Monday, July 11, 2011

July 2011 (to date)

             July 2011

=================================================================================
         AM    PM
  1 Mon   147   ---  The blood meter stopped working.   
  2 Tue   ---   ---   
  3 Wed   ---   ---  149 I replaced the meter battery and got this 'test score'.   
  4 Thu   147   187   
  5 Fri   ---   ---   
  6 Sat   113   160   
  7 Sun   ---   ---   
  8 Mon   121   123   
  9 Tue   ---   ---   
 10 Wed   ---   ---   
 11 Thu   129   ---   
 12 Fri   ---   ---   
 13 Sat   ---   ---   
 14 Sun   ---   ---   
 15 Mon   ---   ---   
 16 Tue   ---   ---   
 17 Wed   ---   ---   
 18 Thu   ---   ---   
 19 Fri   ---   ---   
 20 Sat   ---   ---   
 21 Sun   ---   ---   
 22 Mon   ---   ---   
 23 Tue   ---   ---   
 24 Wed   ---   ---   
 25 Thu   ---   ---   
 26 Fri   ---   ---   
 27 Sat   ---   ---   
 28 Sun   ---   ---   
 29 Mon   ---   ---   
 30 Tue   ---   ---   
 
High readings; low readings (both by my standards... :-)  )

Friday, July 08, 2011

July 2011


             July 2011
================================================================================
  1 Mon   147   ---  The blood meter stopped working.  
  2 Tue   ---   ---  
  3 Wed   ---   ---  149 I replaced the meter battery and got this 'test score'.  
  4 Thu   147   187  
  5 Fri   ---   ---  
  6 Sat   113   160  
  7 Sun   ---   ---  
  8 Mon   121   ---  
  9 Tue   ---   ---  
 10 Wed   ---   ---  
 11 Thu   ---   ---  
 12 Fri   ---   ---  
 13 Sat   ---   ---  
 14 Sun   ---   ---  
 15 Mon   ---   ---  
 16 Tue   ---   ---  
 17 Wed   ---   ---  
 18 Thu   ---   ---  
 19 Fri   ---   ---  
 20 Sat   ---   ---  
 21 Sun   ---   ---  
 22 Mon   ---   ---  
 23 Tue   ---   ---  
 24 Wed   ---   ---  
 25 Thu   ---   ---  
 26 Fri   ---   ---  
 27 Sat   ---   ---  
 28 Sun   ---   ---  
 29 Mon   ---   ---  
 30 Tue   ---   ---  
 31 Wed   ---   ---  

Monday, July 04, 2011

June 2011 scores

        June 2011
=====================
01   Wed   128   182   
02   Thu   ---   ---   
03   Fri   130   182   
04   Sat   ---   ---   
05   Sun   ---   ---   
06   Mon   157   127   
07   Tue   ---   ---   
08   Wed   130   177   
09   Thu   ---   ---   
10   Fri   140   ---   
11   Sat   ---   102   
12   Sun   ---   ---   
13   Mon   134   170   
14   Tue   ---   ---   
15   Wed   122   161   
16   Thu   ---   ---   
17   Fri   126   100   
18   Sat   ---   ---   
19   Sun   ---   ---   
20   Mon   134   156   
21   Tue   ---   ---   
22   Wed   117   ---   
23   Thu   ---   ---   
24   Fri   118   111   
25   Sat   ---   ---   
26   Sun   ---   ---   
27   Mon   125   110   
28   Tue   ---   ---   
29   Wed   134   ---*  
30   Thu   ---   107   
 

Red reports are high by my standards; Blue reports reports are low by my standards.

*I went to a formal Lions Club dinner. Doing my usual Monday/Wednesday/Friday evening blood test (2 hours past forks down) would have been after my bedtime and so I didn't do it. Since I was in a pattern of getting up at 4:15, I was going to bed early (8:15 pm - 8:30 pm).

Friday, June 24, 2011

June 2011 blood sugar results

        June 2011
====================
           AM    PM
01   Wed   128   182   
02   Thu   ---   ---   
03   Fri   130   182   
04   Sat   ---   ---   
05   Sun   ---   ---   
06   Mon   157   127   
07   Tue   ---   ---   
08   Wed   130   177   
09   Thu   ---   ---   
10   Fri   140   ---   
11   Sat   ---   102   
12   Sun   ---   ---   
13   Mon   134   170   
14   Tue   ---   ---   
15   Wed   122   161   
16   Thu   ---   ---   
17   Fri   126   100   
18   Sat   ---   ---   
19   Sun   ---   ---   
20   Mon   134   156   
21   Tue   ---   ---   
22   Wed   117   ---   
23   Thu   ---   ---   
24   Fri   118   111   
25   Sat   ---   ---   
26   Sun   ---   ---   
27   Mon   ---   ---   
28   Tue   ---   ---   
29   Wed   ---   ---   
30   Thu   ---   ---   
31   Fri   ---   ---   

High by my standards; low by my standards. AM means immediately after getting out of bed and PM means a blood test two hours after finishing my evening meal.

Friday, June 17, 2011

June results to date...

June 2011
====================
           AM    PM
01   Wed   128   182   
02   Thu   ---   ---   
03   Fri   130   182   
04   Sat   ---   ---   
05   Sun   ---   ---   
06   Mon   157   127   
07   Tue   ---   ---   
08   Wed   130   177   
09   Thu   ---   ---   
10   Fri   140   ---   
11   Sat   ---   102   
12   Sun   ---   ---   
13   Mon   134   170   
14   Tue   ---   ---   
15   Wed   122   161   
16   Thu   ---   ---   
17   Fri   126   100   
18   Sat   ---   ---   
19   Sun   ---   ---   
20   Mon   ---   ---   
21   Tue   ---   ---   
22   Wed   ---   ---   
23   Thu   ---   ---   
24   Fri   ---   ---   
25   Sat   ---   ---   
26   Sun   ---   ---   
27   Mon   ---   ---   
28   Tue   ---   ---   
29   Wed   ---   ---   
30   Thu   ---   ---   
31   Fri   ---   ---   

Scores that are high for me or low for me.

