Skip to main content

DRI 2.0 Connecting the Community – My 2 Cents

dblogI was excited for a while to attend the Diabetes Research Institute’s 2.0.  This conference shows me that the people working towards a goal are finally listening to us web diabetes bloggers.  The list of attendees was amazing.  Just to name a few, Kerri Sparling, Manny Hernandez, Allison Blass, Scott Strumello, Gina Capone, and Sara Knicks.  This was just a one day conference and I unfortunately not be at all places at once but here is my recap of the event.

The day started off great.  The free coffee was spectacular.  Morning started off with finally meeting Manny.  What a great guy he is.  Just as nice and genuine in person as he always has been online.  We briefly discussed how awesome it is that the DRI is connecting with the diabetes community and not just speaking with doctors and researchers.  Manny Hernandez_Chris StockerManny was also very helpful in giving me some key insight about Cobra and certain people that I should speak to in order to get some better information about it.  I told him that with not working at the diabetes company anymore, it felt weird to be at a conference as an attendee and not behind the booth working it, I actually liked it better.

After the breakfast, or lack there of in my opinion, we were herded off into the next room to hear the lectures and updates from three of the top researchers in the world.  To introduce the three speakers was Dr. Nemery, she is a south Florida pediatric endo that is one of the best out there.  She finished her introduction by saying, ” my goal as a pediatric endo is to not have to treat my patients with insulin.”  Well said.  The first speaker was Camillo Ricordi.  It was very difficult to understand his accent, plus he spoke to us like we were also scientists and doctors, so it was tough to understand what he was talking about.  The main thing that I understood from his lecture is that insulin producing cells generated from human embryonic cells protect mice from diabetes.  That sounds like a good start to me.Ask the Researchers_DRI

Next up was Luca Inverardi.  Once again, this lecture was just as difficult to understand.  I believe that the DRI videotaped every session and plans on putting it up on their website or having the videos e-mailed to the attendees, I will find out and you all know.  The last speaker before the next session was Antonello Pileggi.  Now, by the time he started to talk, I think the whole crowd was becoming hungry, very hungry.  It was becoming difficult for me to concentrate because my stomach was taking over my brain.  The next session was the most informative in my mind.  “Ask the Researchers”

One of the first questions asked was asked in a “dummy” type of way, which was better for the people in attendence.  A lot of the research that is done can be classified into two parts, there are the “attacker” cells that cause diabetes and then the “victim” cells that get killed which causes diabetes.  The question asked why all the research is done figuring out how to help the victim cells, but why isn’t research being done to stop the attacker cells?  The scientists discussed that there is research going on in that area, but it doesn’t look as successful as the research being done on the victim cells.  Dr. Jay Skyler is one of the worlds most respectable doctors / researchers of diabetes.  Someone had asked a question on why there is such an epidemic of diabetes now and although there were a lot of answers Dr. Skyler describe it as there being a lot of cases of Type 1 plus type 2, an overweight child with type 1 which makes them become even less insulin sensitive and causes type 1 at a faster rate.  I am not sure how this next statement relates to diabetes, but he talked about how foreign countries feed their young feces in order to expose them to germs at early ages.

The next question was the mFood from DRIost important to me because I had heard so many different numbers and percentages.  “What are the chances that a child of a type 1 will also have diabetes?”  Well here is the breakdown.  If the father has diabetes, then there is a 6% chance, if the mother has diabetes then 3% and then if both parents do, it is 15%.  The reason that the 3% difference is there between men and women is due to unexpected abortions.  The final question was asked about an artificial pancreas.  Although an artificial pancreas can become a great tool in management, it is not a cure.  There is one main reason why.  In type 1 diabetics, when we eat the insulin that we then bolus with, or the artificial pancreas releases will never catch up to the food.  Meaning that 2 hours after you eat, your blood sugar may look normal, but in between those 2 hours your blood sugar has spiked which is still causing high blood sugar numbers.  In order to fix this, you must be able to anticipate the food that you are going to eat.  With an insulin pump or MDI even, you can do this.  You can count your carbs before eating and bolus, 10-15 even 20 minutes before the food touches your mouth.  Which, when lunch time came at the conference, we didn’t know what was for lunch until it was right in front of our face so there were 4 diabetics at my table all wondering when and how much to bolus, not a good move on part of The Signature Grand.

