Friday, March 28, 2014

Diabetes Ketoacidosis!

I had a very rough week. If you didn't know, I was in the hospital with Diabetes Ketoacidosis  or known as DKA. Something I had talked about before. But when I was in the hospital, I learned about why I was in the hospital so much last year.

When I first got diagnosed, I was diagnosed with Type 1 and Type 2 diabetes. Over the course of 6 years, They basically told me I didn't have Type 2 anymore, but when I was recently in the hospital , the saw the darkening of the skin or known as Acanthosis Nigricans . So , my doctor ruled out my insulin because when you go in DKA , it means you have no insulin in your body. Now, having Type 1 and Type 2 is very rare. He mentioned something that barely happens to diabetic's which left my mom very questionable.

He said " Well, your diabetes is attacking each other." My mom and I exchanged looks as if we were looking at the doctor with two heads. " Attacking?" I asked him. He explained that my Type 2 diabetes was attacking my Type 1 diabetes. The type two was not allowing the insulin to get in my blood stream even though I was taking both my insulins.


Anyways, I am better now although, my blood sugars are crazy.


Although I had no symptoms, I thought I would let you know what symptoms to expect if you are in DKA. DKA can be deadly, and you could end up in a coma, which is something you do not want.  Take action early, and get help if you are experiencing any symptoms.

Symptoms of Diabetes Ketoacidosis



  • Thirst or dry mouth ( I have never experienced dry mouth, but I have gotten thirsty, and if you have Keytones , you need to flush them out with a sugar free fluids, water is your best option.)
  • Going to the bathroom a lot ( Again, this is because of the keytones.)
  • High blood sugar levels ( If your sugar is over 250+ , I would call you doctor, if it hasn't come down, call your doctor and go to the hospital. Your body is not holding the insulin.)
  • High level of Keytones in the urine
  • Tired
  • Flushed skin ( Looking pale)
  • Vomiting 
  • Labored breathing ( Heavy, like your sleeping.)
  • Fruity smell in your breath.
  • Confusion
  • Unconciousness
  • Shaking
  • Headaches
  • Sore throat

Friday, March 21, 2014

Friday ; Insulin Time

Hi Guys!

Today , I will be talking about something important: TYPES OF INSULIN.

Now , there are  many types of  insulin . The ones I use are called long acting and short acting. Long acting can last up to 24 hours. The one I use is called Lantud. Lantus comes in either a  vial or  a pen. With the vials, you have to use a syringe, or a needle. With the pen, you have to use needle tips. Short acting insulin , you use before you eat , or 15 minute before. You do not want to use to much or your blood sugar will drop too low, and you will drop unconscious.


On a second note, I will be leaving for Florida in 20 days! Next week's post will be going over everything I pack . Again, I will be posting vlogs( Video blogs) on my YouTube : www.youtube.com/dprocks08 . 


Have a Good Friday & date night !


Rebecca 


















Friday, March 14, 2014

Tips for Travel!!

So as many of you know, in 29 days I will be going on vacation. I will be leaving for Florida on April 10th. The purpose of this trip? I will be going to Seaworld, Busch Gardens & hanging out by the pool. You may ask, what do diabetics pack for this sort of trip.





What to bring on a vacation in a different state:
  • Insulin ( Make sure you bring more than you need, you could run out and it is always good to have extra. If you are driving down, I suggest keeping your insulin in a cooler, since long acting insulin should be refrigerated. ) 
  • Test strips. ( I bring about 10-20 bottles of these because you may want to test if you are going to a theme park, swimming or doing something that requires exercise.)
  • Keep a list of your medications
  • Glucagon
  • ALWAYS wear your medical alert.( For an emergencey, so they know who to contact.)
  • YOU always want to carry your contact information in case of an emergency.
  • Snacks ( In case you have a low blood sugar.)
  • First aid kit including: bandages, gauze and topical antibiotic, pain reliever, 
    medicines to treat diarrhea and motion sickness, sunscreen and insect spray FOR PROTECTION!!


