OH THE HORROR!!! Malfunctions galore.

Old post from February......


The old saying "Anything that can go wrong, will." rang very true today. TWICE!!! I woke up for class this morning and as always, went to promptly check my blood sugar.

Strip in the meter. Blank screen.

Held the power button. Nothing.

Changed the batteries. Nada. Zilch. Ditto.

Luckily for me, I am an incredibly intelligent human being with just a dash of OCD, so I always carry a backup. OneTouch UltraMini to the rescue!!! I mean it's probably the most boring, featureless meter out there but in the end, it does what it's supposed to. 

Here's where it gets fun. 

After class I got back to my room and went to call Animas Tech Support. As I was taking the skin off my pump to read the toll free number listed on back, the bottom corner of the keypad pulled away from the pump. Well damn.

My conversation with the Animas rep went a little like this…

Rep: "Hello Animas tech support, how can I help you."

Me: "I swear I'm not abusing my pump but everything is broken!!"

Rep: "……….could you elaborate?"

Long story short, both my meter and my pump are getting replaced within about a week. In the meantime the pump is still functioning and I shall be using my backup meter. 

My Life as a Robot/ I gots me a Dexcom

Now that I am the proud owner of a Dexcom G4 (THANK YOU HEALTH CANADA!!!), ahem, I have started to feel like a little bit of an automaton (cue steampunk music). This snapshot pretty much sums up my life as a diabetic, although I do not live in a sepia world unfortunately.

I jumped right on the ball as soon as I found out that the Dex was going to be available in Canada. I called my Animas rep immediately and ordered. I am very fortunate to have awesome insurance and it was able to cover the entire startup cost of the CGM as well as the monthly costs. I was like a little kid at Christmastime and I opened the box the second I got my hands on it. After inserting the sensor I waited anxiously through the 2 hours of startup time. I got my very first reading and for the rest of the day, watched the receiver like a hawk.

In conjunction with the pump, I feel like I am able to get the best control possible. I guess it is true when they say that "good things come to those who wait." (and those who petition....and who send multiple letters to Health Canada)

Shaming Myself + Update

You know how you hate those bloggers who go for ages without writing a post? Yeah.....haha......Me too.....

WHOOPS!!!
I realized the other day that, at one point, this blog was a huge part of my life and just how much I miss it now. Writing posts was an outlet in which I could share my feelings, opinions, doubts, and life moments where it concerned diabetes.

Now, a year and a half into my diagnosis, things are a little different. I am not yet a seasoned pro but no longer a newbie either. I have come to terms that life can never go back to the way it was before but I have also learned that changes are natural and inevitable. Is it possible that this roadblock is actually helping me to better deal with other changes that I will have to face later on? I am still learning everyday about what is going on inside my body and how to best deal with this strange condition. Thank the heavens that diabetes fascinates me because I do enjoy being a diabetes nerd. 

UPDATE TIME

1.) As you may have been able to guess from my last post, YES, I finally started on an insulin pump. I chose the pink OneTouch Ping and I couldn't be happier. His name is Otis and he is my soul mate. ❤️ Being on a pump is making life so much easier and carefree. It has allowed me so many freedoms that I wouldn't have using the alternative. I also just caught drift that Dexcom is going to be available in Canada (actually this time) around November or Deceomber. Christmas present maybe??? Mum? Dad?

2.) I started university at the beginning of September and am pursuing a double major in linguistics and drama. I got way too excited after finding out that there is another type 1 who lives on my floor and I'm doing my best not to scare her away hahaha.

3.) I switched to Apidra and am LOVING IT.

4.) I own a fish named Cisco and he is the coolest.

I LOVE YOU ALL! And I promise that you will hear from me soon. xoxox

Oh My Lantus! A Goodbye Letter

Dear Lantus,

We both knew this was coming for awhile now. You'd seen me spend hours on end browsing the Internet and looking at insulin pumps. It was inevitable. Lets skip the tears, I don't want this to be harder than it already is.

Don't get me wrong Lantus, you are a great insulin. You were my rebound after my falling out with NPH, you gave me the freedoms that he never could. You made me feel steady. You never had mood swings where you would suddenly have a peak at an inopportune time, and you made my a1c so much better. Despite the fact that you always burned just a little bit, you are the best long acting insulin I have ever known.

Now hear me when I say that I am not leaving you for Levemir. You don't deserve that. I just feel that  I don't need a long acting insulin in my life right now. It's not you, it's me.

I know we've been in a bit of a love triangle with Humalog in the mix. And you guys always worked so well together. I'm going to miss the three of us. Although don't tell Humalog, but I'm considering leaving him for Apidra. I just need to start fresh I think.

I'm sure we'll meet again Lantus. Ping and I are bound to have fights and not see eye to reservoir. I am going to need a shoulder to cry on or a jab in the stomach, and it will be you I come to. This is not the end Lantus.

