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Some days I really feel like a miserable failure at controlling my diabetes! Being sick the last few weeks with a bad infection and having to go on antibiotics, steroids and anti-inflammatories have really taken a toll on my blood sugar. Before all this, I was starting to get some control back. I was doing good enough that I was down to 10 units of long-acting insulin at night after starting Glumetza. I was told at that point that if I could get down to 10 units and maintain an A1C within range of 5.6 to 6 then I could come off the insulin altogether and I did it!
Now though my Freestyle Libre is now estimating my AIC to be in the 7.9 range and climbing. It’s amazing how one infection over a 2 week period can throw everything off so much. I have to admit that even before getting sick I was starting to slip. I had switched from using my Libre reader to the new android app using my phone and NFC as it uploads directly to Libreview cutting out some extra steps. At some point, I stopped bothering to scan and was only doing it once a day instead of at least every 8 hours as needed to capture 100% of the data and get all the proper charts and everything else. On top of that, I was missing doses of Glumetza as I would just forget to take it. So really this started before getting sick but getting sick has just made it get out of hand.
I know I need to get that control back. I just don’t have a clue how. I have been careful the last few days to ensure I am taking my Glumetza each day since I am also on a ton of other meds (5 other prescriptions at the moment, 9 in total over the last two weeks). I am really struggling though. It’s as simple as scanning my sensor to capture the data. I don’t know why that’s so hard to remember. I am not using my glucometer at all either. I haven’t pricked my fingers at all in weeks to even see if the Libre is working correctly beyond one finger prick when inserting a new sensor.
So overall my control has become very poor again and to make matters worse today I find out my new drug plan does not cover Glumetza at all in either its brand name or generic forms and so I am now going to have to either go back on insulin, or switch back to Metformin, which was causing major stomach issues, or be switched to something else altogether. I guess it means going back to the table and re-looking at everything. I can not afford $114 every three months for it. So something will have to give. Maybe going back in insulin is the best thing? I mean at least it would allow me more control, right?
I know I can’t beat myself up too much about the actual numbers right now as first Prednisone and then Dexamethasone has really raised them through no fault of my own, not to mention the other meds. But I really need to be scanning my sensor at least every 8 hours or even better, before and an hour or two after meals and double-checking a bit more often with test strips. I can’t even remember the last time I bought any test strips. I have been on the same pack for almost a year. I have a ton of needles, lancets, test strips all just lying around not being used. I got a little too comfy with the Libre and not looking beyond the AIC to the actual numbers.
I don’t even want to talk about meals… right no I am on a soft food diet and have been for 2 weeks and will be another 1-2 weeks most likely. So I am really struggling cause it is all carbs, starches and sugary stuff. Even though I know it doesn’t have to be I just don’t have the energy to cook and have been so sick that I am unable to stand for any periods of time and so I am eating ready-made sugary things which is not helping at all. I can’t even stand up long enough to do a couple of dishes so cooking is out of the question.
Once all this stuff is over with my tooth, jaw, and face I am really really going to need to take back some control and once I am feeling better start figuring out some meal prep once I am back to work. All stuff I needed to do anyways since I royally suck at it. I suppose I should give myself a break and chalk this all up getting so out of hand to being ill but I kind of feel like a failure anyways and it’s bugging me so much and making me really frustrated and mad.