The final part of the conference, well for me at least because I had to leave at 2 p.m. to get somewhere that I had plans for a long time to be at, was about connecting the community and involved a panel with Jeff Hitchcock (Children with Diabetes), Manny, Scott Strumello, Kerri, and Ellen Ullman also with Children with Diabetes.  There were a few questions thatConnecting the Community Panel were prepared for them about how the diabetes OC has helped them, why they started, and advice tips from them.  A few quotes and answers that I really liked from each of them are listed below:

Scott – Diabetes is too much about glycemic control and not about the other feelings that go along with it.

Kerri – There was only bad things about diabetes, there just had to be more to it than that.

Jeff – We all seem to be invisible so this gave us a voice.

Ellen – As a parent, it gives you a chance to vent because you don’t want to do it in front of your kids.

I hope that this was somewhat helpful.  You can check out the other’s blogs as well because I am sure they will have some updates also.

Have a great Monday.

Long Days, Late Nights, No Sleep

Last week was filled with a lot of work, I mean a lot of work for me.  I have been working on continuing to re-design this blog because to me it just doesn’t seem right.  Is it easy for you to read, anything distracting you, or fonts too difficult to read?  Along with that blog I have been working on a re-design on the other blog that I write about internet marketing and social media, Chris Stocker, Inc.  I have also been updating the Facebook accounts I have, and my LinkedIn, and Flickr, and about 10 other things including designing a website for my new company, CSI Marketing Solutions, LLC.  I also recently read Crush It by Gary Vaynerchuck, which if you want to get things and not sleep for about a week, I recommend that book.

With all of this work, and it’s not been completed yet, I foresee the same thing going on this week as well.  Last week from Monday-Friday I slept, in total, about 15 hours.  I was going to bed at 3:30 and waking up at 6:30 and getting back at it for an hour before I would begin getting ready for work.  See I work a 9-5, and run a business and do contract work on the side so I need about 8-10 hours a day to do that.  Then there is the 2 blogs that I write on a daily basis which adds about another 10 hours a week.  So, adding that up, we’re looking at around 20 hours of work a day, and no time for sleep.  This picture pretty much sums up my week last week.Coffee and SF Red Bull

Typically, the later I stay up, the more my blood sugars go up.  It’s basically a hand in hand thing.  I tend to start eating snacks in the middle of the night as well because I am up later and getting hungry and need to eat something.  I told myself last week that I am not going to let this happen, if I’m staying up later, I will make sure my sugars don’t go crazy.  I have done a pretty damn good job of it.  Throughout the nights my sugar didn’t really go over 200 maybe once or twice.  Here is a breakdown of my morning sugars this past week (my best ever):

Monday – 112

Tuesday – 88

Wednesday – 94

Thursday – 104

Friday – 125

Friday night however ended up being a different story.  My sugar, after being great in the morning, just shot up all day long and didn’t come back down.  It was on average about 325, with a high of 496.  I went to the movies to see Saw VI and I went to the bathroom when I got there and then I usually will go right before the movie starts so I don’t miss any of the movie.  So, I went as soon as the previews started but when I came back I told Amanda that I feel like I already have to go again.  I just thought that maybe my jeans were a little too tight and they were pushing in on my bladder, because that sometimes happens if I’m wearing a pair of jeans that don’t fit me the best.  About halfway through the movie I just had to go again, I couldn’t hold it any longer.  And for those of you that know the Saw movies, you know you can’t miss a second, because something is going to happen.  I literally ran out to the bathroom and ran back within about 20 seconds and didn’t miss anything.  As soon as the movie was over, I had to go again.sawVi

When we got out to the car I tested and that’s when I was at 496.  I was about to correct, but I knew that it was a bad site, so putting more insulin into it wasn’t going to do a damn thing.  I took just a little bit just so it wouldn’t go any higher, I knew it wouldn’t bring it down, but I was just trying to eliminate an even higher number.  Once we got home I took out the old site and was getting the stuff together to put in a new one.  Well guess what, I couldn’t find the pretty blue insertion device to put in the infusion set.  Finally after digging through my room Amanda found it, in the first place that I looked.  In the morning when I woke up my sugar was down to 185, so it went down.  Saturday was a little of the same story, high all day long, but not as high, this was in the mid 200’s.  So, I wasn’t sure what was going on.

