{"id":1699,"date":"2015-02-18T08:05:47","date_gmt":"2015-02-18T13:05:47","guid":{"rendered":"https:\/\/www.hectic-dad.com\/hectic-dad\/?p=1699"},"modified":"2015-06-12T16:10:42","modified_gmt":"2015-06-12T21:10:42","slug":"diabetes-by-the-numbers","status":"publish","type":"post","link":"https:\/\/www.hectic-dad.com\/hectic-dad\/diabetes-by-the-numbers\/","title":{"rendered":"Diabetes by the numbers"},"content":{"rendered":"<p>My editorial calendar said that I&#8217;m supposed to be writing a post about how I use Google Calendar. That post has been progressing&#8230;OK, who am I kidding. I haven&#8217;t really done all that much\u00a0<em>actual writing<\/em> about Google Calendar. I&#8217;m going to save that post for another day.<\/p>\n<p>You see, something&#8217;s been bugging me that I really want to write about. <a title=\"Time Traveling and Goal Setting\" href=\"https:\/\/www.hectic-dad.com\/hectic-dad\/time-traveling-and-goal-setting\/\">In my last post I wrote about goal setting<\/a> and the impact that the SMART system has had on me. I have known about <a href=\"http:\/\/papatont.com\/how-to-set-goals\/\">SMART<\/a>\u00a0in various incarnations for a while. I&#8217;ve even tried my darndest to use it. Where I&#8217;ve really struggled though is in making my goals\u00a0<em>measurable<\/em>. I try and fail. Then I try a different approach to setting measurable goals&#8230;and I seem to fail again. Rinse and repeat.<\/p>\n<p>But the measurement phase is not only important to the ability to achieve those goals, it&#8217;s intrinsically vital to me.<\/p>\n<p>I&#8217;ll admit it, I&#8217;m a\u00a0<em>data guy<\/em>. I want to put numbers to everything. While I look at the letter grades on the kids&#8217; report cards, I always get online to see what the numerical backing to those grades is. When I was in college, Notre Dame had a somewhat unique grading system where an A was worth 4.0 points, but an A- was worth 3.5. A B+ was 3.25, B equaled 3.0, and a B- meant you&#8217;d earned 2.75 points. This differed from the standard at most other universities where any A was a 4.0, any B was a 3.0, etc. Of course, I&#8217;m acutely aware of this because I was the king of the A-. I would work my way through a course, only to fall one point shy of an A. My parents seemed pleased with the A- on my report card, but I knew that a\u00a0<em>tiny bit<\/em>\u00a0more effort and a\u00a0<em>bit of luck<\/em>\u00a0and I&#8217;d have had that A. Where it mattered most to me was at graduation where I was 0.04 points shy of highest honors. If I&#8217;d been at any other university, with a\u00a0<em>normal<\/em>\u00a0grading system I would have been a lock for highest honors.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-1707\" src=\"https:\/\/i0.wp.com\/www.hectic-dad.com\/hectic-dad\/wp-content\/uploads\/2015\/02\/diabetes-592006_1280.jpg?resize=300%2C213&#038;ssl=1\" alt=\"diabetes-592006_1280\" width=\"300\" height=\"213\" srcset=\"https:\/\/i0.wp.com\/www.hectic-dad.com\/hectic-dad\/wp-content\/uploads\/2015\/02\/diabetes-592006_1280.jpg?resize=300%2C213&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.hectic-dad.com\/hectic-dad\/wp-content\/uploads\/2015\/02\/diabetes-592006_1280.jpg?resize=1024%2C728&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.hectic-dad.com\/hectic-dad\/wp-content\/uploads\/2015\/02\/diabetes-592006_1280.jpg?resize=211%2C150&amp;ssl=1 211w, https:\/\/i0.wp.com\/www.hectic-dad.com\/hectic-dad\/wp-content\/uploads\/2015\/02\/diabetes-592006_1280.jpg?resize=150%2C107&amp;ssl=1 150w, https:\/\/i0.wp.com\/www.hectic-dad.com\/hectic-dad\/wp-content\/uploads\/2015\/02\/diabetes-592006_1280.jpg?w=1280&amp;ssl=1 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>I&#8217;m also a diabetic. I was diagnosed in 2008, but quickly discovered that if you have to have a chronic disease, this is the\u00a0<em>data guy&#8217;s dream<\/em>. To control your diabetes, you measure your blood sugar and then act on that measurement. You blood sugar&#8217;s measurement is fairly easy (as long as you can stand the pinprick of a lancet), and the devices have digital displays that pump out a number that is easily compared to prior numbers. You can also count calories, especially calories of carbohydrates, to help keep your blood-sugar numbers under control. If you pump in a lot of carbohydrate calories, you can be assured that your blood-sugar numbers will rise. That&#8217;s a bad thing. Over time, I learned the number of carb calories I could consume at any one time and what the impact would be on my numbers. I also learned that various forms of exercise could positively impact the numbers. The more intense the exercise, the better my numbers were. More importantly, if I wanted to\u00a0<em>pig out<\/em>\u00a0on some cake or pie, I could turn around and literally burn it off with an intense session of exercise.<\/p>\n<p>For a while, I was testing my blood sugar in the morning, just after waking; I also tested it before every meal; then I tested two hours after every meal; and finally I tested it just before I went to bed. Needless to say, my fingers were raw from the 8-10 lancet pricks. But I was able to monitor my blood sugar. During the early days, I was injecting two different forms of insulin (fast-acting, and slow-release) and the quantities that I injected were directly related to my blood sugar results.<\/p>\n<p>Over time, I managed to negotiate with my physician for a decrease in my insulin intake. Eventually I got to a point where I was able to stop injecting insulin entirely. That was actually on Christmas Eve just over a year after my diagnosis. Needless to say, it was a really great Christmas present to myself!