Tuesday, 7 December 2010

You'd think after 22 years of being diabetic I'd avoid the rookie mistakes, but no...

I decided to treat myself to some chocolate after lunch and completely forgot to bolus for it, which lead to a lovely 15.1 at break time, and me making confused faces until I realised what I'd done (thank goodness for the bolus history on the pump!).

I managed to end up back down to a more reasonable 6.9 within three hours though, which I was rather pleased with! :D

Wednesday, 1 December 2010

Positive attitude

I've had a few people say how much they admire my attitude in dealing with diabetes and AIH, and while I don't really feel that I'm doing anything special, I do try to be positive and just get on with it. Mainly because I think if I let myself get depressed and pessimistic and "woe is me" about things, I don't think I'd be able to deal with anything, and I refuse to let diabetes/AIH rule my life that way.

However, that doesn't mean that I don't have days where I get pissed off, where I wish it would all just go away, or at the very least behave itself, and I think that's ok as well, it's all part of the dealing process. I love xkcd in general, and when I saw this comic today, it really resonated with me, because it's so true.

In a completely random note I've just discovered that I actually have comments on some of my other entries! I do apologise for not responding, I wasn't being rude, I'd just figured that Blogger would send me email notifications if I received comments and apparently it doesn't...

Tuesday, 30 November 2010

Help! I've fallen over and I can't get up!

I have this weird territorial-ness about my diabetes. I've always seen it as *my* disease, since I'm the one who has to manage it, and who has to deal with the hypos, and the highs, and the decisions, and the consequences etc, etc... I'm always looking to expand my knowledge about diabetes and ways of living with it and I love chatting to other people and swap tips and advice and I get on great with my diabetes team, and I *love* being part of the DOC.

But there's a big part of me that hates asking for help. I'm not sure why, because one thing I think we're all aware of is that diabetes is not an easy thing to live with, and sometimes we all need a little help. I think it's something I grew up with - that attitude of just getting on with it, and in a lot of ways I think it's helped, because I refuse to let this disease get me down or prevent me from doing the things I want to do. However, I think I've also inherited this sense of not wanting to ask for help along with it. The whole idea of being able to manage on your own seems to have developed in my head into meaning that if you need to ask for help then somehow you've done something wrong or failed in some way and it's your fault. And I *know* that's wrong, and one one of the biggest challenges I've had to face in with diabetes is overcoming that attitude.

Because the thing about diabetes is that sometimes it forces you to ask for help. Like on Friday when I was in the supermarket (Tesco's this time...) and my BG dropped through the floor with very little warning (stupid steroids). I shoved 20g of jelly beans down my throat, and then realised it wasn't doing anything. I decided I needed I needed juice, got confused, and about the time my vision started going and I was having zone outs, realised the I needed to ask for help. Luckily I was with my fiancé, and as soon as I found him and said "my blood sugar is really low I need juice" he very calmly but firmly took control on the situation. He led me over to the juice, got some, paid for it and then made me drink it while he scanned the rest of the shopping and kept an eye on me. He was awesome, especially considering that was the first time he'd had to deal with me like that.

I felt...odd...for most of the night, and it took me a while to realise that the oddness was that I didn't feel embarrassed. I needed help, and I asked for it, and I didn't feel that Stuart thought any less of me for it or judged me. And you know what? That felt pretty damn good.

Friday, 26 November 2010

Steroids and insulin resistance

I've been on steroids for my rebellious immune system for about two months now, and, ignoring the effects they've had on my BG, I feel so much better! I don't think I really believed a couple of pills could make such a difference, but I actually feel pretty much back to normal now, and there was a time a couple of months ago when I wasn't sure if that would ever happen. I've been seeing my liver doctor every couple of weeks for monitoring, and it's been amazing to watch my liver function tests improve. They're still not completely back to normal, but they're a hell of a lot closer than they were. He's dropped my steroid dose, and has introduced azathioprine, which is another immune suppressant that should allow me to bring the steroid dose right down, possibly all the way to zero, and then I'll most likely end up on a kind of 'maintenance' dose.

