This was one of the simpler equations we had in first term calculus (as I recall).
Sunday, November 20, 2011
Monday, September 12, 2011
poor girl or coming "train wreck"...
My wife and I went to the Kansas State Fair in Hutchinson yesterday. We were there to work on the Kansaas State Lions health van. Kathie operated one eye sight tester and I was the gate keeper for those entering the van of testing gear. I kept people from going in without first filling in the liability release form and kept one old gent from pushing his way ahead of a kid...
An unhappy and very pregnant girl walked over and I asked her if she had gone through the screening van. She said she had and said "my blood sugar was high". I replied "what was your blood sugar?"
She replied "399".
"It was 399? Do you have gestational [diabetics}?
"Yes but I've been a type 1 since I was 10."
Later, I talked with the Nurse who was taking the blood sugar readings and she said she'd talked with this girl. This young woman was actually 26 (but looks a lot younger) and claimed to be 7 months along. However, we (the nurse and I) agree that she should looked a lot further along than a mere 7 months!
The young woamn said she was on insulin 4 times a day and had taken a shot a hour before the 399 reading. I later talked with this girl and her husband (or boy friend) and they both looked scared! Well, they should look scared! The young woman n eeds some serious medcal care and that means some heavy duty medical insurance. I hope he has a good job with good medical insurance but I fear they are unwed so she can still be on her parent's health plan. Once she is too old (27 years old?), she won't be on her pariental health insurance. She would then have to have a husband with good medical insurance or a good job herself with good medical incurance. She is going to have trouble holding a job when her type 1 diabetics get much worst. (We could ask my late younger brother Charlie about being a juvenile onset type one and the piss poor medical insurance such folks but "late" means he is dead. Charlie died of complications from his dibetics...)
I fear that "Omamacare" will be overturned by the next Republician President and insurance companies will go back to:
Tea Baggers Tea Party politicans - will deny responsibility for the future deaths and maiming and the medical companies have never taken responsiblity for their evil!
An unhappy and very pregnant girl walked over and I asked her if she had gone through the screening van. She said she had and said "my blood sugar was high". I replied "what was your blood sugar?"
She replied "399".
"It was 399? Do you have gestational [diabetics}?
"Yes but I've been a type 1 since I was 10."
Later, I talked with the Nurse who was taking the blood sugar readings and she said she'd talked with this girl. This young woman was actually 26 (but looks a lot younger) and claimed to be 7 months along. However, we (the nurse and I) agree that she should looked a lot further along than a mere 7 months!
The young woamn said she was on insulin 4 times a day and had taken a shot a hour before the 399 reading. I later talked with this girl and her husband (or boy friend) and they both looked scared! Well, they should look scared! The young woman n eeds some serious medcal care and that means some heavy duty medical insurance. I hope he has a good job with good medical insurance but I fear they are unwed so she can still be on her parent's health plan. Once she is too old (27 years old?), she won't be on her pariental health insurance. She would then have to have a husband with good medical insurance or a good job herself with good medical incurance. She is going to have trouble holding a job when her type 1 diabetics get much worst. (We could ask my late younger brother Charlie about being a juvenile onset type one and the piss poor medical insurance such folks but "late" means he is dead. Charlie died of complications from his dibetics...)
I fear that "Omamacare" will be overturned by the next Republician President and insurance companies will go back to:
- refusing to insure those with pre-existing medical conditions siuch as diabetics or
- those who develop serious new medical conditions (i.e. type 2 diabetics)
- letting pharm companies charge why too much for meds or to increase costs after a med has been in use for a while or
- unbundling costs and jacking them too high -er- "making them reasonable" (OK, too damn high) and
- insurance companies not covering medically required medical devices. Some of these "medcially required devices include:
- diabetic test stripes
- catheders
- eye glasses
- hearing aids
- prothestic limbs and
- a number of other devices...
