Monday, January 15, 2007

A BAD HYPO:
but here I am still chugging along and actually I am happier.

Which should we take first, the good or the bad? The good - it is more fun! I am getting out of the dumps. Here I go again analyzing why, why , why...... Some of the issues that have been pestering me have disappeared - the computer works, my cold is practically gone and we have had two days of sunny, crisp weather. It has been just beautiful the last two days. First when I returned from Sweden I was so down that I felt simply defeated by the number of blogs that I felt I had to read. I try to be Mme. Perfectionist and write good responses to other's issues and I couldn't, so I gave up..... Perfectionism can kill you. It certainly has made diabetes management more difficult for me. If I feel overwhelmed, I just give up completely. Well, I started by reading the blogs of those who had left comments on my blog b/c you guys really did make me feel you cared. I really felt that. Then it got easier as I went along. So many of us have had colds, and look we all have computer problems, so I felt "terribly whiny" and annoyed at myself. My problems were peanuts! JUST PEANUTS! In the book I was reading, The Secret Life of Bees by Sue Monk Kidd, the central character says "I preferred someone to understand my situation, even though she was helpless to fix it, rather than the other way around. But that's just me." Well that is me too! I will figure out how to deal with and solve each problem, but I need understanding and a sense of caring from someone. You who left comments gave that to me; you kindness really did help. What a kind word can do! I also have had some issues with my family - Mom, Per and the kids. In relation to my Mom I really have done all I could to give her a good holiday. I felt she wanted to plaster me with advice, rather than listening and trying to understand what was going on concerning several issues. What, does she think I am so incapable that I cannot figure out my own solutions. What I needed was understanding. I felt she understood ONLY other family members' point of view at the expense of mine. She was babying Per at my expense, and it pissed the hell out of me. OK Per has a difficult problem to deal with at work, but that does NOT mean he should be treated like some holy prince. God, every little chore she asked me to do - "oh, let Per relax..... Don't bother him, but can't you fix this for me." Meanwhile Per, he retreated into his cave! I think she understands a bit, but she is a very, very strong person. I tend to just crumple and fold up, but then feel annoyed. I understand her loneliness after my father's death and have really tried to give her two weeks of vacation from this loneliness. Then the book goes on to say, "But you cannot talk yourself out of anger. Either you are angry or you're not." So I was angry and depressed and no matter how much I told myself that my mound of problems was just plain, ordinary trivia, I remained mad and depressed. The care and understanding I felt from you guys just makes the mound melt away. I think this is why I feel better. Per HAS cheered up a bit. And we have had two days of sun. And since my cold is better I could take long walks. Skye was so happy - his ears jiggling along. So that was the good - how your kindness has helped me!

The bad, well - I have had a whopper of a hypo, probably b/c of my 2 three-hour walks on the weekend. The thing is that usually I don't get such hypos after weekends with two long walks. I woke up at 1AM early Monday morning, as I always do...... Apparently I was confused b/c rather than doing a blood test I started pushing the buttons on my pump!!!!! Not a good idea. I vaguely remember just pushing, pushing and pushing the buttons. Skye just slept on....... He is NOT trained like Molly's Dixie. I do not know why the pump "stopped"" - but when it started beeping I couldn't figure out how to get it to shut up, so I had to wake up Per. Then I passed out - although it seems somewhere along the line he got me to drink 60ml of coke. I woke up again and realized that I had been doing stuff with the pump - and yup I managed to give myself a correction bolus of insulin, albeit only 0.15U. Thank goodness I have a limit set so that no more than 6U can be given in any given hour! Use this function. You might get yourself in the same situation as me. I am purely guessing, but I think I was in the 20s b/c I have often had 35 and I can treat myself. I do not pass out at 35. I call hypos bad when I need someone else's help - this qualified as such a hypo! By 3AM the bg had risen to 145. I made a calculation. Insulin resistance began to occur two hours after the hypo, and it continued for ten hours, through noon today. During this time I needed 38% more insulin. This insulin was NOT needed b/c I ate too much for the hypo. All I had was the 60ml of coke. An hour after the hypo the bg was fine at 64. After lunch today my bg values are acting normal again. Well I survived. There is no understanding why this happened this particular night. Sure, I did walk during the day, but I often take such walks. I survived. I am fine - but this was a bit too close for comfort and SHIT, what was I thinking? Why was I pushing the buttons on the pump? I think it was that I confused it with my bg monitor! I know I was not trying to turn the pump off - I never think of that. It never even occurred to me that I was low. Yuck!

Question: have you read about how too low LDL, perhaps by taking statins, can be harmful?!!! My LDL was 15!!! Before I got the pump my total cholesterol was high, primarily b/c the HDL has always been very high. HDL is the good cholesterol. Nevertheless, I was then told to take 20mg of Lipitor. This has been reduced to 10mg. My last test had HDL-134, LDL-15, Triglycerides-44 and total cholesterol-157. I recently asked my endocrinologist if I could just stop taking them b/c perhaps the values were getting TOO low. "No, no, no - don't worry", I was told. Now, today in the paper I read that a study shows that low LDL can be related to Parkinson?????!!!!!! OMG, but it was only one study! Whom do you trust? The poor doctors do not have all the answers!

I also read an interesting study that explained why diabetics develop hypo unawareness. A hypo normally makes the body react with epinephrine, cortisol and other bg raising hormones. However, this causes toxicity. Your body is merely trying to avoid this toxicity, and therefore you do not produce these hormones so easily........ The body is truly amazing!

