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  #1 (permalink)  
Old 04-01-2008, 04:18 PM
Scarlett's Avatar
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I am a: Type 1
 
Join Date: Mar 2007
Location: The bowels of NJ -Atlantic County
Posts: 196
Bad results

Went to the endo today..
I went from a 7.7 to a 10.5 on my A1C (quarterly, of course)
he wanted to put me on anti-depressants
i told him that nicer weather is coming and i'll be able to get outside more and play in the dirt with my plants and yard.....forget the pills!!!!!
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Old 04-02-2008, 01:53 AM
davef's Avatar
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I am a: Type 2
 
Join Date: Nov 2007
Location: Dublin, Ireland
Posts: 1,078
Scarlett,

Sorry to hear you didn't get great results. Do you know why the numbers have climbed up? Is there anything you are struggling with? I'm a Type 2 not on insulin, but if there are specific problems I'm sure some of the T1's here could help.

In relation to the anti-depressants, I would never try and convince somebody to take pills they don't need (personally I only take a pill if the Doctor is really sure I need it) but if you need some medicanal help, then do consider it. One of my friends has suffered from depression on and off for some years and told me that she doesn't like taking tablets as it labels her as being mentally ill, she said that she feels the problem with that is that she would prefer a broken leg as people could clearly see it as an illness and nothing more.

Take care of yourself, you have had your numbers down before and you can do it again!

If you need support then lean on us, we are here for you,
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Diagnosed Type II on 26th November 2007
Metformin 500mg twice daily
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Initial A1c (14th Dec07): 11.6%
15th Jan'08: 9%
3rd March'08 6.8%
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Old 04-02-2008, 02:36 AM
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Join Date: Mar 2008
Posts: 11
Hello Scarlett
I'm sorry too for increasing your HA1C.
Idon't know any thing about the reason that.but I heard that Ha1C increase at winter and there is a relation between high Ha1c and coldness.Can your high Ha1c is related to that?
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Old 04-02-2008, 03:17 AM
ant hill's Avatar
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I am a: Type 1
 
Join Date: Dec 2006
Location: Hastings Melbourne Australia
Posts: 2,231
Quote:
Originally Posted by Scarlett View Post
Went to the endo today..
I went from a 7.7 to a 10.5 on my A1C (quarterly, of course)
Hello Scarlett, I think that the Basel can do with a lift or you have to see about some exercise in your day.
Quote:
he wanted to put me on anti-depressants
i told him that nicer weather is coming and i'll be able to get outside more and play in the dirt with my plants and yard.....forget the pills!!!!!
Yes I agree with you and the endo is not a psychiatrist Sacrlett and stay away from them.
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Insulins Novorapid and Levemir.
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Old 04-02-2008, 05:15 AM
morrisma's Avatar
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I am a: Type 1
 
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Location: Landenberg, PA
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Scarlett,
That is a big jump. Do your meter logs bear this out? Winter is hard for lots of people. Spring is here and more sunlight is on the way. BTW, you live in Jersey so you must have sand, not dirt!
Mike
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Old 04-02-2008, 10:41 PM
notme's Avatar
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I am a: Type 1
 
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Location: Northern California
Posts: 5,516
Scarlett, I am sorry about your increased A1C. It can be so frustrating. Mine also went up (the last time I had one done) and I was bummed. I think you are right to try to avoid the anti-depressants. Spring and Summer have a way of making life look much better. Hopefully, with the added gardening and the desire to bike ride or walk your dog, your A1C and mood will improve.
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Old 04-03-2008, 12:07 AM
Eddy's Avatar
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I am a: Type 1
 
Join Date: Jan 2008
Location: Kansas, US
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I fail to see how antidepressants would improve your A1c. If you feel you need them, talk with a qualified professional. Otherwise... you've turned lower A1c numbers before, and probably can do so again. If something is changing in your body, I imagine that testing/adjustments would be the most logical approach.

Did you have a short period where you ran particularly high? e.g., a couple weeks of being sick with BG 200 mg/dL above normal? If so, that wouldn't do your A1c any favors; said example could account for a 1% increase.

Your profile mentions yelling at kids; I suspect you have some stress in play, too.