The reason I wanted to make this post was mainly to talk about the effect that the steroids have had on my BG/insulin resistance. When I was diagnosed with AIH and started on the steroids, I found it quite difficult to find any information on the effect it would have on my diabetes control other than 'it'll probably make your BGs go up" which, while useful, is a bit limited. There seems to be lots of information on people who have been diagnosed with type 2 as a result of long term steroids, but nothing on type 1, or really anything on what to expect in people who are already diabetic. The kind of information I was looking for was things like how much of an increase are we talking? Is it something that changes as my body gets used to the steroids? Is it an overall increase in BG? I wasn't really looking for a medical opinion, just some stories from people who had experience of this that might reassure me that what I was seeing wasn't unusual.

So I thought I would do a post about my experiences, just in case it helps anyone else out there. :) The first and most obvious thing is, yes, my BGs did go up. And I mean UP. I was hitting the high teens/low twenties pretty much from the first couple of days, and they were resistant little blighters. I made a lot of use of temp basals, and then figured out where I needed the increase in insulin. This seemed to happen twice - I had an initial jump the first few days after I started on the steroids, and I increased my basals and things settled down, then I had a second jump about ten days after I started. I'm not sure how normal this is, and I was really wary about increasing my insulin, but I went with it and managed to get things settled back down again. I've also had 'dips', where my insulin resistance takes a drop and my insulin requirements and BGs go down, and I think that might be to do with the steroids actually working and my liver getting better, so taking some stress off of my system.

This is where my basal rates have ended up after all of that. The blue line is what they were before this whole thing started, and the green line is what I'm on now. Yes, that really is 12 units an hour at one point...! The highest I needed was 14 units/hr at that time. I've noticed an overall increase in insulin needs, but the main increase is the huge spike in the afternoon. I take my steroids in the morning, so I suspect the afternoon peak is the steroids kicking in (I'm finding the whole thing quite interesting from a scientific point of view!). I've also had to increase my insulin to carb ratio over that period, as I seem to be quite sensitive to carbs at that time, so my insulin:carb went from 1u:8c to 1u:5c, and in addition my evening ratio went from 1u:9c to 1u:7c.

I have to say, the pump has been indispensable during this - I can't imagine trying to deal with this on lantus! Being able to use temps basals, and respond to things quickly has really been instrumental in helping me to keep my BGs in a reasonable state. Don't get me wrong, they're not perfect, and it's been a lot of work and I still tweak and get things wrong, but I really feel that the control I've been able to maintain would not have been possible for me on MDI.

And now that I feel my basal rates are sorted, my dose of steroids has just been reduced, which will screw everything up again. *rolls eyes* Oh well!

Thursday, 7 October 2010

I would like my immune system to start behaving properly now please...

I haven't posted on here in ages, mainly because life has been a bit hectic - buying a flat with Stuart at the moment, holidays, and to top it all off apparently my immune system is not content with trying to destroy my pancreas and my joints, and so it has now decided that my liver must die. As a result of which, I'm currently in the process of being diagnosed with autoimmune hepatitis. So I've been feeling quite pants.

It's been...interesting. It all started when I had my hypo seizure at the end on June, when they noticed that my liver enzymes were a bit elevated (apparently the proper medical term in "deranged" *grins*), so they asked me to follow it up with my GP, who ran some tests and couldn't find anything, and so referred me to the liver clinic at Addenbrooke's. At this point, I was feeling fine, so I wasn't too fussed, but then I started feeling ill, and turned a bit...well...yellow. And then I saw the doctor at the liver clinic who said that my liver enzymes were now really quite high, and suggested it might be autoimmune hepatitis. Basically, my immune system wants to kill my liver, for reasons best know to itself, which is resulting in liver inflammation and general dysfunction. It's taken a lot more tests, including a biopsy, to confirm, and even now I still haven't actually seen the AIH specialist to question him about everything, and that's not happening for another couple of weeks. The liver doctor I saw initially called me back in to get me started on medication, as he didn't see any point in hanging around while I was jaundiced and feeling like crap. Apprently the results suggest I have an unusual form of AIH, in that it's a kind normally seen in children but not usually in people my age, so they're a bit surprised.

