Flowers For Karl

Today is January 30. Already. Shit, where the hell has this month gone? How did we already get 1/12 of the way through 2010?

Tomorrow is the last day of the month, which means it’s the last day for this month’s Resolution. Not that I’m tossing my new habit out the window, mind you. I’m not. And that was the point for the Year of Resolutions – starting 12 new HEALTHY habits.

Thursday night, I had ANOTHER low blood-sugar episode. I’m OK. (I say that because I hate when someone throws out some scary news and then takes 10 minutes to walk you through the whole story before saying, “I’m OK.” No, people. When you say something like, “I got in a car accident,” you follow it up IMMEDIATELY with “Don’t worry, I’m OK.” THEN fill in the rest of the story. Idiots.)

My best bud was here with me when it happened. I felt I was going low, recognized it, said aloud, “I need to eat something NOW. I’m low,” and came inside to do just that. The details aren’t important, really. Suffice it to say that I found myself on the floor again, trying hard not to vomit or pass out, but orange juice did the trick. And my friend was very calming and reassuring the whole time.

She got to help me check my sugar, and that’s a good thing. She’d never had to do that before. Hell, for most of the time I’ve known her, I haven’t been very compliant with my meds. She’s never seen me low before this year, mostly because I haven’t BEEN low…or even close.

Here’s what I’m supposed to do when I’m feeling low: check my blood sugar, then remedy the situation. It’s important to know what your sugar is when you feel low. Again, normal glucose readings are between 80 and 120. I know from recent experience that at 71, I’m still not fading out. So I was probably at 60 or lower.

Here’s the problem with doing what I’m supposed to do when I’m feeling low: I don’t give a fuck what my sugar is…I just want to STOP THAT LOW FEELING, AND NOW. It’s awful, I don’t want to feel nauseous and flushed and sweaty and dizzy and terrified. I just want it to stop and, y’know, not smash my face into the tile floor. I probably have a cracked skull from the first incident a couple weeks back. There’s this weird…shifting… when I push on my forehead now.

I’ve been checking my sugar 4 times a day, like I’m supposed to. And I’ve been taking my meds, especially now that they’ve been adjusted. Because I nearly passed out again (that’s three incredibly bad episodes for me in the last couple of weeks), I reported it to my doctor yesterday. And we’ve adjusted the plan again.

“You’re scaring me,” she said when she called me.

“I’m scaring me, too.” And I am.

But here’s what’s new…I’m not pulling an Ostrich. I’m pushing FORWARD. I’m being proactive, I’m receptive to changes, I’m asking for help, I’m being compliant, I’m checking sugars, recording the numbers, reporting out to those that need to know. All of that is ALIEN territory for me. And new stuff? Is very scary to me. Change…brrr, gives me chills.

But I’m doing it, anyway.

And it’s paying off.

I know now that my nighttime snacks are critical. No matter how fine I feel, a nighttime snack HAS to happen…and sooner rather than later. This was what caused me to fall out Thursday night. Stupid. Again with the stupid. But these things are not happening for naught. I’m LEARNING.

What we’re doing now to fine tune my diabetes control is adding a 3:00 AM sugar check. Yes, even if it requires me setting my alarm. The doc wants to know what’s happening while I’m (supposed to be) in bed. Why?

This is the 2nd incident to happen around 1:30am. That means my sugars are crashing at night (if I don’t have a snack). And that’s kind of weird.

My morning and noon sugars yesterday were high…above 250. But my pre-dinner reading was 176. Two hours after dinner, my sugar was 157. That’s still high, but it’s relatively close to normal for a post-meal reading. At least for me.

The doc’s theory is that my sugars are dropping at  night. My body’s defenses then are inflating my sugars so that I don’t go into a diabetic coma. Thus, high readings in the morning.

MY theory is that I don’t take insulin at night. Plus, Thursday night (after the incident) I had orange juice, and a PBJ, and Doritos, and beer. And THAT’S why those high morning readings happened. Who’s right? I don’t know. We’ll see. Pretty sure it’s me, though. I feel like Einstein’s smarter brother right now.

