The late seventies were a different
time for me. I was on the company softball team and a member of their bowling
team. A motorcycle was my primary means of transportation. My career as a
machinist was in its infancy. The price of gas was going up but then again, it
rarely goes down. Remember when President Carter was attacked by a rabbit
during a fishing trip in Plains Georgia? Ahhh, the 70’s, life was great.
I had visited my doctor because of increased thirst and frequent trips to the men’s
room. On a sunny afternoon in April I was told that I was now a diabetic and
I needed to go to the hospital as soon as possible. I thought that
my life was over.
Yes,
things were different then as compared to now. I spent a week in the hospital
while the doctors tried to normalize my blood sugars. The instruction manuals
they used to teach me about the disease were paper; there were no You-Tube
videos or phone apps to help me out.
Somewhere
in my attic is a pile of notebooks listing what I had to eat and what my sugar
levels were and how much insulin I had injected. Page after page of scribbled
notes. Like all diseases, diabetes is something you have to work on. By
participating with the doctor, planning your meals and exercising you can make
it manageable.
To find
out where my sugar levels were I simply ran a test strip through a stream of my
urine. Then I would compare the color it had changed to with a chart on the
bottle. It wasn’t a very exacting science back then. But it did get me in the
habit of washing my hands frequently.
Testing
progressed into putting a drop of blood onto a test strip. To get a drop of
blood to test you have to poke your finger with a lancet. Using a meter gives a much
more accurate number than comparing colors. In the modern world there are CGMs,
Continuous Glucose Monitors which attach to you and give almost up to the
minute readings. They can be paired with a pump to help determine your present
needs for insulin along with slowing down the dosages to help avoid lows.
When I
first started giving myself injections I would mix different types of insulin
together. There would be some slow acting insulin acting as a background dose during
the day and some fast acting insulin to cover what I had just eaten. Care had
to be taken to avoid mixing the different types; your health depended on it.
Ask any diabetic something that they all carry and chances are the answer will
be glucose tablets. If you get too much insulin you risk possibly passing out or
worse. These tablets help prevent these lows.
Presently
about 20 or 30% of Type 1 diabetics use a pump. The others that need to inject
insulin use needles. Thankfully the diameter and sharpness of the needles has improved.
I can’t say it is painless but most of the time I really didn’t mind it. Not
that I had a choice.
In the
year 2003 I finally got my first pump. It was 18 years ago this week! To say
that it has made my life easier would be an understatement.
The
human body needs something to convert our food into fuel for our muscles to
use. Insulin is that magic elixir. Without insulin the sugar in our blood would
remain there and eventually cause problems. Thirst and frequent urination could
be the least of these. Type 1 diabetics produce no insulin at all and need to
inject it to keep their bodies working properly. Type 2 diabetics produce less
insulin than they need, often they can compensate for this shortage by closely
watching their diets and exercising.
Getting
back to the pump, this can supply a diabetic with a set maintenance dose of
insulin during the day along with additional doses to cover meals. Along with
the help of your doctor pretty good sugar levels can be attained.
Two days ago I received a new pump.
It is a Tandem T:Slim X2. It is coupled with a Dexcom G6 Sensor. (CGM) The
sensor checks my blood every 5 minutes and sends the numbers to the pump which
uses that info to better control my blood sugar levels. It puts it on a graph (the line crossing the screen in the picture above) which shows me the patterns
my levels are taking helping me understand where I stand at the present moment.
It has the feel of technology at its best. I’ll find out soon!
I am
looking forward to seeing how it will work. There will definitely be a bit of a
learning curve but that seems to be coming along fine. It is very user friendly. I am looking forward to
seeing how my sugar averages will drop! Since I got the pump, I figure I have
missed about 14 or 15 finger pricks already…things are looking up and my sugar
levels are going down!