Tuesday, August 23, 2011
August 2011 scores
August 2011
=============================================================================================
1 Mon 123 110
2 Tue --- ---
3 Wed 125 107
4 Thu --- ---
5 Fri 136 127
6 Sat --- ---
7 Sun --- ---
8 Mon 88 113
9 Tue --- ---
10 Wed 112 141
11 Thu --- ---
12 Fri --- ---
13 Sat --- ---
14 Sun --- ---
15 Mon 123 133
16 Tue --- ---
17 Wed 85 99
18 Thu --- ---
19 Fri 100 107
20 Sat --- ---
21 Sun --- ---
22 Mon 99 126 I forgot to take my morning pills and am amazed at how low this score was!
23 Tue --- ---
24 Wed --- ---
25 Thu --- ---
26 Fri --- ---
27 Sat --- ---
28 Sun --- ---
29 Mon --- ---
30 Tue --- ---
31 Wed --- ---
=============================================================================================
1 Mon 123 110
2 Tue --- ---
3 Wed 125 107
4 Thu --- ---
5 Fri 136 127
6 Sat --- ---
7 Sun --- ---
8 Mon 88 113
9 Tue --- ---
10 Wed 112 141
11 Thu --- ---
12 Fri --- ---
13 Sat --- ---
14 Sun --- ---
15 Mon 123 133
16 Tue --- ---
17 Wed 85 99
18 Thu --- ---
19 Fri 100 107
20 Sat --- ---
21 Sun --- ---
22 Mon 99 126 I forgot to take my morning pills and am amazed at how low this score was!
23 Tue --- ---
24 Wed --- ---
25 Thu --- ---
26 Fri --- ---
27 Sat --- ---
28 Sun --- ---
29 Mon --- ---
30 Tue --- ---
31 Wed --- ---
Tuesday, August 02, 2011
July 2011 (final results)
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 121 123
9 Tue --- ---
10 Wed --- ---
11 Thu 129 149 With a different meter, 110 at 3:40 pm
12 Fri --- ---
13 Sat 128 168
14 Sun --- ---
15 Mon --- ---
16 Tue --- ---
17 Wed --- ---
18 Thu 131 149
19 Fri --- ---
20 Sat 111 160
21 Sun --- ---
22 Mon 146 140
23 Tue --- ---
24 Wed --- ---
25 Thu 117 156
26 Fri --- ---
27 Sat 128 118 Pre-dinner test of 113
28 Sun --- ---
29 Mon 121 127
30 Tue --- ---
31 Wed --- ---
At the advise of my diabetes educator, I did multiple tests on the 22nd, 25th and 27th. The test results for the 22nd were:
am 146
4 pm 324 I seriously question the validity of this reading as it was the old meter with (possibly) old test stripes
pm 140
Then, multiple tests on the 22nd
802 am 117
1050 am 158
203 pm 136
404 pm 123
513 pm 96
940 pm 156
In an episode of "Babylon 5", one character said "I'm Russian; we always question good news and never question bad news." [or words to that effect] Thus, I question the 96 but don't question the 158 or 156...
Finally, the extra test on the 27th:
am 128
pre-dinner 113
pm 118
==========================================================
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 129 149 With a different meter, 110 at 3:40 pm
12 Fri --- ---
13 Sat 128 168
14 Sun --- ---
15 Mon --- ---
16 Tue --- ---
17 Wed --- ---
18 Thu 131 149
19 Fri --- ---
20 Sat 111 160
21 Sun --- ---
22 Mon 146 140
23 Tue --- ---
24 Wed --- ---
25 Thu 117 156
26 Fri --- ---
27 Sat 128 118 Pre-dinner test of 113
28 Sun --- ---
29 Mon 121 127
30 Tue --- ---
31 Wed --- ---
At the advise of my diabetes educator, I did multiple tests on the 22nd, 25th and 27th. The test results for the 22nd were:
am 146
4 pm 324 I seriously question the validity of this reading as it was the old meter with (possibly) old test stripes
pm 140
Then, multiple tests on the 22nd
802 am 117
1050 am 158
203 pm 136
404 pm 123
513 pm 96
940 pm 156
In an episode of "Babylon 5", one character said "I'm Russian; we always question good news and never question bad news." [or words to that effect] Thus, I question the 96 but don't question the 158 or 156...