Monday, June 13, 2011

results for June 2011

           June 2011
====================
           AM    PM
01   Wed   128   182   
02   Thu   ---   ---   
03   Fri   130   182   
04   Sat   ---   ---   
05   Sun   ---   ---   
06   Mon   157   127   
07   Tue   ---   ---   
08   Wed   130   177   
09   Thu   ---   ---   
10   Fri   140   ---   
11   Sat   ---   102   
12   Sun   ---   ---   
13   Mon   134   170  
14   Tue   ---   ---   
15   Wed   ---   ---   
16   Thu   ---   ---   
17   Fri   ---   ---   
18   Sat   ---   ---   
19   Sun   ---   ---   
20   Mon   ---   ---   
21   Tue   ---   ---   
22   Wed   ---   ---   
23   Thu   ---   ---   
24   Fri   ---   ---   
25   Sat   ---   ---   
26   Sun   ---   ---   
27   Mon   ---   ---   
28   Tue   ---   ---   
29   Wed   ---   ---   
30   Thu   ---   ---   
31   Fri   ---   ---   

High for me; low for me.

Monday, June 06, 2011

my meds effective 6 June 2011

Aspirin 81 mg (heart) morning

 

Vitamin C - 1000 mg

 

Vitamin E - 200 IU

 

Beta Carotene 25,000 IU

 

Postassium 99 mg

 

Garlic 4000 mg (2000 mg twice a day)

 

Vitamin B complex

 

     B1 - 50 mg

     B2 - 12.5 mg

     B3 - 50 mg

     B6 -12.5 mg

     Folic Acid - 50 mcg

     B12 - 12.5 mcg

     Biotin - 25 mcg

     Pantogthenic Acid - 50 mg

     Calcium - 118 mg

 

Glucosamine - 3000 mg (1500 mg twice a day)

 

Condroitin - 2400 mg (1200 mg twice a day)

_________________________________________________________________________

Current prescriptions effective 5 May 2011

 

Actos 30mg (diabetes) evening   weight gain/high-low blood sugar

 

HYDROCHLOROTHIAZIDE 25mg (water pill) morning  increased blood sugar

 

Januvia 100mg (diabetes) evening

 

METFORMIN HCL 1000mg (diabetes) 2/day

 

METOPROLOL TARTRAGE 50mg (heart) 2/day   weight gain

 

OMEPRAZOLE 20mg (stomach) ½ hour before breakfast

 

ProAir HFA (albuterol sulfate) (inhaler)  as needed

 

SIMVASTATIN 20mg (anti-cholesterol) before bed time

 

TAMSULOSIN 0.4 mg (better urination) with evening pills

_________________________________________________________

 

I have given this drug list to Dr. Robert W. Hostetler, M.D.

     620.227.1371

     800.279.0429

fax: 620.227.1208

Friday, June 03, 2011

reconciliation

I spent some time talking about my diabetics with an old friend (an RN) who consoled me with the thought "you're going on injected drugs sooner or later". She told me that modern equipment (syringes) have gotten so good that I'd hardly notice injecting myself. Well, I had started to think so already. She said she hardly feels the material going in.

I grossed her out when I said that when I am checking my blood sugar level,  I often stick the needle in and twist it around. This is to get a bigger hole in my arm and thus, a better blood bead. The problem is that once I take the blood drop into the meter, I have a nice sized hole in my arm that is slow to close up and I end up using a piece of Kleenex or a band aid.

Oh, well, I'll get used to it.

For a long time, I thought that going onto insulin was the last step before losing limbs and dying of heart failure (it was for my Father and youngest Brother, wasn't it?). It was the final step into the abyss and that step into damnation. My MD told me I was being silly and my wife said I was being a drama queen.  Of course, this simplistic attitude ignores:
  • my Father smoked 2-3 packs of unfiltered cigarettes a day - Chesterfields - for 35 years (his admission) and may have drank too much. I don't and have never, smoked. I don't drink much because I am alergic to red wine and nearly all distill liquors and don't like most beers. Also, I simply lost interest in getting drunk after New Year's Eve 1999. It was that last hangover on 1 January 2000 that "did me in"...
  • my youngest Brother (Charles Andrew Bell) smoked, snorted coke and didn't take care of his self (i.e. ate badly - pizza and Croak-ah Coke Cola -, didn't exercise and didn't properly check his blood sugar (when you see a person's blood sugar check kit in his trunk and you know he didn't put it there after dinner, you know he hasn't been using it lately!)
  • many folks take the injected drugs and do just fine (I work with a woman who has been taking a couple of injected drugs daily for years and she is doing fine.)
I will do fine when I eventually go on the needle. It won't be a death sentence; it might be a "life" sentence. Injected drugs are simply another way of getting drugs into a person.

It has only in the past couple of years sunk into me that when comparing type 1 and type 2, I needed to put emphasis on the "diabetic" part of "diabetic type 2". It has always been about being "diabetic" and not if I am being treated with syringe or pill. It was a real shock to learn that type 2s take insulin also.

I'll have to remember to start carrying my list of meds around with me and to show it to  Anna D. (the nurse I talked with) at the next Lions Convention.

