August 24, 2006

An entry in which I yak about what I haven't done since my last entry....

The summer is quickly coming to an end, and soon I’ll be trading in my flip flops and shorts for heels, dress pants, and uncomfortable knee highs and pantyhose. School is starting next Tuesday, and I’ll begin my 4th year of teaching! I’m going to miss the schedule/bell free days of summer, but I am anxious to meet my new students and to begin another year. There’s something exciting about new school supplies and the crisp fall mornings that make me feel so blessed to be a teacher. Each year I have the chance to improve on what I did the year before and I get to try new methods to reach the students and to make learning fun for them and for me.

In a way, I wish I felt the same excitement when I get diabetes supplies. However, it often feels like more of the same old b.s. I keep telling myself that each day I get to start fresh: I get to try to count my carbs more accurately, to keep better logs, to drink more water, but most days go by with only the bare minimum of checking, counting carbs, and occasionally recording things in my log. I can’t blame my unchanging A1C’s on the insane endo (he’s a whole series of posts for a later time); when it comes down to it, it’s my disease, it’s my body, it’s my problem.

I find the same vicious cycle with my weight. I may lose 3-4 pounds once in a while, but I eventually gain it back. I think I lack stick-with-it-ness; persistence, if you will.

I thought that getting the pump would make me feel more encouraged to make positive changes and to keep better logs, but it really hasn’t changed much in that respect. On the up side, I’m using less insulin, and I ‘m free to exercise whenever I want with the temporary basal option, but other than that, I haven’t really made the improvements that I thought I would after having the pump for three months.

What really frustrates me is that I know I’m the one responsible for my control. I’ve had a very complacent attitude towards diabetes and my weight lately, and I don’t entirely understand why. Perhaps my first 3 years as a super disciplined diabetic wore me out? I stuck to a very, very rigid diet and as a result my blood sugar rarely went above 200 and my weight stayed about 10 pounds above my pre-diabetes level. Of course, I could have been experiencing the honeymoon period those first couple years, making the diabetic life seem easier than it really is.

Regardless, I’m tired of setting goals for myself that I’m not working towards and that I’m not reaching. I’m tired of having A1C’s in the mid 7’s. I’m tired of not doing what I need to do to lose weight. Sometimes I have an almost out of body experience where I’m grazing all evening and thinking to myself “Holy Sh*t, how can I lose weight when I’m eating all night???” or when I’m waking up in the morning to blood sugars in the 200’s and not taking aggressive action the next night (or cutting back on the late night noshing) to prevent another morning high. Perhaps what frustrates me the most is that I know what I SHOULD be doing to improve my control but I lack the stick-with-it-ness to do it long enough to see changes and to feel encouraged to continue.

As I read over this, I realize that this sounds like one big pity party and, dear reader, I’m inwardly cringing. However, part of my difficulty may be the fact that I haven’t received sufficient care from a DNE or a CDE in regards to my diabetes care since my diagnosis 4.5 years ago. Even though I’m the one with diabetes, I can only do so much for myself. I need the objectivity and, dare I say it, wisdom of a GOOD endocrinologist to really push me in the right direction.

I’ve had my current endo send my medical records to the new endo I’ve heard such great things ago. I’m just praying that he accepts me and that the waiting list isn’t as long as I’ve heard it might be (7 months to a year!). I ‘m certain I’ll be at the end of my proverbial rope by that time if I continue to see my current endo, who yelled at me two months ago for testing too much. I test at max 10 times a day, and he balked at using so many “expensive” test strips in one day… HELLO!!! They’re covered my INSURANCE moron!!! And I’m DIABETIC – we’re SUPPOSED to test OFTEN!!! Apparently he didn’t get the memo. He must have skipped that day in his Diabetes 101 course. However, he quickly applauded me on my wonderful control (which, let me tell you, it’s FAR FROM!) once I made high-tech looking charts for my blood sugars and put it in a binder with those page protectors. I was embracing my inner nerd while meeting my endo’s annoying need for “neat” records with tons of detail. All of this is well and good, but he spent more time looking at the aesthetic qualities of my charts than he did looking at my actual numbers. Apparently, numerous blood sugars in the 200’s don’t look too shabby when charted semi-professionally in Excel. Good to know… right??

Okay, I’ve complained and whined long enough for one post. More soon… and I promise, this time I won’t wait almost two months before posting again. ;)


Blogger Scott K. Johnson said...

Hi Lala,

I totally feel you on this one. To know what you need to do, and do DO what you need to do are two different things.

And while I want to do what I need to do, I still struggle to pull out of my lackluster habits and make some positive change.

It's quite a struggle, and if I ever figure out the key to pulling it off I'll be sure to let you know. Do the same for me if you would.

Take care!

10:50 AM  
Blogger LaLa said...

Thanks for the kinds words and the encouragement. At least we can comiserate?? :)


8:19 AM  

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