All my love,
Hanna

Intro to Pumping Class on Thursday + Choosing My Pump

        Yes my little sugar free niblets, I am officially on the road to becoming a pumper of insulin. On Thursday I am scheduled in an introduction to pumping class at the children's hospital in my area. It's pretty ridiculous how excited I am. As I mentioned in an earlier post, I did a complete turnaround in my stance on insulin pumps. I hated the idea of being connected to something. I quickly got over that though when I saw all the benefits (oh yeah and all the cool kick butt features some of them have). So below I decided to include the pros and cons of the insulin pumps available in Canada right now that I considered and why I'm choosing the one I am.

OMNIPOD

Pros:
-No tubing
-Sophisticated PDM (personal diabetes manager)
-Don't have to see needle
-Cheaper than many other pumps

Cons:
-Wasted insulin if the "pod" fails
-Inability to disconnect
-Stranded if the PDM is lost
-Bulky under tight clothing/ no ability to relocate pump once attached


MEDTRONIC VEO

Pros:
-Integrated CGM (Continuous Glucose Monitoring)
-Customizable Skins
-Carelink

Cons:
-Not waterproof
-Low Resolution Screen


ANIMAS PING

Pros:
-Waterproof
-Meter-Remote (ability to deliver insulin using glucose meter without needing to remove pump from wherever it is stashed)
-Colour Screen (in Canada there is a high resolution colour screen on both the pump and meter remote)
-Carb database (store foods along with their carb values in the meter. Eliminates guesswork when calculating carbs)
-Customizable alert songs (that's just cool)
-Company will lend you a spare pump if you go on vacation in case something happens to yours

Cons:
-No CGM
-Limited options for skins


So by what I've written you can probably hazard a guess as to which one I've decided on. Animas Ping baby! For a while it was a little bit of a toss up between the Veo and the Ping (Sorry Omnipod, but I knew you weren't going to work for me after about five minutes). I really like the idea of continuous glucose monitoring especially since I will be at university next year. I would love to be able to catch any possible nighttime lows and know my BG and any given time. But in the end, I could just see myself using more of the features on the Ping (e.x I'm a lifeguard/ swimming instructor. The waterproof feature was kind of a no brainer.) I'm still hoping and crossing my fingers too that the stand alone cgm system Dexcom will be made available in Canada soon. Happy pumping everyone!!!

How To Get The Insulin Pump Experience Without Being On A Pump

I've been desperately wanting to get on a pump since about 3 weeks after my diagnosis. But alas there is that "wait it out" time period that my hospital enforces to allow you to get used to your diabetes before switching from MDI (Multiple Daily Injections) to an insulin pump. Usually they tell you to wait at least a year, but because I am older than most of their typical patients and very independant with my diabetes management they said that they would try to get me on one a lot sooner.

In the mean time though, I have been nosying around and I have found a way to get very close to "pump life" while still being on MDI's. There are three steps in this process and they are listed below.

***Please note that I am not a medical professional and that everything I am going to talk about works for me but may not work for you. This is also stuff that I have talked about with my diabetes team and I recommend that you do the same before trying any of these techniques.***

1.) I-Port Advance

I started using this device not because I have a phobia of needles but becase I was tired of the little red marks that all the injections were leaving on my stomach and thighs. I also wanted to get used to wearing something on my body for when I start using a pump.

The I-Port mimics infusion sets because it requires only one needle prick every three days. But instead of having tubing connected to your body, you inject your insulin with pens or syriges right into the device. The needle never touches your skin. It is inserted the exact same way that most infusion sets are and just leaves a tiny flexible cannula (plastic tube) beneath your skin. This little device is also great for kids who are scared of needles because it only requires 10 pokes a month as opposed to 3 or 4+ a day!

2.) Basal/ Bolus Insulin Regime (Lantus)

I think it's safe to say that everyone enjoys sleeping in. But if you're on the insulin program I was on before than that is just not an option. Until just recently I was using Humalog (aspart) and Humulin N (NPH) in the morning, Humalog again before dinner, and then Humulin N before bed. Sure it meant that I didn't have to inject myself at lunch because of the peak period of the NPH, but it also meant that I had very structured mealtimes with not a lot of wiggle room. If I wanted to sleep in I would still have to get up at 8:00am to give myself insulin and eat a full breakfast and then go back to bed if I wanted, but that practically never happened.

So my diabetes nurse recommended I try out a basal/ bolus approach. This involves taking Lantus (glargine) insulin that runs in the background and then taking the rapid acting Humalog to cover my meals and snacks. Lantus is a peakless insulin that allows me to eat whenever I want (or not at all if I don't feel like it) and gives me a lot more freedom in regards to sleeping in. Hallelujah!

Just like on a pump, the Lantus replaces the tiny drip of fast acting insulin and just lets you "bolus" for your meals by giving yourself rapid acting insulin.