My first 3:00 AM reading this morning showed my sugar at 257. This morning before breakfast, it was 254. These are bad readings, I know. But again, I’d far rather be high than low any day of the week. And we’re still working it, still grasping to get this shit in control.

It’s a work in progress. I knew going into this Resolution that my diabetes wouldn’t be under control by January 31. That was not the point. The POINT was for me to be compliant in my health care, to take a proactive role, to stop being an Ostrich.

And that’s actually happening.

The doc wants to drop another diabetes med. The brand new med that she just prescribed to me at our recent appointment. The med that has still not arrived in the mail.

“Stop taking the glipizide,” she said.

“I’m not taking it,” I said. “I haven’t gotten it yet.”

“Good. When it comes in the mail, don’t take it.”

Far be it from me to bitch about having one less pill to take.

We have a follow-up appointment in a couple of weeks. I will continue emailing the doctor my glucose readings. I will continue calling her to report anything significant. We will continue to tweak my treatment plan. We WILL get this under control.

I’m in a very unique position right now, having this manic phase (and recognizing it while I’m in the midst of it). I am optimistic, and hopeful, and open to new stuff. That’s not going to last, I know it. I’m dreading the inevitable crash, which will come…and probably very soon. It may already be happening.

I’ll be back to my morose, miserable, pessimistic self. It’s not an attitudinal thing, folks, it’s biochemistry. The euphoria associated with mania is brain chemistry gone amok. It’s not the norm.

So I’m taking advantage of the good attitude while I’ve got it, false or not. And don’t go jumping on me for using the word “false” there. It’s a genuine good attitude, yes, but again…it’s a result of my mania. It’s chemical. Yes, it’s false. In a manner of speaking.

That doesn’t mean I’m not going to use it to my advantage. I am, totally. I’m going to start keeping a paper journal again, to take copious notes on how I’m feeling…physically, mentally. I want to be able to tell the doctors everything, so we can closely monitor what changes I’m experiencing, so we can continue fine-tuning my treatment plan, so that I ultimately feel BETTER.

And when I come down from Mania Mountain, and Poser Pollyanna is gone, and I’m the fucking misanthropic Karl again, I want to be able to look at my blog (and the journal) and attempt to regain the positive attitude I have at this moment. I want to be able to see the cause-and-effect thing. I want to read how my proactive stance is actually making a DIFFERENCE.

I feel very much like Charlie in Flowers for Algernon. In the beginning of the story, Charlie is a janitor with a 68 IQ. He receives experimental surgery that kickstarts his brain and ultimately becomes one of the smartest people on the planet.

The book spends a great deal of time showing Charlie’s emotional changes, as well as his increase in smarts. Suddenly, world leaders are contacting him for help with their problems. Charlie is curing diseases. He’s solving impossibly complex equations. He’s fixing things that nobody has been able to fix before. He’s fallen in love with the woman that began as his tutor, but becomes his lover when she sees the amazing new person Charlie has become. Hell, he’s far SMARTER than the woman now.

But here’s the rub: his new-found genius status is temporary. He slowly starts moving back to good ol’ Charlie with the 68 IQ.

And that’s how I feel when I come down off my mania. I’m super smart right now. My brain is operating far above and beyond its usual state. I actually feel like I have the IQ I supposedly have…y’know, if you even buy into Intelligence Quotients.

I’m going to slip back to Stupid Karl very soon. And like Charlie, who had a good long taste of a super-charged mind, it’s almost better to have never experienced my brain the way it is now. Because knowing things can be so good is godawful when I’m beginning the maddening decline to the way I was before. It’s the cruelest bait-and-switch I know of. Contemplating this inevitability brings me to tears.

I feel this crazy need to blurt out everything in my head right now, to get it all onto paper before I lose it. I’m making abstract connections that I can’t normally make. My intuition is so advanced and well-honed right now that I feel almost psychic. I’m coming up with brilliant ideas. I’m creative as fuck.

And it’s all going to slip away.

It’s far easier to survive day-to-day when you’re used to being miserable. The expectations are low, so it’s hard to be disappointed. Knowing that there’s another way to see life – EXPERIENCING that other way – is bittersweet. It feels wonderful now (despite all of the BAD shit associated with mania).

But like most things in life, it’s not going to last.

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