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Posts tagged ‘accountability’

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.

Accountability.

We have a newly-minted kiddo.  That’s an established fact.  He is cleaned, fed, and loved all day long.

Here’s the problem:  I’m not cleaned, fed, or loved all day long.  It’s embarrassing to admit that, but it’s the truth.  I’m struggling hard with self-care.  And I also kind of buck up against even the admission of struggling with self-care, because parents in general are sometimes tsk, tsk‘d for putting their needs on the to do list at all.

But that oxygen mask metaphor that I used back when Birdy was born?  Applies to the little Guy, too.  I can’t take care of him, or her, or anyone if I’m off my own game.

Maybe I’m not off my game so much as I need to change the game.  Gone are the days of plotting and spreadsheeting fertility goals, and with them went the fastidious monitoring of blood sugars and doctor’s appointments.  It’s okay to loosen the reins a bit there, but I need to keep up some semblance of diabetes management.  Checking blood sugars?  On it.  Using the features of my insulin pump to my advantage, like inputting my blood sugar and carb intake and letting it calculate my insulin needs?  On it.  Keeping my CGM graph top of mind instead of succumbing to alarm fatigue?  I can do that, too.

But oh the exercise and food thing is a frigging quest.  Uphill.  In the snow.  With that Sisyphus ball thing.

I thrive when held accountable, and I need accountability in order to reignite some healthier habits.  There was a short discussion about this on Facebook last week, which led to the creation of a small Accountabilibetes group, where we’re trying to help one another stick with some kind of exercise program, and that camaraderie has been a big boost.  Even though the weather has been fuck all cold (snowed last night), I’ve been back on the treadmill the last few days, easing in with some interval training that’s heavy on the incline and gentler on the speed for now.  (I’ve started watching The West Wing, which I’ve never, ever seen even an episode of before.  Now I have seven seasons of Sorkin-saturated dialog to work through.  Should keep me entertained throughout the winter treadmill months.)  A fully-charged Fitbit helps, too, as I’ve avoided that thing for the last 12 months as well. As far as food goes, improved food choices usually follow exercise for me, so I know that I’ll battle food temptations less when I’m physically active.

So far, it’s only been a few days, but I’m hoping that a few more days will wet cement these habits.  Once that mental cement sets, I’ll be in my pre-pregnancy planning circuit and my health overall will improve.  Right?  RIIIIIIIIIIIGHT.

Before that cement dries, I need to stick my finger in it and write “It’s worth it.”  And maybe also draw a cat out of the word “cat.”

Excited About Exercise … Again?

I’m climbing up on a new bandwagon.

Oh hell yes I am, and I needed one.  Over the last few weeks, I’ve completely fallen off in terms of exercise.  I could blame the endless winter weather, or work, or the endless fuzzy hairballs that are Loopy and Siah, but the truth is, I just got lazy.  Laziness turned into apathy, and apathy turned into a bad habit of not exercising much at all.

Not cool, because my blood sugars/weight/emotions fare best when I’m active.  Sounds trite, but it’s true.

I’ve taken up with a new fitness tracker, and one that motivates me less because it’s tracking activity and more because it’s connecting me with some folks to engage in some friendly “account-a-tition” (accountability + competitiveness).  And that’s the theme of this month’s Animas column:

“… so now I had a way of tracking what I was doing, exercise-wise, and a group of people to help keep me accountable.  THIS was exactly the boost I needed to pull me out of the exercise doldrums.  Now, instead of relying on my sometimes-hard-to-find motivation, I could turn to the DOC to help motivate me.  The application, much like other fitness tracker applications, allows people to cheer one another on, and share daily workout stats.  Were my fellow PWDs logging nine, ten, … thirteen thousand steps per day?  Were they finding ways to eek out a little more exercise?  I was inspired to follow suit. “

Click over to Animas for a read, and since I needed to keep the type of tracker brand-agnostic for purposes of that column, I’ll say here that I’m using a FitBit, and if you’d like to connect, let’s do it!

Check Yourself.

Sometimes it’s not about the actual “pricking of the finger” but more the “finding out what the number is.”  Here’s a new video post about the power of knowing your numbers, in efforts to not wreck yo self.

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