Reflecting on my reading: Chapter 15 Diabetes Burnout, Chapter 14 Made To Crave

In Diabetes Burnout Chapter 15, we read about working with our healthcare team.  I am in the midst of rebuilding my healthcare team, since we moved three hours south of where I had been going.  I am sad about that, because I had a great team!  So far, I like my new Ophthalmologist, though I had been seeing Dr. Kekish since I was 12!  I’ll miss her terribly!  I miss Dr. Karas, my endocrinologist, as well.  My new endocrinologist I meet February 6th, so we will see how that goes. I’ll get to put into practice what I read in Chapter 15!  🙂

I’ll be writing an outline of what I want to cover in my appointment, as suggested by the author of Diabetes Burnout.  Here is the generic framework, as outlined on page 168.  I am also filling in my issues and questions.

Dear Doctor,

During our brief visit today, I would like to cover the following issues with you:

Information that I need to share with you:     I have been struggling with diabetes burnout for a while.  I was able to get my levels under control while pregnant, but have been struggling again since the birth of my son.  I am taking steps to address this, like reading Diabetes Burnout and seeking accountability in monitoring my glucose levels.  I noticed a series of overnight lows, so I backed 1 unit off each of my Lantus injections every 12 hours.  I am also looking for dietary suggestions as I am struggling with my weight and have been for years.

Significant Diabetes-related problems that I am facing:  My A1C level is too high right now (8.8 on January 8).  I struggle with glucose monitoring, and struggle even more with recording the data.  I am also being monitored for possible glaucoma.  My pressures are elevated, but I do have thick corneas.  The Ophthalmologist is running tests again in July at my next appointment.

Self-care solutions that I am considering (regarding the issues in B.):  I am working on monitoring my glucose levels better, and still need to work on recording my data.  I did find an app for my phone, and now need to enter the data. (The app I found is OnTrack Diabetes)

Questions I need answered:  What are your expectations of me, and what may I expect of you in this journey toward health?  What is a reasonable decrease of A1C levels?  What suggestions do you have in terms of recording glucose levels and fighting burnout?  Is there a support group in the area for Type 1 diabetics, or even diabetics in general?  If not, how can we go about starting one, or what other suggestions do you have for support and accountability?  How frequently do you do A1C checks?

Of course, I will share with you all my endocrinologist’s responses, so that you can help keep me accountable!

Another topic Polonsky covered was when to “fire” your physician.  When we have personality blends that just don’t blend (like oil and water), consider if there is anything we are contributing to the butting of heads, and if our physician is simply not meeting our needs nor bringing anything of value to the table.  We can expect our endocrinologist to be knowledgeable about diabetes and to offer reasonable treatment plans.  We need to be willing to either communicate our issues with the preferred treatment plan or communicate through a game plan to put the treatment plan into place.  We have to work together to achieve positive results.  If we are putting forth maximum communication and implementation and still not seeing results, there is a serious issue.  Pray about this, and seek wisdom from others.  If the consensus is to seek a new doctor, look for one.  But, keep up with self-care in the meantime.  🙂

Now, for Made to Crave:  Lysa walks us through Philippians 4:8 and how that helps her avoid the emotional lows that bring us to the pit of eating despair.  “Finally, brothers, whatever is true, whatever is honorable, whatever is just, whatever is pure, whatever is lovely, whatever is commendable, if there is any excellence, if there is anything worthy of praise, think about these things.”

When we find ourselves in our dark moments emotionally, cling to God’s Truth and good, pleasing memories.  I wrote earlier today about some of my baggage that I used for too long as part of my identity.  When the enemy brings those failures and tragedies back to the forefront, I have to fight them back with God’s truth.  God’s Word is the truth, honor, justice, purity, lovely, commendable, excellence upon which I need to focus.  The joyous memories with family and friends can greatly overpower the hurt, pain, and grief of my past struggles.  So, as you continue to read Made to Crave, if you are, start thinking about what brings you joy, what truth in God’s Word helps you OVERCOME your past and current struggles.

 

 

♥••*´¨`*•.☆• LetsDoThisTogether •☆.•*´¨`*••♥

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Made to Crave Bible Study–found free online!

Readers, if any of you are also reading Made to Crave, I invite you to join me for a free online study starting on January 19th.  That’s just a few days away!

I figured since I am reading the book already, and serious about my health changes this year, and am looking for accountability and encouragement, this is a great place to deepen the insights I am gaining from the book.  Click here: http://proverbs31.org/online-bible-studies/current-study/ to join me!

If you blog also, each week you get an email with blogging topics.  Share your response, connect your blog, and encourage hundreds if not thousands of sisters on this journey!

I am so excited to link this journey to health physically with my journey to health spiritually.  I found this website that discusses the connection between physical and spiritual health, so check it out!

I want to send a shout out to my friend Melanie for encouraging me to sign up for the study.  Readers, who do you have in your life who will help you and encourage you on this journey?  Comment below with your shout outs!  If you need some encouragement, join my facebook group!  The link is below.  Let’s do this together! 🙂

♥••*´¨`*•.☆• LetsDoThisTogether •☆.•*´¨`*••♥

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The hardest part of good diabetes self-care

Well, its about 0200 hours, and I am wide awake.  Just had my first overnight low in a while.  The hardest part to getting back on track with my glucose levels is avoiding these lows.  A cheese sandwich and a glass of apple juice later, I wait for this 57 to rise.  And hopefully not rise too far.  😦  Those rebounds can be brutal!