My two cents: Hang in there, and wait for the next one.
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DXed 2007/04 : presented with advanced-stage DKA, A1c of 12.9%, and BMI of 21.3 kg/m^2
Post-DX A1c : 5.2% @ 2008/04; 5.3% @ 2007/12; 5.3% @ 2007/08
current BMI : 25.4 (84kg on 182cm); want to get back to 23-24
basal : Levemir; 18U @ 0800, 18U @ 2200 (have also used Lantus)
bolus : 1:15 I:C ratio; varying mix of Novolog, Novolin-R, Novolin-N (have also used Humalog, Humulin-R, and Humulin-N)
not a low-CHO eater... not even close!
last updated 2008/05/09
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Old 04-07-2008, 10:14 AM
Scarlett's Avatar
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hey... thanks for the replies guys.....yes, yes and yes to everyone's suggestions as to why there was SUCH an increase

The real reasons are:
1) menopause....just started 2 years ago (I hear it takes FOREVER!!!!!!)
2) lots of highs-too many to count and no explanation...I take the NovoLog and my BS's still don't go down-i'm on a 1:15 ratio and usually take 1 unit more for the excess that leaks out when i remove the pen
3) frustration with both kids (every day is a life crisis for the 22 yr. old-she's VERY high strung) the 17 yr old incessantly plays on the computer and forgets to do anything (that aggravates me!!)
4) I secretary (support approx 15-20 people) for over 40 hrs. a week and am mentally exhausted at the end of the day...i need a vacation too!

I know there are a lot of excuses here.....but.....it is what it is.
I'm going to try to be a good girl and play in my NJ SANDBOX!!!
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Old 04-07-2008, 10:57 AM
Eddy's Avatar
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Quote:
Originally Posted by Scarlett View Post
1) menopause....just started 2 years ago (I hear it takes FOREVER!!!!!!)
As a not-yet-30 male, I don't think I can offer much advice there...

Quote:
Originally Posted by Scarlett View Post
2) lots of highs-too many to count and no explanation...I take the NovoLog and my BS's still don't go down-i'm on a 1:15 ratio and usually take 1 unit more for the excess that leaks out when i remove the pen
It's tempting to suggest another site or a longer needle. I wonder how much is actually leaking.

Also: coffee? allergies? inconsistent basal action?

Quote:
Originally Posted by Scarlett View Post
3) frustration with both kids (every day is a life crisis for the 22 yr. old-she's VERY high strung) the 17 yr old incessantly plays on the computer and forgets to do anything (that aggravates me!!)
Oh oh.

Quote:
Originally Posted by Scarlett View Post
4) I secretary (support approx 15-20 people) for over 40 hrs. a week and am mentally exhausted at the end of the day...i need a vacation too!
Sounds like a vicious circle going.

Several people on here (self included) have observed that it's more difficult to get back in range than it is to stay in range. Any chance that you could take a Saturday afternoon to get numbers in your "happy range", then try to hold it Sunday? You might need to be less available for the kids...

What's the lowest you usually go? i.e., do you have some "wiggle room" to bring yourself lower without fear of going hypo?
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Eddy


DXed 2007/04 : presented with advanced-stage DKA, A1c of 12.9%, and BMI of 21.3 kg/m^2
Post-DX A1c : 5.2% @ 2008/04; 5.3% @ 2007/12; 5.3% @ 2007/08
current BMI : 25.4 (84kg on 182cm); want to get back to 23-24
basal : Levemir; 18U @ 0800, 18U @ 2200 (have also used Lantus)
bolus : 1:15 I:C ratio; varying mix of Novolog, Novolin-R, Novolin-N (have also used Humalog, Humulin-R, and Humulin-N)
not a low-CHO eater... not even close!
last updated 2008/05/09
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  #10 (permalink)  
Old 04-09-2008, 10:03 AM
Scarlett's Avatar
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Posts: 196
[quote=Eddy;322286]As a not-yet-30 male, I don't think I can offer much advice there...
good -don't go there!!!! it's not a happy place

It's tempting to suggest another site or a longer needle.
(now there might be a good tip since i recently noticed the needle is shorter) I wonder how much is actually leaking.
(i counted 4 drops = 1 unit....sometimes the insulin looks like i'm shooting it when it's coming from me

Also: coffee? allergies? inconsistent basal action?
(yup to the coffee-nope to the allergies-what do you mean by "inconsistent basal action" it's my bolus' that are messing me up along with sitting on my a__ all day and not much of a change in sight-it's my job to wait for the phone to ring and to be there when it does!!! - i have to keep eating! i can't get another job
my activity HAS to go up


Oh oh.



