Thursday, July 3, 2008

One Hot Diabetic

As it heats up here in Delta, I notice that my body reacts differently to my diabetes care. It is normal for me and Tasha to be working in 90 -100 degree weather for most of the day. Some changes I've had to make in my care and things I've learned:

  • I have to be sure to use less insulin when the temperatures spike because the heat makes me warmer, causing the insulin to work faster. Coupled with the physical work, I only need half the insulin for most of my meals during the work day.

  • Lows are almost inevitable when you are working your butt off in the high heat. I thought I'd just carry around a bottle of orange juice to treat lows. Well Jessica (me, obviously) learned that orange juice tastes REALLY bad if it is left opened in her backpack for a couple of days. Apparently it does go bad. I also learned, (I know this is gross but it was a learning experience) that orange juice that has gone bad will still raise a low blood sugar. (What? I didn't have anything else with me.) It'll just make your stomach churn as well.

  • I learned that carrying a small 12 oz. re-closable bottle of pop is better, pop doesn't go bad, it just goes flat.

  • When you are pulling hoses all day make sure your pump site is somewhere it'll not have hose dragging across it. The hose will rub it off no matter how much tape you put over top of it.

  • On that same note, Make sure your pump is secure and inside your pocket. If it's hanging off your pocket or belt, the hose will catch it and tear it off, causing you to have a flying pump that loves to try to pull your site out again as it swings in and out of your reach.

  • You cannot skip meals at all when working hard, it causes more lows. I've tried a few times and every time has ended with me having to stop and nurse my low.

  • Another reason to have your pump secure: When scaling fences to reach the backyard, you don't want it flying out and landing underneath you as you fall flat on your butt because you are as graceful as me and have yet to land on your feet when jumping a fence.

  • Water is incredibly critical, if I don't keep hydrated I've noticed my bloodsugars seem to swing with the stress. I haven't the slightest clue why but that's what happens.

  • Since I walk everywhere all day, I make sure to check my feet carefully every night for any bruises or blisters. Also, in the morning I make extra certain that my socks aren't wrinkled so I can avoid having sore spots.

  • Another one I don't know the reason for: Adequate sleep is critical. Swinging bloodsugars are directly affected by the amount of sleep gotten the night before. So I've found I need at least 7 hours of sleep.

  • I've learned a lot more than this but the most important thing is that there is no set formula, every single day will throw something different at me. So checking my blood sugar every 2 hours is nearly essential.

So I've got to head back out and continue melting my pants right off my butt. Cy'all later.

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