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Sarah's Road to Pumping
9/27/06--H1C 5.8% this month...Happy Birthday to me!

8/11/06--How do you beat a 6.0 H1C? By getting a 5.9! I have an amazing team helping me to stay on track during my pregnancy. It's a ton of work and worry, but I know it will all be worth it in the end. 

7/14/06--After spending close to a year trying to get my H1C down, my latest H1C result was 6.0!!! Wow. Great news for me and for baby Ross #2.

5/8/06--Still pumping. My nurse was tickled today when I showed her my blood glucose readings for the past week. She said she couldn't remember seeing anyone's numbers fall in line so quickly after starting the pump. What great news! It's been a great first month.

4/23/06--Things are going really well with the pump. I've changed my infusion site three times--and am feeling very comfortable with the process now. The only time I've experienced any discomfort or pain with it is when Jackson has kicked the site when I'm carrying him, or the dogs get wrapped up in the tubing--yes, that does happen!  The lows I was having with it at first has been remedied, and things are going really smoothly.  It's also interesting that wearing the pump on the outside of my clothes has forced me to talk about my diabetes more than I ever did with shots. People notice it, and wonder what it is, and I'm getting more comfortable telling them. My visits to the clinic & doctor have started slowing down a bit. It will be nice when I'm back on my every two months schedule again.

4/11/06--Okay, I'm pumped. It's really been a wonderful day without carrying my bottle of insulin and syringes around town with me. I was relieved to hear my diabetes educator encourage me to stick with my old food schedule until I get comfortable with my pump.  Jackson doesn't like to look at the infusion site--and pulls my shirt down if I show him. He calls the tubing my "hose" and asked me if there was water in it. Hmm. I can't feel the tubing...but the site is sore as I found out trying to wrestle Jack at Sam's. For those of you too far away to yank my shirt up to cure your curiousity (you know who you are!), I took a picture for you...click HERE.

4/10/06--So tomorrow is the big day. Even with my week long trial run  under my belt, I'm nervous to turn over control to the pump. Of course, the irony here is that I actually will have more control with the pump...and this may sound crazy, but I am having a hard time with the idea of not doing shots anymore. My life has been scheduled to the minute for the past couple of years--I eat, sleep, wake, exercise, and give injections at the same time EVERY day, by necessity. I am having flashbacks to those times in my life where freedom was handed to me and I enjoyed it TOO much (eeh-hmm, Field Camp). So now after so much excitement to escape the confinements of a strictly scheduled life, I find myself a little scared by the freedom I'm getting ready to embrace. 

4/5/06--I can already tell that I'm going to love my pump. Even so, my body is having some trouble adjusting to the Lantus insulin I'm taking during this week of "practice." Yesterday my blood sugars were high all day, which was actually helpful since I was able to use my pump to figure out a precise correction dose--if one even was needed. Today, they've been low--not so helpul since there is nothing I can do about the Lantus I injected this morning, except modify my dose tomorrow.  Of course I won't have this particular problem once I start pumping with just Novalog on Tuesday.

4/3/06--Today was an exciting day. Patti came with me to the clinic today to train on my pump. I was a little overwhelmed (I mean, I just figured out how to use my cell phone!), so it was nice to have Patti there to help absorb all the info. After an hour of training, my diabetes educator filled my pump with saline and let me loose. I don't have an infusion set hooked up, so basically I'm using the pump to figure out how much bolus insulin to inject with a syringe. It's strange to have this little thing riding on my jeans, beeping at me all the time. Already I can tell a difference...my after dinner BS reading was 117! That's a first. I hope the rest of this week goes so well. Next Tuesday I will return to the clinic for more training, and will officially be pumping when I leave.

3/29/06--The UPS man arrived at 10:57 this morning. I've done everything to my pump that I'm allowed to do before meeting with my Diabetes posse (put the battery in, programed time, date, etc.). Jackson thinks it is a cell phone and had a nice conversation with someone on it. I am really relieved that I'll be pumped up before Easter...and the LWML convention. That hotel room fridge can now be stocked with beer instead of all my insulins! Um, just kidding Patti. 

3/28/06--My pump is on it's way! It will be delivered here on Thursday, and then Monday I will begin training on it. So hopefully in the next couple of weeks I'll be up and running with it!

