Showing posts with label low blood sugar. Show all posts
Showing posts with label low blood sugar. Show all posts

Thursday, August 30, 2012

Slight Deviations

As mentioned previously, I often hate this diet. It's more of a love-hate relationship really; I love feeling better, achieving health goals, being off insulin (though I may adjust that this week; I don't love my morning highs - but I'm worried about daytime lows! Damn you faulty pancreas!). When I find a delicious meal that works I'm happy and I love that too. It's the many forays into NON delicious meals and all the work it is taking to build up a usable collection of delicious meals that I hate.  I am also none too happy about cravings. I don't hate that part because I know this is temporary and I'll be able to have many of those things (in moderation) again in the future (or some variation of them if I do end up with gluten or other food allergies). I mostly hate the work and hate the times when I put a ton of work in only to end up with food I really dislike.

So. There have been some rough times and some sad times. There have been some low blood sugar times and some low energy times. Especially when I had my period last week... my energy in the afternoon was REALLY flagging. I was worried I wasn't getting enough carbs and for a few days in a row I was just headachy and exhausted all afternoon / evening. It may have been menstrual cycle related, or it may have been that I just wasn't getting enough of what I needed in my diet. I mentally examined my habits and made a few decisions:
  • I will make sure I am eating a salad at lunch and at dinner, to try to get extra vegetables in
  • I will make sure I'm eating some berries with my breakfast
  • I will, in addition to being allowed 1/2 cup of berries a day, also allow myself one apple or one pack of GoGo squeeZ applesauce (or equivalent) each day
I had considered adding in a grain (like rice) or one starchy vegetable a day, but I'm most likely to eat those at dinnertime, and my low energy and headaches were starting mid-afternoon, so I decided to go with the apple and eat it around lunchtime or as my afternoon snack (with protein - typically peanut butter, or a couple slices of roast beef or ham).

So I have now allowed myself two deviations from the Advanced Plan.
  1. I allow myself one Larabar a day - they have dates in them, equivalent to 1/4 cup of fruit. I only eat the Peanut Butter Cookie or Blueberry Muffin varieties for now.
  2. I allow myself one apple or equivalent each day.
Finding a snack / meal bar that doesn't have lots of sugar or funky additives is not very easy. I've been pretty happy with these though. Except I'm disappointed in the cashew ones... which is sad because I love cashews. But they taste baaaaad.

It's amazing how much happier I am with just these two small changes. It makes it a little easier for me to be adaptable too. Also I don't have that low-energy, dragging, headachy issue. My period ended on Monday so it's hard to say which one was the problem - needing some carbs in the afternoon or hormones. I suppose I'll find out when my cycle comes back around in a month!


I try very hard to listen to my body and figure out what cues it is giving me. Sometimes there's a lot of trial and error in that, but I think it's important.

I did my journaling even though a certain kitten did NOT want to let me finish (AND wanted to steal my breakfast too!)



Saturday, August 25, 2012

Health Progress - Numbers And Such

As of 9/23, from this post:

Weight - 219
Waist Size - 46.25"
Blood Pressure - haven't tested since last time
BMI - my BMI is 35.3. I'm still obese!
Waist To Height Ratio - .69 (This website says "Take Action!")
Hemoglobin A1C - haven't tested since last time
Cholesterol - haven't tested since last time


Insulin- my sugars were creeping a little higher than I liked; fine during the day but getting too high for my fasting. I have added in one shot, my Levemir (slow acting insulin). I am currently taking 25 units each night. My fasting is better - some days ok, some days too high. Daytime blood sugars have still been fine. I continue to monitor regularly.

Current clothing sizes - shirts extra large. Pants size 18. 

Picture from 09/22/12.

