Tuesday, November 19, 2019

Picky Eaters - UNITE!!

Picky Eaters - UNITE!!

 

Yummy Cheesy Broccoli Soup

YES, I AM A PICKY EATER

Okay, not just a picky eater.
A SUPER picky eater.
And is isn't just certain foods.
I don't want my food to touch.
You know,
Unless it belongs together like potatoes and gravy.
No gravy touching my corn on the cob.
Or the green beans.
I don't do ground up food made into a big food.
No hamburgers, meatloaf, or meatballs.
I'm okay with hamburger left small in tacos, no big chunks though.
Yeah, I know.......
And admit.....
I am a super picky eater.

BUT
My BF claims he isn't picky at all.
Hmmm, yes, he is.
I made a very delicious soup.
5 stars on the recipe site.
"Everyone loved it!"
"Even my picky little boys ate it up"
Well, not mine.
Well he did eat it.
And then wanted a sandwich..
The soup tasted funny.

This is actually the problem though.
We like different foods.
Plus with my low carb diet, food has really become an issue.
He loves noodles:
Not a favorite of mine + not low carb.
He loves casseroles and stews:
I prefer my food in separate sections of my plate.
He LOVES spaghetti!!:
Just no. Please no. Never liked.

So lately we have been having lots of chicken breasts with vegetables.
How many ways can you cook chicken?
Lots - but we just can't agree on what we like.

Anyway,
To all of you picky eaters
And those who claim not to be..
(but really are)

Eat what you like.
Eat what you enjoy.

And here is one trick
Make it plain.
Put spices, shakers, and sauces on the table
&
Dress up your own food!!


Oh,
If you have better ideas
PLEASE
Pass them on.
Obviously we need help!!

Have a great numbers day,

Jay
 



Sunday, November 3, 2019

"WHY" A Curious 3 Year Old Asks

"WHY" A Curious 3 Year Old Asks


 
WHY? 


So I have a new world.

New city and state. New job. New car. An unexpected 3 year old - with toys, daycare, and car seat. New challenges.
Same old diabetes though so I am trying to get back on track with SparkPeople, Chronometer, blogging, and finding a way to add a little exercise in on occasion.

So the curious 3 year old loves to ask WHY. Especially at bedtime.
Okay, let's put the book away. WHY
Because we are done reading and it's bedtime. WHY
Because it's bedtime. WHY
Because I have work and you have school. WHY
So that we get the sleep we need to have a good morning. WHY
Because I need good mornings. ( (hug hug)) XXX.
And I finally walk out as he is asking WHY.
But it made me think about my WHYs
Why am I trying to getting back on track?
Why log in, log food, blog, and all the other things that don't make me money and take time.

Because:
I need to have community when it comes to diabetes care.
I need to pay a bit more attention to my food so I feel better.
Blogging helps me be a bit more aware about the day. The good, bad and ugly.
And a little exercise never hurt, right?
Maybe even help me with the exhaustion I feel going back to work full time with a 3 year old boy with endless energy!

His WHYs have helped me look at where I am at, where I want to be and WHY.

Thanks little one!
 
Have a great numbers day!
 
Jay

Thursday, October 31, 2019

What is Disordered Eating?

WHAT IS DISORDERED EATING?

 
What should I eat today?

Psychology Today 2014

Disordered Eating or Eating Disorder

 

This may be an older article but worth paying attention to.

Do you see posts and articles about keto?
Low Carb High Fat?
Or how cinnamon is the answer?
Barbering, the new turmeric?
New cookbooks designed for diabetics?
What about those black bean brownies?
Cauliflower turned into rice/potato/tortillas/pizza crust.
We are bombarded with what to eat.
What not to eat.
When to eat.
Even what order to eat in.
 
 
BUT
 
I realized we can become obsessive about food.
While watching what we eat,
Watching our numbers,
Working out,
And adopting healthy lifestyles
are wonderful and good things to do
Beware!
 
 

Signs of Disordered Eating

So we know about binge eating, purging, diet pills and laxatives.
Not good stuff
 
But

Excessive or rigid exercise,
Obsessive calorie counting,
Anxiety about certain foods or food groups,
And/or
Refusals to eat out
Are things to look out for.
 
These can all be signs of disordered eating.
Something to think about is the degree of the behavior.
Does it interfere with other areas of your life?
Is food, exercise and numbers all you think about?
Do you have anxiety when thinking about food?
Have you quit socializing?
Does a party or BBQ cause distress?
 

Things to Remember

Watch fad or crash diets.
Find enjoyable exercise.
Give yourself grace
 
AND
 
Talk to someone if you feel diabetes management is taking over.
Yes it is constant
Yes it is always there
Yes we need to know what is going on with our numbers
BUT
If managing your diabetes is causing stress or over the top behaviors,
 
Talk to someone!
 
