Completely at random -
Jun. 10th, 2010 11:26 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
Self, you're a whole lot smarter than you thought you were. Case in point? Every trip is a trifecta to me - housing, car, how-you-got-there - and I just got reminded that I was a smart little penny and bought the trip to KY back when we got the tax return because I was smart that way. Only thing undone is the car rental, which unless you priceline, you don't pay upfront (and company has a corporate account that pets me on the head, so guess what I did).
Yes, you think ahead, you can afford eggrolls. I'll remind my fella of that.
I should be teaching diabetes training. Two people I know just got diagnosed and the education mentioned is just what-inducing. This is not easy stuff to get your head around and if you're newly diagnosed, you're NOT going to be at your best for retention and comprehension...and what I'm seing is just 'throw it at the wall and see what sticks.'
Teach it, try it, revise, repeat. Oh, and is your trainer also diabetic? Oh...has a diabetic friend or family member. Oh. Sat in a classroom on it? Oh. Right. Not even that. *facesmacks* Swear, some of the stuff sounds like 'insert miracle here' in a box, and it's more than thirty years old.
I may call Cliff's old doctor just to vent. He'd understand.
I'd teach the old ADA exchange system with some mods. I would NOT teach patients to give insulin into the abdomen - EVER. (And I should make some YouTube vids on how to self-give in the arm, thigh. I know some nifty, ask me.) I asked Cliff's doctor about the location bit - because there's always some bright penny out there to claim there's some study out there on absorption rates and then can never find it when I call bullshit on it - and he just shook his head and said to do what worked for us. There was nothing significant to it, he said. And to me, when you're teaching somebody to jab themselves (sometimes for the first time in their lives) multiple times a day, it makes NO sense to tell them to jab into the one place on their bodies that's something other than muscle and bone. It's scary enough, for crying out loud. And it's tender - what?
Bet they're not saying a word what blood sugar levels - and massive fluctiations - do to your mood, and/or how much your mood influences them, are they? Bastids. And guess what - everyone has their own scale, so your mileage with DEFINITELY vary. That's a hallmark.
Grumble grumble grumble bitch. This stuff still makes me mad. This is not easy. And making light of it, short-shrifting the new patient on basics and all that? This makes Donna a real crank, in a hurry.
*tips hat to my newly diagnosed friends* The reason you're on a low-protein diet (no, really - all those carbs are for a reason)? Low-protein diets in diabetics tend to stave off kidney disease complications and can actually reverse some damage. Nobody is TELLING you this, of course - they just wrote the diet plans and put them in the box without telling anyone about it. *kicks* Seriously. Hang towards the most complex carbs (add fat to them) as you can (that's whole grains and close-to-the-ground starches, add fat of choice in moderation), keep the fruit exchanges to a minimum (and treat tomatoes like fruit for this exercise), and let's bug Graham Kerr to write some cookbooks for us. The more complex, the better - they burn off more slowly. Usually. In some people, Grape Nuts are the bomb for blood sugar, in others, they can last all morning on it with out a ripple. Again - teach, test, revise, repeat. You'll find out. Also - remember, good management is not a destination. This whole thing is a process without reaching an endpoint. Readings are indicators and information - not value judgments on you. Learn the value of the word 'stable' over 'good' - I did say this was hard?
I've never been diabetic and I hate it. There.
You think this sucks, you ought to try managing diabetes and end-stage renal disease together. *growls*
I'm forming some ideas about what kind of birthday I want to have this year - since it's one of those 'decade' markers (and it's the 50th, if you're asking). I'm thinking the party I've never had. See, I don't think I've had a party with invitations and all that since I was 12.
I'm thinking OMG call the cops to shut it down block party. Taiko drummers, fire dancers, get Tommy and Brandon some mikes and break out the karaoke machine NOISE. A cake the size of my car, and cupcake satellite towers. Carnival games - with good prizes. Photo booth. Tiki drinks. LOUD Hawaiian shirts. I'll start it at 10:30 in the morning and go until we drop from exhaustion. PUNCH by the VAT. Souvenier mugs, maybe.
*ahems* November 14th and that's a Sunday. Save the date. I'll have to see what kind of budget I can scrounge up.
I can tell you now I have always had an Amazon wishlist (and one at ThinkGeek), but in particular? If you can find me a Yellow Submarine cookie jar, or a lucky waving cat one? Yeah. Full of bath fizzies? Even better.
