ar_wahan: (Japan trip?)
When we were in Japan in June, it was hot and humid. The heat may be why there were vending machines stocked with beverages on many street corners in Kyoto. As a diabetic who must count carbs, however (in order to administer the corresponding amount of insulin via insulin pump), I was reluctant to try these tempting beverages because I had no idea how many carbs anything except water contained.

On our second night in Kyoto (the last one I wrote about, months ago), we headed out for dinner too late to find any restaurants open within walking distance, so we went to a convenience store a few streets away from our B&B (ryokan). We bought some prepackaged soba salads. And then I spotted a beverage that filled me with glee. When I got back to the B&B, I took two discarded beverage containers that Samurai had in her room, and set them in triumph next to my valuable find.

Guess which one is the Rosetta Stone )

Tonight, rather than take a photo of my scrawling attempts at Japanese lettering in my little booklet, I decided to look for the word on line. And I was gratified to learn that I had read my Rosetta Stone correctly!

And, I was right! )


ar_wahan: (Default)
Tonight I went to an insulin pump support group. I have only been to a few because the standard meeting night is the same night as my UU Society board meeting. The coordinator realized that a number of people had second-Tuesday-of-the-month meetings, so she is going to schedule the occasional Wednesday meeting so we can attend.

Half of us had the Deltec Cozmo pump, which one can set to sound an alert at various times (two hours after testing glucose with a finger prick, for example). All the pumps have some kind of alert, I imagine, but the Deltec's "ring tone" is distinct.

It was very funny during the meeting when someone's Deltec went off (and this happened a number of times). Each of us would start looking frantically toward our pump, just like people in a crowd when a familiar cell phone ring tone goes off -- "Is it mine? Is that mine?"
ar_wahan: (animeme)
Doctor's appointment went OK. Read more... )
After all this, went to a meeting with the guy who inherited the hastily put together, and not well done, church web site made by an amateur volunteer in 1997. K, a recently retired OIT specialist from the university, does know what he is doing. The interim director of religoius education recently made her own web site for her quilting business, and asked for this meeting. I came along as president, newsletter editor, and the various myriad other hats I wear. I got there a bit late, and they'd already come up with some wonderful ideas. I chimed in here and there. I think we're going to have a much better website, in terms of content/usefulness as well as appearance. Cool!

Came home to find lots of emails from clients. I am suddenly being bombarded with work. Good  in many ways, bad in others. I need a little more free time in the next couple of weeks, and won't have it.

Su and I went out to dinner for our mutual celebration of birthdays. She, too, had gone to Ireland last summer with her son (18 months older than Samurai). I showed her my photos (on laptop), and she showed me hers -- because the restaurant had wifi and she could get onto the album at the site of the company where she'd sent her film to be developed and turned into digital images! We are both horse lovers, and enjoyed recalling our horses and equestrian adventures in Ireland.

The Mexican restaurant did not have chili rellenos (guess I'll just have to make some), but I did have a nice spinach-filled enchilada, plus side dishes of rice and beans.. We exchanged gifts, and I ended up with (appropriately) Great Irish Tales of Fantasy (by Joyce, Yeats, Lord Dunsany, others)  that she'd picked up over there.

Su has a new hobby... not ghosthunting (she doesn't call it that, since she believes it is intrusive, and I have to agree), but -- can't remember what she calls it -- ghostwatching or maybe ghostlistening. She had some interesting stories to share. What was nice is that there was one instance where something didn't make sense to her, and I suggested an explanation that clicked.

I'm going to  be very busy the next few days; may not be on much. (Sure, right! you snort knowingly.)
ar_wahan: (Default)

You have to wade through a lot to get to the point:

The mechanism through which changes of seasons would induce changes of A1c values is unknown, but our study sheds light on one potential mechanism. A possible explanation for seasonal fluctuations in A1c levels could stem from the excess food consumed at the time of the winter holidays celebrated in the United States.  (Bullshit. See next BF below. -- ar_wahan)  Several studies have reported seasonal fluctuations in body weight (50Go–52Go), higher winter fat intake (52Go–55Go), and winter-related difficulties in achieving weight loss relative to the summer (56Go, 57Go). Physical activity has also been reported to diminish in winter months in several settings (58Go–64Go). However, several studies have demonstrated that some risk factors for cardiovascular events, especially lipids, have seasonal variation independent of age, gender, diet, body mass index, or physical activity (50Go, 51Go, 65Go–68Go). Our study supports a seasonal effect on A1c independent of a dietary indiscretion/"holiday effect," since this would be expected to be present regardless of temperature fluctuations in the climate. (Emphasis added by ar_wahan)

Although it is not known how changes in temperature would induce changes of A1c values, we suspect it could be a physiologic response to cold, as reflected in changes in blood pressure and heart rate variability with cold temperatures (1Go, 4Go–6Go, 10Go, 11Go). One study reported temperature-mediated fluctuations in venous blood glucose after a 2-hour glucose tolerance test, but glucose values were lower in cooler temperatures (69Go). The finding in our study, that the greatest contrast was observed for moderately cold temperatures but less so for extremes, is intriguing. Diabetes patients may well remain largely indoors with minimal exposure to cold in extremely cold climates, but they may venture outdoors more during moderately cold temperatures, resulting in higher actual exposure to cold temperatures. Further exploration of this possibility is warranted.

FYI, my highest A1cs have always been the ones taken in January. And they drop dramatically in April.


Nov. 28th, 2007 07:53 pm
ar_wahan: (Default)
I went off to Northampton for a session with Kelly, the insulin pump guru, on making "advanced programming settings" on my upgraded insulin pump. There is a feature called Hypo Manager that tells you just how many carbs to consume to get a low BG of a certain mg/dl back up to your target. For those of you who have never had low blood glucose (hypoglycemia), it can feel like an anxiety attack, and thinking can be not quite as sharp as you'd like. Because your brain feels this really desperate need for carbs (orange juice, for example), it is easy to overtreat the problem. Which then leads to high blood glucose, which you don't want, either! Anyway, this new pump is supposed to tell me how many carbs I need to get back into target from various low levels.

Long story short... I had a low of 53 this evening, entered it into the pump, but even though Hypo Manager is enabled, it didn't do anything. I just treated the low as I always do. This post is mainly a reminder to self to check the manual again, and if I can't figure out why the software didn't tell me how many carbs to take, to call Kelly, who said to call if I had any questions.

EDIT: I think I know what I did wrong. I entered the 53 into the pump as I usually enter it, in the "BG Value" menu. If instead I'd entered it into the "Correction Bolus" menu, that would have activated the Hypo Manager.


ar_wahan: (Default)

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