We need to take care of ourselves
not just
Physically
But
Mentally too!!
 
Have a great numbers day!
 
Jay


Tuesday, October 29, 2019

Caffeine: Coffee and Soda

Diabetes and Caffeine

 
Love your coffee?
Or tea?
Or soda (diet or otherwise)?
or
Anything with caffeine??
 
Well Used Coffee Cup

You can see my travel mug is well worn.
Used everyday.
Travels to work Monday through Friday, full.
Although I wasn't a coffee drinker for a VERY long time
(can you say YUCK!)
I have developed a taste for a sort-of-coffee blend.
My own sugar free blend.
Recipe:
The large button on the coffee machine
2 T of cocoa
Splash of sweet cream sugar free creamer
Almond milk
1 t Splenda
Or extra creamer.....

Anyway, this isn't really about coffee.

It's about CAFFEINE!

'
Yes, Caffeine affects diabetics a bit differently than those normal people out there.
Who would have thought?  (Add your own sarcastic voice here)
But yes,
Caffeine interferes with our ability to keep glucose in check in quite a few ways.
If you want more details check out this website:

https://diabetesstrong.com/coffee-and-diabetes/


If you aren't into the science and details, just know,
Caffeine from coffee, tea, chocolate and soda
can make a difference in your numbers.
This is a true test it and see game -
Time of day
Type of drink
Food or no food
And
Activity
Can/might/could make a small and/or large difference.

We all know diabetes is an individual thing
So check it out and see!!

How does caffeine affect you?
I'm going to try to skip a day and see what happens.
Not today though,
It's a MONDAY!!

LOL


Have a great numbers day!

Jay


 
 

Thursday, October 10, 2019

Success in My New World

SUCCESS IN MY NEW WORLD

 

Thank you diabetes daily

 

Diabetes Daily

This week has been a bit tough.
Things are changing, again.
The unknown looms large
While the known isn't exactly what I wanted.
Plus
The known is from different perspectives.
Perspective changes a story.
We can all experience the same thing
Yet -
We will interpret the experience in our own way.
 
Tough weeks make controlling my numbers tough as well.
I don't eat.
OR I eat crap.
Yesterday I wasn't very successful at my number control.
My emotions took over.
 

Morning Jolt

I am NOT talking about my coffee here!!
But an email.
An email I almost deleted.
But as fate, karma, a hunch, whatever you call it, would have it
I opened an email from Diabetes Daily.
This quote was towards the bottom.
As I was struggling through the continuing emotions of
Life
Decisions
Stupid mistakes from yesterday
This quote reminded me that everyday is new
Today is a new day
Today I can make different decisions in what I eat
Today I can be aware of this roller coaster
I may, in fact, probably won't, make any life changing decisions today
I can make healthy decisions
I can keep moving forward
I can keep gathering information
taking the stories and perceptions into account 
Small actions today that will hopefully spell success in the future
Even if I make mistakes along the way
I am moving forward 
I am taking action
Preparing for what may come next
 
What actions are you taking to be successful?
Are there small changes or big changes ahead?
Small actions add up,
Keep moving!!
 
Have a great numbers day!
 
Jay


Monday, September 23, 2019

A Whole New World

A Whole New World

 
5:15AM Alarm

Those who have children or love Disney will recognize the title as part of Aladdin.
I feel like I have a whole new world in front of me.

Changes

So I went from "on sabbatical"
To a full-time job.
That's right.
8 AM - 5 PM
Monday through Friday
Which wasn't exactly what I wanted
BUT
The offer I got was good enough for me to say "YES"

Reasons

Insurance
Why oh why does health care coverage cost soooo much?
That complaint is rampant and too much for this post
But I know I am not the only one who can, yet can't, afford the over $700 a month premium.
I digress!!!

A 3 year old and daycare
I am now in charge of my grandson.
Temporary situation that has stretched out longer than anticipated.
He needs interaction other than the 2 older people he now lives with.
I needed him to get social interaction.
I needed him to get dirty and play with other kids.
Daycare is expensive.

A new car.
Said 3 year needs a car seat.
Said 3 year old needs help with buckles and snaps.
Grandma's 2 door car requires bending and lifting in a backbreaking way.
New 4 door cars aren't cheap.

So there is my new world.
3 year old
8-5 which really means 5am wake up to 6pm getting home time
Dinner
Dishes
Bath for him, shower for me.
Then - basically bed
Yes for him AND me.

I am so grateful for my Libre.
The scan and see technology has made this crazy lady's life so much easier.
I haven't logged food.
I stick to the tried and true
BUT
There are those moments of temptation
Like the Friday Pizza Lunch for ALL
Donut morning.
Or the missed lunch due to deadlines and payroll crisis.

A whole new world.

What's new in your world??