Before I move on, I suggest you see your medical professional who takes care of your diabetes a month before, but if you are like me, I am seeing her 4 days before. At that appointment, your medical professional can go over a checklist of what you are going to need, and she can double up prescriptions if you will need some. My guess, is you will because my doctor always says , " Double up on medical supplies when you are going away to another state or country." Also, when you are traveling, even if you are going to a different time zone, change the time on your meters. Your blood sugars will change a little bit, but not drastically. If they do , CONTACT YOUR MEDICAL TEAM ASAP.

Air Traveling Tips:
  • Book your ticket early and get a seat early enough to get an aisle seat, so you can get up easily to do your injection in the bathroom. If you are on the insulin pump, Talk with your medical professional. When I was on the Omnipod , my doctor told me to deactivate it before I entered the plane.
  • When going to give your luggage through security, keep your  DIABETIC SUPPLIES ON YOU AT ALL TIMES!!!! 
  • When you go in security, put your diabetic bag in the bin. Make sure you have labels on everything !
  • When going through security with a insulin pump, tell them. They will check it !!!  REQUEST THAT YOU CANNOT 
  • AKE IT OFF !!
  • After security, make sure you have enough food .
  • YOU don't need this but traveler's insurance. If your vacation is delayed, or if you end up in the hospital, this will bring costs down.
  • If traveling outside of the US, bring your medical alert in different languages . 
  •  Let your flight attendant or tour guide know you have diabetes.
  • If traveling to another country learn phrases in that language saying " I have diabetes." , " I need sugar " ect.
  •  Check your blood sugar frequently.
  • If you need an insulin injection  follow your normal procedure. Due to pressurized cabins, frequent travelers suggest you be careful not to inject air into the insulin bottle. In the pressurized cabin, pressure differences can cause the plunger to "fight you." This can make it hard to measure insulin !!
 Safe travels ! 
Rebecca 





Thursday, March 13, 2014

GOOGLE HANGOUT? WHAT? WHY?

Today, I had the pleasure of doing a google hangout with my teacher (Check her out !!) and  Marialice Curran (Check her out !! )



Google Hangout is a great way to connect with others. I use it to connect with diabetic's, I also use it to connect with people from my school. I learned it all in a few hours !! So easy!!


I had an amazing time ! I connected with her whole class ! We talked about my blog, dancing, digital citizenship and much more. It was awesome to finally meet Marialice and her class since they connect with me on twitter. It was a great experience and I hope to do google hangouts in the future 



I also had a bad blood sugar day ! My blood sugar went up to 584! To any diabetic's out there , that is really bad ! I also had keytones ( Sugar in your urine, bloodstream) which can be very bad and can end you up in the hospital.
I do have a chorus concert tommorow which I am very excited for since I only have 3 more concerts as a senior !



Rebecca. :)


 Hangout with me !

For Youtube, search for Click Here
For Blogging , search for just click over in the sidebar on my blog !

Friday, March 7, 2014

Ha, Diabetic's can have sugar? That is crazy !!

Today is something very important I will be talking about today !
FOOD!!!


Being a diabetic and food can be a challenge. There is food we cannot have everyday.  There is also food that can make our blood sugar high, and if we don’t take the right amount of Insulin. So between my experience  and the Diabetes Living Online, we will help you with what you can eat, what you cannot eat !


WHAT YOU CANNOT EAT:
Starting off with what you cannot eat, here are some food that you would want to avoid.
  • Nacho’s- Now Diabetes Online does say to avoid it, and I do too. Awhile ago, I would get nacho’s all the time !! When you look at a menu at Chill’s or Taco Bell , the first thing your eyes go to is appetizers. Mine do too !!! Nachos are high in fat and calories and sodium. The cheese they use, if they don’t use shredded ( like packets of nacho cheese you can buy at the grocery store) tend to make me go high in my blood sugar up to the 500’s which gets really sick. You don’t have to even give up nacho’s !!!  You could use organic chips, reduced shredded cheese and add veggies !

