s going to be a really late night.  We have a pretty big tournament at the club and I know that meant that I’m going to have to stay pretty late.  At least Sean and I are both off Saturday though!

Taco Tuesday

I got to sleep in this morning!  And by sleep in that means I woke up at 8:40.  But since I had been waking up between 4:30 and 5 every morning last week those extra 4 hours felt amazing.

Breakfast: Hawaiian Bread French Toast

Pre-meal BS reading: 228

Post-meal BS reading: 247

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Ingredients:

-2 small (thin) slices of Hawaiian bread (I changed the recipe slightly)

-2 eggs beaten

-1 cup sliced strawberries

-cinnamon

-2 tbsp.’s whipped cream

I loved this breakfast! While it might not be low on the glycemic index, it is delicious and has less than 30 grams of carbs.  I added a couple tablespoons of whipped cream which has 2 grams of carbs so instead of giving myself insulin for 26.5 carbs (which was what was written in the recipe), I gave myself insulin for 29.  Hubby loved it too.  I have a feeling I’m going to be making this breakfast a lot.

Lunch: Ground Turkey taco

Pre-meal BS reading: 338

Post-meal BS reading: 347

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Ingredients:

-one corn tortilla

-one tbsp. refried beans

-1/4 cup ground turkey and whole wheat rice

-1/4 cup bell pepper and onions

-1 tbsp. sour cream

-1/2 avocado

Not sure why my BS spiked so high.  I changed my insulin pump right before I ate breakfast, so that might have something to do with it.  For lunch I decided to use the extra ground turkey and rice in tacos.  I heated up some refried beans my grandfather made for me and sautéed some bell pepper and onion.  I used one corn tortilla which only has 8 carbs and added a tablespoon of sour cream and half an avocado.  It was very filling and delicious.  Sean had 2 tacos, I only had one.  I calculated about 25 carbs for the whole thing.

Dinner: Grilled Salmon and Brussels Sprouts

Pre-meal BS reading: 212

Post-meal BS reading: 240

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Ingredients:

-Salmon fillet

-Brussels Sprouts

-Lemon (I generally don’t like orange that much so I swapped it for lemon)

-Black pepper

-Olive oil

I really enjoyed my dinner.  I changed the recipes slightly and used a grill my parents got me a few months ago.  I brushed the lemon and pepper marinade on the salmon before grilling and put the Brussels Sprouts in a think aluminum foil packet with pepper, lemon and olive oil and cooked both the salmon and the Brussels sprouts for 10 minutes. Everything was cooked perfectly and I don’t think I’ll every cook Brussels sprouts any other way.  I calculated about 25 grams of carbs for everything.  Meg told me that 1 cup of cooked veggies is about 15 grams of carbs.  The Salmon recipe says it has 12 grams of carbs, but I’m thinking it’s because it uses orange and orange juice.  I switched it to lemon and ate about 3/4 cup of Brussels sprouts.  If I’m wrong I’ll be able to tell before I go to bed. ** Note, I did not eat the lemon**

All in all I’ve had a pretty great day.  I met with Dr. Peters to go over my progress and she says I’m doing better.  She knows that I’m really trying hard to bring my a1c down and knows how tired I am of feeling sick.  The main thing I took away from our meeting today is that I need to check my blood about 1 to 2 hours after giving myself a correction or eating to bring my blood sugar up.  I also need to monitor what my sensor says more than just at meal times and give myself small corrections throughout the day when I see that my blood sugar is running high.

Sean came with me to my appointment today and we talked about where I need to be before we start trying to have kids.  Right now kids are far into our future, but Sean and I had been talking about it last week and he was concerned about what would happen to me and our baby once we did get pregnant.  Dr. Peters told us that my a1c would have to be below 6.5 before we could even conceive and it would have to stay below 6 throughout the pregnancy.  Right now my a1c is 10, so I have a long way to go- but I’m fine with that.  She is helping me eek down my a1c slowly so that I don’t feel even more sick than I usually do.  Sean and I are not planning on expanding our family any time soon, and to be honest, I’m really happy with our small family of 2.  Even if I didn’t have diabetes, right now isn’t the time to have kids.  But it was nice to hear Dr. peters say that she believes that I can do it when I’m ready and that she has helped plenty of women have healthy babies.  All I need to do is follow everything she says the entire time, and I’m 100% ok with that.  That’s pretty much what I’m ding now anyway!

So for now, I’m going to watch a movie with Sean, relax for the night and enjoy some me time.