Have a great numbers day!!
Jay

Monday, August 19, 2019

Keep Your Teeth and Gums Healthy! Periodontitis Alert

Keep Your Teeth and Gums Healthy

Periodontitis Alert

 
 
 

Need another reason to keep your blood glucose levels down?

How about your teeth and gum health?
Want to keep your teeth?
Crazy thing -
 Periodontal disease
(a fancy name for mouth disease)
is considered the sixth leading complication of diabetes.
 

But Guess What??

Gum disease may raise blood glucose levels in those WITHOUT diabetes.
So if you have diabetes
AND
gum disease
DOUBLE whammy
MAYBE
even TRIPLE whammy.
 

Why You Ask?

High glucose allows bacteria in the mouth to grow
Irritating the gums and causing inflammation
which triggers an entire body inflammatory response
which  raises blood sugar
which allows bacteria to grow in the mouth
Which causes irritation to the gums
 
OH WAIT....
We are back to the beginning of a circle
that makes BOTH conditions worse!
 

Tips and Tricks

Try to keep blood sugar levels in a healthy range
Brush your teeth 2x a day with a soft brush and fluoride toothpaste
Get a periodontal evaluation every year
Let your dentist know you have diabetes
Let your doctor know if you have periodontal disease
Stop smoking
Reduce stress
Eat right - lean protein, whole grains, vegetables
 

Warning Signs

Bad breath
Mouth sores
Loose or separating teeth
Red, swollen, tender gums
Bleeding when flossing or brushing
Mouth pain
Receding gums
 
Make an appointment if you experience these symptoms.
 

Let's keep our terrific smiles!!

Have a great numbers day!
 
Jay

Tuesday, August 13, 2019

What Is Time In Range?

What is Time in Range?

 



Time in Target Range

Daily Pattern

Know YOUR Range

Experts recommend your glucose number should be between 70-180 mg/dl
for at least  70% of the day.
This range is different for every person.
Are you Type 1?
Type 1.5?
Type 2?
Are you on medication?
What is your diet and activity levels like?
Personal questions only you can answer.
AND
While we like to avoid the high numbers,
avoiding lows is just as important.
 
I am for 70-130mg/dl.
I have read where the 150 mg/dl is the "damage" occurring number.
SO, I try to stay under that number
OR
when I do, on occasion, hit those higher numbers
I try to lower the number quickly.
 
I review my Libra reports,
like the ones above to see how I'm doing.
Lately, with a 3 year old
AND
a new full-time job
I haven't been as
Diligent
Watchful
Careful
Aware
Yet
My numbers have been okay!
 

Your Range

What is your range?
How are you doing staying in that range?
What keeps you in
OR
what kicks you out of that range?
 
 
Have a great numbers number day!
 
 
Jay

Monday, July 22, 2019

Staying Motivated

Staying Motivated  

Are you having a hard time staying motivated?
Ready to quit?  
Not sure you are still interested in what you started? 
Not sure if what you started was the right thing to do?  
Just plain tired of doing what you are doing?  
Don't want to log?  
Don't want to write?
Don't want to test?
 We all get tired of the maintenance work diabetes requires.
Tired of the same old same old:
You know - like
Food
Testing
Highs
Lows
Prescriptions
Doctors
Blood work
And On And
On.
  My new move to help?
 My calendar and little book.  
What is bugging me the most?
My calendar gets told today that starting a new job was harder than expected.
I mark 50 days from today. 
My little book has the positives and negatives
BUT  I am really trying to focus on the positives.
You know what I mean
MONEY!! 
  😀
There are other positives and I need that list.
I read where doing something 50 times
can cause you feel like you are invested in that activity.
We are invested emotionally.
We are invested financially.
We are invested time-wise.
Once you have invested yourself in different ways  it is hard to walk away.
Once you look at the chart of your numbers after eating certain foods,
seeing the numbers and learning the good, bad and ugly,
there is motivation to keep logging the food
And
keeping track of your numbers which makes you test.
Win...
Win...
Win!!!
Have a great numbers day!
Jay


Wednesday, June 12, 2019

Learn to Find Joy and Have Better Health

Learn to Find Joy and Have Better Health

Finding Joy

Did You Know JOY is Learned??

I did not.
There are 8 things you can do  to learn JOY according to
an article in Health Psychology.
Thing is,
I couldn't find the article online!
BUT
NPR published this:

https://www.npr.org/sections/health-shots/2019/05/05/719780061/from-gloom-to-gratitude-8-skills-to-cultivate-joy?inf_contact_key=72da5ca5df017f1b55696aac5dd5ad93f651f238aa2edbb9c8b7cff03e0b16a0