My blood glucose levels went through the roof when I started feeling ill, as a result of which I ended up on about double the insulin I was on before. The diabetic clinic aren't hugely surprised (apparently liver inflammation will do that to you), and have generally recommended testing lots, using corrections and temp basals where necessary, and getting in touch if/when I feel like I need help. This is what I've been doing for the last couple of months, and my BGs in general haven't been too bad. However, I've just started on the treatment, which is corticosteroids, and I've been told that this is likely to be a long term thing, although hopefully on a decreasing dose.

My main concern is the effect it's going to have on my BGs. After 24 hours of being on them, I woke up with a BG of 17.8, which just refused to come down. I corrected, used temp basals, and kept an eye on my ketone levels, and managed to get things into a somewhat reasonable level by dinner time. It's been a lot of juggling trying to get things all to match up, and even now I still don't think things are quite sorted. I'm not sure whether there will be some kind of transition period while my body gets used to the steroids, and then my BGs will come back down, or whether they're going to stay up. Despite the fact that AIH is apparently more common in people with another autoimmune disease like type 1 diabetes, I can't find much information online about what to expect, which I'm finding slightly frustrating. I'm looking forward to my appointment with the AIH specialist so I can ask him everything. I might have to get in touch with my DSN before then though, as I'm currently using 90 units of insulin a day on basal alone, and I have no idea if that's going to go up... O.O

I have to say, though, I've been massively impressed with my GP and my diabetic clinic, who have been really on the ball and helpful, chasing things up, explaining what's going on and generally offering lots of support. I had a pump/annual review just after I saw the liver doctor the first time, and when I explained to my diabetic doctor what was going on, he spent ages going through everything with me, and was really quite lovely about the whole thing. I am very much YAY! NHS! at the moment! ;)

Tuesday, 20 July 2010

Good news everyone!

Things have been busy in my little world - Stuart proposed last week and I said yes! :) He got down on one knee with a slice of homemade mars bar crispie cake, how could I say no? ;) So there has been lots of phone calls, and excited conversations, and grown up things like picking a ring and spending lots of money on domestic stuff in John Lewis as an engagement present from Stu's parents.

I thought I might as well write a post about diabetes and how it's involved in our relationship. In most ways, diabetes isn't involved at all, but there are a couple of ways in which it's ever present. Stuart and I met online, and I completely randomly dropped the fact that I was diabetic into an msn conversation we were having before we're even met. Stuart, to his credit, barely twitched, as he has several friends who are diabetic. One of the things you should know about Stuart, though, is that he's a little bit needle phobic. And by "little bit" I mean talking about needles makes him feel queasy and actually seeing one makes him go very, very pale. So, as you can imagine, having a diabetic girlfriend isn't the easiest of things! I asked him right at the start if me being diabetic would be an issue, and he said no, it was part of me, and therefore we'd just find a way to deal with it. We quickly developed a system where I'd yell "hide" whenever I was about to do an injection, and he'd quickly find something else to occupy his attention.

We'd moved in together by the time I got my pump, and he was very supportive of me getting one, even though he admitted that the whole idea freaked him out. He doesn't complain about me getting up at weird times during the night when I'm basal testing, and he'll often ask if Chuck's been behaving himself.