5 comments:

BetterCell said...

"No, no, no - don't worry", I was told. Now, today in the paper I read that a study shows that low LDL can be related to Parkinson?????!!!!!! OMG, but it was only one study! Whom do you trust? The poor doctors do not have all the answers!

Trust Yourself!!

Scott K. Johnson said...

Hi Chrissie,

Glad that you are pulling yourself out of the dumps. We all go through it sometimes, and sometimes we just have to let it be. We wouldn't enjoy the good so much if there weren't little bits of bad here and there. Still doesn't make them any easier to tolerate though.

Scary hypo indeed! I've heard that the insulin resistance that you experienced may be as a result of those hormones you mentioned. I once heard a speaker say that the goal of diabetes management was "to keep BG's as close to target as possible and AVOID LOWS" - just because all of those hormones play such games with our insulin sensitivity. Who knows?

I'm no expert in terms of the LDL stuff. I know mine were quite low for a while too (22, 21, etc). These are the ones that they say are supposed to go UP with exercise! I was (am) playing basketball 3-4 times per week! What more do you want!

I figured it must be my diet, and started adding in a little bit of real butter, a small glass of red wine, etc. Little bits of this and that - the body NEEDS a bit of cholesterol. Not sure about you, but I think that was the key for me. Last time I was in they had gone up to forty-something, which had the doctor feeling good about things. Again, I'm no expert.

Take care Chrissie - see you around the blogosphere!

Molly said...

Chrissie.
So sorry about the hypo. Wish Dixie and Skye could get together and share stories. Wouldn't that be cute! :-)

Glad that you're feeling better. Seems like you have the right attitude to get yourself to the right place. Keep plugging along...

It's 13 degrees here today (in Minnesota) with a windchill of about -20) It's super cold and makes me jealous of your weather. Dixie loves the snow! She has been trying to vacuum it up with her nose. She comes inside looking like she has a milk mustache.

Minnesota Nice said...

Chrissie - I agree 100% that just one kind word has tremendous power.

Glad you survived the hypo. Even though I keep glucose tabs all over my bedroom, if I'm really low I still go to the kitchen to look for them - my brain circuits just go haywire.

Several months ago my clinic started doing the routine blood work before your appointment so you could discuss the results with the doctor. He said they wouldn't be sending follow-up letters so I took out my pen so I could write down all the lab values. He looked at me like I was a crazywoman and said "what are you doing, keeping a written record of all this?". Yes, that's exactly what I was doing. He said the information was of no use to me because I did not know how to interpret it. What does he think I am, stupid?

Glad you like The Secret Life of Bees. I think I might have to read it again.

-K

Chrissie in Belgium said...

Barry, you are absolutely right. I have this philosophy concerning my diabetes management, but I am well educated concerning diabetes. I do not know alot about cholesterol. Common sense suggests that I try a few months without the Lipitor and see what happens to all my cholesterol values. On the other hand I do not have the self confidence to do this without first speaking to my endocrinologist.

Scott, yeah I often think wouldn't it be nice to be a cool, calm collected gal! However when I think honestly about this, I must admit that no way will I forgo being an enthusiastic person who loves life. One cannot have just the happiness without the sadness - as you say. I definitely agree that such severe hypos are to be avoided b/c they cause havoc and higher bg values later, but they cannot be totally avoided. The balance is so difficult. My bg values never got above 150 during this entire "event", but lots of tests were required to carefully monitor what was happening. Then last night, ie the night after, I again needed more insulin. Other people have noted that one's body seems to remember the day before and repeat itself. Although very weird, that seems to be what happened last night. There is no logical explanation for the higher tests last night, and my subsequent need for more insulin, albeit only 1.75U. (Remeber my TDD is only about 14U!) About cholesterol - did your doctor judge that LDL, and that is the cholesterol that everyone says SHOULD be kept low, can be TOO LOW? Did he say that 22,21 was TOO low? Again, think if we understood this whole thing. You get tons of exercise, but a diet low in saturated fats must be the most important factor in determining our cholesterol values. I am also 100% sure that well controlled diabetes brings the LDL values down. This is what I have seen. Although mine were never high, they did get lower with improved HbA1c values.

Kathy, OMG don't the docs realize we are not total morones, that we actually think a little bit, that we do not just "follow their instructions"! OMG! Yeah I really liked the Secret Life of Bees. It had wonderful lines and it beautifully immersed the reader in the racial struggle occurring during the 60s in the South. The marvelous twirky way these "bee-women" made their life beautiful with "bee celebrations". I believe it showed how religion should/can be used to enhance our lives. Most often religion seems to be just to cause pain, struggle and fighting! May's "wailing wall" was so poignant, and I loved her marshmellow-grahamcracker roach paths and the "light-my-fire" dessert.

Oh Molly, think if Dixie and Skye could meet...... God, I smile and just the thought makes me happy! Dogs - THEY ARE THE BEST! I think about how I love Skye and then I think how attached YOU must be to Dixie - not only do you love him but also the bond must be so strong when he helps you so. Skye does react a bit different sometimes when I have bad hypos. Once the bakery women saw me just standing out on the street, confused. She noticed that Skye kept nudging me, trying to get my attention. Don't wish for soppy Belgian weather. Here it is gray and rainy 80% of the year.... Plants are happy! Cold, clear, sunny weather topped with sparkling snow - that is the best!

Dare I ask??!! Have you guys met???Scott, Kathy and Molly - you all live in Minnesota. You are neighbors! Lucky ducks!