excessively high blood sugar levels

Lately, my blood sugar levels have been way too high.

• AM 129 26 June 2018 should be under 100
• PM 238 26 June 2018 should be under 190
• AM 149 28 June 2018 should be under 100
• PM 230 28 June 2018 should be under 100
• AM 134 29 June 2018 should be under 190

It came to a head last night when I had a very low carb dinner of

• left over steak
• about a quarter of a leftover baked potatoe
• half a roll with butter and grape jelly
• large amount of boiled broccoli with some butter added for flavour
• glass of cold water

and yet my "2 hours post putting the fork down" reading was 230!

I could only conclude that I had fucked up my pill distribution last week.

Then, I remembered I had read the list off of my Kindle since I did not have a printed list. Also, since I did not know how to invoke notepad on this new computer, I could not do my usual checkoff on notepad. (I've since fixed this.) And in my cats running around and yes I fucked up the pill layout. Next week, I suppose I will just have to have the kitchen table cleaned off before distribution and will do the pill layout there.

I ended up going to bed thinking about this matter and this morning, I visually examined my morning pills and realized I had left out the Januvia.

 I will check for Januvia tomorrow morning and the remaining days until this batch of pills is used up.

pills 5 mg glipizide evenings

Morning

D aspirin 81 mg
V clopidogrel bisulfate 75 mg tab
D glipizide 5 mg (new in December 2017)
C Januia 100mg
D lisinopril 20 mg
D metformin 1000 mg
D metoprolol tartrate 12.5 mg (split)
V mometasone furoate inhalation power (pink)
D Ranitidine 150 mg tab

Close mornings

Open evenings



Evening

V atorvastati calcium 40 mg (½ tab)
D glipizide 5 mg
D metformin 1000 mg
D metoprolol tartrate 12.5 mg (split)
D Ranitidine 150 mg
P Finaseride 5mg tab

P tamsulosin 0.4mg ("pee" pill)
V Asmanex Twisthaler - Mometasone Furoate 220 mcg Oral
V Proventil inhaler

P Tamsulon 0.4 mg
O Mucinex Expectorant
O Fexofenadine Hydrochloride

D vitamin D-3 2000 IU (ith the pills Kathie adds.)

C CVS
D Dillions
P Clinic Pharmacy
V VA
O Over The Counter

My MDs:

Gerald Albert, MD PhD (urinology)

Nassif Azzi, MD (Nephrology/Internal Medicine)

Steven Cobble, OD (eyes)

Dana Howerton, APN (VA Clinic Dodge City Kansas)

Abid Mallidck, MD ( VA heart MD)

Jose C. Velasco Di Domenico, MD, Oncology (sadly, this is new...)

diabetic events on the 10th

There was nothing of interest, as far as I could tell, related to diabetes. So, this will be the last report until something of interest occurs.  (I am lazy when it comes to writing at times.)

horrible night (vomiting and cramps) on 8-9 June 2018

In the spirit of an expanded set of reporting daily diabetic related events, I submit this first report. I have started it just before dinner. Let me just day I had an unpleasant night.

First, I got up about an hour after going t6o bed. I couldn’t believe how much I had to piss. This was just an annoyance.

Next, I got up to pee again at about 2:30 am. Actually, I had been burping and feeling nauseated for nearly a half hour and wasn’t surprised when I started throwing up after I peed. I vomited several times and this was not pleasant; still, it was not as unpleasant as earlier vomiting this year. I sat on the toilet and wished I had something to read. Still, I didn’t feel like reading so I went back to bed.

This was not unexpected as I had eaten left over steak for dinner. (The steak came from “Prime on the Nine”. It was very tasty but very expensive and greasy. Late night vomiting was presaged by how I felt after eating only part of the steak. I knew it was coming…)

An alternative hypotheses could be that I had drank two gin-n-tonic after eating the somewhat greasy left over steak. This would have filled my stomach and I know my stomach empties too damn slowly...

Kathie slept through this and I didn’t mention the vomiting until the afternoon.

My third departure from bed was when both of feet cramped. I squirmed and my feet uncramped. Then, my right foot cramped. Finally both legs form the knees down locked up in very painful cramps. I sat up in bed and had the hassle of getting both my feet – especially my left foot – into my crocs. I then stumped my way into the nearest backroom, hoping to walk off the cramp.

It did not work.

So, I pissed while rocking back and forth hoping my cramps would go away. I lost control of the urine stream a time or two. Finally, both feet settled down and I walked to the hallway bathroom to drink some water. This helped.

The rest of the night was uneventful and I had trouble getting out of bed.

Expanded daily "diabetic" reporting

I was reading one of those "how to improve your A1C scores" slide collections on face book and found I should be keeping a diary on events pertaining to my diabetics. So, since this morning was a booming start, I decided to start expanded reporting.

This will be side-by-side with my food blog.

June 2018

June 2018

My first family MD told me to test my blood sugar twice a day on two different days. I took his advise of testing first thing in the morning on Tuesday and Thursday. My VA Doc changed the second "testing time" to two hours after I finished eating dinner. My three family MDs since 2004 and various VA Docs have agreed with this testing plan.

Day  Date AM    PM
Fri    1  ---   ---      
Sat    2  ---   ---      
Sun    3  ---   ---      
Mon    4  ---   ---      
Tue    5  1481   1202   
Wed    6  ---   ---      
Thu    7   97   1193      
Fri    8  ---   ---      
Sat    9  ---   ---      
Sun   10  ---   ---      
Mon   11  ---   ---      
Tue   12  1034  155      
Wed   13  ---   ---      
Thu   14  102   187      
Fri   15  ---   ---      
Sat   16  ---   ---      
Sun   17  ---   ---      
Mon   18  ---   ---      
Tue   19  104   193      
Wed   20  ---   ---      
Thu   21  103   193      
Fri   22  ---   ---      
Sat   23  ---   --- forgot to take evening pills     
Sun   24  ---   ---      
Mon   25  ---   ---      
Tue   26  129   238      
Wed   27  ---   ---      
Thu   28  149   230      
Fri   29  134   1755      
Sat   30  ---   ---      
Sun   31  ---   ---      

¹ I suffered from diarrhea last night and suspect this caused my blood sugar to be so high first thing the morning of the 5th. 

² Experience has shown that a high morning sky will precede a relatively low evening score.

³ I decided to start keeping a diary of my days with emphasis on diabetic events. My first "event" was a rough night. ⁴I suspect I might have a minor urology problem as it took forever to start peeing at 2:20 am and was slow at 6:43 am.

⁵It occurred to me that I had screwed up pill distribution. When I surveyed my pills, I found the Januvia missing in the morning pills and the 5mg glibizide missing in the evening pills. I will have to correct this on a daily basis.