Throughout the daytime hours my sugars aren’t going all over the place either.  Even with drinking about 4-5 cups of coffee and drinking at least 1 energy drink, sometimes 2 a day are not affecting my sugars. The coffee usually does, but energy drinks don’t ever make a difference on my sugar levels.  I know that the sleep deprivation is not good for me, but I don’t plan on doing it for a while, just until I get this work finished and everything is up and running.  I just fear that when I am done with the work and want to go to bed early, I’m not going to be able to because I will be so used to staying up later.

We shall see.

Doctors, Deductibles, Diabetes, Contract Work – OH MY!

Doctors and deductibles.  Both have things in common, but also a lot of differences as well.  You don’t want to have a high deductible, just as much as you don’t want to have a high doctor.  Your happy when you meet your deductible, hopefully you are happy after you meet your doctor.  But then comes my discussion and dilemma, which I know a lot of you share with me.  Do you skip or hold off on visits because you have met your deductible and then in two months it sets back to zero and you have to start all over again?

I need to go to the dentist because it has been almost a year and a half since I last saw my old dentist back in PA.  I don’t want to go right now because I haven’t met my calendar year deductible.  So why not just wait until January 1, right?  My endo was fine with that decision except that I said the same thing last year as well, which is exactly why I haven’t seen a dentist for as long as I have.  So then I started to think, is it just a lame excuse to not go and see the doc?  I also need to go get my yearly eye exam.  I do believe, however, that I went for a check-up earlier this year because I needed a new prescription for my contacts and needed new glasses.

Now, some of you may be thinking, how in the world have you not met your deductible this late into the year?  I got a new insulin pump in January, I have infusion sets, reservoirs, transmitter and sensors for my continuous glucose monitor (CGM), but they were all billed from an out-of-network provider, so that ate up my out of network deductible, but didn’t touch my in-network.  All of my doctors are all in network with the type of insurance that I have.  And of course the money that I pay every 90 days for my insulin does not go towards my deductible, why would it?  So that leaves me with only one thing going towards it and that is my doctor’s visits.  So until I meet that deductible, there is no co-pay, it is strictly going towards the deductible.

I started seeing my new endo back in May or June, don’t exactly remember and I have had monthly, well every 4-6 week visits since then.  And since the insurance isn’t covering anything yet, I’m sure you know much it is costing me for these endo appointments.  So I am paying a monthly premium for my insurance, but still paying monthly doctor bills.  I guess it could be worse because I don’t pay anything at all for my pump supplies and testing strips, at least not yet.

Now, getting a little off of the deductible topic and into a more general insurance topic, private insurance.  For those of you who have been reading my blog for a while, you know who I work for, and that has been disclosed before the FTC crack down on it.  Any who, I receive insurance from them as a full time employee.  I have also created a company within the last 60 days as well.  This wasn’t really a planned thing so I will explain it briefly.  I had friends and relatives that knew I was really into geeky, cool, tech things like website design, blogging, and social media.  A few people needed help getting started on Facebook and Twitter etc.  So then I said well why not start getting paid for doing this stuff.  Then it started to evolve and had people asking me to do their PPC campaigns, (Google Adwords primarily) and also some organic SEO stuff.  Now I definitely have to charge for that type of stuff because it is not the easiest and quickest stuff to do.  Do I have to disclose when I am talking about my own company?  Well, just in case, I own Chris Stocker Inc, with 10% of all profits being donated to JDRF.  Now you know the story, here is the question.

Since I am diabetic, I feel restricted that I have to work for a corporation that will offer me insurance.  Is this new PPC / SEO business paying the bills?  No, not really, so I’m not looking for this to be a full-time gig or expand it into something large with several employees, then in which I would be able to get some group insurance.  This is just something that I am extremely passionate about and love to do, so I do it on the side and would love for my career path to follow this way.  The only problem with that is a lot of work in this industry is done on a contract basis, and there’s no insurance in contracted jobs.

So what am I to do?  Are there any of you out there now that do this type of thing or any contracted work?  Or own your own business?  Like I said before, at this time there are no plans to expand to the level needed for insurance.  I would really appreciate all of your help on this.