 As of 8/24/12, from this post, here are some numbers:

Weight - Right now it is 222. A month ago it was 229. At the beginning of this year it was 236.4; the most I've ever weighed.
 Height - 5'6"
Waist Size - Right now it's 47.5". At the beginning of the year it was 50.5".
Blood Pressure - I used a machine to test it while we were on vacation. It was 105/70 and my pulse rate was 78. In June it was 126/7- with a pulse rate of 80. In May it was 122/80.
BMI - my BMI is 35.8. I'm obese!
Waist To Height Ratio - .70 (This website says "Take Action!") Dr. Hyman says "this number is a better predictor of diabesity, heart disease, and risk of death than almost any other number."
  • my last Hemoglobin A1C ( a few months ago now) was over TEN. Abnormal is greater than 5.5. Ten is REALLY out of control.
  • My total cholesterol, last time we tested (a few months ago), was 257 (ideal is less than 180). My HDL cholesterol was 44 (ideal is higher than 60). My triglycerides were 460 (ideal is less than 100).
  • I've got fatty liver disease.
  • We tested my thyroid last spring and it came back normal.
Also I'm not currently taking ANY of my insulin (I also stopped my Victoza) and my blood sugar has been good. I'm testing multiple times throughout the day and the numbers are always between 100 - 120. My fasting blood sugar is too high; it was 154 today, and 160 yesterday.

08/25/12; my friend Leslie on the left (she's lost 102 pounds this year!), me on the right.
As of 07/19/12 I'm 7 pounds down and my blood sugar is under control. I still have a long way to go, and it's slow going so far, but I'm seeing bits of progress and that's encouraging.

At my friend Tina's wedding, June 2012.

Tuesday, August 14, 2012

A Holding Pattern

Diet update, for those playing along at home:

We got home from vacation late Sunday night / Monday morning (a bit after midnight). The entire time I was on vacation, I stuck to the preliminary week instructions of "no sugar, no flour, no caffeine, no alcohol". I was going to start the official six weeks while on vacation, but the rest was so difficult to stick to while out of my element (and while in the South where everything is battered and deep fried and delicious OMG) that I decided to just stick to those rules until after I got home, was back in my own kitchen, and had a chance to grocery shop and stock up for the 'official' plan. I didn't count calories or anything, just stuck to the rules, and it turns out I lost four pounds in the ten days we were on vacation. I ate whenever I was hungry and stopped when I wasn't. Four pounds in ten days... VS seven pounds in FOUR MONTHS when I was counting calories and exercising. I felt a lot better too (with the exception of some cravings at first and some occasional bitterness over not being able to eat delicious vacation foods... but not TOO much bitterness because I know how those foods make me feel!).

I didn't really drink that bottle of SoCo, I just *wanted* to.
So I grocery shopped yesterday and came up with a rough outline of things I can eat for each meal and snacks. Now, in addition to no sugar, no flour, no caffeine and no alcohol, I'm also on no dairy, no fruits (except 1/2 cup of berries a day), no grains of ANY kind, and no starchy vegetables. It's not a perfect system... there are some questions the book leaves kind of ambigious (for example, no sugars of ANY KIND, but then raw honey is in quite a bit of the recipes? So I guess it is OK?) and I'm just trying to use common sense and pay attention to my body. Started today, and already had low blood sugar this afternoon. I'm hardly taking any daytime insulin. Likely going to have to adjust down soon. This is a good thing, but it's a scary process overall.

Another complication: our nephew is staying with us for ten days. He was on vacation with us in North Carolina, drove back home with us, and will be flying to his home in Texas next week. So it's kind of like having another ten days of vacation on my hands. I have some advantages - I'm home, we're not eating out as much, I can cook more and control many of my food choices. Some of the vacation 'disadvantages' are still present though - I'm entertaining another person most of the day, we're going out a lot and trying to make it a fun visit for HIM, my entire schedule is completely thrown off.

