Diabetes Self-Management Blog

Holy Spectacle! Did you see the race on Sunday? (Note: To somebody who lives in Indiana, there is only one race — the Indy 500.) If not, you missed one doozy of a finish!

Rookie JR Hildebrand was in the lead on the last lap, coming up on the finish line. After he rounded turn four, he ran his car into the wall — just 400 yards or so short of the finish line — allowing number two Dan Wheldon to take the checkered flag and claim his second victory at the Indianapolis Motor Speedway.

As if that weren’t enough, Hildebrand’s car — er, smashed heap — had enough momentum to carry it over the finish line to come in second. I darned near choked on my second very-low-carb beer of the day.

Of course, I was really rooting for Charlie Kimball. Don’t know who he is? Tsk! He’s the first person known to have Type 1 diabetes to race in the Indy 500. I say “known,” because race officials used to disallow drivers with diabetes. So if anybody had it, it was kept hidden. Anyway, Kimball came in 13th. But he’s only 26 and he did finish the race, which is more than most drivers do, even very experienced ones. Keep an eye on that kid.

(As a historical note, there was a driver with diabetes in 1933, but he was given the boot — after he qualified, yet, and after having finished second the prior year — when his condition was discovered.)

Aside from watching the race, and sleeping, my husband and I bought flowers and tomato plants and other things to spiff up our outdoor spaces. The tomatoes have been planted and I’ve cleaned out one patio planter for flowers but didn’t get around to planting those. I was too busy sleeping. I doubt that my grandson scrubbed the outdoor furniture as he said he would, either.

But those are all things that can easily be taken care of. My blood glucose is another, but I believe I have a good start.

After my hospital stay, when my blood glucose began plummeting and I couldn’t get my basal rates low enough fast enough, my endocrinologist instructed me to lower them by 0.5 point per hour around the clock. That worked. For a few days. Then my glucose began to climb again.

That’s happened before, when I was going through surgery and subsequent antibiotics time after time. I’d have surgery, start on antibiotics, and my glucose would plummet. When the run of antibiotics was over, my glucose would soar again. Like, the infection never left.

Well, it appears to be happening again. After my recent procedure, I was on IV antibiotics and desperately trying to keep my glucose up. I couldn’t keep it up even when I ate and didn’t bolus for the food.

Then the antibiotics stopped. And I couldn’t keep my glucose down, even when I bolused for food. I’m talking in the 200 mg/dl range after something as simple as a small banana that I bolused for.

After a couple of days of that, I determined that it wasn’t injudicious eating one evening: My basals needed to be raised. So I reversed what my endocrinologist had ordered — and raised my basal rate by 0.5 unit per hour around the clock. That seems to have done it. So far. I’d lowered my basal rate by almost that much before my endocrinologist-directed change, so there may be more increases.

As I’ve said before, diabetes is never dull. In fact, it has the possibility to be about as exciting as the finale of the 100th running of the Indy 500. It’s just that, sometimes, I feel as if I’m sliding toward the finish line in a smashed and battered heap.

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