Tuesday, May 31, 2011

May results

May 2011
=====================================
           AM    PM
01   Sun   ---   ---   
02   Mon   154   195   
03   Tue   ---   ---   
04   Wed   133   198   
05   Thu   ---   ---   
06   Fri   135   146   
07   Sat   ---   ---
Seven years since diagnosis   
08   Sun   ---   ---   
09   Mon   145   194   
10   Tue   ---   ---   
11   Wed   139   146   
12   Thu   ---   ---   
13   Fri   138   135   
14   Sat   ---   ---   
15   Sun   ---   ---   
16   Mon   124   143   
17   Tue   ---   ---   
18   Wed   137   180   
19   Thu   ---   ---   
20   Fri   122   173   
21   Sat   ---   ---   
22   Sun   ---   ---   
23   Mon   154   163   
24   Tue   ---   ---   
25   Wed   ---   ---   
26   Thu   ---   ---   
27   Fri   137   118   
28   Sat   ---   ---   
29   Sun   ---   ---   
30   Mon   123   143   
31   Tue   ---   ---   

Reports that are way too high.

Saturday, May 28, 2011

May 2011 blood sugar Scores

May 2001
===================================
           AM    PM
01   Sun   ---   ---   
02   Mon   154   195   
03   Tue   ---   ---   
04   Wed   133   198   
05   Thu   ---   ---   
06   Fri   135   146   
07   Sat   ---   --- Seven years since my diagnosis.*  
08   Sun   ---   ---   
09   Mon   145   194   
10   Tue   ---   ---   
11   Wed   139   146   
12   Thu   ---   ---   
13   Fri   138   135   
14   Sat   ---   ---   
15   Sun   ---   ---   
16   Mon   124   143   
17   Tue   ---   ---   
18   Wed   137   180   
19   Thu   ---   ---   
20   Fri   122   173   
21   Sat   ---   ---   
22   Sun   ---   ---   
23   Mon   154   163   
24   Tue   ---   ---   
25   Wed   ---   ---   
26   Thu   ---   ---   
27   Fri   137   118   
28   Sat   ---   ---   
29   Sun   ---   ---   
30   Mon   ---   ---   
31   Tue   ---   ---

Denotes an excessively high score even by my somewhat lax standards. 
* I "celebrated" by not celebrating.

Tuesday, May 10, 2011

Irony

If you love irony (and who does?), then you have to appreciate the selection of my current meds.

In January 2010, I was given an anti-cholesterol pill and a couple of others for the blood pressure. Then, my MD noted my A1C was going up so he added Januvia and Actos. That didn't seem to help much so it is looking like I'll have to escalate to injectables in August. I also have had trouble losing weight and feel it a victory that my weight hasn't inexplicably gone up!

My wife and I looked up the side effects of all my meds the other day. Can you imagine my shock to find that two of the "new" drugs (prescribed by the VA Heart Doc, not my Family MD) include the side effects of:
  • increased blood sugar and
  • weight gain
So, here I am trying to drop the A1C and lose weight and two of my meds are actively conspiring against me!

I am going to be seeing an MD the end of May so I'll bring in my current list of drugs and see what he recommends. Then, I'll have to get my Family MD to "correct" the current list of prescriptions...

Thursday, April 28, 2011

April 2011 blood sugar readings...

         April 2011

         AM   PM
 1  Fri  168  230
 2  Sat  ---  ---
 3  Sun  ---  ---
 4  Mon  167  198
 5  Tue  ---  ---
 6  Wed  185  ---
 7  Thu  ---  ---
 8  Fri  139  143
 9  Sat  ---  ---
10  Sun  ---  ---
11  Mon  119  114
12  Tue  ---  ---
13  Wed  146  ---
14  Thu  ---  180
15  Fri  147  131
16  Sat  ---  ---
17  Sun  ---  ---
18  Mon  158  178
19  Tue  ---  ---
20  Wed  159  187
21  Thu  ---  ---
22  Fri  ---  ---
23  Sat  ---  ---
24  Sun  ---  ---
25  Mon  147  131
26  Tue  ---  ---
27  Wed  131  159
28  Thu  ---  ---
29  Fri  ---  ---
30  Sat  ---  ---
31  Sun  ---  ---

AM denotes blood test immediately after getting out of bed in the morning and PM denotes a blood test two hours "after fork down".

Tuesday, April 26, 2011

April 2011 blood sugar scores

APRIL 2011

       AM  PM
01 Fri 168 230
02 Sat --- ---
03 Sun --- ---
04 Mon 167 198
05 Tue --- ---
06 Wed 185 ---
07 Thu --- ---
08 Fri 139 143
09 Sat --- ---
10 Sun --- ---
11 Mon 119 114
12 Tue --- ---
13 Wed 146 ---
14 Thu --- 180
15 Fri 147 164
16 Sat --- ---
17 Sun --- ---
18 Mon 158 178
19 Tue --- ---
20 Wed 159 187
21 Thu --- ---
22 Fri --- ---
23 Sat --- ---
24 Sun --- ---
25 Mon 147 131
26 Tue --- ---
27 Wed --- ---
28 Thu --- ---
29 Fri --- ---
30 Sat --- ---

My morning and evening (2 hours after "fork down") scores.

Wednesday, March 16, 2011

support group

Last Saturday, my wife reminded me that the Diabetic Support Group meeting was Monday of this week; she had heard about this meeting at the Excel Advisory Group meeting. (My wife is a community volunteer who attends monthly Group meetings to help give Excel Corp "the pulse of the community".) Excel has a lot of "Latino" employees and Excel mentioned the diabetic support group meeting. (None of their employees have ever attended.)

I arrived early and took a good seat (the room was empty) and was reading a novel when I realized someone else was in the room. A lady from a nearby town had come in and we talked in general. About 15 minutes after the meeting was to start, we both realized the facilitator wasn't coming and got up and left.

This was the second month in a roll I had been stood up.

