Gizmo aka My Insulin Pump Comes Back

It wasn’t a weekend of firsts. It wasn’t a weekend of lasts. But it was a weekend that changed my outlook on this whole “diabetes” situation.

I did more than survive a weekend without Gizmo, my insulin pump. I re-learned the challenges associated with counting carbs and calculating insulin dosages and how to listen to my body.

Sunday and Monday were good examples.

On Sunday night, my blood sugar felt high (159), but not high enough to warrant a correction dosage of one unit (the lowest increment my flex pen will allow). I had a vague recollection my syringes were divided into 0.5 increments. I only needed a 0.4 unit correction dosage.

I looked at the needle on the syringe – not much longer than my flex pen; I could do this. Now how do I get insulin from the vial to the syringe without breaking the needle? The last time I used a syringe was four and a half years ago, right after I was diagnosed.

Apparently, I needed to unscrew the bottom of the syringe to access the plastic extension that would allow me to fill the syringe. I couldn’t fill it to the 0.5 mark. How would I get out the air bubbles? I used the same method I use for the plastic vial I attach to my pump. I overfilled it and then used the extra space to rid of the bubbles.

Now I will just inject myself with the 0.5 increment and dump the rest back into the insulin vial, I thought. However, as soon as I inserted the needle into my skin, I realized how stupid this was, how easily I could accidentally inject myself with all 15 units of insulin. That means I would need to eat 300 grams of carbs to make up for it, which would totally defeat the purpose of this. Continue reading

My Weekend Without Gizmo: Day 2

8 a.m.

I contemplated getting up even earlier this morning to drive to work and pick up my pump supplies, but then I decided it would be more worth it to stick to my original plan and live a weekend with pens and needles.

Today would be a true test, too. It wasn’t like any other Saturday. I had volunteered to plant trees at Farring Baybrook Park with the National Aquarium and TreeBaltimore. The event was supposed to last five hours – that meant five hours in the cold, doing hard, physical labor.

I would need to make sure my blood sugar didn’t drop, but I also didn’t want it to remain high – I didn’t want to feel constantly thirsty and have to pee every 10 minutes. I checked my blood sugar. It read 83.

Wow, I was impressed it stayed stable overnight. I shouldn’t be. After all, I had taken Lantus (long-lasting insulin) injections nightly before the pump to keep my blood sugars stable over a 24-hour period.

I drank half of cup of “green” juice. I didn’t feel like eating. The event organizers promised granola bars, but they would be full of carbs and sugar. How would I take insulin? Wouldn’t I have to take too much insulin depending on the carb ratio? Maybe I would just wait to eat the hard boiled eggs (devoid of carbs and full of protein) I had packed when I felt hungry?

They encouraged us to bring lunch, but I was out of any “to-go” options so I brought a hodge podge of snacks: granola, crackers, hummus, and Gatorade. Continue reading

My Weekend Without An Insulin Pump

When did I become afraid of needles? As a diabetic, this seems like a silly question.

But this past weekend, I decided to put Gizmo (my insulin pump) on the shelf and attempt to live off insulin injections via needles. It wasn’t my initial plan, but after a mishap involving leaving vital pump supplies at work, I decided to test it out.

Gizmo’s been by my side for the past two years. What would a day be like without it?

Day 1

When I twist my needle onto a flex pen I still happen to own after two years that still happens to have effective insulin in it, I feel nervous. I wet the skin around my belly button with an alcohol swab and wait for it to dry. The needle seems longer than I remember. At least it is shorter than my other back-up method – the syringe.

I used to do this for two years before I had Gizmo. Was it really this hard? I’ve never been afraid of needles. In fact, I was the kid who wanted to look when the nurse injected me with my annual shots so I knew when the pain was coming.

I know I’m less likely to feel pain if I inject into the fat around my stomach rather than my muscled thighs, skinny arms, or butt. Yes, but doesn’t my butt have the most fat, you may ask? That’s not something you need to know, but really the reason I don’t attempt this area is because it’s too difficult. Continue reading

What Do You See?

I squinted at the Word document on my laptop while I drowned out the noise of Xavier University’s campus center. I sat back in my cushioned chair within the study area of the third floor. It was my last finals week as a senior in college.

I increased the document size to 200 percent. There. I could finally make out the words of my American Literature class essay. Had this diabetes diagnosis changed my vision forever? I had somewhat poor eyesight before being diagnosed with Type 1 diabetes a week prior, but I wore contacts on a daily basis. It never interfered with everyday tasks.

Second to my father, I am the only one in my family who needs glasses. Now that my mom is older, she’s turned to reading glasses, but both my younger brothers have perfect vision. I started wearing glasses at 16, just so I could see the white board in class. When I competed in cross-country races, I ran blindly (well not really, I could see in front of me just not at a distance).

In college, I made the switch to contacts. My pupils are so large it is impossible to drive without sunglasses, and the frames I propped over my regular glasses to shield the sun weren’t doing the trick. What a difference contacts made! But then four years later, they didn’t help at all. Continue reading

Numb

It happened again. The numbness in my feet. First my right foot went, then it crept past my ankle to the lower part of my calf and repeated with the left leg.

I was almost home, just made the ninety degree turn around Baltimore’s Inner Harbor. The rich condos of Key Highway approached me on the right. The sunset illuminated the green water to my left. I wondered if I could finish the rest of my run on numb feet.