Here's a quick summary of the eight techniques used in Moskowitz' study:
  1. Take a moment to identify one positive event each day.
  2. Tell someone about the positive event or share it on social media. This can help you savor the moment a little longer.
  3. Start a daily gratitude journal. Aim to find little things you're grateful for, such as a good cup of coffee, a pretty sunrise or nice weather.
  4. Identify a personal strength and reflect on how you've used this strength today or in recent weeks.
  5. Set a daily goal and track your progress. "This is based on research that shows when we feel progress towards a goal, we have more positive emotions," Moskowitz says. The goal should not be too lofty. You want to be able to perceive progress.
  6. Try to practice "positive reappraisal": Identify an event or daily activity that is a hassle. Then, try to reframe the event in a more positive light. Example: If you're stuck in traffic, try to savor the quiet time. If you practice this enough, it can start to become a habit.
  7. Do something nice for someone else each day. These daily acts of kindness can be as simple as giving someone a smile or giving up your seat on a crowded train. Research shows we feel better when we're kind to others.
  8. Practice mindfulness by paying attention to the present moment. You can also try a 10-minute breathing exercise that uses a focus on breathing to help calm the mind.

Want Another Reason to Learn JOY?

It seems Dr. Moskowitz did another study with others
Check this out if you need some heavy reading -
 
Here is what I got from the article:
Distress causes problems and impacts behavior and outcome.
BUT
Optimism, positive affect, self-efficacy, and gratitude,
all considered well-being constructs,
are associated with superior health outcomes
INCLUDING
better glucose control, motivation for self-care, and lower mortality.
PLUS LESS
stress, anxiety and depression.
 
I say WIN WIN!
 
We know diabetes changes our lives.
Diabetes invades our thoughts, constantly.
Diet, exercise, medications, monitoring glucose.
All requiring constant attention.
 
While we have to think about these things
try to think about what is good in your life.
Focus on right now.
Focus on the good.
Try the 8 steps listed about and let me know if see or feel a difference.
 
Today I am grateful for the chance to write this blog.
Today I am grateful for the 10 minutes of lifting weights.
Today I am grateful for the fact my grandson is now (mostly) potty-trained.
And
Right now, I am grateful for yummy avocado toast because I am hungry.
 
Have a great numbers days!
 
Jay
 
 

Tuesday, June 11, 2019

Beware the ALL or NOTHING Attitude

Beware the All Or Nothing Attitude

Watches.

"Watch" Out

Like my little pun?
We all keep track of time, sometimes.
But this isn't about our ability to
lose track of time,
especially when surfing the Internet.
This is about
THINKING
we don't have the time to
Workout
Write
Input food to a program
Meal plan
Or
Whatever
All because we don't have an hour or three.

This is the ALL OR NOTHING TRAP


"I can't work out! I have to change, drive to the gym
AND that's before working out!
After working out, I have to shower, change, drive home....."
Well guess what.
Take a 5 minute walk.
Get outside and sweep the front walk.
Hula Hoop with the kids.
5 minutes is better than ZERO.

"I don't have time to write!  I have to find my notebook.
I don't have fancy stationary to write that letter.
Where is that pen? It's too noisy."
Find that notebook and put it by your bed.
Tonight, write the best thing about the day.
Jot a note to a friend - they won't care you wrote it on notebook paper.
They will be happy to hear from you!
1 minute - 1 card is better than ZERO.

"Logging food takes so much time! And I can't even remember what I ate today"
Use your phone!
Try Chronometer or easy to use program.
Even if you only log on the weekends
Or
When you eat something unusual.
1 meal or 1 day is better than ZERO.

"Meal plan? Are you kidding? I am lucky I eat.
And grocery shopping is a disaster!"
Do you eat the same breakfast like me?
I rotate between 3 different breakfasts
SO
While I eat breakfast, since it is automated,
I think about lunch and dinner.
Planning one or two meals is better than ZERO.

What do you not do because you don't have time to complete what you consider to be the
WHOLE THING?

 

Beware of the ALL or NOTHING

Believe it or not -
SOMETHING is always better than NOTHING
And occasionally that something is better.
I missed my morning work out
so later that evening we went on a walk.
The walk allowed for a talk.
The talk allowed for a serious discussion while enjoying a beautiful view
(which I think actually helped us be creative in finding a solution!)

Don't allow the ALL OR NOTHING attitude

stop you from doing at least a few minutes.

Remind yourself that any number is better than Zero
AND
use whatever makes it easy and convenient

Do you have an All or Nothing attitude that trips you up on occasion?
Let us know!

Have a great numbers day,
Jay









 

 

Saturday, May 25, 2019

Take a Pill the Right Way - Maybe


Take a Pill the Right Way - Maybe

 

Believing Research

 
 
http://www.annfammed.org/content/12/6/550.abstract?sid=cf9598c5-3fce-40d6-a8dc-55e40a572783

 
I was reading a magazine and came across an article about swallowing  pills.
A German study had concluded there were better ways
and described 2 methods.
 