I hope the diabetic educator (Veronica) is well and I hope this support group hasn't folded like
  • the three I know of at the Dodge City hospital since May 2004 and
  • the group at the Mexican American Ministry on north F street and
  • the Senior Center which was holding monthly meetings and had free A1C screenings each month. They quit both shortly after I joined when I turned 55 and joined.
I don't know what all help a support group can give me and have to wonder if this isn't a problem for group "facilitators". I remember a Navy training course that talked about a trainer/teacher picking material suited for the audience. i.e. A division training petty officer should not teach material meant for Seamen or PO3 to the PO2 or PO1 since this would bore the PO2 and PO1 and should not teach highly technical material meant for the PO2 or PO1 since this could be over the heads of the Seamen or PO3. (Note: Seaman, PO3, PO2 and PO1 are US Navy enlisted ranks.)

So, what can a support group teach? Maybe a support group facilitator could discuss what is to come for each member and allow diabetics the chance to "vent" around folks who have the same problems? Discussions of drug reactions and "eating good" always seem to interest members.  I know this lady (mentioned above) is far more familiar with my "issues" than my wife is as my wife is not diabetic...

Friday, January 14, 2011

Fwd: Decide the Best Video in 2010



-------- Original Message --------
Subject: Decide the Best Video in 2010
Date: Thu, 13 Jan 2011 10:32:27 -0600 (CST)
From: ADA Diabetes World <news@diabetes.org>
Reply-To: ADA Diabetes World <news@diabetes.org>
Organization: American Diabetes Association
To: Mike.Bell@noaa.gov


Stop Diabetes http://main.diabetes.org/site/R?i=rKZ5GB2e25WSTKvW_BRkLw..  Share  Best Video in 2010?  Decide Who Will Win Share Your VisionContest  With movie award season in full swing, now it is your turn to be the critic. Vote for the most compelling video in the Share Your Vision to Stop Diabetes® contest today. Between now and January 24, you can select the top three winners of the contest, sponsored by VSP® Vision Care.  Don't miss this opportunity to view these powerful and inspirational entries that capture the many reasons why we need to Stop Diabetes once and for all.  The winner is...  http://main.diabetes.org/site/R?i=O21aa-gUn5ziTVnYEWDU7g..  LEARN  Read This before Shopping  Check Out the 2011 Consumer Guide  Overwhelmed by the number of diabetes products on the market? Select the best products to meet your needs with the help of Diabetes Forecast's 2011 Consumer Guide. Read in-depth, side-by-side comparisons. Learn what key functions to consider. See what cutting-edge technologies are coming down the pike. Use the New Year as an opportunity to take charge of your health.  Get informed.  http://main.diabetes.org/site/R?i=eVwW4D8b0zGX53-3iMh5Kg..  ACT  Have You Voted Lately?  Help Make a $200,000 Difference  Help us reach first place! The American Diabetes Association is a candidate in the Members Project®, a partnership between American Express and TakePart.  Currently we are in 3rd place.  Help increase our chance to receive $200,000 to support diabetes research, education and advocacy initiatives. Don't forget! Vote weekly between now and February 20 and help make a difference.  Vote here.  http://main.diabetes.org/site/R?i=pIOqtMDW5kVzstjYnenbRA..  GIVE  Honor a Loved One  Create a Lasting Tribute to Someone with Diabetes  The Always & Forever Tribute online feature allows you to personalize a webpage with messages, photos and a donation form that collects gifts in honor of your loved one. Every time a memorial gift is received, the American Diabetes Association will send a gift announcement to you. Create a Tribute page and give hope to millions living with diabetes by raising important funds.  Start now.  http://main.diabetes.org/site/R?i=U78UBcipG11BfQgoZ3TAvw..    This newsletter brought to you in part by an unrestricted educational grant from: Dignity Memorial http://main.diabetes.org/site/R?i=ahrDE5QvP8gVUVKsd1ZuAg..  =============================== Follow Us =============================== Twitter http://main.diabetes.org/site/R?i=9f8kQm7cQmAMcQNpyCZYKA..  Facebook http://main.diabetes.org/site/R?i=7u_5N-4yY_ly-5TKFau_bw..  Flickr http://main.diabetes.org/site/R?i=GvX7Bdl00eN11NG0hoz60w..  YouTube http://main.diabetes.org/site/R?i=FoXS0YX74r6lZNsKOhkS-g..  =============================== American Diabetes Association 1701 North Beauregard Street Alexandria, VA 22311 1-800-DIABETES  Please add news@diabetes.org to your address book to ensure you receive all future emails. Click Here to Unsubscribe. http://main.diabetes.org/site/CO?i=l6Ket1TZ1yG996hF6GhPLemzcZr4F9x8&cid=3324  Copyright 1995-2010. American Diabetes Association. All rights reserved. 

Saturday, December 11, 2010

something is screwy...

I remember being told that diabetics whose blood sugar control is poor often wake up in the middle of the night to pee. "Minctio ergo sum" to paraphrase Dr. Rene Descartes. This roughly translates as "I urinate, therefore I am..."

The first time I got out of bed this morning was simply a nightly occurrence.

The second time I got out of bed to pee had me wondering what I'd eaten to cause this. I did eat ice creamme in the early afternoon but then I had a "Healthy Choice" meal for dinner. The early afternoon sugar should have long before been dealt with and the "Healthy Choice" meals should not be too big on jacking the blood sugar. (Although I've had some high sugar two hours after eating my evening meals after eating a "Healthy Choice" dinner.)

The third time had me starting to get concerned. I suppose I could have checked my blood sugar when I got out of bed this morning but checking it about 3:30 am just isn't a great idea!

The amazing thing is that I don't drink any water during this night time toilet visits. I figure that if I starve myself of water, I might not build any up and might be able to get more sleep. It doesn't seem to work though...

