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What to Work On.

I’ve gotten lazy in my diabetes management.  And I’m not proud of it.  My recent A1C result was still in my goal range but not where it was a few months ago, and I’d love to return to that level of control.  Thing is, I’ve gone soft when it comes to following through on my daily diabetes duties.

Yeah.  I’m at that point in the postpartum recovery thing:  finding ways to up my diabetes game.

I can check two things off my to do list with confidence:  I wear  my Dexcom every, single day and I also have been on top of my doctor’s appointments.  Those two things get big, fat gold stars.

Other stuff needs some grooming, though.  Here’s my wishlist:

  • Check fasting BG immediately after waking up.
  • Calibrate CGM right when it requests calibration.
  • Pre-bolus at least 15 minutes before eating.
  • Exercise 3 – 5 times a week.
  • Sleep more than 5 hours a night.
  • React faster to the high alarm from my Dexcom.
  • Rotate my device sites better.
  • Remember to eat more than coffee before 1 pm.

Hmmm.  That’s a lot.  Plan of attack for each:

  • Check fasting BG immediately after waking up.  We just moved the little Guy out of our bedroom and now he’s sleeping in his crib in his own room, so I have a little more time (3 min versus zero min) in the morning before I have to run and grab him.  I need to return to the habit of keeping my glucose meter on the bathroom counter and using it before I brush my teeth in the morning.
  • Calibrate CGM right when it requests calibration.  Ugh.  This just requires being less of a lazy tool and just checking/calibrating ASAP instead of ignoring the little red blood drop.
  • Pre-bolus at least 15 minutes before eating. This one is admittedly going to be challenging, as my schedule is a little non-scheduley these days.  My son is a busy little creature and also unpredictable, so it’s challenging to find the “right time” to do things like change out my insulin pump, eat breakfast, schedule conference calls.  But as he gets older, he does seem to be settling into something resembling a pattern, so maybe this will get easier.  I’ll try to pre-bolus.
  • Exercise 3 – 5 times a week.  This one is already going in the right direction.  As mentioned, I joined a gym and that gym has childcare, so there’s no excuse.  Except days like over the weekend, when I was away for work, or today, when the little Guy is so sniffling and booger-gross that I don’t want to bring him to the daycare and expose any other kids/adults to his germs.  We did go for a walk around the neighborhood today, clocking in at least a little bit of exercise, so that helps.  The weather warming up will help here, too.  This bullet point is one I’m putting like half a gold star on.
  • Sleep more than 6 hours a night.  OH HA HA HA HA.  The baby thinks 5.30 am is when human beings should wake up.  The early morning hours are gorgeous and I love the quiet of being awake that early, but around 10 pm my body starts to give up on doing body things, although I rarely make it to bed before 11.30 pm.  I need to work on this sleep thing.
  • React faster to the high alarm from my Dexcom.  Again, this one is something I just have to DO.  No excuses and no reason not to.  My high alarm used to be 140 mg/dL (pre-pregnancy and during pregnancy), but I’ve moved it to 180 mg/dL in the last few months.  I should be responding to 180s.  I will work on this.
  • Rotate my device sites better.  Yep, this is also a need.  My thighs have become a permanent home for my Dexcom sensors, but I am okay with the back of my hip or maybe my arm.  I’ll try to get creative.  As far as pump sites, I’ve been working on rotating those better, too.  Maybe it’s time to try a lower arm site?  (Has anyone ever done that and does it hurt??)
  • Remember to eat more than coffee before 1 pm.  Yeah, this is another whoops.  My mornings are generally a bit crazy, and sometimes I’d rather keep my CGM graph steady instead of interrupting it with breakfast.  But this is backfiring because I then get so hungry around lunch time that I eat the fridge, causing a nasty post-lunch bounce.  Moderation here.  Eat regularly throughout the day and I’ll be less likely to unhinge my jaws and devour the contents of the cupboard.

I hope writing this crap down will help up my accountability and will inspire me to keep moving forward.  If I can make one or two of these become habit in the next few weeks, I’ll mark that as a success.  Because backwards is all gross and disgusting feeling and also it looks like there’s a c-section back there and I am NOT going back to that.

6 Comments Post a comment
  1. I have not been moving back for almost .. ok maybe 5 minutes. So by my count, you are on your way to rocking the outcome.

    05/9/17; 8:54 pm
  2. Man, I am such a SLUG compared to how AWESOME u r managing!!! I’m an emptynester w no small growing beings in my house unless u count the 3 yr old dog!!!! ur list looks like mine but u have 2 Great excuses for ur non stellar D duties!!!! I’m just lazy but like u my A1C is on the high end of in range but not where I claim i would like it to be!!

    Luckily, I have said dog or I would not be walking every day w him!! So maybe I can get a gold start for at least walking several times a day!!! That’s for the reminder of what I need to get doing and also for reminding me I’m not alone…even if I don’t have a good excuse to be so lazy!!! HUGS!!! U ROCK!!!

    05/10/17; 5:49 am
  3. Katie S. #

    I did a full body cringe when you said “lower arm pump site”. Do you mean like on your forearm??? I feel so unnatural just thinking about it! Plus the tubing would pull every time you moved your arm or reached for something. Ugh.

    No thank you. (but hey let us know how that goes if you do try it lol)

    05/11/17; 10:16 am
    • Yeah, forearm. 🙂 I’ve seen others do it and I’m debating giving it a go, especially since my hips are prime real estate for carrying my son these days.

      05/12/17; 9:39 am
  4. Mary #

    No diabetic history here, but relating lots to the postpartum chaos and self care. One thing that’s really helping me with some desired weight loss is making smoothies, a blender full of protein and fruit, whole yogurt and greens and superfood powders and keeping in in mason jars with fat straws in the fridge. I drink a few swallows as I make the blessed coffee and then drink more awhile later once I’m at work. The little food boost makes for a much better morning, and is easy to manage when I don’t have a breakfast appetite and kids to get out the door.
    Love your blog, btw. Helps me (an emt) understand diabetes much more.

    05/13/17; 1:27 am
  5. Michelle #

    That list is so helpful to me! I definitely identify with the fasting BG check, exercise goals, actually responding to my alarms in a timely fashion, and pre-blousing. But I’m a nurse, and it’s so tough to pre-bolus when I barely get time for lunch. It’s also hard to respond to my alarms when my patients need me. But I need to pay more attention to what my body needs, because I have a growing little one inside now… (So excited!)

    As for pump sites, I like to use my upper back. I’ve never used my forearms. I use the backs/sides of my arms for my Dexcom. I have used my belly in the past, but I am giving that a break for a while…

    05/14/17; 9:39 pm

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