3/23/06--ARGH! Did I say that I wouldn't be jumping through hoops? I'd rather eat out of the slop bucket than talk to another insurance rep today.

3/22/06--Received a phone call from the Animas company today varifying info and explaining insurance procedures. It sounds like there are quite a few hoops to jump through--but, thank goodness the jumping is not for me! The ball is definitely rolling now. 

3/21/06--Finally decided on the Animas IR-1250 pump. Yesterday, I had decided on the MiniMed Paradigm...but there's no changing my mind now.  It was stressful deciding. I'm glad that part is over and now I just wait. It could be 3 days or 6 weeks...I'm trying to be a patient patient.

3/16/06--Met at the diabetes clinic to discuss different pumps and learn the basics. I think David almost passed out when the nurse showed us the infusion set (needle) used to insert the plastic tube that remains under the skin. It will be the only needle I see for three days...which is tons better than the 12-16 I see in the same amount of time now.  It will take a long time to get trained and comfortable using my pump--but I just can't stop thinking about how such a tiny machine is going to change my life so much! I'm thinking about a bikini for this summer, just to show off my pump! --Okay, probably not.


Click here to read one woman's story of switching to the pump
Animas IR-1250 (want to play with it? Click on the "virtual zone" link on the upper left)

This is for those of you who have asked me for this info over the past few months (and those of you who are interested)...





I was diagnosed with Gestational Diabetes in 2003 during my pregnancy with Jackson. In very rare instances, this temporary condition can progress into permanent Type 1 Diabetes...that's what happened to me. I remember the first few months were a blur of doctor's visits and tests. I was always sore--the constant blood tests hurt my fingers and the insulin injections left bruises on my legs & stomach. I battled high & low blood sugars, leaving me fatigued and grouchy. Through all this I really didn't have time to react; it wasn't until a couple of months later that I finally broke down one night lying in bed. It was close to Thanksgiving and all I could think about was my Grandma's pumpkin pie. I could just picture myself eating sugar-free jello salad while those healthy pancreases ate MY pie! Looking back, I wonder how David kept from laughing as my weeping about pumpkin pie quickly turned into blubbering about my impending doom.

It's been almost three years now. My fears of "impending doom" have been quieted a little by research--and much by daily handing them over to God (not a small feat for this OCD control freak!). As things became more routine, they also became less frightening and painful. I can do my blood test while driving and handing Jack a juice box (maybe worse than talking on the cell phone?) I can give an injection in one leg while Jack tugs on the other--"momma, play cars!" Life goes on, and those things I thought I'd never get used to are simply part of my daily routine now.

Controlling Diabetes isn't about sugar--it's about balance (I CAN have a piece of Grandma's pie!). By balancing diet, exercise, and insulin, I have found that my life really doesn't feel that different, and I'm probably healthier than I've ever been. Many of you have asked for my "special diet," which really isn't all that special. But here it is: (
This diet was specially formulated for me by my dietician, and may not meet your specific needs.)

Time 8-9am
10am
12-1:30pm
3:30-4:00pm
6:30pm
9-10pm

Breakfast
AM Snack
Lunch
PM Snack
Dinner
HS Snack
CHO
30 g 30g
45-60g
30g
45-60g
30g
Servings
2 Starches
1 Meat
1 fat
1 milk
1 fruit
2-3 starches
1 fruit
1-2 vegetable
3 oz. meat
1-2 fat
1 milk
1 starch
2-3 starch
1 milk
1-2 vegetables
3 oz. meat
1-2 fat
1 milk
1 starch
0-1 fat
Example
1 english muffin
1 egg
1 tsp margarine
1 c skim milk
1/2 banana
2 slices wheat bread
3 oz chicken salad
(2 tsp mayo)
12 baked chips
17 grapes
1 c skim milk
5 vanilla wafers
1 c cooked pasta
1/2c sauce
3oz meat
1 sl garlic bread
Salad
(1 Tbsp dressing)
1c yogurt
1/4 c grape-nuts
CHO=Carbohydrate
1 Starch=15g CHO
1 milk=15g CHO
1 fruit=15g CHO
1 vegetable=5g CHO