Tuesday, December 07, 2010

exercise: 7 December 2010

I walked on the treadmill at Sheridan Center for 35 minutes (30 minutes
at 3.6 mph and 5 minutes cooldown).

I had to get out of bed twice in the middle of the night: the first time
since my left ankle cramped and the second time since my right ankle
cramped. Oh, well...

exercise: 6 December 2010

I have been walking 30 minutes on the treadmill (25 minutes at 3.6 mph
and 5 minutes cooldown). My VA Doc told me to exercise more so I've
increased this to 30 minutes at 3.6 mph and the 5 minute cooldown. I
also do a round of weights on the weight machines. Then, at night, I
typically need to take painkillers on the days I lift weights...

repurposed...

It occurred to me that I should be using this blog as a diary of my progress through diabetes. So, I think I'll start blogging/logging what I am doing...

Tuesday, September 14, 2010

September 2010 (again to date...)

   September 2010
====================
01   Wed   ---   ---   
02   Thu   ---   ---   
03   Fri   185   163   
04   Sat   ---   ---   
05   Sun   ---   ---   
06   Mon   ---   ---   
07   Tue   158   ---   
08   Wed   ---   ---   
09   Thu   ---   ---   
10   Fri   159   206   
11   Sat   ---   ---   
12   Sun   ---   ---   
13   Mon   ---   ---   
14   Tue   158   178   
15   Wed   ---   ---   
16   Thu   ---   ---   
17   Fri   ---   ---   
18   Sat   ---   ---   
19   Sun   ---   ---   
20   Mon   ---   ---   
21   Tue   ---   ---   
22   Wed   ---   ---   
23   Thu   ---   ---   
24   Fri   ---   ---   
25   Sat   ---   ---   
26   Sun   ---   ---   
27   Mon   ---   ---   
28   Tue   ---   ---   
29   Wed   ---   ---   
30   Thu   ---   ---  

Friday, September 03, 2010

International Study Led by VA-Harvard Physician Yields Insight on Risks from Fatty Arteries (forwarded from my office in box)

Recent VA News Releases
To view and download VA news releases, please visit the following
Internet address:
http://www.va.gov/opa/pressrel <http://www.va.gov/opa/pressrel>

International Study Led by VA-Harvard Physician

Yields Insight on Risks from Fatty Arteries

WASHINGTON (September 3, 2010)- An international study of clinical data
led by a Department of Veterans Affairs (VA)-Harvard University
cardiologist found that patients with deposits of fatty plaque in their
arteries are at especially high risk for life-threatening cardiovascular
events if they have diabetes, disease in multiple arteries or a history
of heart attack or stroke.

"This study was an impressive international collaboration that may hold
important clinical benefits for Veterans and others with cardiovascular
disease," said VA Secretary Eric K. Shinseki. "The results, presented
both in a prestigious medical journal and at a major international
cardiology meeting, are likely to be of great significance to
physicians-particularly cardiologists-in VA and worldwide."

The findings, from a study of more than 45,000 patients in nearly 30
countries, was published online August 30 by the Journal of the American
Medical Association and will appear in the journal's September 22 print
edition. The results are also being presented this week at the annual
meeting of the European Cardiology Society in Sweden.
According to lead author Dr. Deepak Bhatt and colleagues, the findings
may guide future clinical trials and help doctors decide which patients
need more aggressive treatment. Bhatt is chief of cardiology at the VA
Boston Healthcare System and director of the Integrated Interventional
Cardiovascular Program at VA and Brigham and Women's Hospital, a
teaching affiliate of Harvard Medical School.

The four-year study included patients who had at baseline clinical
evidence of atherothrombosis-in which fatty deposits break off from
artery walls to form clots-or who had risk factors for the condition.
Ruptured plaque deposits can form clots that block blood flow to the
heart or brain, resulting in heart attack or stroke.
Depending on their medical status and history, different groups of
patients in the trial were at higher or lower risk for stroke, heart
attack, or cardiovascular death. On the low end of the risk scale-7
percent-were those with no diabetes and only risk factors for
atherothrombosis. The risk rose to as high as 25 percent for those with
clinical evidence of atherothrombosis in multiple arteries and a history
of heart attack or stroke. The presence of diabetes also raised the risk
considerably.

"Even stable patients with a previous heart attack or stroke are at
particularly high risk of recurrence if they have plaque build-up in
several different arteries or if they have diabetes," said Bhatt. "These
types of patients need aggressive preventive efforts to keep history
from repeating itself."

Knowing that "not all atherothrombosis is equal," write Bhatt and
colleagues, can help doctors target therapies such as plaque-reducing
and clot-busting drugs to those patients who will benefit most. VA Chief
Research and Development Officer Dr. Joel Kupersmith adds, "this study
illustrates the importance of basic clinical information in determining
the best care for the individual patient."

# # #

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address, please visit the following Internet address:
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Wednesday, September 01, 2010

August 2010 results

   August 2010
Day Date  AM    PM   
===================
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Sat   28  ---   ---    
Sun   29  ---   ---    
Mon   30  ---   ---    
Tue   31  ---   ---    

Monday, August 23, 2010

support group

I went to the Dodge City diabetic support group yesterday (9 August 2010)and got there late. First, I was stuck in traffic while a train went back and forth on the tracks a ½ mile away. The traffic ahead of me got off this road (South 2nd) and I headed for the quick way across the tracks: the little road, next to a Vet Clinic, that leads under the railroad tracks. This is never busy.

Silly me! I had forgotten that 3 pm was shift change time at one of the meat packing plants and there were hundreds of cars or pickups ahead of me. I ended up getting to the 3 pm support group about 3:10 pm and not the 2:50 pm I had planned on... :-[

I apologize for bad mouthing (in other posts) diabetic support groups in Dodge City. It was simply frustration talking.