For the most part Stuart takes a very hands off approach to my diabetes, which is how I like it. I get a bit territorial about my diabetes sometimes, because it's been *my* diabetes for longer than I can remember, and I don't really appreciate people interfering, however well meant it is. I think a lot of it stems from being a teenager with diabetes and always being told what to do (yes, I have issues :P), but Stuart is very good at being supportive without being overbearing. He'll ask if I'm ok if my BG is low or high, and I've noticed him telling me to go eat something when I'm on the low side but haven't quite registered yet. He never tells me to test or asks if I've had my insulin - he trusts that I'll do that myself. He weighs out things like pasta so I know the carb count of meals at home, and he never comments or judges when I decide I want that extra big piece of cake. He listens to me rant when my BG is misbehaving and makes soothing noises. He accepts my diabetes and me without ever judging, and I'm so happy that we're facing the next step in our lives together. :)

Sunday, 11 July 2010

Horses or zebras?

I was out shopping yesterday afternoon, and when I got home I was gasping for a drink. Really, really gasping, so much so that I thought I should test my BG, as that kind of thirst usually indicates that I'm high.

So I test, and my meter beeps 5.4 at me.

Huh, I think, I could have sworn I was high, why else would I be so thirsty?

Yes, I had completely missed the obvious. The weather here has been a little bit on the tropical side. Wandering about all afternoon in 27 degree heat? Could that perhaps be the reason why I was thirsty??

I've been guilty of this before, and we had a discussion about how we've all done this during my DAFNE course. I've been diabetic so long, that if there's anything wrong I automatically assume it has something to do with the diabetes. If I feel sick, I first assume that I'm high and not that I might have a bug, or have eaten something that disagreed with me, or any other reason. If I'm thirsty, or tired, or feeling wobbly, I do the same thing.

I wonder if it's a preservation thing - if the problem is caused by diabetes then I want to get on top of it right away, whether it's by taking insulin or eating something. I'm very aware of how quickly things can go wrong and I've had it drummed into me since I was a small child that I shouldn't ignore things like hypo symptoms. In some ways, it's an easy answer as well. If I feel sick because my BG is high, then I can take some insulin and bring it down and feel better relatively quickly, whereas if it's a bug, there are no such guarantees. Either way, sometimes I really shouldn't ignore the obvious!

Wednesday, 7 July 2010

Basal tests are not my friend

I suspect that my basals and perhaps even my ratios may need tweaking, which means that most dreaded of things: basal tests.

I have a bit of a love/hate relationship with basal testing. As a science geek, I like gathering data and making pretty graphs and figuring out what's going on. I also like that being on a pump gives me the fine control to adjust my insulin where needed.

However, I hate the restrictions of a basal test. I hate the fasting, because I'm the kind of person who tends to graze throughout the day, and if I'm basal testing I can't do that and I get really hungry. I also hate that I can only really basal test if certain conditions are right - I should be in range at the beginning, I shouldn't have eaten or taken insulin within a certain time period, I shouldn't do it when I've just changed a set, if I'm more stressed or doing more exercise than usual. These are the things that particularly frustrate me, because sure as hell I'll decide to do a basal test and I'll randomly wake up with a BG of 14, or I'll ending up running about like a blue-arsed fly at work, or something will happen.

I have decided this has to happen though. I have to just knuckle down and do the tests, and then when I'm happy with my basals I can try and figure out if the reason I spiked so high after the last three meals is because my ratios need changing, or rice is just being a pain in the backside. I suspect a bit of both!

Tuesday, 6 July 2010

Ups and downs

My little diabetic world has been a bit topsy turvy recently, and it's left me feeling a bit out of sorts.

I think I was a bit more shaken by the seizure last week than I originally realised, because I have completely panicked and overtreated two lows since then. And then yesterday I ran high all bloody day, and had site issues (my first gusher, and another site I wasn't convinced was working). I worried all day about trying to get my BG down, wondering if the same thing was happening with absorption as I suspect happened before my seizure, and being very cautious about trying to bring it down, but being incredibly frustrated with the whole thing. I think I would have been less concerned if I hadn't had the seizure last week, and, while I know I have to take what I can from the experience, it's bothering me that it's having this much effect on how I'm managing things.