Finally, I feel guilty making all these 'weird' dietary changes and dragging the kids along. Especially my ten year old nephew who doesn't know us terribly well (he lives in Texas; we live in Illinois; we don't get to see him very often) and who just wants, say, a bowl of cereal for breakfast. I'm trying to strike a balance between having healthy but still kid-friendly things in the house (cereal and milk for breakfast, bread for lunch sandwiches, etc) and steering them towards the new diet I'm on. Aside from feeling a bit guilty for just springing it on them, I'm also left wondering how healthy it is to restrict foods so much from young kids. I will have to read up on that some more. The severe restrictions won't be for terribly long so it's probably OK in the short term, and as I just noted I AM keeping some things in the house for them that I am not eating, but it's definitely a challenge to be the main food and meal provider for an entire family when we're not all quite on the same plan.

I haven't even had time to revisit the book itself and see what other things I'm supposed to be doing. I've got the food rules down pretty well because I planned that out before leaving for vacation. I know there are things like exercising, meditation / relaxation, and supplements I'm supposed to be integrating at certain points... that's all going to be difficult with my schedule being so extremely thrown off the next week. Hell, we haven't even finished unpacking from vacation! My husband went back to work right away, and he hurt his back really badly a few days ago (not sure how; he thinks it might be a pinched nerve), so the poor man just wants to Ben Gay and lay down when he gets home. I've been trying to entertain the kids AND make new meal plans AND grocery shop for a whole new food lifestyle (I spent a lot more time grocery shopping yesterday than usual!) AND get the kids registered for school AND get all the school shopping done today AND cook a bunch of new, healthy meals with ingredients I'm not familiar with. I trashed my kitchen, it's still recovering, and while I got caught up on all the vacation laundry, I have at least half the bags left to unpack. We'll be out and about the next few days exploring the city with my nephew; I just don't feel like I'm going to catch up anytime soon!

Next Wednesday he flies home AND my kids start school. So while I'm going to continue following the food rules, as far as the rest of it goes, I think next week is really going to be when I am back on a mostly-sane schedule and will start 'officially' counting the six weeks and doing all the other things he says to do.

Right now it's all I can do to stick to the food rules!

Friday, July 27, 2012

Week One, Day One, Post Two

Whattup bitches, I am back! It's been a really strange afternoon of cleaning, being defriended by old friends because I had the nerve to have an opinion, talking about issues all over Facebook (general rule of thumb is that Facebook is for frivolity but sometimes I just can't help getting into a serious discussion, even if it makes me want to slap myself upside the head), and all kinds of crap. Let's get back to THIS important issue... getting healthy!



Step three, connecting to my motivation. Right. We've already established that I am READY. Bring this on.

Step four: identify and overcome obstacles
What are your obstacles? 

  • I'm worried that I won't be able to do it. It's a huge change and I'm afraid I'll cheat too much and won't make it through.
  • I'm worried it's not going to work. I am having so much trouble losing weight and getting off my medications that I'm afraid it just won't happen no matter what I do.
  • I'm worried that I'll never be able to get off my diabetes medications.
  • I LOVE food. Especially white flour and sugar and dairy. MILK. I drink tons of milk. I'm supposed to cut those things out cold for at least six weeks??
  • Pretty sure I'm addicted to sugar. I've made a lot of dietary changes over the past six months so I don't eat nearly as much as I used to, and I don't have cravings like I did, but I think this is still going to be tough.
  • We rely on convenience foods a lot. Switching to making food at HOME convenient is going to be difficult.
  • We have very busy schedules. We eat out a lot because we get home late, or are running around during mealtimes, and I haven't managed to figure out how to combat that problem even with trying to eat healthier. I'm going to have to do a lot of planning ahead. That hasn't worked in the past and I'm concerned I won't be able to make it work now. 
  • This isn't really an obstacle because I can still get my hands on a good deal of reasonably healthy foods BUT we don't have any good healthy food stores around us. No Trader Joe's. No Whole Foods. Our grocery stores don't have the best produce departments. Not a lot of locally sourced foods. Even our farmer's market sucks.
  • I've tried to lose weight and change my habits since I was a teenager and I've just failed time and time again. 
To combat that, focus on what is important to you.
  • Feeling well
  • Having energy!
  • Living a long vibrant life
  • Spending more time with my family
  • Being more present and ABLE for my kids
  • Having another baby
  • Working through my bucket list and my million dreams
  • Starting the Not House / Spookytown
  • Getting my sex drive back!!
  • Doing cross fit!
  • Being proud of the way I look
  • Traveling
  • Writing
  • Finally getting organized
  • Doing fun things like Color Runs! And Triathlons! Warrior Dashes! Zombie Runs! Maybe even a marathon one day...
  • Fit comfortably on roller coasters and amusement park rides. Not have to worry about being too fat or too heavy.
  • SURVIVE THE ZOMBIE APOCALYPSE!!
What are the top three things you do that hold you back from your health and weight loss goals?
  • Continuing to eat processed, poor-quality, sugary, white flour foods.
  • Not getting enough sleep.
  • Not getting enough exercise.
What are the top three emotions or mental habits that keep you from your health and weight loss goals?
  • I worry so much that I'm not taking adequate care of my family that I fall apart sometimes and just give up in the food prep / making department.
  • I get bogged down with anxiety and sometimes even depression.
  • I don't know how to juggle everything and I struggle with putting myself first.
How would you be different without that baggage?