I had been told the meeting was at a building north of the hospital. I went to the first building I saw and entered. The name did not look right but I looked around till I found a woman I could ask directions from. She sent me to a classroom and I found

The facilitator is a very nice, very concerned and dedicated young woman from Garden City. We discussed my diabetics history and concerns, nutrition and portion control, she did an A1C test and we discussed the results. Apparently, stress can raise one's A1C and that would explain my A1C going from 8.3 to 8.5 (this test). Of course, I've read that A1C testing is not precise and different labs can come up with different results from the same blood sample. One should stick with the same lab and look at the trend rather than just the absolute numbers.

She sent me home with "homework": figure out how much I should be eating portion-wise. That will be so much fun... ;-)

I'm going to get my wife involved with this and from past experience, I know she won't like it. It will probably remind her too much of being in "Overeaters Anonymous" back in late 1979 and early 1980.

NOTE: I am trying to make sure this message does not go to the ADA!

Thursday, August 05, 2010

things a diabetic needs to consider preparatory to their deaths



I nearly drown in late 1987 (and haven't scuba dived since);I thought I was having a heart attack when I was 35 years old. My youngest brother died of congestive heart failure at age 44 years, 1 month, 8 days. You don't have to be "old" to worry about death and it's aftermath.

I am not a lawyer so contact one with your legal questions; I'm just someone whose youngest brother died intestate or "without a will"". Here are some suggestions based on what my brothers (especially Jim) and I experienced:

Before you die, before you even get sick, make a will telling what you want:


  • done with your body:


    • creamation or
    • embalming and burial,
    • who does the work,
    • your plans for payment,
    • burial site
    • or ash disposal instructions (i.e.: placement at a Veteran's Cemetary, a nice spot in your curio cabinet, burial with relatives, scattering at sea or the back yard),

  • You might plan your funeral service (I had a friend - Karla Jean Miller - who planned her funeral in complete detail. My youngest brother made no such plans; my brothers and I ended up going to our ministers to get advice...)
  • how to notify your boss(es),
  • who gets your stuff,
  • who you owe money to,
  • what liens are out on your property (i.e. on your car title!),
  • bank accounts,
  • 401Ks,
  • life insurance policies (and did you "borrow" money from it/them?)
  • what storage lockers you are renting,
  • what bank lock boxes or safe deposit boxes do you rent,
  • your email data,
  • social network accounts,
  • blogs,
  • newspapers and magazines you subscribe to,
  • what you want done with your dogs, cats, birds, fish (feed to cats?),"pet snakes" (now there is an oxymoron!),
  • a list of where you keep your medications and "sharps",
  • do you automatically get meds from a pharmacy (I do...) with billing afterwards,
  • and a list of folks to be notified with their phone numbers, email and mail addresses,
  • a list of files/directories on your computer(s) you want to give away. (i.e. I had my father's home movies from when I was in 1st grade translated to DVD but never got around to sending them to my brothers...) and,
  • a list of files/directoried you want purged before anyone gets your "old" computer(s) or it is sent to the breakers

All of this could be done on a couple of sheets of paper. You could sort bills and put them in a cheap, plastic, filing cabinet.

Contact the various companies your will's executor will have to deal with. If you die without a will, a judge may appoint a successor. If a successor is appointed, better hope it is a friend or relative who will work with your relatives or friends to determine who gets what. A court appointed successor might not be a friend to your kith and kin.  

I explained this to a friend, the head of the local hospice. She said "get a living will and keep it up to date!"

You might consider writing your obituary; think of it as a permanent, uneditable, "wikipedia" entry on newspaper.

It just occurred to me that you could set aside money to buy booze and munchies for your wake. ("Won't be any 'lite' beer or Mad Dog or 'Ultra' at my wake!") Just a thought, albeit a bit morbid...

If you find an overdue VCR or DVD, expect to pay the overdue fine (unless you drop it in the slot and trundle off); I don't think they'll buy the "but it's overdue cause the renter died...

Finally, you might as well write down the library you borrow from and keep library books, etc. in a conveient place for their return. It never occurred to me to look for any library books or CDs my youngest brother might have checked out; his room mate would have dealt with this...

apparently there is a support group...

I got a phone call from the local hospital earlier this morning and was told there is a support group meeting this coming Monday at 3 pm. The meeting place is at an annex just of the Dodge City Hospital. Contrary to what I had formerly been lead to believe, it does look like there is a support group for me.

I may have been wrong in my diatribe but I doubt it...

Sunday, August 01, 2010

blood sugar and weight July 2010

      July 2010

Day Date  AM    PM    Weight
==================================
Thu    1  165   230   I have been used to coding 25
Fri    2  137   187   in my blood meter and didn't
Sat    3  140   234   realize I had 13s...
Sun    4  147   179
Mon    5  173   205   Oh, well...
Tue    6  ---   ---
Wed    7  ---   ---
Thu    8  ---   ---
Fri    9  147   168   282 (taken when I got out of bed)
Sat   10  ---   ---
Sun   11  ---   ---
Mon   12  ---   ---
Tue   13  180   204   286 (this weight after exercising on Moanday)
Wed   14  ---   ---
Thu   15  ---   ---
Fri   16  ---   ---
Sat   17  ---   ---
Sun   18  ---   ---
Mon   19  ---   ---
Tue   20  ---   ---
Wed   21  ---   ---
Thu   22  ---   ---
Fri   23  ---   ---
Sat   24  ---   ---
Sun   25  ---   ---
Mon   26  ---   ---
Tue   27  ---   ---
Wed   28  ---   ---
Thu   29  ---   ---
Fri   30  ---   ---
Sat   31  ---   ---   

Friday, July 30, 2010

support group???