I wasn't so much interested in the new methods.
I just wanted to know WHY?
I have no problem taking pills.
Why this study?
I am used to swallowing lot of pills.
Big pills.
I pop all of them in my mouth.
I use my teeth to push the pills to the back of my tongue and mouth.
Yep, I stick out my tongue to push them back close to my throat.
Grab a glass of whatever is handy -
Except hot beverages-
Except warm beverages when taking fish oil -
ANYWAY
then I gulp.
Down they go.
 
So I looked around and found out that people have problems taking pills.
Various reasons too:
Fear of choking
Natural desire to chew before swallowing
Fear of gagging
Fear of pill going down wrong pipe
 
Harvard looked at the study and made a few comments
 
https://www.health.harvard.edu/blog/two-tricks-make-easier-swallow-pills-201411137515

Harvard says don't try different techniques at home.
Interesting.

SO

If like me you have never had an issue taking pills - yay!!
If you have a problem, do as they suggest, get with your Dr.

AND

If you never had a problem but do now,
let your Dr. know
Because
as diabetics we are prone to
things like
Acid reflux
Neurological damage
Dry mouth
GERD
Thyroid problems
plus
just being diabetic can also be to blame.

If you have problems swallowing, pills or food, ask the Dr. to help you!


I hope you have a great numbers day!

Jay





 
 
 

 

Thursday, May 23, 2019

Diabetes Distress

 

Diabetes Distress

 

 

CDC:Diabetes Distress

 
My Doctor said I was stressed.
Maybe, possibly depressed.
My complaints?
 
I WORRY
about possible future complications.
about current complications getting worst
about how high numbers might be affecting me.
 
I GET ANGRY
When I can’t eat what I want whenever I want
at the cost of medicine, sensors, test strips, and insurance that costs a ridiculous amount and won’t pay for anything.
when I can’t spoil myself or my grandkids because above costs leave me with zero extra cash.
 
I GET FRUSTRATED
when I eat healthy only to spike and not know why.
at a BBQ or party where delicious carb packed food is overflowing and I have to pick or take 1 bite of a few items
planning my life around food, packing emergency snacks for highs, lows, missed snacks or meals
when I eat and I’m full but I’m not satisfied
 
I FEEL GUILTY
when I miss a workout or don’t put much effort into it.
when I pig out or over indulge and spike.
when someone tries to alter their menu or plans to accommodate me
when above effort doesn’t work out
when I don’t put my food in my program to watch my carbs and watch how I eat
 
I FEEL SHAME
since I don’t know if I caused this or might have even sped up the process with my teenage junk food diet
 
I GET EMBARRASED
When I don’t eat at parties or pick very small scoops to eat,
 especially when someone notices and comments on my “picky” eating
When someone comments on my weight
When people notice my sensor and just look.  Ask. I would rather say what it is than have someone wonder what is wrong with me or avoid me
 
I AM TIRED AND OVERWHELMED AND STRESSED
He mentioned medication.
Nope, no more meds please.
Amazingly I was cleaning out old magazines and came upon an article about
DIABETIES DISTRESS!
Distress is a normal reaction to the stress and strain of managing a progressive, chronic disease.
Distress is gaining attention but not enough in my opinion.

This was written in 2013

http://www.diabetes.org/living-with-diabetes/complications/mental-health/diabetes-distress.html

2014 a summary of research was presented to the ADA

http://www.diabetes.org/newsroom/press-releases/2014/diabetes-distress-vs-depression.html

Hello 2019!!!  Where is the new research??

ANYWAY......
Distress can rise:
when there are changes in treatment
when there is the development of a complication or complications worsen
when insulin is started
when there is poor control
when you feel your Dr.'s aren't listening
 
 
WHAT TO DO
Realize distress is normal for both the diabetic and their family
Form or join a social network for support, online or locally
Learn your distress warning signs and find management strategies
Talk about your fears and feelings so others know how to help (Then ask for help and accept the help!)
Learn about diabetes self-management.
 
SO
For me, some of my distress comes from liking a routine –
Get up, work out, eat, prepare for day and have a schedule
BUT
With changes in medication and other life issues I need to be more flexible.
Have 15 minutes? Pick up the weights
Tired of cooking? Boyfriend offered to grab salads from W** which I love, accept offer
Number high? Go walk and find a few golf balls
Eat before BBQ’s and parties just in case
Oh and quit giving food so much power….
 
My distress level seems to constantly change but it really increases
when time for blood work and doctor appointments
when there is a party or eating at an unknown restaurant
when invited over for dinner
on Thursday when I grocery shop
Got some of my triggers, time to look for strategies!
 
 
DO you feel like diabetic distress is a part of your life? What are your triggers?
 
Have a great numbers day!
Jay

Monday, May 20, 2019

So Hard to Say NO

So Hard to Say NO


Ways to say NO

I Have a Hard Time Saying No

So little time!
So much to do!
I thought being
retired,
on sabbatical,
laid off,
lacking work,
on a retreat,
or whatever you call it when not formally employed,
I would have all the time I wanted
to do everything I put off while raising a family
AND
working more than full-time.
 