I'd be freeeee, free as a bird! Honestly I can't even comprehend the idea of being free of all that. If I changed the first three things I know I'd feel much better. I don't really understand how to change the emotional habits. I guess that's why I go to therapy. I really do think I'd feel more confident, more capable, happier, more alive. Freer, more able to make my own decisions and to make good choices in my life... things that would make me AND my family happy.

Are you really too busy to change your habits and life?

Once upon a time I thought so. Then I got so sick (this year) that I could barely get anything done most days. I know now that if I don't MAKE the time to change my habits and my life, it won't matter because I'll either be too sick to do anything else OR I'll be dead. My health has to be my number one priority. I still struggle and I still have a lot of days where nothing else gets done but I do my best to make peace with them because I'm doing things for ME and if I don't, it won't matter anyway. Doesn't matter if you did the laundry instead of exercising if you die of a heart attack the next day.

What are some behaviors, habits, and relationships you could choose to engage in that would give you energy and mental, spiritual, and physical health?

Oh gosh. Making better food choices. Exercising every day. Getting enough sleep at night. Engaging with my family fully every day. Guided meditations for stress relief. Walking with friends and family. Spending time with friends that have similar goals to mine, friends that have lifestyles like the one I aim to achieve.

What motivates you in life? What makes you want to wake up each morning? What is your life's purpose?

I listed some of that above in the 'what is important to you' section. My family. Taking care of kids. I'd like to foster kids one day. Helping people. Starting Spookytown / the Not House

How does being overweight or ill diminish or detract from your life's purpose?

I can't do it. Plain and simple. I'm so tired or feel so terrible that I can't seem to get anything done. Some days I don't even have the energy to engage with MY kids, my family. Some days it's all I can do to just take CARE of them. It's not any kind of life.

How would following this program and getting well allow you to fulfill your life's purpose more effectively?

I dimly remember a time in my life when I had a lot of energy. I used to do all kinds of things. I was busy all the time. And I LIKED it. I miss feeling that way. I miss filling my time with activities, experiences, joy, love, jobs well done. If following this program actually made me well again, actually gave me energy and helped me feel like a healthy 33 year old SHOULD feel? I'd be so happy I would probably cry. I could get SO MUCH MORE done each day. I can barely comprehend it.

Step five: identify your health and weight loss goals

My Health Goals
What physical or health problems do I want to heal from and how will I achieve that?
  • diabetes
  • anxiety / depression
  • chronic bronchitis / COPD
  • GERD / hiatal hernia / loads of fairly regular stomach problems
  • chronic fatigue
  • lack of energy
  • insomnia / poor sleep
  • chronic itchy hives on hands and feet
  • high cholesterol
  • fatty liver
  • chronic sinusitis
I'm hoping I will achieve that by following this program, continuing to eat healthy, losing weight, exercising more.

What is my relationship to food and how do I want to nourish myself?