Dodge City Kansas needs a Diabetic Support Group!

I need a Diabetic Support Group! I have gone through various stages in my disease (type 2). I was horrified when I was diagnosed and educated myself to the point of having the happy illusion that I understood the disease. Then, I gradually started to lose this certainty. Finally, most of this year (2010), I had a "GAF" attitude and was doing a lot of bad stupid stuff. (It was summer and hot so I figured I could eat little bowls of ice creamme no problem and then eat orange sherbet with my wife that night. I paid for this fantasy by going from A1C of 7.0 last November to 8.3 on July 6 and have gained the fear of Levemir. I hope this isn't a form of insulin made from British cows as that would put me on the Red Cross deferral list. ) I stopped working out. (This is a Friday so I am walking on the treadmill and lifting weights after work.)

When I was diagnosed on 7 May 2004, I was horrified and could have used a Support Group. I heard there was one at the Western Plains Hospital and attended one meeting. It did me no good. The four or five people there were years into the diabetics (mostly type 2) and were talking about dealing with the disease(s) at that level. There was nothing there for an "entry level diabetic" such as me.

A Blue Cross had a nurse educator called me once a month for several months and this was quite helpful.

Several months later (fall 2004), I tried to attend a meeting but learned the group had folded. I had called the Western Plains hospital several times and no one in administration could tell me anything about the group. So, my wife and I drove up there on a Thursday, before the scheduled meeting time, and found out the group had folded. A nurse who went by told us the group hadn't meet in a couple of months.

A couple of years later, I learned of another support group after it had folded.

I went to a meeting of a support group in September 2008 at the Mexican-American Ministry and came back the next month. No one showed up for the meeting but I ended up spending a hour with the facilitator (a RN, etc.) who helped me with diet information. She got a better job and that was the end of that support group.

In May 2010, I could have attended a forming meeting of a Diabetic Support Group at Western Plains Hospital but was talked into going to a "webinar" at work. This "webinar" was roughly "five minutes of material heroically crammed into an hour"  to paraphrase a saying that was popular when I was in the US Navy in the 1980s. I completely forgot about the support meeting. My boss laughed when I asked if I could get comp time for the hour I had wasted with this "webinar" and I swore off ever attending the damn things again! (Obviously, I did not get that comp time... ;-) )

The June 2010 meeting of the "new" support group was canceled due to severe weather. Imagine that, severe weather in southwest Kansas in early June!

The facilitator had to travel from Garden City to Dodge City, an arduous 55 minute trip... :-D

The July meeting was canceled due to being canceled.

I called the Western Plains Hospital and asked if they were going to have the August meeting and eventually got some one in administration who would talk with me. I was told there were no records of an August meeting being scheduled.

So, I have seen three support groups come and go at "our" local hospital and one at an underfunded Ministry.

Why is it the Grant County Public Health Department able to have a monthly support group for years and Grant county is smaller than Ford County?

The only "support group" I've got is talking with a co-worker who has been telling me the truth of taking insulin and other injected drugs. I'm not quite ready for the needle but it looks inevitable.


Sunday, July 25, 2010

"it's my own damn fault..."

I am been thinking of how I sent from an A1C of 7.1 last November to 8.3 on 6 July. At first, I was puzzled; I was really in denial! Then, I got to thinking of what I'd eaten wrong and how little I had exercised.

I realized that I had gotten into the habit of saying "it sure is hot" and going to Dillions and buying these little (about ½ cup of ice creamme and if I was really hungry, I went for the ¾ cup size) little tubs of ice creamme. Sometimes, I would sneak this and then have orange sherbet (with chocolate shell) with my wife later that day. I also went through dark chocolate but I didn't drink Diet Pepsi at home - I was being good! - and didn't drink much booze.

I realized that I had gotten out of the habit of walking on the treadmill at the Sheridan Center and I gave up on weights years ago. Well, after seeing the frigging A1C of 8.3 I have
  • resumed walking on the treadmill for 30 to 35 minutes a day, 5 days a week
  • started doing circuit training (weights) 3 days a week
  • haven't gone out for ice creamme and it has been hotter than when I was binging
I don't know how well I'll do with the ice creamme since I can feel it calling to me! I sort of know how folks feel about booze but I don't have any real lust for it; I do have a craving, at times, for the ice creamme...

So, the reason for this posting's title?

Whose fault is it that my A1C went down the toilet so many years ago, let alone in 2010? To quote Jimmy Buffet, "it's my own damn fault!"

Friday, July 23, 2010

diabetes - What a bitch!

diabetes

My MD says my cholesterol is fine but my A1C is very bad. So, I've renewed my exercising
  • 30-35 minutes/day, 5 days/week with the last 5 minutes a cool down
  • circuit training 3/week (Moanday, Wednesday and Friday)
  • considering starting push ups again and snicker at the thought of shitup situps
The problem is I'm American and I want that "instant gratification" in spite of my knowing that "instant gratification"is a myth. So, I'm bummed and worried that this is all futile. I might as well, say fuck it (as I have for decades), surrender and wait the insulin prescription in November. Well, I'm tired of myself giving up and I'm going to continue trying. I'm supposed to be checking my blood sugar twice a day, twice a week. (i.e. waking up and 2 hours after eating my evening meal on Tuesday and Friday). To this I've added:
  • weighing myself (depressing!)
  • making sure I actually go to the Sheridan Center and work out
We'll see if I can't put the A1C down again...

Saturday, July 17, 2010

type 2 sympthoms

http://diabetes.webmd.com/tc/type-2-diabetes-living-with-the-disease-symptoms?ecd=wnl_dia_071410

I have many of the symptoms discussed.