In addition, I'm still a little bit worried about my liver and I'm feeling like crap because I stopped taking tablets for my hayfever. The doctor had given me the names of some other things I could take for the hayfever, but they're nasal sprays and I really don't like them, so I figured I'd just deal with it. Except it's kicking in properly now, and I felt like pants all day yesterday so I caved and picked up some Beconase today. I also have a bit of sunburn from the weekend, so all in all there's about a million things that could be affecting my BG right now and I don't like it. *scowls*

However, it's not all bad. The reason I have sunburn is because I went to the DS meet up in Brighton on Saturday, and had a fantastic time. It's so nice to meet up with people old and new, and there's something about talking about diabetes (among many other things) with a bunch of diabetics that is just amazing. No-one else really *gets* it the same way, and I had a great time on Saturday chatting away, and also sitting on the beach, wandering along the pier, and eating ice cream in the sun. :)

Friday, 2 July 2010

Well, that was new

So. I had a bit of a scare of Wednesday night, in which my blood sugar dropped so low I passed out and had a seizure in the middle of Sainsburys. I'm still not entirely sure what caused it. I'd been running high all day, and correcting on the advice of my pump, and then I'd gone shopping. I was 11 mmol/l when I left work at around 6:30, and I called Stuart at about 7:30 to say that I was nipping into Sainsburys before heading home. Fifteen minutes later and I knew something was wrong, so I checked my BG and got 2.9. I had four glucotabs and waited for them to kick in. Soon after that I realised things were getting worse instead of better, and my vision was starting to do weird things. I had eight more glucotabs, and I could feel myself getting woozy. The last thing I remember thinking is that I needed to get help, and then the next thing I know I'm being woken up by a paramedic, who told me that I'd passed out and I'd had a seizure.

They didn't give me glucagon, because when they checked my BG it was 5.6. They packed me off to A&E, where I spent the rest of the evening getting poked and prodded and tested before they let me go home. Two of my liver enzymes are elevated, but that's unrelated to what happened, just something they want me to follow up with my GP. Poor Stuart had no idea what had happened until I managed to get in touch with him at about 10:30, when he then had to come all the way out to Addenbrooke's to look after me. He also took yesterday off work (as did I) to make sure I was ok.

I spent yesterday going to see my GP and just generally feeling completely wiped out. My BG kept dropping, so I was deliberately running it high, and oh god, my muscles are still in pain! I also bit my tongue quite badly, so I'm now talking with a kind of lisp and it's bugging me when I try to eat. I'm adamant it's not going to stop me going to Brighton tomorrow to meet up with my fellow diabetics!

I'm still not sure exactly what happened. In 22 years of diabetes, I have passed out once, and that was when I was eight and being stupid, and I've never had a seizure. I think it was an unfortunate combination of the heat, the exercise, and something weird going on with my insulin absorption, so maybe some of it was pooling and then all kicked in at once. Otherwise where the hell did all those glucotabs go??

Tuesday, 29 June 2010

I don't know where my towel is...

I seem to be having a day of over-reacting to things. I woke up to a lovely blood glucose reading of 16.7, which appeared out of nowhere. I was due a set change, and looking over my logs it occurred to me that I've woken up high on the third day of the last three sets. I'm normally ok changing every 3-4 days, so this is unusual for me, but maybe it's due to the heat or hayfever or something.

Anyway, I make a note of it, and change out the set. Now, the last couple of highs I've had like this have been stubborn, and it's taken extra corrections and an increased temp basal to bring them down, so I decide to be a bit aggressive and increase my correction by about 20%, and put on a temp basal of 140% for two hours, similar to what I'd ended up needing before.

Only, two hours later we're about to go for coffee, and I check my BG and discover I'm at 4. That's a drop of 12.7 in two hours, and I still have insulin kicking around... I grab a handful of skittles, bung some sugar in my tea and have a couple of slices of toast, since I missed breakfast, and underbolus for it all, ignoring the little voice in my head that's telling me that I'm usually quite sensitive to carbs for a while after a high like earlier.