Food is comfort. Or rather, food has been comfort for much of my life. I've been growing away from that for several years now, slowly, and working towards 'food is fuel'. Food is also enjoyment, companionship, a bonding experience. Food is love, something to make and share with friends and family.
I want to nourish myself by serving the best quality foods possible. I want to work towards local fare, healthy meats and produce, minimally processed. I want healthy foods that taste good. I want to share delicious, life giving meals with friends and family. I want us all to be healthy and to know that the foods we eat play a significant part in that, and that 'healthy' food is also delicious food.

What is my relationship with my body and exercise? How can I change that?

Exercise is more of a struggle as I've gotten older, especially with the diabetes, because I have to be mindful of low blood sugar. Also it's harder for me to jump right into more demanding activities than it used to be. I have found a lot of forms of exercise that I like though. I sometimes have trouble making the time to exercise because I let other things get in the way. Lately I have trouble exercising with regularity because I don't always feel very good. Sometimes I let that be an excuse too. I can change that by making firm commitments to myself and sticking to them.

Do I prioritize quality sleep? What will I do to get enough sleep and recharge my body daily?

Sleep is hard for me. I LOVE sleep, don't get me wrong. I have been a 'night person' my entire life. I love being awake at night, I love sleeping late in the mornings. I enjoy the night and the dark. It has always felt natural to me to be more of a 'third shift' kind of person. I've struggled with the fact that most of the world doesn't operate like this for YEARS. My children are young and I have to go through school with them all over again now. I hate to accept it but I'm trying to come to terms with the fact that I might just have to work like hell to change this late night habit and become more of a morning person.
This year I've had a lot of trouble with insomnia. Even though I've always been a night person, I never used to have trouble falling asleep once I went to bed. Now sometimes I go through elaborate rituals to fall asleep and I still can't. It's very frustrating and I know I am not getting enough sleep.
I will try to stick to more rigid sleeping and waking times. I will try to follow my bedtime / relaxation routine every night so that I can get in the habit of sleeping easily.

How do I feel about my weight? What changes will I make to love my body rather than fight with it? What are my goals?

I hate my weight. I am fatter than I have ever been and I really despise it. I especially despise my stomach, which is bloated and heavy and pregnant-looking. It's hard for me to make changes to love my body because I'm so ashamed of it. I will try to treat myself nicer. I will try to buy better-fitting clothes whenever I can (I've dressed like a slob for years because I don't know how to outfit this body). I want to not just lose weight but also tone my body and be strong. Fit. Energetic.

My Psychological and Social Goals
Am I anxious, depressed, or angry? Am I a glass half-full or half-empty person? What thoughts and beliefs keep me stuck? What will I do to find out the source of my feelings and be the person I want to be?

Anxious, yes. Often. Depressed, sometimes. Angry, more often lately than I'd like to be. About a lot of things I am a glass half-full person. I struggle most with my health, weight and self image though. I'd say the obstacles I listed above are largely what keep me stuck. I'm also concerned that the amount of insulin I am on is keeping me stuck at this weight. I will commit to journaling every day to work out my feelings, which I can then face head on and hopefully become the person I want to be.

What healing do I have to do in my relationships? What do I have to do to be a better child, partner, parent, friend, coworker, etc?

I need to tackle my own feelings and overcome the anxiety, the fear, the worry, the anger, the depression. I need to open myself up more and let the positives and the good shine through. I need to be more present... first in my own life so I can be more present for everyone else. I feel like I'm living in a fog a lot of the time now, with everyone. I don't want to experience all my relationships in a fog.

What is my relationship to work? How do I want to spend my time, energy, focus, skills, and talents?

I don't work right now. I don't have the energy or health to really work. I want to work for myself anyway. I want to write. I want to craft. I want to get the Not House started. I want to pursue my dreams. I need to get healthier and get my energy back so I can DO that. 

Meaning and Purpose
What is important to me? What would I like to be my epitaph? What do I have to do to live up to that?