First one to show up with a black balloon gets tossed in the pool. NO HILLS.
The rest is subject to change without notice. ^^
Yes, you think ahead, you can afford eggrolls. I'll remind my fella of that.
I should be teaching diabetes training. Two people I know just got diagnosed and the education mentioned is just what-inducing. This is not easy stuff to get your head around and if you're newly diagnosed, you're NOT going to be at your best for retention and comprehension...and what I'm seing is just 'throw it at the wall and see what sticks.'
Teach it, try it, revise, repeat. Oh, and is your trainer also diabetic? Oh...has a diabetic friend or family member. Oh. Sat in a classroom on it? Oh. Right. Not even that. *facesmacks* Swear, some of the stuff sounds like 'insert miracle here' in a box, and it's more than thirty years old.
I may call Cliff's old doctor just to vent. He'd understand.
I'd teach the old ADA exchange system with some mods. I would NOT teach patients to give insulin into the abdomen - EVER. (And I should make some YouTube vids on how to self-give in the arm, thigh. I know some nifty, ask me.) I asked Cliff's doctor about the location bit - because there's always some bright penny out there to claim there's some study out there on absorption rates and then can never find it when I call bullshit on it - and he just shook his head and said to do what worked for us. There was nothing significant to it, he said. And to me, when you're teaching somebody to jab themselves (sometimes for the first time in their lives) multiple times a day, it makes NO sense to tell them to jab into the one place on their bodies that's something other than muscle and bone. It's scary enough, for crying out loud. And it's tender - what?
Bet they're not saying a word what blood sugar levels - and massive fluctiations - do to your mood, and/or how much your mood influences them, are they? Bastids. And guess what - everyone has their own scale, so your mileage with DEFINITELY vary. That's a hallmark.
Grumble grumble grumble bitch. This stuff still makes me mad. This is not easy. And making light of it, short-shrifting the new patient on basics and all that? This makes Donna a real crank, in a hurry.
*tips hat to my newly diagnosed friends* The reason you're on a low-protein diet (no, really - all those carbs are for a reason)? Low-protein diets in diabetics tend to stave off kidney disease complications and can actually reverse some damage. Nobody is TELLING you this, of course - they just wrote the diet plans and put them in the box without telling anyone about it. *kicks* Seriously. Hang towards the most complex carbs (add fat to them) as you can (that's whole grains and close-to-the-ground starches, add fat of choice in moderation), keep the fruit exchanges to a minimum (and treat tomatoes like fruit for this exercise), and let's bug Graham Kerr to write some cookbooks for us. The more complex, the better - they burn off more slowly. Usually. In some people, Grape Nuts are the bomb for blood sugar, in others, they can last all morning on it with out a ripple. Again - teach, test, revise, repeat. You'll find out. Also - remember, good management is not a destination. This whole thing is a process without reaching an endpoint. Readings are indicators and information - not value judgments on you. Learn the value of the word 'stable' over 'good' - I did say this was hard?
I've never been diabetic and I hate it. There.
You think this sucks, you ought to try managing diabetes and end-stage renal disease together. *growls*
I'm forming some ideas about what kind of birthday I want to have this year - since it's one of those 'decade' markers (and it's the 50th, if you're asking). I'm thinking the party I've never had. See, I don't think I've had a party with invitations and all that since I was 12.
I'm thinking OMG call the cops to shut it down block party. Taiko drummers, fire dancers, get Tommy and Brandon some mikes and break out the karaoke machine NOISE. A cake the size of my car, and cupcake satellite towers. Carnival games - with good prizes. Photo booth. Tiki drinks. LOUD Hawaiian shirts. I'll start it at 10:30 in the morning and go until we drop from exhaustion. PUNCH by the VAT. Souvenier mugs, maybe.
*ahems* November 14th and that's a Sunday. Save the date. I'll have to see what kind of budget I can scrounge up.
I can tell you now I have always had an Amazon wishlist (and one at ThinkGeek), but in particular? If you can find me a Yellow Submarine cookie jar, or a lucky waving cat one? Yeah. Full of bath fizzies? Even better.
First one to show up with a black balloon gets tossed in the pool. NO HILLS.
The rest is subject to change without notice. ^^