Endo Appointment Tomorrow, Charlie Kimball Friday

I received a phone call today from my endo’s office to confirm my appointment for Friday and I was confused.  I said, there’s no way that I could have scheduled an appointment for that day because Friday is Charlie Kimball’s race down in Homestead – Miami that I am going to so I can’t have that appointment.  She said, well I don’t think that we have any other openings.  I said, you don’t understand, I can’t miss this race, I am going to meet Charlie and be at the race.  So she said she would look and see where she could fit me in and give me a call back.  5 minutes later I get a phone call and somebody had cancelled for tomorrow, so it looks like now I have an appointment for tomorrow.

First thing that I am going to explain to the doc when I get in there is come straight out and admit that it hasn’t been a good month for me.  In fact, a pretty effin’ bad month.  I had a lot of highs, some major lows and just been all over the map with my sugars.  However, I did manage to find more time for exercise and lost some weight.  I put a little on over the last week, but I had lost enough before that to still be down some weight since the last visit.  The last thing is to explain that I haven’t worn the sensor at all for multiple reasons.  For one, it started to fall out all the time.  Secondly, the ones that I had expired way back in May and never realized it because I just kept thinking, well I still have 2 full boxes.  I will probably still attempt to use them though.

I must also remember to get new prescriptions from her however because I am almost out of insulin.  That also reminds me that I better re-order very soon because there is always an issue, especially when I need a new prescription sent in.  The first time that I had to send in a new prescription, it took me almost 2 weeks to get my insulin delivered, not good customer service in my eyes.

Today’s post a little short because I just got back from the gym and I am tired and I am trying to cook dinner and do laundry and have a lot of work to catch up on tonight.  So you all have a great day and I will have a better post tomorrow.  Hopefully something positive from the endo appointment.

Too Many 400 Plus Sugars This Month

I don’t know what is going on with my body right now.  My blood sugars are all over the map.  I am eating healthier and losing weight, but at the same time losing control of my blood sugars.  My 7 day average on my meter is 210, 14 day is 198 and my 30 day is 177.  What the hell is this?  I have had more readings over 400 in this past month then I have in my 6 years with diabetes.  I am still trying to figure out what is doing it to me.  Is it the exercise and feeling low while at practice and just drinking Gatorade?  Is it over correcting lows?  Is it bad sites?  Maybe even bad insulin?  Let me dig into each of these.

Football Practice

When I am at practice, I don’t really have time to test my sugar.  I will now make time, but up until now there are several water breaks, but this is the time that I have to take down one drill and set up the next drill so by the time the kids are done with their water break, I am ready for them to start the next thing.  I have them for 2 hours, only 2 nights a week.  For those of you that know anything about pop-warner ball, you know that this is nowhere near enough time to teach kids who haven’t really ever played football before, so I have to manage the time the best I can.  Obviously, my health needs to come first though.  So, what is an easy resolution?  Wear your god damn CGM Chris!

Everytime I wear it at football practice, it falls out.  I can’t seem to find a perfect place for it where it won’t fall out.  I have tried my stomach, and unfortunately until I lose some more weight (down 8 pounds since September 1) I will have some rolls on my stomach that don’t make it easy for the CGM to stay in place.  I have tried it on my backside, which seems to be the best place to wear it, but it is so freakin hard to get the thing inserted by myself back there.  Amanda doesn’t mind inserting an infusion set for me, but the CGM sensor is different because of how long the needle is, she just isn’t at that point yet to feel comfortable enough to do it.  The final place that I wear it is on my leg which is the easiest place for me to insert it, but at football is the quickest place for it to fall off. Reason being is because I am constantly running and cutting, and also punting to the kids, so everytime I do that, it starts to fall off.

All my Dexcom friends out there…..do those sensors stay in better?

Over-corecting Lows

Now I know this is a dilemna for just about all diabetics.  You see that 50 or 60 in your meter and you just chug a gallon of orange juice, eat a bag of skittles, follow it up with a case of sugar tabs, and then just unleash a pound of sugar into your body.  An hour later and your blood sugar went from 50 to 350.  WTF???!!???  Obviously, I am exaggerating here with how much we take, but you all know what I mean.  I know how much I need in order to correct my low, but I get nervous and continue to eat until I feel better, which means that the initial sugar I ate has taken affect, and now very shortly all the other sugar will take affect as well.  I am going to start making pre-filled baggies with just enough candy or sugar that I need to correct a low.  And once the bag is finished then that is it, no need to take more.  If I still feel crappy a little later, then I will take more just after that.