<\/p>\n<p>Over the years, I&#8217;ve taken to testing my blood sugar less and less often. I used to actually play a game with the kids where I would write down what I believed my blood sugar number would be and then test it. It had gotten to the point that I was within 1% every time. I could tell what my body&#8217;s state was&#8230;and that was fine by me. I kept up the exercising to minimize the impact of my food intake. I kept my eating under control. When people would ask what foods were off my diabetic-diet, I would tell them &#8220;I can eat anything\u00a0<em>in moderation<\/em>&#8220;. I believed that then, and I believe that now. I know that if I really go crazy with foods that will impact my blood sugar, I have to do something to counteract that effect.<\/p>\n<p>The problem is that I&#8217;ve gotten lazy! My food consumption has increased. In fact, it&#8217;s increased a lot. I&#8217;ve become less aware of what I was eating. I was testing my blood sugar very infrequently. To compound matters, the numbers were higher than I liked, and higher than they should be. More distressingly, I couldn&#8217;t guess what my blood sugar was anymore. In fact, the first few times that I tried to return to the game I was off. I believed my blood sugar number was dramatically lower than it was.<\/p>\n<p>In short, I&#8217;ve lost touch with my body.<\/p>\n<p>And you know, diabetes doesn&#8217;t take a day off. It&#8217;s still inside me, lingering, waiting, wreaking havoc with my body&#8217;s systems. I&#8217;ve put on weight&#8230;in fact, a lot of weight. And that weight has made exercise more difficult. In addition, the added weight has made my diabetes harder to control.<\/p>\n<p>So as I contemplated my health goals for the start of 2015,\u00a0<em>getting my diabetes back under control<\/em>\u00a0was one of my goals. I even added\u00a0<em>by summer<\/em> to put a timeframe on it. And then I started work on defining\u00a0<em>under control<\/em>. My wife (who is a physician) would like to see my blood sugar under 100 when I wake in the morning. This was possible with medication, but when I was off medication I hovered closer to 120 in the morning. She usually quit nagging me about it if I could keep my sugars below 100 once I got active during the day. I was good about that before, but I&#8217;ve fallen off the wagon. And I&#8217;ve languished in the mud. And I&#8217;ve had a pie in one hand and a bag of donuts in the other. You get the idea&#8230;I need to make drastic changes.<\/p>\n<p>I&#8217;ve been fighting this post for a while. I didn&#8217;t want to throw numbers out there until I&#8217;d been monitoring for a while. I defined a while as three weeks, then four, then six. But my Mom brought me up right, and the guilt has gotten to me.<\/p>\n<p>So I&#8217;m admitting, again, that I have diabetes. It&#8217;s not all of who I am. In fact, it doesn&#8217;t really define me. But it&#8217;s one of the facets of my persona. It&#8217;s a <i>chronic disease<\/i> that I have. One that stands up and shakes it&#8217;s ugly head often enough that it scares me. A disease that impacts lots of my life decisions. But not a disease that is going to control me entirely.<\/p>\n<p>You see, I&#8217;m a\u00a0<em>data guy<\/em>, and diabetes can be managed through the collection and analysis of data. I&#8217;ve got the collection part back under control. I&#8217;m working on the analysis. And I&#8217;m getting ready to make an appointment with a new doctor to help me on the journey. I would go back to the doctor that I had before, but he moved away about the time I stopped my insulin injections. In fact, I saw another doctor for about six months and we came to an agreement that\u00a0<em>as long as my diabetes was under control<\/em> I didn&#8217;t need to see her anymore. Then she moved her practice. I fell off the wagon with my donuts and pie, and I&#8217;ve been an awful patient.<\/p>\n<p>More importantly, I&#8217;ve made some crappy decisions about my health.<\/p>\n<p>But I&#8217;ve come out of the diabetic shadows. I&#8217;ve put it out there on the internet, in my blog. So now I&#8217;m accountable to you, dear reader. I&#8217;m going to get my diabetes back under control by this Summer so that I can get back to enjoying life in so many ways that I haven&#8217;t been able to.<\/p>\n<p>Keep me honest, eh?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>My editorial calendar said that I&#8217;m supposed to be writing a post about how I use Google Calendar. That post has been progressing&#8230;OK, who am I kidding. I haven&#8217;t really done all that much\u00a0actual writing about Google Calendar. I&#8217;m going to save that post for another day. You see, something&#8217;s been bugging me that I [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1707,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[5],"tags":[],"class_list":["post-1699","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musings"],"jetpack_publicize_connections":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diabetes by the numbers -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.hectic-dad.com\/hectic-dad\/diabetes-by-the-numbers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diabetes by the numbers -\" \/>\n<meta property=\"og:description\" content=\"My editorial calendar said that I&#8217;m supposed to be writing a post about how I use Google Calendar. 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