Monday, January 5, 2009

It's the bitch of living ...

Ok - I need to rant a little.

Sometimes in life, you can do everything right and still get screwed. Now, I don't pretend to do everything right, but I try most of the time. And believe me, it's tiring.

I woke up at 5:40 am to go to the gym before work (so I can spend time with Peter and Laura after work). I did 26 minutes of cardio on the treadmill, then another 26 minutes of circuit weight training, followed by stretching and an attempt at core work. I ate a relatively healthy breakfast and then hydrated with non-carb fluids all morning. I thought I was living the diabetes straight-edge.

Around 11am, I felt crabby. Not just a little crabby, more like set-a-basket-of-puppies-on-fire-and-then-put-out-the-flames-with-my-urine crabby. It didn't help that I had a run of particularly trying patients that were pushing all my buttons.

I knew I had to test my blood sugar. My CGSM said 110. No way. Uhn-uh. That can't be right.

I pricked my finger and the numbers glared back at me: 399.

Fuck.

I don't test for ketones, because I luckily don't produce them too easily, but I new I had to change my infusion site, put on a new CGSM patch, give myself a shot of novolog in the butt and spend the rest of the afternoon checking and chasing my blood sugars. All while continnuing to perform my job at a high level with intent and compassion.

I'm normally pretty resiliant, but my "highs" have been starting to take the wind out of my sails these days. I think I'm "burnt out" on my diabetes. I spent the next few hours not giving a crap.

But, too f'in bad. Even if I want to give up and take a holiday from my diabetes, I can't.

I can't because the diabetes never takes a holiday from me. If I ignore it, it doesn't ignore me - it slowly breaks blood vessels in my eyes, ruins neprons in my kidneys, causes inflammation and plaque in my arteries, overloads my nerves causing them to short out, messes with my emotions and makes my nights fitful and sleepless.

So, I felt sorry for myself. Then I felt angry that I have to deal with all of this. Then I felt envious of those who can go work out and play and be active without ever having to worry about getting low or wonder if you have a power bar in your back pocket if you do. Then I bargained with God that if he lets me win the lottery, then I'll be the healthiest person he had ever met. I never felt denial, though - I've had this too long and that emotion has been played out and dried up for years.

But, as I always do in these little moments of crisis, I then felt acceptance which brings me some peace. I take a deep breath, give myself a little insulin and figure out what to eat at lunch that won't be too bad for my sugars.

It't the little grieving process that I (as well as others with type 1) go through about once or twice a week. It's brought on by highs, lows, good blood test results, bad test results, good doctor's visits and bad doctor's visits.

It's the bitch of living. But, I guess it could be worse. I have a good job and a beautiful family and that's alot.

So ... rant is over. For now.

Peace.

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