When it comes to diabetes, vigilance can sometimes eliminate the need of insulin as well as help you control your diabetes. Most people with type II diabetes, are not made aware of the severity of this diagnosis, are not given […]
I have, for as long as I can remember, had extremely dry skin, arms and legs, itchy upper back, etc. I greased-up religiously, if not more, and thought I had tried everything. I told myself, “It is what it is” so deal with it. Various MDs of course blamed it Diabetes, I didn’t argue, it gave me my excuse. Then, several times in one month, my acupuncturist commented on my dry legs. Enough was enough. I scoured the drug store for something, anything I could try different and there it was. I had seen TV commercials for this product, especially for diabetics, so I bought one. AWESOME to say the least. No more dead flakes in my socks, or inside of my pant legs, even my arms look and feel better, and it lasts. What is this miracle you ask? It’s simply “GOLD BOND” ULTIMATE, diabetics’ Dry Skin Relief, and it is!!!! I found it in Walgreens, I’m sure it is in other places. It was reasonable at $8 for one with second 1/2 price. I’m going to back to get that deal soon.
An overload of nutritional information out there in the cyber world has made finding the simplest answers extremely confusing, even for me, who has felt fairly secure in my knowledge of “good vs evil” food exchanges and choices. To add to the confusion, good carb/bad carb is now complicated by glycemic index numbers, and not just glycemic index, but glycemic load numbers to add to the confusion. The February 2014 issue of Diabetes Forecast, one of my favorite Go-To resources has an exceptional article, Carbs; Beyond the Basics, which is where much of my following references are taken.
The glycemic index (GI) measures the glucose response to a given number of grams of carbohydrates. They would measure your glucose levels during the first 2 hours after consuming 50 grams of carbs. These carbs are then compared to the response of blood glucose spikes after consuming 50 grams of pure glucose. They then, label these foods High GI or Low GI, obviously, Low GI are much better as glucose does not rise dangerously after your meal. Sounds simple right? Wrong, because it was then realized by the ADA that following a low GI diet alone, did not make any measureable difference in you A1C. So the Glycemic Load was invented. This factors in two important measures of diabetes control; carb counting and the glycemic index. While carb counting considers the total amount of carbohydrates, the glycemic index accounts for the quality of THAT carbohydrate, the glycemic load considers both. The best example; 1 cup of mashed potato vs 1 cup of watermelon, both high on the glycemic index, however, because 1 cup of mashed potato has a much higher carb count, its’ glycemic load is higher.
There can be up to a “threefold difference in the glucose response to the same quantity of carbohydrates.” to confuse matters more, a foods origin, how it was cooked/prepared, the degree of processing, ripeness, and even the brand all affect these numbers. Things to consider; choose unprocessed foods, bypass “puffed” grain products, as well as “instant” products like oatmeal, instant potatoes, rice. There is even a difference in over-cooked grains/starches, cold potatoes are preferred, and fruit which is not overly ripe.
I would advise that you get on the site for Diabetes Forecast and read this article. They cover a bit more and explain in better detail the “why nots” of the above food choices. I found this tid-bit of info amazing, the glycemic index measures were not done on PWD? Which qualifies my belief that our diabetes and our bodies respond differently than the next person, as a matter of fact, my body does not react the same way to the same foods eaten from day to day…..
I consider myself to be well organized in matters of my diabetes. I have been doing basically the same routine for over 40 years, maybe only 15 years with the pump, and each time I have to readjust my routine, something goes awry. Unfortunately this time I was on a cruise ship.
When packing, always make sure to have extra everything, which I do, and in my travel bag I have designated a baggie with extra infusion set, prep pads, and alcohol swabs, basically the things that have no expiration date. On my most recent trip, I packed 2 extra cylinders of insulin for my pump, which must be kept refrigerated. So once arriving at my mothers house in Fl. Lauderdale, into the fridge went my back-up insulin, as we were there several days ahead of cruising. Morning of cruise arrived, we were packed and ready to go. While waiting for our cabin to be ready, we relaxed on the back deck, already meeting some characters whom we would be sharing this adventure with. Hours later, after enjoying our first of many great meals, it dawned on me, yeah you guessed it. My extra insulin was still in my moms fridge. Needless to say, panic set in, more for my poor husband than me. I new I had enough in the pump for 3 days, surely we could buy some somewhere.
Next morning we visited the infirmary, quickly being told that they had some, however, they did not sell whole bottles and it was costly. The MD told us our first stop was on Cozumel, where he was sure the main pharmacy there would have some cheaper. Apparently, money was not the object at this point, as my husband was ready to have me heliported back to Ft. Lauderdale. After a 6 mile taxi ride into the main village, going from one so called “pharmacy” to the next, all within blocks of each other, we soon realized they call any corner store that sells suntan lotion and toothpaste, a pharmacy. Following another lead, we came upon a Medical Clinic, surely they would have some. They did not. The look on my husbands face made me so sad, that I had caused him all this grief and worry. The clinic was kind enough to call the “Mega Pharmacy” before we trekked over there, another 3miles away. Success!!!
We made it there in no time as my husband’s pace seemed to have increased at this point. We entered and spoke with the only clerk who understood us, it took them time to find, for some reason, but it was a trusted name brand of insulin. NEXT!!! The cost was very reasonable, as we are all aware, we in the states are getting ripped off for pharmaceuticals, this bottle cost me what my co-pay is with insurance, however, my credit card rejected payment due to “security reasons” and being used out of the usual territory. NOTE TO SELF, next time I travel I will call the credit card company first. I couldn’t use my cell, too expensive, so we paid cash, a whopping $35. Now for the pilgrimage back to the ship, after attaining some ice in a baggie to put insulin in for the long walk back, there was a sigh of relief. I just didn’t inform my husband that the only canister I had was the one in the pump which are not meant to be refilled. Once the piston has pushed cork up to top, there is not an empty compartment left for insulin. (if you use a pump, you will appreciate this next move.) In my McGyveresq thinking, I took an empty syringe, filled it with air and pushed it into canister several times, eventually the cork was pushed back to bottom and I was able to refill my canister for the end of the trip.
All in all, I missed one day of using the pump, I simply took many shots and lots of finger sticks to check, like the old days. Blood sugars stayed 130 or lower and I was able to enjoy the rest of the trip, ready for my next vacation, with better preparation.