  • Coffee Drinks- Now coffee, can be a perfect thing for a diabetic. Some black coffee with some milk and half and half can be a perfect low calorie beverage! But for places such as Starbucks & Dunkin Donuts, they offer high calorie, carbohydrates and fatty dessert drinks. They come with whipped cream and hot fudge, or some type of sauce. Now, once in awhile that is okay, but not every day since caffeine, makes your blood sugar raise.

  • Biscuits and Gravy- This is known to be one of the many things of breakfast that everyone grabs. Biscuits and gravy are high in fat , and calories and sodium. Staying away from these every once in awhile would do you good. Instead, a healthier option is egg, and a English muffin.
  • Battered / Fried Fish- You may think , oh isn’t that a healthy option for maintaining weight and diabetes? But it depends on how the fish is prepared. If the dish is prepared with sides like fries, onion rings and coleslaw is the best to avoid . For all that the total is 1,300 calories, 84 grams of fat, and 113 grams of carbohydrates and a total of 3,000 milligrams of sodium. That is at least double the amount the suggested the amount you should be in taking.
  • Fruit Beverages-  It is one of the worst food for diabetics. They can be high in sugar and calories. You want to read the labels. Anything under 10 grams of sugar is OK. Drinking a high sugar drink can only be used if you have a low blood sugar ( Check out the post I wrote about yesterday for low blood sugars.)
  • Chinese Food- Now it is okay once and awhile, but I choose not to eat it. It is fried, and high in fat and sodium. It makes me sick, and makes my blood sugar shoot through the roof. It is also high and sugar. I only eat it once every 3 months.  Having it in moderation is always okay.
  • Cinnamon Rolls- Need I say more ? These are high in FAT & SUGAR!!! Stay away! Most people do not and it is crazy! Diabetics should never be eating this, but then I’m just a teenager.
  • Cookies- Again, need I say more? Sugar free cookies are okay every once and awhile but you need to be careful of how much cookies you are eating which could create a high blood sugar.


WHAT YOU CAN EAT
For this section, I’m going to list foods that are safe to eat, if you need to take Insulin for that food, I will write take Insulin. If I don’t, that is a carb free food which means no shot !

  • Parsnip - Insulin*
  • Plantain- Insulin*
  • Potato- Insulin*
  • Pumpkin- Insulin*
  •  Squash Acorn- Insulin *
  • Squash Butternut -Insulin*
  • Green Peas -Insulin*
  • Corn-Insulin*
  • Beans-Insulin*
  • Peanuts-Insulin*
  • Nuts-Insulin*
  • Cashews-Insulin*
  • Fish and Seafood ( Lobster , Tuna , Cod etc) - if fried,insulin*
  • Chicken - if fried , insulin*
  • Turkey - if fried, insulin*
  • Eggs ( White or whole eggs)
  • Beef -Insulin*
  • Pork- Insulin
  • Veal - Insulin*
  • 1 % Milk -Insulin*
  • Low fat cheese
  • Yogurt- Insulin , ( I like Plain Vanilla )*
  • Avocado - Insulin*
  • Canola oil -Insulin*
  • Olive oil -Insulin*
  • Olives -Insulin*
  • Peanut butter-Insulin ( I like Jiffy,and the reduced fat ones !)*
  • Peanut oil -Insulin*
  • Sesame seeds-Insulin*
  • Corn oil -insulin*
  • Cottonseed oil -insulin*
  • Safflower oil insulin*
  • Soybean oil -insulin*
  • Sunflower oil -insulin*
  • Walnuts -insulin*
  • Pumpkin seeds -insulin*
  • Sunflower seeds -insulin*
  • Soft margarine ( in a tub) -insulin*
  • Mayonnaise - insulin*
  • Salad dressings - Insulin*
  • Tofu- Insulin*
  • White bread -insulin*
  • Whole grain bread- insulin*
  • Lettuce
  • Cheese
  • Soda ( Diet of course !!)
  • Water



    (*= Consult your doctor about the insulin dosages.)

    Here is a picture of some pasta with some Alfredo sauce and broccoli , I ate it at UNOs!

Thursday, March 6, 2014

LOW BLOOD SUGARS!

Today I’m gonna share something , all us diabetic’s have in common.

Low Blood Sugar Symptoms!