Finally, the extra test on the 27th:
am 128
pre-dinner 113
pm 118
Wednesday, July 27, 2011
July 2011 results
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 121 123
9 Tue --- ---
10 Wed --- ---
11 Thu 129 149 With a different meter, 110 at 3:40 pm
12 Fri --- ---
13 Sat 128 168
14 Sun --- ---
15 Mon --- ---
16 Tue --- ---
17 Wed --- ---
18 Thu 131 149
19 Fri --- ---
20 Sat 111 160
21 Sun --- ---
22 Mon 146 140
23 Tue --- ---
24 Wed --- ---
25 Thu 117 156
26 Fri --- ---
27 Sat 128 118
28 Sun --- ---
29 Mon --- ---
30 Tue --- ---
31 Wed --- ---
===============================================================================
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 129 149 With a different meter, 110 at 3:40 pm
12 Fri --- ---
13 Sat 128 168
14 Sun --- ---
15 Mon --- ---
16 Tue --- ---
17 Wed --- ---
18 Thu 131 149
19 Fri --- ---
20 Sat 111 160
21 Sun --- ---
22 Mon 146 140
23 Tue --- ---
24 Wed --- ---
25 Thu 117 156
26 Fri --- ---
27 Sat 128 118
28 Sun --- ---
29 Mon --- ---
30 Tue --- ---
31 Wed --- ---
Thursday, July 21, 2011
20 July 2011
Breakfast: homemade omelet with cheese and coffee
Lunch: at Casey's Cowtown: chicken "fingers", french fries, cottage
cheese and water
Snack: it was hot out so I had about a half cup of chocolate ice creamme
Dinner: one and a half of two hamburgers, potatoe salad and an MGD
Wednesday, July 20, 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 121 123
9 Tue --- ---
10 Wed --- ---
11 Thu 129 149 With a different meter, 110 at 3:40 pm
12 Fri --- ---
13 Sat 128 168 I went back to the first meter to run out the test stripes.
14 Sun --- ---
15 Mon --- ---
16 Tue --- ---
17 Wed --- ---
18 Thu 131 149
19 Fri --- ---
20 Sat 111 ---
21 Sun --- ---
22 Mon --- ---
23 Tue --- ---
24 Wed --- ---
25 Thu --- ---
26 Fri --- ---
27 Sat --- ---
28 Sun --- ---
29 Mon --- ---
30 Tue --- ---
31 Wed --- ---
===============================================================================
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 129 149 With a different meter, 110 at 3:40 pm
12 Fri --- ---
13 Sat 128 168 I went back to the first meter to run out the test stripes.
14 Sun --- ---
15 Mon --- ---
16 Tue --- ---
17 Wed --- ---
18 Thu 131 149
19 Fri --- ---
20 Sat 111 ---
21 Sun --- ---
22 Mon --- ---
23 Tue --- ---
24 Wed --- ---
25 Thu --- ---
26 Fri --- ---
27 Sat --- ---
28 Sun --- ---
29 Mon --- ---
30 Tue --- ---
31 Wed --- ---
Friday, July 15, 2011
a day's worth of testing
My diabetes educator asked me to take multiple blood samples today. I did and the results were interesting. Number 4 and 5 were shocking...
- 522 am - 122
- 943 am - 112
- 1156 am - 136
- 229 pm - 251
- 456 pm - 198
- 743 pm - 129
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... :-) )
=================================================================================
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).
=====================
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.
====================
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.
====================
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.
====================
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:
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.
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-ahCoke 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.)
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.
=====================================
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.
===================================
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:
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...
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
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".
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.
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
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...
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.
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...
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).
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...
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 --- ---
====================
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."
# # #
To "unsubscribe" from this list, or to update your name or e-mail
address, please visit the following Internet address:
<http://www.va.gov/opa/pressrel/opalist_listserv.cfm>
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."
# # #
To "unsubscribe" from this list, or to update your name or e-mail
address, please visit the following Internet address:
<http://www.va.gov/opa/pressrel/opalist_listserv.cfm>
Wednesday, September 01, 2010
August 2010 results
August 2010
Day Date AM PM
===================
Sun 1 --- ---
Mon 2 --- ---
Tue 3 --- ---
Wed 4 --- ---
Thu 5 --- ---
Fri 6 --- ---
Sat 7 --- ---
Sun 8 --- ---
Mon 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 --- ---
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!
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),
- creamation or
- 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...
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 --- ---
Subscribe to:
Posts (Atom)