NOPE

Seems I am just as busy as ever.
How do I say no?
I realized as I was looking at ways to say NO
that I needed to decide what I wanted to do.
I needed to decide my YES.
We all have the HAVE TO DO's.
Work. Laundry. Food shopping and prep. Cleaning.
BUT
Where do I want to SPEND my TIME?
What is truly important to me?
They say to find out what is important to someone just looked at
where they SPEND their
time and money! 
Without knowing where I wanted to spend my time (and money),
then I allow others to make that decision for me.
Uhhhhh, no.
Time to decide what I REALLY want to do
as well as
is this the right time to do it.
 

Diabetic Care

 
I have decided to make this a priority.
Watching carbs.
Finding good foods I like.
Exercise, like walking and weights.
Using a program to monitor my food and glucose numbers.
Giving myself time,
by saying no to things others want me to do
I say YES to things I need to do for me.
Things like:
Exercise
Log food
Meal plan
Rest
Sleep
Practice pickle ball
Read
Call my mom and dad
Set a better routine
Free time for whatever comes my way
 

SO

Remember,
saying no to stuff that isn't top priority to you
gives you time (and sometimes money)
to say YES to you and what matters the most in YOUR life.
 
What are the priorities in YOUR LIFE?
 
Have a great numbers day!
Jay

Saturday, May 4, 2019

Itch Itch Scratch Scratch - Dry Diabetic Skin

Itch Itch Scratch Scratch - Dry Diabetic Skin

 
Dry Skin
 

Spring - Coming Out From The Layers

Winter.
A time of hiding skin under
sweatpants and sweatshirts.
Layers of clothes,
hats,
gloves,
socks and shoes.
Spring.
A time of showing skin.
T-shirts,
shorts,
and sandals.
 

Yikes! Dry Skin Alert

Oh my....
as I transition to skin showing shorts and shirts
I
just
want
to
CRY.
My skin is dry, flaky, itchy, and, did I mention DRY?
I have bottles of lotion everywhere.
What else can I do?
 

Prevention Tips

So here are a few tips if you suffer from dry skin.
One thing may not help but put a few tips together
and you just might see a difference.
 
1. Warm baths and showers.
NOT hot
2. Less frequent bathing.
Wash only what's dirty.
Yes, you know, those places.....
3. Moisturizing soap
4. NO bubble baths
5. Pat dry, leaving skin slightly damp
6. Apply lotion to slightly damp skin
-Lock that moisture in-
Avoiding between toes
7. Use a humidifier especially in drier climates
 
I have different lotions for different locations.
I am hoping all of this will help me have
Spring Worthy Skin!!
 
What lotions or creams do you find work the best?
 
Have a great numbers day!
 
Jay
 

Wednesday, May 1, 2019

REAL Normal Blood Glucose Numbers

REAL Normal Blood Glucose Numbers

If you wonder what blood glucose looks like for people without diabetes, mean glucose is typically 100 mg/dl or less, which corresponds to an A1C of less than 5.7% (the cutoff for diagnosing prediabetes). The cutoff for diagnosing diabetes is an A1C of 6.5%, corresponding to a mean glucose of roughly 135 mg/dl.

What is “normal” CGM Data in Adults and Kids Without Diabetes?

Dr. Roy Beck of Florida’s Jaeb Center, on behalf of USC’s Dr. Anne Peters, shared continuous glucose monitor (CGM) data for individuals without diabetes. Why did they study this? Good question! This study may well help inform targets for optimal glucose control and needed improvements in diabetes management. Researchers analyzed 10 days of Dexcom G6 CGM data from 153 children (6+ years) and adults with a baseline A1C of 5.1%. The primary findings:
  • Among all study participants, the average blood sugar was 99 mg/dl
  • Time-in-tight-range of 70-140 mg/dl was 97% in this group of people without diabetes
  • Average time in hyperglycemia (blood glucose greater than 140 mg/dl) for the group was 2.1% (just 30 minutes per day)
  • Average time greater than 160 mg/dl was approximately 4 mins/day
  • Time below 60 mg/dl and 54 mg/dl were both negligible

Another Opinion


https://www.diabetesdaily.com/blog/dr-bernstein-interview-on-diabetes-complications-617051/

Dr Bernstein claims 4.2% to 4.6% A1c which translates to an average of 83 mg/dL
He says in this article that he sees complications at 6.5%
BUT NOT at 5%
6.5% is an average of 160 mg/dL
Yikes!

Are "Real" Normal Numbers Achievable?