Now some people don’t get symptoms. I usually don’t. There are some symptoms I do get sometimes!



List of Low Blood Sugar Symptoms:
  • Shakiness
  • Nervousness
  • Anxiety
  • Sweating
  • Chills
  • Clamminess
  • Irritability
  • Impatience
  • Confusion
  • Rapid/fast heartbeat
  • Lightheaded
  • Dizziness
  • Hunger
  • Nausea
  • Sleepiness
  • Blurred/impaired
  • Vision
  • Tingling
  • Numbness in the lips or tongue
  • Headaches
  • Weakness
  • Fatigue Anger
  • Stubbornness
  • Sadness
  • Lack of coordination
  • Nightmares or crying out during sleep
  • Seizures
  • Unconsciousness

Now Treatment can be hard for a low blood sugar. Most people use something called glucose tablets. You can get these at your local pharmacy, and you should talk to your doctor about the dosage. You can also have 15 grams of carbohydrate ( 3 crackers, slice of toast)

IF you do not respond or are unconscious or seizing. CALL 911( Not you the person, trying to help, ) OR you could use the glucagon which has medicine to bring your blood sugar up.




Hope I helped! Have a great Thursday !!

Rebecca.

Tuesday, March 4, 2014

My Diabetes Story.

Today I'm going to share something, that is really important about me. I'm gonna share my story, and along with that will be a video which will showcase my diabetic career/senior year.


Well, it started about 6 years ago. So let's think back to that time. Don't you remember? You were nervous. It was that strange time of the school year. You didn't think that you would be dating some of the boys in school. Some people were quiet. Some were very loud. It was two weeks before the first day of seventh grade. I was still doing dance at the time, and every year, about two-three weeks before school starts, we had this thing called dance camp. Dance camp was always fun! We had master classes, and the director of my dance studio close the competitions teams that day so I really had to work hard. I remember the day . I had just finished getting done with one of the tap classes, and I remember going into the waiting room  Everyday we had about 5 classes before we got out of the camp at 8pm. I remember it was my third class. I remember getting lightheaded. For months, I had been drinking excessively and going to the bathroom a lot. When I mean drinking a lot, I mean a lot , a total of 5 , 1 liter Pepsi bottles. I also remember calling my mother.


" Mom, I don't feel good." , that's what I told my mother. She took me to the doctor. They got some lab work, and my doctor came back shocked. She sent me in an ambulance. I was wondering why, but no one would answer me. I was scared. Was I supposed to be? Probably. We got to the hospital. When I arrived, they put me on a insulin drip, which a drip means you will get the fluid right into your bloodstream. They took my mother away from me. Why would they do that? My mother and I are so close. Why would they take my best friend away from me?

I remember my mother walking into the room. I was not sure what she was feeling. I remember saying ; " Mom? Mom? What is going on? MOM!" She did not answer me. She was crying. The doctor came into the room to see me { I see the same doctor today.} She looked at me and shook her head. She sat on her bed. I remember her saying. " Sweetheart, I'm sorry." I looked at her and she told me the bad news. " You're a diabetic." You know, at first , I did not know what to feel, but after awhile, I felt okay about it.

Now 6 years later, I am blogging and doing video blogs about my life. I am trying to be a better diabetic.  I have an average about 8.1% when the normal they want me at is at 7%. I want to be better. I have been in the hospital 8 times for my diabetes, and two for surgeries.

Have you been in the hospital? Let me know your thoughts!!!

Here is the video, I promised!

http://animoto.com/play/VNAsqYdgGuAyzbnCX1NznQ

Monday, March 3, 2014

Joslin !!

So being a teenager is rough . I met with my nurse educator today who showed me some tips about my lancet and I cannot wait to show you guys ! But since today is a Monday , let's start with some pictures of the place where I go for diabetes , Joslin Diabetes Center !



This is an area outside where in the spring , you can hang out between appointments 

This is Joslin Pediatric's where anyone under 21 is treated 
This another area where you can "Chill" between appointments !

You can also support Joslin at the 2014 Boston Marathon!


I love Joslin . Do you love your endocrinologist team?

Xo Rebecca