3.) FreeStyle Insulinx Meter

This is not just a meter. This is the meter to end all meters. It is based on pump technology and can recommend an insulin dose based on your blood sugar and how many carbs you plan to eat. When you set it with someone on your diabetes team it even takes into account your insulin to carbs ratio, how long insulin stays in your body for, and how much insulin it takes to lower your blood sugar. This saves me a ton of trouble and has definitely helped me keep my blood glucose in range. Not only does it do the work for you but you can also set your own photo as a bcakground pic. Neat! The software it comes with it pretty awesome also and it lets you create graphs and charts to print off and show or email to your diabetes team. Oh and did I mention it's touchscreen?

SO DISAPPOINTED!!!

     Okay so this really upsets me. Joining the Canadian military was something that I had been considering for the past couple years and just today, I found out that I will never be allowed to do so because of my diabetes. I'm not sure I agree with this because I could not have better control of my condition right now and I am very aware of what is going on in my body.

     These "health standards" have been around for ages now and they exclude anyone who is on insulin or oral medications for diabetes from joining the military. And these standards aren't just for soldiers. They are for practically everyone! This includes nurses, mechanics, etc. I was reading another blog post on this subject and this one fellow said that he believes that we should be allowed to join the military because the technology to manage diabetes is so much more advanced than it was back when these standards were created. I couldn't agree more! If you can prove that you have really tight control over your condition then I don't see why you shouldn't be able to join.
   
      This being said I can somewhat understand their justification behind this. It would be a risk is you had a hypoglycemic episode while using a firearm and you cannot always eat on a regular basis. But say you were using CGM and were on an insulin pump. You would be aware of what your blood sugar was and you wouldn't have to eat until you were ready. There are definitely ways of fixing these problems and I think that it is discriminatory to exclude people simply because of a condition that they have. Especially one that can be controlled so well.

     I do believe that there are ways that a diabetic can successfully serve in the military and I also think that it is extremely outdated to prohibit pwd (people with diabetes) from joining.

p.s I'd like to point out that there are many police officers who are diabetic that also carry guns. Jussayin.

I WANT AN INSULIN PUMP SO BAD!!!

Two days after I was diagnosed, one my support workers at the hospital mentioned the possibility of going on a pump at some point. I was completely opposed. There was "absolutely no way" I told her that I was "ever, ever, EVER!" going to get a pump. I was perfectly fine with my multiple daily injections and I hated the idea of having something attached to me 24/7. Of course at this point, I didn't know the first thing about insulin pumps. After I got home I started doing a ton of research and discovered what all the benefits of pumping were. Furthermore, it baffled me the amount of features that some of these pumps offered.

After some nosy-ing around I've decided that when it does come time to get a pump that I am going to get the Animas OneTouch Ping. I'm choosing this one for a couple important reasons. 

1.) It's 100% waterproof for an extended period of time. I'm a lifeguard, swimming instructor, and I work at a beach. This was an absolute "must".

2.) It connects wirelessly with your meter and allows you to control your settings without having to even touch your pump. This is great because then I don't have to go reaching into my bra or other places when I need to bolus or change something. It will just look like I'm texting or something along those lines.

3.) Built in food database on the meter-remote. I love this feature because it has hundreds of brand foods that you can select and it will count up the carbs for you. It also allows you to add some of your own foods.

4.) Sleek design. Of all the pumps I have seen this one has the most attractive design and interface in my opinion. I love the high contrast color screen and the fact that you can pick from a selection of different colored pumps. (Also if you get yours in Canada like I will be doing, the meter-remote has a color screen also!)

5.) Ability to customize the tune. Okay this one definitely wasn't a deciding factor but I just thought that it was really neat. Makes it feel a little bit more personalized just to you.

Why did I choose this over other pumps?

I did definitely check out other pumps such as the Medtronic Paradigm, Omnipod, and Accu-Chek but I just didn't feel like they completely suited my needs (for example the Medtronic is not waterproof). When it comes to the CGM (Continuous Glucose Monitoring) on the Medtronic, I just feel like it is something that I don't really need right now. I check my blood sugar more than average anyway and 95% of the time they are always in target range (and I'm not going to lie.......I don't find the idea of a second site very appealing) Plus it doesn't come with the advanced meter-remote (which I <3!) As for the tubeless pump (Omnipod), I don't have an issue at all with tubing. Actually, I really like the fact that with traditional pumps you can unclip for a little while. I also wear a lot of tight clothing and I feel like this pump would probably show through. Don't get me wrong, these are still great pumps and would probably be perfect for other people but I think the Animas Ping just really fits what I need.

My concerns?

I think my only concern was that I may not know where to put it. But I feel like it's one of those things that you could put anywhere you store your cell phone. To be honest I will most likely just hide it in my bra (mother nature blessed me enough so I shouldn't have a problem with this haha).