This was the second time in a month, the first time in 10 years.

It first happened in high school at the end of cross-country season. I was training for the next season, running on ice and snow in the Highland neighborhoods of Louisville, KY. It only happened when I ran on pavement as opposed to the green grass of cross-country. But there was no bluegrass to run on when winter arrived.

I managed the winter season on numb feet. But with track season approaching and my problem ceasing to disappear, I approached my coach. I was far from the fastest runner on the team, but that season I had trained harder in the hopes of surpassing my goal of a nine-minute mile.

My coach didn’t care that I wasn’t the fastest, that I would not contribute to the team’s ranking come state finals. He cared that I did well. That’s why after each race when he announced who he thought the MVP’s were, sometimes they would be slower runners who had shown determination and major improvement even if that improvement was the difference between a 30 minute and 28 minute 5K. We loved and respected him for it.

I hated running before I started cross-country in high school. So why did I join? Peer pressure. My friend at the time asked me to. But being a part of that team changed my perception of running. I love it till this day no matter how many injuries I sustain. I don’t know what I would do if I ever tore my ACL. Knock on wood. Continue reading

Memory Loss

A correlation between long-term high blood sugars and memory loss?

A new study from Germany looks at the effects of diabetes on the hippocampus. The verdict: maintain a healthy diet and exercise to regulate blood sugars and keep a healthy brain.

This sounds like a no-brainer, but what about those who feel less able to control their blood sugars?

When something goes wrong with the body’s ability to regulate glucose levels in the blood, the brain is not able work as well as it should, says Keith Fargo of the Alzheimer’s Association.

Almost makes me wonder what kind of impact those hypoglycemic seizures really had. Will I forever be paying for one lapse in judgment, for overestimating my insulin to carb ratio and suffering a concussion as a result? I hope not, and the neurologist didn’t notice any changes in brain function, but who’s to say that won’t change down the line.

Researchers noticed that the size of the hippocampus was smaller for those participants with higher blood sugars. Continue reading

Falling Like Flies

Sometimes, I look at everything I worry about, and I laugh.

Sometimes, I want to be happy for the sake of being happy so that if I died tomorrow, I would enjoy this one moment of life.

Sometimes, I wish people bothered me less. Why do you need to say “hello” every time I pass you on the street? Why do you feel the need to smile and call me “gorgeous” and when I don’t respond, keep talking like it’s my loss.

Sometimes, I wish people bothered me more.

Just yesterday, a friend of mine found out her landlord passed away from cancer. She was diagnosed a few months ago, complaining of stomach pains, but by then, the cancer was already at an advanced stage.

Just this past week, a colleague of mine doubled over in stomach pain and made it to the hospital. He’s been on bedrest ever since and has lost 10 pounds in the past week. He’s over 90 so the stakes aren’t looking good.

On this day, four and a half years ago, I was admitted to the hospital, having seen the doctor for a severe yeast infection. I came out with diabetes. Continue reading

Over My Head

“Maybe the only way to move up is to BE in over your head,” she says to me in a parking lot.

I followed a colleague of mine into the 60-degree sun to tell her about a recent job interview I was preparing for. She referred me to the job. I wanted the job, but I wondered if I would look like a fool, if my presentation to the VPs would somehow misrepresent my good work ethic and detailed organizational manner.

My colleague disagreed.

“Do you want to keep doing the menial tasks you do now? This is your way out.” It’s true. I am comfortable where I am now, but I’m not going anywhere. There is no room for growth, and in the year that I’ve continued to ask for a promotion, I’ve been denied.

They keep hiring on other employees, though. I’m still contractual. They say it’s because they don’t have the “funding.” I started a master’s program in industrial/organizational psychology. I know what “less than valued” means.  Continue reading

Because I Have Type 1 Diabetes

I don’t know how I ended up here. 

“I submitted my payment two weeks ago. I just want my member ID cards. I’ve been covered since September 1st,” I say.

I’ve come directly from school, my backpack still attached. The insurance representative in front of me is wearing a white coat (I don’t know why). Her dark hair and pale complexion remind me of one of the robots from the movie, The World’s End.

“It takes 7 to 10 business days, sometimes more, for the initial payment to process,” she says matter-of-fact.

“But you did receive my documentation of continuous coverage?”

“Yes,” she says and then drops the bomb, “But we have a new rating system. If you don’t meet our health standards, and because you’re diabetic, you probably won’t, we don’t have to cover you.” Continue reading

Screaming Babies

Tracy-Year-One012-webSomehow, I have found myself surrounded by pregnant women—the neighbor down the street, my supervisor across the hall, former college friends—everywhere I turn, people are having babies.

At 26, that should make me happy, right? My family asks when I’m next. Are there marriage talks in the works with my boyfriend of three years? Yes, it’s the first stable relationship I’ve had, one that even survived 21 months of long distance, but that doesn’t mean I’m ready for marriage.

I don’t even know if I want to get married let alone have babies. I feel like a family slows a woman down, that if I want to accomplish anything in terms of a career, I must put the idea of a family on the shelf and hike it up the chain solo. But everywhere I turn, women are asking how can they do both? Can’t we have it all? What if I don’t want it all?

A week after I was diagnosed with Type 1 diabetes, I met with my nutritionist for the first time. Continue reading