I pretty well covered the important to me stuff earlier. My epitaph? That's a tough one. I'd like it to be something kind of pithy. I'd be more concerned about my eulogy. I'd like to be eulogized well by people who loved me dearly. I'd like to be remembered as someone kind, creative, a bit kooky. Someone inspired by life, someone who loved the random and weird things around us. Someone who gave back, who gave as much of herself as she could to the people she loved, who stood up for what she believed in and fought for what she thought was right. Someone who always did the best she could to be a good person. A good mother, a good wife, a good friend. 
To live up to that? Just keep trying the best I can. Never give up, never surrender. Keep learning. Keep reaching out to people. Persevere through the hard times. Work it out. Write it out. Share, and more than anything, LISTEN. Try to understand before seeking to be understood. Try to live by the Prayer of St. Francis, my favorite prayer:

Lord, make me an instrument of your peace.
Where there is hatred, let me sow love.
Where there is injury, pardon.
Where there is doubt, faith.
Where there is despair, hope.
Where there is darkness, light.
Where there is sadness, joy.
O Divine Master,
grant that I may not so much seek to be consoled, as to console;
to be understood, as to understand;
to be loved, as to love.
For it is in giving that we receive.
It is in pardoning that we are pardoned,
and it is in dying that we are born to Eternal Life.

What are the 'someday I hope to' thoughts I have that I can make happen now?

I can make better food choices. I can exercise every day. I can spend a little time each day being fully present with my children and my husband. I can spend time every day writing. I can work on organizing my house just a little bit more every day. I can try to love myself a little more every day.

That's it! The rest of my steps for today. Phew. I don't think they're all going to be quite this long. This set was kind of exhausting. Cleansing though, too. Baring parts of my soul a little there!

Sunday, July 1, 2012

Struggles

It's been a rough day/night. It's 8AM and I haven't been able to sleep yet.

It's hard to be healthy when you struggle with myriad health issues. It's a near-constant game of two steps forward, one step back. If you persevere you WILL get ahead, but it can be very frustrating.

Controlling diabetes can feel like a full-time job. This is not my only problem, but I daresay it's my largest. I've been mum on this blog for quite a while; I was feeling like crap pretty much every day of my life and couldn't get a handle on things. I was convinced I had thyroid problems or lupus or something. Turns out it was simply that my blood sugar was way out of control. My AIC was over 10. (For you non-diabetics, that's pretty bad; target is under 6.) Being in the thick of things, even knowing that tight blood sugar control is essential, it can be very easy to slip up and loosen the reins a bit and still convince yourself you are doing better than you actually are. The numbers don't lie though.

Unfortunately when things get that out of control, it takes awhile to fix it up. It was a slow process of adjusting medications, feeling a little better... better enough to tackle improving my nutrition. Feeling a little bit better still, and finally feeling like I was able to tack on some daily exercise. I got my blood sugar under control, but not without extensive work. So then I wasn't blogging because the majority of my days were spent:

1) planning the food I would eat that day
2) going to the grocery store daily (for fresh foods and also because planning out an entire week was too overwhelming)
3) testing my sugars a million times a day (fasting, before meals, after meals, before and after exercise, before bed, sometimes during the night)
4) writing down everything I was eating, all my sugar readings, all the medications and supplements I took that day, any exercise I did, all my insulin dosages, any health symptoms I had... keeping a log for myself, my doctors, AND my nutritionist (all of whom I've met with multiple times over the past couple months)
5) exercising every day for 30-60 minutes
6) eating on time, cooking healthy meals
7) trying to get enough sleep every night (always a problem for me)

I'm still doing a lot of those things, and by the time I've done that plus the basic daily 'taking care of the kids, pets, and house', it seems every day is completely GONE. No time for extra projects, no time for blogging, no time for my to-do lists. I keep thinking this should all take less time, and yet it never seems to. I'm waiting for some sort of balance to kick in where these things get easier and don't take my entire day... I don't know if that will ever happen, and I don't want this to be my entire life. And yet... if I DON'T do it, I get sicker and sicker until I can't do anything.