Wednesday, July 14, 2010

eating bad food leads to type 2 diabetics

It is 10:50 am and I am watching "Everyday History" on the Discovery Channel; they are doing a story about UFOs. I was reading through my diabetes blog material and was thinking about a black family I saw in the late 1960s. This family (Dad, Mom and Daughter) worked at the Keesler Air Force Base theater popcorn stand in Biloxi Mississippi. They were a curiosity because they were quite fat. (That was in the late 1960s; I don't know that they are diabetics but I'd be surprised it they were not!)

My Mother said they were so fat because they could not afford good (healthy) food.

I have  since learned that being fat is generally a prime prerequisite for type two diabetes. By the logic of

if A B and B C then A C

Apply this logic and you get:

if eating bad food ⇒ obesity and obesity ⇒ type 2 diabetes
then
eating bad food ⇒ type 2 diabetes
Assuming my premises are correct and the form of the logic chain is correct (it is!) then I have just logically proven that eating the wrong food leads to type 2 diabetes.

NOTE: The character is "implies".

Friday, July 09, 2010

my fear of insulin and how I sort of got over it

I was diagnosed as a type 2 diabetic on 7 May 2004. I was told that I'd be on 750 mg Metformin twice a day. Abut a year later, it went up to 1000 mg, twice a day. I began to dread the notion of having to "go on the needle": that is, start using injected insulin or other drugs. I was very opposed to this.

There have been three times diabetics nurses have tried to get me to start using something injected. Each time, Dr. Hostetler agreed (cooperated with) to my desire to remain on pills. I don't think I was afraid of having to inject myself. After all, I had gotten used to checking my blood sugar so it couldn't have been that fear. However, I don't know how the pain level would be changed by the addition of adding the injection phase to the stabbing phase. (I see a hypodermic injection event as first, putting the needle in and second, injecting the liquid.)

I was afraid of the various side effects like
  1. having to check my blood sugar more frequently,
  2. the pain of the injections,
  3. my schedule changes so often, how would I arrange injection times when we had severe weather when I was working evenings,
  4. I would have to fear hypoglycemia,
  5. simple fear of the unknown.
My Father and youngest brother "went on the needle" and both died young.. My Father at age 68 (I was 42 when he died and 68 seemed old; I am 58 now and 68 doesn't seem old!) and my brother Charles Andrew Bell died at 44 years, 1 month, 8 days (that was too damn young!) So, what is the relevance of this?

That both went "on the needle" and died young. I have been terrified that I would "go on the needle" and die young as well. I've been told this is nonsense and have not believed it. I have also been told I am not being rational (I agree with that!) and Kathie thought I was being a "drama queen" (what ever that is supposed to be).

My fear ignores that my Father smoked 2 to 3 packs of cigarettes a day for maybe 35 years and drank a bit (not the alcoholic my sister-in-law Denise thinks he was); he lost a lot of weight and tried harder to live right that I have. Shit! Charlie smoked too, claims to have snorted coke (not the beverage!) in the 1980s and did not "eat right". (I suspect he could not afford to eat right.)

I told Dr. Hostetler that "i guess I'll jump off the cliff". I wanted to say "jump into the abyss" but I restrained. Dr. Hostetler replied "that's silly". I said "I guess you're right". "It's like jumping off a step stool".

OK, I guess I can't argue with him there and I suddenly had a revelation: I'm not horrified by the idea of inject able drugs; I'm almost ready to try injecting.

The needle is just another way of getting diabetic drugs into my body; just an alternative to pills. Being diabetic is not about taking pills or shooting up something, it is about having shity "control" of my blood sugar and dealing with the consequence


I have had to give up the idea that if you are not on insulin, you are not a real diabetic. I was wrong; if you're diabetic, you're a diabetic. Get over it!

NOTE:  The image comes from page 47 of the graphic novel version of "I Am Legend" by Richard Matheson and illustrated by Elman Brown and I have used it in what I believe to be "fair usage".

Thursday, July 01, 2010

Wink Hartman and 'Obamacare'

Wink Hartman is a Kansas politician who is running for the House of Representatives. He is a self professed Conservative.

According to his issues page, he also wants to get rid of "Obamacare". " Obamacare" will mean a number of uninsured people will actually get health care insurance. Wink asserts that "The bottom line is that 'Obamacare' will decrease the quality of our health-care plan..." but doesn't offer any proof.

Does he want to go back to the days of uninsured sick people going to the Emergency Room for issues that should have been resolved in an MD's office? Oh, wait, I forgot; you have to pay an MD, who can refuse you service but an Emergency Room has to take whoever shows up!

My youngest brother was a juvenile onset type 1 diabetic and either had no health insurance or absolute horrible health insurance. He died at the age of 44 years, 1 month and 8 days. I think my brother might have lived a lot longer if he'd had health insurance and thus regular access to a family MD.

How many others like him are out there without health insurance? I have a friend with two juvenile onset diabetic grandchildren; he's worried about what these kids will do when they no longer are covered by their parent's health insurance.

The very 'Obamacare' Wink disparages might have saved my brother's life. We'll never know. What we do know is that "Obamacare" is the best hope many such people have!

Tuesday, May 18, 2010

my fears

I have been a type 2 diabetic since 7 May 2004 and you would think I would be more settled in with my condition. Actually, I was. From 2004 to about 2008 I was gradually getting calmer. Then, I was reasonably calm and working out and trying to lose weight from around 2008 to 2009. It was in mid 2009 that I started getting far more concerned about having to start injecting anti-diabetic drugs.

I was quite relieved when Dr. Hostetler told me in November 2009 that I was good to go with pills. Now, I look at the weekly scores and that I'm not losing any weight and I am once again afraid that I'll end up on the damned injected drugs. I fear injected drugs since such things are the last step in full acceptance of being diabetic and there is no where to go once I am on the needle.

Shit!


Nehemiah
Scudder