The Skinny

So the skinny on my doctor visit Monday, which I mentioned on Twitter and Facebook:

• Check my sugar 4 times a day. Before every meal, and two hours after dinner. This helps provide a good picture of my sugars throughout the day. Which, in turn, helps to know where (and what time of day) we need to adjust meds.
• No long-acting insulin till further notice. We may not even get me back on that at all.
• One of my diabetes meds only, the others are dropped.
• 5 units of regular insulin before every meal. I suppose that’s for coverage.
• My A1C is 9.2. Ideally, these days the American Diabetic Association says your A1C should be below 6.5. For those of you that don’t have to know what the fuck Hemoglobin A1C is, here ya go. It’s the 3-month average of your blood sugar readings. When I prick my finger (4x a day) to check my sugar, that gives me my sugar for that particular moment in time. But just because I get a 294 on the meter (80-120 is normal), doesn’t mean I’m that high all the time. That’s where the A1C reading comes in. It shows a truer picture, because it lets them know what my OVERALL sugar has been over the last 3 months. I could explain how it works and shit, but it’s not important. Hell, all this right here probably wasn’t important. Unless you’re diabetic. And me.
• My cholesterol, remarkably, is 118. I haven’t seen numbers below 200 since my 20’s. So there’s that.
• She wants me to email my numbers to her weekly.
• We have a follow-up appointment in 3 weeks. More adjustments from there, as needed. Unless I need her sooner.

But I don’t think I will. I think I’m getting it. Yes, I’m not perfect. Today, for instance, I took most of my meds, but then went out for dinner (thank God for Tuesday nights). Didn’t check my sugar before leaving the house, or take my dinner meds. But I get back on the horse. I’ll take my bedtime meds and start all over tomorrow.

Lather, rinse, repeat. Ad nauseum.

My body has been in such pain. I ache everywhere. The trouble with only sleeping 3-4 hours a night for a few weeks straight (save a couple nights here or there) is that your body is vertical that much more. That puts a lot more stress on the bones and joints. Heh, I said joints.

So my neck, shoulders, and ESPECIALLY my lower back have been killing me. All this extra activity I’m experiencing in order to take care of Mom exacerbates it. Or maybe it’s the non-sleep that exacerbates the activity. I dunno. The point is, I’ve been miserable physically, as well as mentally.

Today I went and got a 90-minute massage. And it made an enormous difference. I fell asleep twice on the table, and was told that’s the highest compliment you can give a masseuse. She’s good. And I didn’t even get a Happy Ending. Bigger shock? I didn’t even care.

I just wanted relief. I got it. And perhaps the best part? My masseuse’s name is Cher. I so wanted to ask her if she was a Cherokee, but she was even whiter than me, so it’s unlikely. Amazing hands, though. I pretty much melted into that table, let me tell you.

The REAL best part is that my head is quieter. No, not quieter, that’s not right. It’s more unified. There’s still way too much shit going on between my ears, but I feel calmer now. The racing thoughts are not back down to normal level, but they don’t feel like they’re where they were last night at this time.

Which, by the way, was a really bad time for me. It’s like being able to view all the alternate universes at one time. I mull over every single possibility, every single outcome…dozens…hundreds of times. Even the ridiculous possibilities. And even those crazy-ass potential outcomes seem reasonable, which only serves to freak me the hell out even more.

I’m insecure enough, but my manic brain makes me paranoid like you wouldn’t believe. Thank fucking God I have my logic. Somehow I manage to talk myself out of my most ludicrous insecurities. Well, I talk myself out of ACTING on them, at any rate. And that’s enough. Mostly. Still torturous, and the self-restraint manacles are getting mighty frayed, but I’m doing it.

And I’m trying to acknowledge that I’m doing it. Because in my mind, what I hear when someone says, “I’m proud of you Karl, you’re making it happen” is this: “What other option do I have?” Dismissing the positive. That freaking Permeable Teflon skin of mine…damn tough. It’s how I describe myself, Permeable Teflon. The bad goes in, but the good slides off…

I’ve talked about the downside of bipolar disorder. It’s bad, yeah. But that’s not the whole picture. There IS an upside…a lot of upside. I think I’ll save that for next time.

I’m actually tired. And I want to take advantage of that.

Mom’s follow-up appointment (first one post surgery) is in the morning. I need some sleep. A LOT of sleep.

Filed under Bipolar, Diabetes, Inside My Head, Local Goings On, YOR | Comments (16)