Two hours after that and I'm sitting at 11.5. Damn that little voice, I should have listened to it. I correct, have lunch and bolus as usual, and three hours later I'm 12.9. Dammit.

If I hadn't overreacted to the morning high, I probably wouldn't have got the midmorning lowish number, and then I wouldn't have panicked and overfed it. I *know * that I tend to be insulin resistant for a while after waking up high, so the sensible part of me knew that I should have bolused for what I'd eaten at break. It's so hard to fight that panic when you think you're heading for a low, though.

Ah diabetes, it's never simple, is it?

Sunday, 27 June 2010

Hypo treatments

Sam over at Talking blood Glucose posted today about how raspberry flavoured glucotabs have changed, which makes me sad. It got me to thinking about how I treat my lows, and how everyone seems to be a bit different in what works for them.

My favourite things for treating lows are Skittles and jelly beans. But not just any jelly beans. Jelly belly jelly beans. Oh man I love them. But they are not cheap or easily found, so I make do with skittles. The reason I like these is because I can count out how many I need, and I know that about four skittles/jelly beans will raise me about one mmol/l, so it's easy enough to work out. This means that there are skittle stashes everywhere - in bags, pockets, my drawer at work etc.

I also use glucotabs, for sheer convenience, and they work quickly. I have a little holder on my keyring that holds four of them, so it's easy to carry, and durable! They also last forever, and so I also have pots of them around. Only the raspberry ones though (the orange ones are horrible).

I'll use juice if I have to, particularly if I feel that I need to get my BG up quickly, as I think it works fastest in me. There's this weird thing when I'm low, though, where I feel the need to *chew* something. It's really odd, and I don't know if it's to do with me associating chewing=food=energy, and so my brain automatically wants to eat something. I find with juice, I always want to eat something afterwards, and it's much harder to control those hypo munchies, whereas if I use skittles or glucotabs, then I've satisfied that urge, and it's easier to stop when I know I've had enough.

Thursday, 24 June 2010


I've been thinking about control recently, or rather, other people's perceptions of control. Leaving aside the difference between controlling diabetes and managing it, because I think we do the latter and not the former (but that's a post for another day), I've been surprised on a couple of occasions recently by how non-diabetics understand it.

A girl in my lab recently went on a first aid course, and one of the things they learned was how to treat a diabetic having a hypo. When she came back we were chatting about it, and she said to me, "you must have really good control, because I've never seen you have low blood sugar or anything!" I had to laugh at this because I've had entire conversations with this girl while hypo, and she didn't have a clue. Further probing revealed that she thought a diabetic taking a hypo would be very, very obvious, and most likely involve passing out. It reminded me of Kerri from SixUntilMe's excellent vlog post while hypo, where she points out that even when quite sick, a diabetic can come across as being completely ok.

Another thing that occurred was a discussion with occupational health. I'm currently transitioning from being a PhD student to a post doc in my lab, and now that I'm a postdoc and actually employed, I have to go through all the things that new employees do, including checking in with occ. health. I've been through this before, so I knew what to expect. One of the questions I was asked was if I'd been hospitalised in the last year due to my diabetes, to which I replied "No, not in the last year." She then asked when I was last hospitalised, and I told her it was about 15 years ago (thanks to a nasty case of DKA, but again, a post for another day). She replied, "oh, so you're well controlled then!"

Both conversations made me boggle a little, if I'm honest. I work in a biochemistry lab, these are intelligent people who all have science degrees, so I always figured they would understand at least some of the science behind diabetes. But their idea of good control is not passing out or being hospitalised??

There is hope though. One of the guys made a comment about how diabetes was just about testing your BG and having a couple of injections a day. After I exploded explained to him that that was very much not the case, he became quite interested in it and we had a really good discussion. He did ask at the end "so what do you do if you're diabetic and you're not good at maths?" ;)

Wednesday, 23 June 2010

What a difference a site makes...