Bad Sites

This is definitely part of the problem, and is 100% my own fault.  I don’t think that I have ever switched out a set in only 3 days purposely since I have been on the pump (5 years).  I usually keep a site in for 5-7 days, sometimes even more when I am being extremely lazy.  Of course I know it’s not good, but I still do it.  It’s tough to break bad habits, but I have been trying to hard lately to stay on top of it.  So when I get a high, and I try to correct it takes forever because the insulin is not getting through the skin, or it’s leaking, whatever the reason.  I will change my set if I do get a reading over 400. That is the first thing that I do.  Usually if it is over 350 I keep the same one and correct, If I do a test again in an hour and it is not below the 350, then I will switch it out right away and correct again.

These are all my ideas on what has maybe played into the higher sugars.  One thing I didn’t talk about as a reason is the food that I have been eating, because I have been eating excellent…..most of the time.  So it could be those very few times, the 5% of the time foods that could have an affect.  So when most people are worrying why their electric bill was so high this month, but living this life of a diabetic requires me to not only worry about that, but also my blood sugars being high.

Need to Wear CGM More Often

In a previous post that I had after my doctors visit I discussed that I promised not just my endo but myself that I would wear my CGM more often.  And I started to, but then I haven’t put it back on in a few days.  And why may you ask?  Because I am lazy, and since there are only certain times during the day that I can put it on, I usually decide not to do it.  They say to not put it on during a time that your blood sugars are fluxuating or not stable.  Well that eliminates the morning time and also night time.  So that leaves when I am at work.  Well, it’s not the most comfortable thing to do at work.  So then that leaves me doing it on the weekend, which allows me to have the CGM on from Saturday – Tuesday (unless it falls off during golfing.)

I know all the good things about the CGM.  That it is going to help me conquer my morning lows by knowing more of a minute by minute analysis of what my blood sugars are doing.  There are article out like this one from Science Daily, that states, which we all pretty much know by now anyway, “…patients averaging at least six days per week of CGM use had substantially greater improvements in HbA1c compared with those who used the device less often.”  Hmm, so do I need any more proof or any more of a fire lit under my butt?

I vow to wear my CGM for 7 straight days.  Then 14.  Then 21.  If I start with a goal of 30 days in a row, I have a problem reaching long goals without setting smaller ones in the short term.  This is my promise.

What is the longest that you have worn a CGM in a row?  I don’t mean, did you sneak 4 or 5 days out of a 3 day sensor from Medtronic.  But as in, you inserted a new sensor the same day you took an old one out, etc.

This all makes me think about my mindset.  I am usually so good about doing things the right way.  I have done things the right way my whole entire life.  I worked my butt off to be the best basketball and football player I could possibly be.  Of course there were times that I was lazy, but I would make up for it the next day or next week by working even harder.  Or if you have one of those days and you are a little slower at work, you can catch up on work the next day.  But diabetes is completely different.  If I want to take a day off, or be lazy, I can’t just make that time up or just work harder the next day.  This post could potentially become the change of my life and how I see things and act with my diabetes.  I have had A1c right around 7.0 or below for over 2 years,  but it’s time to stop being complacent with those numbers and continue to work harder.

I am committed to making this life of a diabetic a better one and in turn a longer one!

Hollywood and Diabetes, Another Failure

I saw a few posts over the last few weeks about diabetes and Hollywood and how Hollywood gets diabetes wrong a lot.  Well over the weekend I saw another movie that they just got it wrong, another failure.  This movie was “Panic Room.”  I saw this movie when it first came out years ago and remembered the little girl having some sort of problem that was making her blood sugar go low, but at that time I didn’t know it was her blood sugar or what her problem was.

For those that haven’t seen this movie a mother and daughter are locked inside of a panic room when 3 men are attempting to rob the new house they live in.  The little girl has diabetes and her blood sugar is dropping throughout the whole movie.  Good thought and plot for a movie, but not the best at the details.

The first thing that bugged me was when they first moved in they were eating dinner downstairs and the girl with diabetes was drinking a regular soda.  I don’t know about you, but I sure don’t enjoy a regular soda for dinner, actually don’t think I have had one for pleasure in about close to 10 years.  How could the director or whoever is in charge of this let this little moment make the cut?  Failure number 1.