Yes according to low carb advocates.
Yes according to Dr Bernstein.
But I tried Low Carb High Fat.
Not sustainable and my numbers didn't drop to "real" normal numbers.
Plus my stress level went way up.
Plus my satisfaction with eating went way down.
I didn't enjoy my food or mealtimes.
So now I am trying low carb meaning 75g to 100g net carb
(meaning carb minus fiber = net carb)
BUT
not high fat, especially animal.
I eat avocados and nuts which have quite a bit of fat
BUT
I need calories from somewhere.
I am limiting my cheese which is SO hard for me.
Food seems to always be a work in progress.
I am hoping Cronometer helps me
More on that later!!
 

Each of us is different in our diabetes journey
Our bodies are different.
Our temperaments are different.
Our food tolerances, like, dislikes, and allergies are different.
Let's do our best while forgiving ourselves when we don't .
I'm aiming for a better A1c 
for  better and healthier life,
physically and mentally.

What are you doing for better numbers?

Have a great numbers day!

Jay

Thursday, March 28, 2019

No More Januvia, Hello ? (Options When Insurance Won't Pay)

No More Januvia, Hello ?

(Options When Insurance Won't Pay)

Januvia Bottle With My Notes

Januvia Costs About $500 a Month

Insurance won't cover.
Insurance won't pay a penny.
Not even after I pay a $7500 deductible.
I won't even go into how much a pay for this crappy health care policy
Since that isn't today's point.

SO
Here I am emailing my doctor with options.
Metformin works somewhat but the high highs and low lows are a killer.
So I get his opinions on different meds
Oh and I Google.
A lot of Google searches.
Insurance will cover the old stuff
LIKE

Sulphonylureas

These drugs stimulate the insulin produced by the pancreas.
These can cause low blood sugars
YIKES!
I have read that stimulating the pancreas to produce more insulin
can be a bad thing if you're a Type 1.5
since it burns out the pancreas faster.
Which means more insulin later.
Right now though my concern is the lows.
I get low, really low, at night.
50s and 60s low.
Another negative,
My Dr. says no.

Thiazolidinedione or Glitazones

This drug reduces the  resistance to insulin.
Well, that isn't helpful!
Seems the antibodies test I had shows that I am NOT insulin resistant.
Ok, so let's not take a drug just for fun.
If I don't need it, I don't want it.
Thank you, NO THANK YOU!!!

 

 Gliptins or DPP-4 Inhibitors

Januvia is in this class.
And it helped with the high spikes and low drops.
I called insurance and asked for help with the website for pharmacy benefits.
NOTHING is covered until I meet the deductible??
NOOOOO she says.  Let me check she says.
We review what her computer says my benefits are.
Januvia is not covered, not at all.
BUT
ALOGLIPTIN IS!!
It is in the same family as Januvia
Woohoo!!
My doctor actually suggested it
AND - SAY WHAT??!!
Insurance will cover it with a co-pay of $15!!!

UHHHH, NO....
The prescription is sent over.
The pharmacy wants to fill it.
The insurance says nope,
Not going to approve,
Not until the doctor fills out said forms,
Not until they think I need it.

 

Waiting

So now I wait.
I wait for insurance to say yes or no.
I wait for insurance to decide what they think is best for me.
I pay for insurance to help me stay well
And for what I pay
I should get the gold standard treatment.

BUT
We will see.
I wait.


Have a great numbers day!

Jan

 

 

Tuesday, February 19, 2019

Get This CGM Off Me!

Get This CGM Off Me!




Removal Mark From Libre Sensor

Forcing a Sensor Off and The Mark Left Behind

My sensors stick.
I might have a bit of lifting but usually when it runs out anyway.
How can I get the sensor off without
pulling,
tugging,
yanking,
peeling, 
or resorting to physical abuse?
Google!
There are adhesive removers 
BUT
I didn't really want to spend money if there was something I could use
that was in my pantry or makeup box.
Oil! 
Baby oil to cooking oil.

SO

Baby oil it is.
What a difference a dab of oil and 15 minutes made.
My new go to when removing  sensor.
in like 14 days lol!

What do you use when it is time to change a sensor/pump/anything stuck to your skin?

Have a great numbers day!
Jay

Friday, February 15, 2019

Same Meal, Different Blood Glucose Number? Eat Your Carb Last

Same Meal, Different Blood Glucose Number?

Eat Your Carb Last

 
https://www.ncbi.nlm.gov/pubmed/28989726

Can Changing the Order of Your Food Help Your BG Number?


It seems, according to this small study, that changing HOW you eat your meal can change your BG number.
Say What???

The test included the same meal for 3 different days
The eating order:
1.  Carbohydrate, 10 minutes later protein and vegetable.
2.  Protein and vegetable, followed 10 minutes later with the carbohydrate.
3.  All three together.

