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  1. Where am I at the moment?
    Well, I am still imperfect with Keto. I seem to do great for a while and then go totally off the track. Stress at work is my trigger. I need to find something I can keep in my pocket to munch when the stress hits. Currently I am having better success by keeping homemade baby Keto Bricks in my pocket. Here’s the recipe site for anyone interested, https://livbreatheketo.com/perfect-macro-bombs/. I am hopeful.

    I have also noticed some progression with my LADA. It takes fewer carbs to see a greater rise in my glucose. It also takes more fasting to bring the levels down. That should be enough incentive to stay more strictly Keto. It’s just that darn denial,or selective amnesia, that kicks in at work. Looking at the pizza and cookies! A few weeks ago I just ate the topping off 2 pieces of pizza at work. Yes, my glucose definitely showed it. Frustrating since a few months ago I ordered a pizza, ate just the toppings off the entire pizza, and my glucose was steady.

    I also noticed that when the Spike app changed how to access it, which I have still not been able to figure out because I don’t know my password, I became lazy. Kind of the, if I don’t see it it didn’t happen, attitude. I REALLY need to spend a few days trying to get that app back. Having a continuous accurate reading on my watch really helped. The Libre is still inconsistent (+40 to-10) compared to the actual blood glucose. Spike let me calibrate my readings. I wish Libra would do that. It also let me see numbers between swipes. Not to mention the time between sensors. So frustrating. Libra is what I can afford, but it is not perfect.

    So much for now. A bit of whining, as I said. Bummer.
  2. Wow, I’ve never blogged before. Here goes.....

    As a child, I was told my Grampa Roy, Dad’s Dad, was diabetic. Didn’t think much of it. His consession to Diabetes was to use oil and vinegar on salads. He was active and loud and funny and drank Jim Beam and ate all the nuts out of Cracker Jack. When I was in High School he got sick. I only saw him once after that and he was emaciated. They said it was his lungs, but now I wonder if it was his diabetes.

    When my Mom’s Mom, Grandma Mary, retired, she went to the hospital, supposedly for a full check-up for vague complaints. Yes, in those days that was not unusual. While there, she fell twice and was diagnosed with adult onset diabetes. My Grandmother, who never drove and walked miles every day, never walked without a walker again. They said it was diabetic neuropathy. She was also started on insulin. She lived Into her late 70’s, but was basically housebound. She died in her sleep with no real warning.

    When my Dad retired, within a year he was diagnosed as having asthma, prostate cancer, and diabetes. This was a real shock, since he had NEVER taken a day off of work. According to him, he managed his diabetes quite well. He was on oral meds. That didn’t mean he wasn’t the first to suggest ice cream sundaes after dinner and always had candy in his pocket. He did have neuropathy, which eventually led to a non-healing ulcer and amputation of half of his foot. I didn’t see him much in the last few years of his life because my sister was in charge of the finances. When she found out I was visiting him, she moved him and used HIPA, saying I was not allowed to know where he was. Although I called him, he was mostly deaf and had some dementia, so he never understood I wanted someone on the phone who could tell me where he was. He would just cry and ask why I didn’t come see him. He died at 90. My sister let me know 3 days later only because she needed my signature to have him cremated. I don’t know if he was on insulin, but I do know that the last few times I saw him he had gone from thin to emaciated. Diabetes? Maybe.

    After my Dad’s death, my sister asked me to come and help her clean out his room in the memory care residence. It was awkward, since we hadn’t really associated with each other in over 10 years, another story. While there, I noticed an open wound on her foot. When I asked her, she said it was a pre-cancerous lesion that had been removed over 1 year ago, but just wouldn’t heal. Can you say Red Flag ? There was not much I could do about this, but it worried me. Because she had to contact me regarding our Father’s estate, we semi started a relationship. During one call, she told me she had just been diagnosed as being Diabetic and she had been pre-diabetic for years.

    With my family history and being a nurse, the first thing I did was order a slew of lab tests. I did this independently and out of pocket. Heck, I’m a nurse, not stupid. Why would I want to see a doctor? Well, my labs came back. HgbA1c just into pre-diabetic and fasting glucose just over 100. Not a surprise. What the heck? Insulin sensitivity way high and insulin level the absolutely bottom of normal. Huh! So, back to the books. Now I wanted a glucose tolerance test with Kraft insulin assay. The labs wouldn’t do this without a doctor’s order. So, I made an appointment and had them include the Kraft assay. She had all the other labs redrawn. For that set my HgbA1c was normal as was my fasting glucose. I had to point her to the previous labs and she grudgingly agreed I might be pre-diabetic. The OGTT with Kraft assay was not. At 1 hr, my glucose was 217, at 2 hr my glucose was 111 having dropped over 100, and at 3 hr my glucose was 38. She said I was reactive hypoglycemic and referred me to an Endocrinologist.

    Met with the Endo and it wasn’t the one I was referred to. Not happy. This one basically said I was fine, didn’t think much of LCHF/Keto, and referred me to the dietitian. I expressed my concerns about my wonky labs and it just glided over his head. I did see the dietitian, who was great. Basically we spent the entire time talking about low carb/Keto diet for management and I gave her a lot of resources. She had heard about it, but I guess I was the first person she had met that actually did that way of eating.

    Next Endo appointment, I insisted on being changed to the correct Endo which resulted in a lot of paperwork, but eventually I got the right doctor. She listened to me and wanted additional labs done. She also totally agreed with low carb, unlike the previous Endo. She agreed with the dietitian that I was a perfect candidate for the Libra. She just wanted me to track for 10 days, I insisted I wanted to keep the Libra and would pay out of pocket. Surprise! She said they had a number of the regular Libras as samples and would give me one as well as the first sensor and a prescription for further sensors. About a week later, I got a call saying my GAD antibody was positive and I was 1.5/LADA. Now this made sense.

    Throughout all this, I have been reading and searching for information. I had already been low carb because that is how I do best. Now I try for Ketogenic and do fasting. Oddly, I have done intermittent fasting most of my life, from back when it was just called skipping breakfast. I love breakfast food, just not in the morning. My Grandma was the same and we often met for lunch at places that served breakfast all day. Good memory.

    When I was in nursing school, I recall one of my professors saying parenthood was the last area of the amateur. People could tell you all about it, but when your first child was born you had to figure out how to be a parent on your own. She was wrong. Diabetes is also the realm of the amateur. People and books can give you guidance. Doctors can monitor and give you prescriptions. We, the adult diagnosed diabetics, have to figure out how to live with and adapt to the many changes of diabetes on our own. Hopefully to move from amateur to expert. Thank God for the internet.
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