This is what my infusion site currently looks like:

Lovely, yes? :P I put in a new site yesterday, and it hurt, which isn't normal. It was one of those ones where I knew something was wrong immediately, so I took it out, it bled, I swore, and then I reloaded the set and put it in somewhere else. This one was absolutely fine, so I filled the cannula, and wandered off merrily to have dinner. I was sitting down about fifteen minutes later, when I twisted round to get something, and felt a funny sort of *tug* at my site. "Hmm, that's odd," I thought, and when I pulled my shirt up to look at it, the adhesive bit was peeling away at both sides. I tried in vain to encourage it to sick back down, and when that failed, I planted my hand over it and went in search of some plasters. And so I ended up with the patchwork job you see above. The site seems to be fine, and so far the plasters have held up to a shower and sleeping, so I think it'll be ok. It just doesn't look the prettiest of sites! ;)

Speaking of sites, these are my BGs for the last couple of days:

You can click on the image to get a clearer picture, but the blue and red are Monday and Tuesday's BGs, and the dark green is today. The orange background is results above 10 mmol/l, and the bottom axis is time starting from midnight. As you can see, I've been having lots of fun! I put a new site in on Sunday, which seemed to be ok, and then I woke up at 16 on Monday morning, a number that really did not want to come down. I pondered various reasons for it, and decided to keep an eye on things and see how they progressed. I wasn't making ketones, my BG came down eventually, and the site looked and felt fine. Tuesday morning I again woke up high, and wondered if my insulin requirements had suddenly and dramatically changed overnight. I decided to just change the site later that day when I changed my cartridge to see what happened first, and I'm very glad that I did!!

When I took out the old site, it bled rather a lot, so I figure that's what was giving me the problems. I also think the cannula was just a little bit kinked, probably contributing to the highs. I don't usually have any problems with sites (this post not withstanding!), so it's quite stunning to be able to have a visual representation of what a difference it can make. I've always been told that when a site goes wrong, it's very obvious, and the one time I had a bent cannula, I was able to tell within hours as my BG shot up and ketones started to appear. This time, however, while in hindsight I can tell the site was bad, it wasn't obvious to me that that was what was causing the problem. I'm sure we've all had days when we ride the BG rollercoaster for unknown reasons, and I wondered if I was sick, if it was hayfever, if it was hormones...so many things could have pushed my numbers up like that. The thing that really got me was that I wasn't making any ketones, so I knew I was getting *some* insulin. Oh well, live and learn I guess!

Let's give this blogging malarkey a try...

I've decided to create a new journal just for my diabetes stuff. I've fallen a bit out of touch with LJ, and I decided I wanted a fresh start. Blogger seems to be where all the cool kids hang out these days, so I figure I might as well give it a shot. ;) I'm not sure how much I'll actually update, but I like the idea of having a place to organise my diabetes-related thoughts.

So, I'm Angie, I've had type 1 diabetes for almost 22 years now (boy, does time fly when you're having fun...), and I don't really remember not being diabetic. I'm the proud owner of a blue Animas 2020 named Chuck, which I've been using for about five months now. I hang around a couple of diabetes forums, mainly www.diabetessupport.co.uk, where I go by the moniker randomange. I don't claim to be an expert of any kind on diabetes, I only know what works (or doesn't!) for me.

I'm a big fan of the diabetes online community. I spent the majority of my diabetic life knowing very few people with diabetes, and it's been fantastic to come online and meet people who know what living with diabetes is actually like. People are always happy to lend support, or wisdom, or even just an ear, and I've learned a lot, even though I've been diabetic for a while. If it wasn't for the DOC, I wouldn't have come out of my diabetes funk, my HbA1c would still be in double figures, and I wouldn't have Chuck. So I'm grateful, and I hope I can give something back. :)

Apart from being diabetic, I'm also a biochemistry graduate who's currently navigating the limbo land between finishing a PhD and starting a post-doc, a huge sci-fi loving, world of warcraft playing, internet geek, and despite living in England for five years have retained a fairly strong Glaswegian accent. *waves*