Second thing was the CGM, or futuristic CGM she was wearing.  I had heard of this thing and saw it online, the GlucoWatch, but I haven’t seen anybody actually wear it.  Basically it was just a watch she was wearing that was giving her blood sugar readings to her.  We all know that it’s not that easy.  How about showing her inserting the sensor into her skin and allowing people to see what actually goes on behind the scenes.  People are already ignorant to diabetes and don’t know what we go through on a daily basis, so why give them the thought that, all you have to do is look at a watch to see what your blood sugar is?  Failure # 2.

Using diabetes in a movie plot can be a great tool and make the movie extremely interesting, but only if it is done in the right way.  Add some educational aspects to it.  Explain how this person’s diabetes is going to affect them later on in the movie, give hints, just like you do with the rest of the plot.  I remember seeing a sci-fi movie, (wait I’m sorry, now it’s Sy-Fy) about a year or so ago that involved these alien looking creatures who lived off of sugar.  Without sugar they would die.  Of course there was a group of teenagers that were somehow being attacked by these aliens, but there was one girl in particular they really wanted and nobody knew why.  Well it turns out she was diabetic and had really high blood sugar and they were looking for some insulin so the aliens would stop trying to attack them.  If I remember correctly, the insulin ended up being the killing formula to the aliens.

Although the movie was cheesy, it explained diabetes.  The girl explained to her friends that without insulin her blood sugar will continue to get higher and she will not be able to runaway from the aliens because her body will slowly start to shut down on her and cramp up.  She also explained what the insulin did and how it lowered your blood sugar.  She used the PacMan analogy by saying the insulin eats up the sugar like PacMan.  Maybe not the most scientific explanation, but it works in my book.

So today I dare somebody in Hollywood to make a movie that explains diabetes.  Put a character on tv that explains diabetes, and no not Brett Michaels.  I mean somebody respectful, not washed up, a has been and does diabetes the right way and not keep their blood sugar higher so they can enjoy sex.  Hollywood, you have been challenged!

Somebody make this life of a diabetic a happy one and have a great day.

5 Reasons Why Watching Sports Affects Your Blood Sugar

I wasn’t able to get a post up yesterday because I was having computer issues.  I have a WP app on my IPhone, but there’s no way that I can type that much on that phone.  So it’s Saturday afternoon and I am at the Spanish River Library in Boca Raton with a nice venti bold from Starbucks, with my beautiful girlfriend and getting some work done.  Why am I at the library on a Saturday afternoon when I am no longer in college?  Because football officially begins tonight which means I will have just about zero time left from now until January to do anything at all. Tonight my Virginia Tech Hokies kick off against the Alabama Crimson Tide.  It also means that my diabetes gets tougher.

For those that have been following me for a while probably know that my Hokies and Philadephia Eagles screw with my blood sugars big time.  This year I have a CGM and vow to wear it for every single game so I can monitor how my sugars are going up and down.  At my last Endo visit I was told that I need to track my blood pressure a little more frequently as well since it was 140/80 when I came in and also when I left the visit.  During Eagles games I can feel my heart pounding rapidly on big plays and also at the end of the game.  When they are winning easily it doesn’t really affect me.  More on the Eagles in a further post when their game is coming up.  Right now, it is all about the Hokies.

I am already becoming a little nervous because our star running back is injured and not going to be playing.  Not to mention that we are playing the #5 team in the country.  Grant it, we are #7 in the country, I hate having to play these top teams during the first game of the year every single year.  Let’s get into the diabetes part of it though.  And the reasons for why my sugar goes up.  I have narrowed it down to 5 different reasons why they are all over the place.

# 1 – Passion and Nerves

I am a very passionate and die hard sports fan.  I have been fans of the teams I am fans of pretty much my whole entire life.  I grew up an Eagles fan, became a Hokies fan when I was about 7 or 8, so I feel attached to these teams.  I have also had no luck with my sporting teams winning championships, except the Phillies last year, that I want them to win every single game.  When they lose I become upset and pissed and feel like I am part of the actual team.  Obviously I don’t want to feel pissy but when it is fourth down or there is 2 minutes left in the game and we are down by 6 my blood pressure is shooting through the roof.  My goal this year is to take deep breathes and relax and tell myself that my life is not affected by this game.

