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Journals for all : Coda's Journal
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Recommend  Message 1 of 7 in Discussion 
From: MSN Nicknamecoda··  (Original Message)Sent: 9/4/2006 8:13 PM
Maybe if I start a Journal I can get better control
Long one
 
My morning Blood Sugars are 206 
 
I am on glyburide only for meds.
May have to go back to docs to try something else
I am allergic to metfomin
but these back and forth BS are getting to me they are consistantly in the 200-300 range
no wonder I feel like crud all the time.
I dont eat like I should, Yes I eat healthy food but not at the times that I should
I work nights so my meals are off
I eat when I get up about 130 in the afternoon Breakfast
Then I eat about 6or 7  in the evening my lunchtime at work
I have a snack about 930 usually a banana or some crackers
then I eat dinner about midnight or 100 am depending what time I get off work.usually a salad of some sort with some chicken or something cut up in it
hard to cook for 1 person.
Then go to bed anytime between 4 am and 6 am 
Exercise is walking around the building outside during breaks at work but hard to do lately cause of the heat and I dont dare do it at night when I get off.
 
Oh well thats my story
 
Coda


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Recommend  Message 2 of 7 in Discussion 
From: MSN NicknamenanaD_3Sent: 9/4/2006 8:25 PM
OK, msn ate first attempt at responding to your post so I will try again. 
Coda: congratulations on starting your journal.  I don't know a whole lot about Diabetes but I doubt having your "clock" switched around will have a whole lot to do with it. I don't blame you for not walking after dark either...gone are the days
     I am sure there are plenty of more knowledgeable folks here that will share their thoughts on the "clock" thing. Again, congratulations on doing the journal.
 
Nana

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Recommend  Message 3 of 7 in Discussion 
From: MSN Nicknametabby3ySent: 9/4/2006 10:32 PM
the days that I exercise more     my bs is lower    I ordered-The 2 Mile Walk    with Leslie Sansone volume  2 fromCollege Video'sguide to Exercise Videos       collegevideo.com    they have all types of exercise videos 

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Recommend  Message 4 of 7 in Discussion 
From: MSN Nicknamesafk1221Sent: 9/4/2006 11:14 PM
It's great to see you posting, Coda.  Keeping a journal will hwlp keep you honest with yourself, which is a biggie for us diabetics and control.  Some things make better sense when we write them down and re-read them.  You have quite a challenge there with your clock all caddy-wompus like that.  I guess we all do what we must in life, and if that is your schedule, you will work it out. As long as you are consistant with your intervals, it shouldn't be too much of a problem.  Look forward to reading more from you, and good job!  HUGS!  sheryl

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Recommend  Message 5 of 7 in Discussion 
From: bigcatsflSent: 10/14/2006 10:55 PM
Greetings Coda!
 
Coda, I read your post and it caught my attention as I have a very difficult time to control my sugar and I have worked nightshift all my adult life!!!
 
Yes, I read NanaD who wrote "I don't know a whole lot about Diabetes but I doubt having your "clock" switched around will have a whole lot to do with it."  There should be no doubt that being a 'night creature' has a negative impact on your biological functions.
 
There is the dawn effect, where you sugars are naturally elevated in the mornings.  This is your body's attempt to provide energy to start the day after you have been fasting while asleep all night.  Also there are hormones such as Anti-Duiretic Hormone that naturaly prevents your body from making urine so you can sleep all night without having to wake up to go to the bathroom at night. If you don't sleep well during the day that is stressful on the body and stress in itself will raise your sugar.
 
Getting off night-shift is not an option for me.  I have better sugars when I don't eat after midnight, but that might not be practical for you.  Instead, I make sure I get 8 straight hours of sleep, and not eating, get up and walk/exercise when I get up.
 
I have found little understanding or sympathy from my care providers, as they consider our lifestyle and oddity.  Its frustrating that they don't understand.  You will need to take the initiative-- keep a logbook of how many carbs you eat and when ( watch carbs in bananas).  You might need to adjust you meds and carbs on a different schedule than other people.  Good record keeping and experimenting will carbs/meds, focusing on time of your meals will help you see what works
 
I feel your pain, and I am going through it with ya.
 
Regards
 
 

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Recommend  Message 6 of 7 in Discussion 
From: MSN Nicknamekatydidflyaway1947Sent: 10/15/2006 12:01 AM
It has to be hard when working nights that is for sure.  The body was not meant to be on that routine but many people have no choice.
 
I have never been on a night shift but I think if you spread your carbs out evenly during your waking hours and it seems you are spreading them out well.  I would bet it is getting enough real sleep.  Maybe the diabetic nurse could help you figure out carb distribution for the day.  206 is not what is the best but you are very close there to an acceptable bg so perhaps and bit of humalog or better for beginners to insulin to take a bit of N as it does not have q uick reaction time.
 
Hard deal to work nights.  You are trying hard so you will find a way to get that bg down a bit.  I would not try to get it too low working on a night shift.  Anything under 165 is acceptable and will do no harm to your body.  If you doc is pushing for a very low bg under 100 than I would find another doc.  A person working like you do can not safely hold a really low bg.  Only my opinion though as I am not a doctor.

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Recommend  Message 7 of 7 in Discussion 
From: bigcatsflSent: 10/17/2006 7:53 PM

Two key points: spreading the carbs over the waking hours and getting quality sleep..  I have in fact worked nights my whole adult life and in healthcare too.<o:p></o:p>

<o:p> </o:p>

Spreading carbs and sleeping is easier said than done.  The problem begins with not getting quality sleep during the day.  One sets out with the best intentions to sleep but life seems to get in the way, not to mention its not normal for our bodies to sleep 8 hours in the day.  Often, I sleep a few hours and get up and eat something, out of habit or frustration.  Later at work, I get sleepy and reach for something to eat to try to force that last drop of concentration out of my sleep depraved body.  For a long time I never went 8 hours with eating �?necessary to give your body a break.<o:p></o:p>

<o:p> </o:p>

For a long time I did get into a routine of sleeping 8 hours a day but I work nights from home, and found if I sleep all day and stay home all night I became depraved socially.  Now, I go to bed at 7am and sleep till whenever, usually 11am, when I go to the gym and work out ( Exercise is the #1 for control in type IIs).  I come home and after relaxing I get another few hours of cat nap<o:p></o:p>

<o:p> </o:p>

The exercise burns off carbs, helps with depression and I still get enough sleep to be functional.  Its not perfect, but it works for me<o:p></o:p>

<o:p> </o:p>

60U Lantus twice a day<o:p></o:p>

20U or more Humalog as needed<o:p></o:p>

Glucatrol XL <o:p></o:p>

Avandia<o:p></o:p>

Lipitor<o:p></o:p>

Niaspan<o:p></o:p>

Lisinopril<o:p></o:p>


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