Despite my best efforts, the weight is sticking to me like glue. I managed to scrape off about six pounds over the past couple months... then I got hit with the recurring sinus infection from hell (I'm on my third round of antibiotics for it, and I have to go for a CAT scan of my sinuses) and that drops me for a good week every time it comes back. My eating and sleeping get shot to hell again.

That's where I am right now. Coming off the third bout of sinus infection. Feeling better (worried it won't last though), but while I was down I missed some of my medications (and my eating and exercise were shot to hell; I'm afraid to get on the scale right now). So I started one of them back up about a week ago... it's one where I have to gradually scale the dose to my max... and every time I scale up I get sick for a day. Friday night I scaled up for the second time, and yesterday I had a migraine, dizziness, nausea off and on all day. I managed to do OK in the eating department... only to have two swings into the low blood sugar range.

This is where it gets REALLY frustrating, being diabetic and losing weight. The healthier you get, (in general) the less insulin you need. Which means that as your body gets better, you're going to start experiencing low blood sugars. Which you have to live with for a little while until you see a pattern and your doctor has you adjust your medications downward.

Low blood sugar is hell. There are a lot of symptoms; here is what happens to me: I get shaky. My hands tremble uncontrollably and a feeling of panic wells up inside me as my body suddenly becomes extremely weak. I become lightheaded, and often nauseous. All judgment flies out the window and I'm overcome with an overwhelming urge to EAT (to fix the problem). Adrenaline flows through my body, trying to take the place of the glucose, and with a surge of adrenaline comes a lack of reason.

Here's what a diabetic is SUPPOSED to do when experiencing low blood sugar:

1) ingest one carb serving's worth of some sort of sugar. Nothing with fat, it slows the absorption. A half cup of juice, a few glucose tablets - those are your best choices. In a pinch, a half-cup of full sugar soda will do. Or hard candy or marshmallows or something. 15 grams of sugar.

2) Then WAIT. Wait 15 minutes and test your blood sugar again. If it is still low, repeat step one and wait another 15 minutes.

Imagine being hit with a surge of adrenaline, an extreme fight or flight response, and then having to just SIT calmly and wait it out. IT'S REALLY HARD. The effects of the low blood sugar, by the way, continue for about a half hour after your sugar has come back to normal. So even though your body is technically OK, you FEEL like everything is wrong.

Here's what actually happens when a diabetic has low blood sugar:

you just keep eating...

and eating...


and eating...


and eating...


and eating...


and eating.


Finally your body realizes it is OK and you calm the hell down and become rational. Just in time to have your blood sugar SKYROCKET.

Oh, and you also ate your entire week's worth of calories in one sitting.

Going through it once in a day is really hard on your body. Going through it twice in one day? You'll probably be totally wiped out.

So here I am. Low blood sugar twice yesterday, in addition to already being dizzy and nauseous and migrained from my medication adjustment. There was no sleeping last night, despite my best efforts and the fact that I'm pretty exhausted. I just felt too miserable. The room seems to keep spinning even when I close my eyes.

I'm not sure what to do with today now, as it stretches before me. I fear I'm too tired and ill-feeling to accomplish anything worthwhile. This will likely only get worse as the day goes on. However, sleeping during the day will only perpetuate this vicious cycle of insomnia at night.

Add in a healthy dose of anxiety over all the articles I've read in the past year telling me that adequate rest is ESSENTIAL to health and weight loss. 

As always, the best course of action is to not give up. To just KEEP TRYING. Even if the pattern is two steps forward, one step back - I'm still getting ahead, it's just much slower than I'd like. As much as it doesn't FEEL like it, low blood sugar is a GOOD sign. It means I'm moving in the right direction. It's a struggle, true; but it's a good fight for a worthwhile cause. I'm fighting for me. I'm fighting for my family. I'm fighting for my life, and for once that's quite literal.

Giving up is not an option, even when it's hard. ESPECIALLY when it's hard.