Sounds like a vicious circle going. (Ya think????)

You might need to be less available for the kids...

(funny you say less available for the kids.......my daughter smashed up her car Sunday morning while hubby and I were bowling-I didn't get her frantic 4 calls and my hubby didn't get her 6 calls......less available!!!-...............mind you-she drove the car to someone's house for the next 2 hours and then drove it home........she's a bit high strung and thinks the world revolves around her.....i just get so frustrated that "she came from my loins"
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Old 04-09-2008, 10:09 AM
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Join Date: Feb 2007
Posts: 42
I feel for you, and with 64 years of Type 1 behind me I know how tough it can be.
My life has changed dramatically since I got my Decom CGM. If you don;t have one already I strongly recommend it. It is a fabulous tool to keep one's BG in check at all times.
All the best to you!
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Old 04-09-2008, 10:36 AM
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Join Date: Mar 2008
Location: Long Island
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Smile

Quote:
Originally Posted by Scarlett View Post
hey... thanks for the replies guys.....yes, yes and yes to everyone's suggestions as to why there was SUCH an increase

The real reasons are:
1) menopause....just started 2 years ago (I hear it takes FOREVER!!!!!!)
2) lots of highs-too many to count and no explanation...I take the NovoLog and my BS's still don't go down-i'm on a 1:15 ratio and usually take 1 unit more for the excess that leaks out when i remove the pen
3) frustration with both kids (every day is a life crisis for the 22 yr. old-she's VERY high strung) the 17 yr old incessantly plays on the computer and forgets to do anything (that aggravates me!!)
4) I secretary (support approx 15-20 people) for over 40 hrs. a week and am mentally exhausted at the end of the day...i need a vacation too!

I know there are a lot of excuses here.....but.....it is what it is.
I'm going to try to be a good girl and play in my NJ SANDBOX!!!
Hi Scarlett,

I think that points 1 and 2 are related - at least, from personal experience that is my take on it. My endo and the PAs in his office agreed - it has increased my A1C at times. When my blood sugars go high and I establish that it is not a momentary thing, I set a higher basal level on my pump. That works for me - I see that you are not on the pump, but can you do something similar?
Good idea to get out in the yard - I find fresh air and exercise a great help. Good luck.
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Diagnosis: April 9, 1968
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Old 04-09-2008, 11:27 AM
Member
I am a: Type 1
 
Join Date: Aug 2007
Location: UK
Posts: 356
Quote:
Originally Posted by Scarlett View Post
hey... thanks for the replies guys.....yes, yes and yes to everyone's suggestions as to why there was SUCH an increase

The real reasons are:
1) menopause....just started 2 years ago (I hear it takes FOREVER!!!!!!)
2) lots of highs-too many to count and no explanation...I take the NovoLog and my BS's still don't go down-i'm on a 1:15 ratio and usually take 1 unit more for the excess that leaks out when i remove the pen
3) frustration with both kids (every day is a life crisis for the 22 yr. old-she's VERY high strung) the 17 yr old incessantly plays on the computer and forgets to do anything (that aggravates me!!)
4) I secretary (support approx 15-20 people) for over 40 hrs. a week and am mentally exhausted at the end of the day...i need a vacation too!

I know there are a lot of excuses here.....but.....it is what it is.
I'm going to try to be a good girl and play in my NJ SANDBOX!!!
I would guess (although you say it's 1unit (ouch)) that the insulin isn't leaking and instead your insulin:carb ratio is out of sync. What pen are you using? The Autopen 24 appeared to "leak" and I replaced it with a Lantus SoloStar, it’s a better pen no doubt and doesn’t "leak" as much, but the different in bg is negligible. Maybe that’s just me. 1,3,4: I cant help you there but definently take some time out for your self, i can't imagine how hard it is to do, even if its just an hour a week to check your bg and adjust I:C. Good luck.
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Old 04-09-2008, 11:43 AM
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I am a: Type 2
 
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Location: Massachusetts, US
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sorry to hear about that. I agree... happy pills aren't the answer.
Did he change your insulin? 10.1 is tough, trust me I've been there. Just be careful bringing it down. I hope you feel better!
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Old 04-14-2008, 09:50 AM
Scarlett's Avatar
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wow-i really need to get on here more-i can't find half of the stuff i was reading 2-3 days ago!!!

AGAIN...thanks for the support...i'm looking up the CGM that doesn't link up, support and tell another machine what to do...i don't have a pump
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