DRUM ROLL
AND THE WINNER IS:

#2.  Glucose was 53% lower
#3. Glucose was 44% lower
Now - this was for the first 30 and 60 minutes after the meal.
After that, the #1 order had lower numbers at the 120, 150, and 180 mark.
WHY?
Seems the bread caused a big spike in glucose which caused an insulin release creating a low.
So eating the bread first causes a spike and a low.
Eating your protein and fibrous salad/vegetables slows everything down helping to keep glucose numbers even.
OK, maybe not even as in a flat line but less of a big spike with a big drop.
The treacherous high/low that can get us into trouble.

Dinner Time

I think I may try that tonight.
We are having chicken, salad and either pasta (which I eat about 4 noodles) or 1/2 a small potato.
I think I will eat in the order I just wrote this.
See what the numbers do.
I might even try this with breakfast.
Seems I've started to get higher numbers with the exact same breakfast.
Exact same, for months and months.
Maybe I'll switch the order and see what happens.

Guinea pig time!!

How do you eat your meals?
Do you have a set order (me)?
Or do you take a bite of this and a bite of that (aka my BF)?

Eat and test and let's see what happens!

Have a great numbers day!

Jay

  

Wednesday, February 13, 2019

Crazy Week = Crazy Glucose Numbers? Not This Time!

Crazy Week = Crazy Glucose Numbers? Not This Time!

 

My Planner

Oh Crap!

Had a crazy week of traveling with no schedule.
It was crazy, yes, a totally crazy week.
Have you had those weeks?
No place or time to exercise.
Fast food, dining out, eating on the run.
In a motel.
SO much to do with not enough time.

I had a house I needed to get ready to sell.
Inside needed a make over.
Outside needed TLC.
I planned a week.
I needed a month.
So every morning I woke up at a motel.
One that served a breakfast of make your own waffles with toppings.
Bagels, English muffins, toast, pastries.
Fruit juice, apples, bananas.
I passed all of that up and headed to the egg omelets.
Sprinkled grated cheddar cheese on top.
Grabbed a small serving of a raisin bran type cereal tossing the raisins in the trash.
As I ran out the door I grabbed a small green apple and 2 tubs of peanut butter.

We hit the ground running.
Moving furniture, washer, dryer and refrigerator.
Scrubbing, cleaning, scraping, washing, mopping, wiping.
Clipping, sweeping, scooping, chopping.
Hauling and dumping.

Average 7300 Steps

I workout every morning on a Precor and aim for at least 6000 steps a day.
I try to do weight lifting or resistance 3x a week.
Not this week!!
BUT
In spite of no Precor or attempted exercise routines
I managed to average 7300 steps for the week.
An my muscles screamed every night for a bit of R&R.
My head hit the pillow and I was asleep.
AND
I slept! Hard.

Adjustments Based on Knowledge

The first day I went low.
I ate a fairly low carb breakfast
BUT
I worked, hard
And felt a low coming.
Thankfully I had grabbed the apple and peanut butter.
Lifesaver!
I planned a higher than usual carb lunch to prepare for a hard afternoon and it paid off.
I also got a small lunch to go and used that as a snack when I needed it.
Dinner was lighter carb and just plain lighter because we ended up eating late.
The next morning I made an egg sandwich with a small muffin.
I grabbed 2 apples and peanut butter.
I was trying to be prepared for a day that was a free for all!

Better Numbers Than I Hoped For

I have been eating, testing, working out, testing, eating, testing, drinking, testing
Ever since I was diagnosed and long before any meds were prescribed.
I have a pretty good idea of foods not to eat (spikes with following lows)
And
What to eat when I am going to be active.
It was a challenge and I wasn't perfect (who is??!!)
But
I did much better than I thought.
I didn't log food into my program.
I didn't complete my regularly scheduled workouts.
I didn't go to bed on time and got up earlier.

STILL
I managed to keep my BG numbers in a fairly tight range by doing what I know works.
And
It usually worked!
Yes, there was a time or two where I thought what I was doing was more of a workout
And Oops!
Went a bit high, but not so high where I panicked. 

How do you. plan for a day where anything could happen?
Do you have a go to food list in your mind that you know you are safe with?
Do you have those "carby" snacks that get your number back up?
What are your tricks when life throws you a curveball?

Have a great numbers day!

Jay



 

Monday, February 4, 2019

Activating and Removing 14 Day Libre Sensors

Activating and Removing 14 Day Libre Sensors





It seems like yesterday I got the new 14 day Libre Sensors.
Yet here it is,
time to activate the 2nd sensor and remove the first one.

So far I haven't had any issues with the new sensor.
It didn't itch.
It didn't come off.
It didn't peel or lift from the adhesive.
No error messages on the reader.
Reader uploaded to LibreView with new driver download.

The new sensor has been in place for about 20 hours.
Hopefully my body and the new filament have decided to play nice.
I scan the last scan on the old sensor
and
scan the new sensor.
Success!
60 minutes and the new sensor will be ready.

Yay!!

Hope this video helps if you are new to the Libre.

Have a great numbers day!

Jay