# 2 Food Choices

During sports games I am not always able to watch the game at my own home just because of regional TV decisions.  So, at times I must go down to the local sports bar.  While I am there, I may as well make a meal out of it and eat also.  This leads to a game long appetizer of homemade buffalo fried chips from Bru’s Room in Delray Beach, FL.  Second part of the meal is usually a Memphis pulled pork sandwich or some sort of non-healthy meal with some mashed potatoes.  You may have guessed why I named a specific food, because I am extremely superstitious and don’t like to go away from something that I ate when my teams have won while I ate that.  I know, I know, I’m crazy!

# 3- Beer

Beer and football, just makes sense.  Do I really need to go into why the beer intake messes with my blood sugar?  I don’t think that I do, your educator can take care of that.

# 4 Guessing, not Testing

If I go to the sports bar then there is about a 5% chance that I take my meter with me.  During that 5%, there is about a 1% chance that I will test my sugar.  I also am kind of guessing how many carbs are in the food.  Usually what I do is just take a 25 unit max bolus and then eat to cover my insulin.  If I “feel” that I am getting low then I will just eat more of the chips or maybe even order a dessert or something else.  Not a great decision for a diabetic.

# 5 Stress

This one comes during the game which I started to get into during reason #1.  The stress gets even worse after a loss.  I will be stressed out and down in the dumps for a few hours or even the next day until I finally get over it and realize that next week we get another chance to win.  The later into the season the worse the stress gets.

I now know the reasons why sports affect my blood sugars, now it’s time to do something about it and fix these 5 things.  Well I am going to the sports bar tonight even though the game is nationally televised, but I am going to eat healthy.  No beer, no pulled pork.  I will have an un-sweetened iced tea, a cobb salad and maybe a cup of French Onion soup.  Maybe, just maybe I may cheat and get some jalapeno poppers because Amanda also likes them.

Insurance Companies, Did You Just Cringe?

Insurance companies.  How many of you just cringed and made a sour face as soon as you read those first two words?  I know I do.  I don’t know what it is about that set of words. Even when I was younger I didn’t like those words, and I didn’t even know anything about them.  As my uncle always called them, “in-case-stuff-happens companies” as in they are useless unless stuff happens.  Insurance companies brought a whole new level of hatred into my life when I became diabetic.

I didn’t really deal with them the first 2 years of my diabetes because my mom handled just about everything.  I just simply went to the pharmacy to pick up my prescriptions and went to the doctors office and handed them a card.  Once I moved to Florida to finish college, that’s when I had to deal with things myself.

I can remember the first bad experience that I had with them.  I had only 1 vial of insulin left and I pulled it out of the fridge to get it to room temperature about a day or 2 before I would actually use it.  As I was taking it out of the nice little box it comes in, it slipped out of my hands and smashed on the floor and insulin went everywhere.  Not only did I have an insulin smelling floor, (disgusting!) I was now going to be out of insulin within the next few days.

I went over to the student pharmacy the next day and pharmacist said ok it should be here tomorrow.  I get a phone call the next morning to come in and see him.  Guess what?  Insulin is there but the insurance company isn’t covering it so it is going to cost me approximately $500 with the student discount.  Reason for why they won’t cover it you may ask?  Because I have a 90 day supply and we are only on day number 78.  I still remember the day of my 90 day prescription I was on because it made me so pissed.  After I explained to the rep that I will be dead before day 90 comes around, she transferred me to multiple people.  Finally, on a one time basis, they will cover the insulin.

Now, fast forward 3 1/2 years to last week.  I received a new pump and CGM from my diabetes supplier earlier in the year. They are out of network with my insurance so no big deal, that will eat up my out of network deductible.  Well I keep receiving statements in the mail showing that none of my deductible has been met.  This doesn’t make sense to me.  Also, every month I receive a letter telling me that I haven’t sent in the additional information that was requested of me and I must send in something in writing or my claim will be denied.

Huh?  What?  I never received anything in the mail stating I had to send in anything!  Every single time I call they tell me that I just have to submit my appeal in writing.  Well, what the hell am I appealing?  I haven’t received anything telling me I need to appeal!  Long story short they are requesting months of blood sugar logs, CGM reports, A1C reports, etc.  If they just would have told me that months ago I could have had it to them right away.  Hopefully I can get this all straightened out and taken care of.  I don’t need the added stress.

Just another reason I can’t stand insurance companies!

And just another day in the life of a diabetic