The roller coaster ride of regulating is what I call it.  So exhausting!  Hopefully we can get through this patch quickly.  And hopefully I can get back to sleep tonight!  On a good note, I checked my glucose 3 times during the day yesterday and now overnight tonight.  We’re moving on up!  Just have to remember to check before bed…  🙂

Diabetes Burnout: My Plan of Attack

So this morning I worked on my plan for overcoming burnout.  I would like to outline that plan here for you all.  Please, feel free to check in on me and help me stay accountable!

 

Worksheet #1:  Monitoring my glucose levels.

This is the source of my burnout.  It is expensive, annoying, inconvenient.  It makes me feel bad when my numbers are inexplicably too high or too low.  Life is busy, and I forget my meter way too often (or a back-up supply of test strips).  So what is my plan here?

A.  Plan my glucose monitoring times:

  • When I wake up and prior to getting Zander out of his crib, I will check my glucose level.
  • Prior to lunch and dinner, I will check my glucose level.
  • Prior to going to bed, I will check my glucose level.
  • I will put my glucose monitor in the bathroom at that point so that I may check again if I get up in the middle of the night

B.  I will record my glucose levels into my app on my smart phone once a day, before bed.

C.  I will look for patterns weekly.

Worksheet #2:  Aerobic Exercise

This is also a source of burnout for me.  I have confessed before, playing outside and/or exercising has never been my cup of tea.  I prefer reading, writing, watching Poirot and other mystery shows.  And I know I need to make some changes.  Activity will help me with my glucose levels, and will help me keep up with my son!  He’ll be walking any day now…

So here is my plan, especially once the weather warms up:

  • I will take Zander for a walk around the neighborhood 2-3 times a week.
  • I will actively play with Zander on the floor daily.
  • I will park my car at the back of the parking lots when I go grocery shopping.

This will be modified as my endurance picks up.

Worksheet #3:  Meal Planning

This is something we have been working on for a few months already.  Jan, my sis-in-law, is great at this!  I am learning much from her in terms of planning ahead, defrosting things from the freezer, utilizing leftovers, etc.  We are already choosing healthier meals with less gluten, and thus a few less carbs overall.  As frugally as possible, we are purchasing more salad supplies, vegetables, and less-fatty meats.  I am attempting to eat breakfast most mornings, and take my vitamins.  We are trying to do smaller portions so we have more leftovers to work with overall.  Good stuff!  One thing I need to work on is snacking less.  I tend to have too big a snack or too many snacks.

 

Well, that’s it for now!  I see my new ophthalmologist on Monday next week, and my new endocrinologist on February 6th.  I hope to see a change in my A1C by then also!  Checking my glucose levels tends to help with that overall.  😉

The Food Werewolf (Chapter5 of Burnout, Chapter 4 of Made to Crave)

It never ceases to amaze me that when I read two books at the same time, the topics line up perfectly.  Lord, I know you are sovereign, even in the books I choose to read!

Lysa TerKeurst wrote about the need for accountability.  For her, she had a friend who had started the journey to health a while earlier, and had encouragement and support from that friend’s wisdom.  She also had a friend who started the journey with her.  With encouragement from ahead and accountability by her side, she found the road doable.  Yes there are challenges, and yes she struggled.  And she had friends to pick her up and keep her going. 

I have been sharing with my husband what I am reading in these books.  He too wants to walk this path of health with me, and I am so grateful for that!  We have the side-by-side accountability ready to go.  I also have some friends who have been successful in their own journey to health (a roommate from college, and my best friend from high school), so I am in communication with them.  I also started a group on facebook so we can share recipes, exercise techniques, support and encouragement.  We are also sharing our starting weight and inches.  I’ll share my numbers at the end of this blog entry too.

In Diabetes Burnout, the topic was The Werewolf Within.  With the best of intentions, we eat healthy all day long and feel good.  But then, we get home from work, or we start watching TV, or whatever, and find ourselves eating a huge bowl of popcorn, or a bag of mini-snickers, or a whole bag of gummy bears…Polonsky writes about multiple reasons for this very common phenomenon.  And its not just one diabetics face:  it just impacts us more prevalently.  Boredom with activity choices or even bored from eating “healthy” foods and following strict diet plans causes us to just dive into a bag of doritos without even thinking about it.  Emotional needs lead to consuming comfort foods.  Old habits of having snacks on hand for guests who rarely come create temptation impossible to resist.  

It goes back to accountability that Lysa talked about.  Make changes to keep snack foods to a minimum in the house, or at least out of site.  Polonsky even writes about scheduling a snack time and allowing a splurge of a cookie or sweet treat on occasion.  We don’t have to abandon everything 100%.  Moderation and planning is key.  

So I might still have a small Hershey’s Kiss once a day, or a scoop of ice cream when my throat is raw from coughing.  Portion sizes and communication with my accountability partners will be critical.  Increasing my water intake will probably help too.  As soon as this weather warms up, taking a walk each day will definitely go a long way!  So will not baking pumpkin bread when I am bored…

As promised, here are my before pics and starting numbers as I venture on this journey of health:

ImageImage

January 2, 2013

Weight:  215 lbs

Neck: 13.5 inches

Chest:  45.25 inches

Right Bicep:  13.5 inches

Left Bicep: 13.5 inches

Right Thigh:  24.5 inches

Left Thigh:  26 inches

Hips:  49 inches

Waist:  41.5 inches

January 2, 2013

Weight:  215 lbs

Neck: 13.5 inches

Chest:  45.25 inches

Right Bicep:  13.5 inches

Left Bicep: 13.5 inches

Right Thigh:  24.5 inches

Left Thigh:  26 inches

Hips:  49 inches

Waist:  41.5 inches