Return of the absentee blogger. Elsie and I, day #252

Day 252! Its been 164 days since I last blogged. Lots has happened. Run of the mill stuff, but busy nonetheless. The Boy has been doing great since his diagnosis in May. Going live on his pump has been fantastic for him and I’m glad to say that he’s taken to it like a duck to water. I honestly can’t remember what it was like after I was just diagnosed. I vaguely remember being hungry, mostly, and there being lots of hypos, but that could have been all of my teens and my twenties if I’m honest. Not really much to report about The Boy’s progress, other than it’s been generally good. He had a school trip – 3 days and nights away, that passed without event. Lots of credit needs to be given to the Teachers and to the DSN’s who supported them and wrote a minute by minute plan of how to manage all of the activities that were scheduled over the weekend.

I’ve been getting on ok with Elsie and seem to have settled into a routine that’s generally working. I use different profiles for different shifts, which is working well. I’m still having a few more spikes than I’d prefer, but that’s more down to the choices I’ve made, than issues with the pump or my ratios.

I’ve made no secret of the fact that I’m addicted to carbs. I love them. Bread, cakes, biscuits and anything else you care to put on a plate. I’m not going to beat myself up about this. Food is to be enjoyed. Too much diabetes education, for far too long, was about what you can and can’t eat. This as left many of us with a negative relationship with food. It’s taken me a long time to not feel guilty about what I eat. This is no mean feat given that I’m a nurse. Many of my colleagues (some of whom were trained by Florence Nightingale) still question me about what I’m eating and if diabetics “are allowed that?” DAFNE and New Deal for Diabetes have come a long way, but the rest of the NHS is sadly still very much in the dark about managing diabetes.

What I do need to do, is take responsibility for managing what I eat. I’ve found generally that pre-bolusing for all, or a rough estimate of the carbs I’m eating in a meal by 30-45 minutes is making a huge difference. Saturday’s tea was vegetable soup with home baked bread and chicken pie (homemade too) for the main course. I estimated this to be around 140g carbs and bolused for 80g of these 35 minutes before we sat down to eat. No prebolusing for the boy – he’s so sensitive to his insulin theres no need. 2 hours after eating (and taking the remaining insulin for the meal) my blood glucose had risen by 0.1 mmol/L. I’d love to say that I’m this successful every time I try to do this, but sadly it’s not the case.

Going low carb a couple of days a week has been good. 2 or 3 days is acahievable and seems to work well on the days I’m working. I don’t fancy it full time though. It would be dire to never have a slice of pizza or some cake if I fancied it.

I’m due a review in a few weeks and am really keen to find out if my A1c has dropped. My last one was improved dramatically since sarting the pump. and if I’m totally honest I’ll not be disappointed if it doesn’t drop. 7.1% is still far better than it’s been for years.

I’ve got loads more I want to blether on about including the Freestyle Libre. I got very excited about this and have at times been crowing all over Twitter about it. Abbott were being very vague about availability and I decided to put my savings down on a new car. Turns out it’s been available for over a week and everyone else in the #GBdoc has beaten me to it. I’ll just have to wait a few more days until payday before I order one.