Showing posts with label lantus. Show all posts
Showing posts with label lantus. Show all posts

Sunday, May 25, 2008

Perfect White Bread and etc.

I had a request for a tutorial on making my bread. Since I don't own a bread machine, I make bread like Grandma used to make hers.... The old fashioned way.
So here it is:

Perfect White Bread

1 package active dry yeast or
1 cake compressed yeast
1/4 cup water
2 cups milk, scalded
2 tablespoons sugar
2 teaspoons salt
1 tablespoon shortening
6 to 6 1/4 cups sifted
all purpose flour

Oven 400 degrees

Soften active dry yeast in warm water (110 degrees) or compressed yeast in lukewarm water (85 degrees). Combine hot milk, the sugar, salt and shortening. Cool to lukewarm.


Stir in 2 cups of the flour; beat well. Add the softened yeast; mix. Add enough of the remaining flour to make a moderately stiff dough.



Turn out on lightly floured surface; knead till smooth and satiny (8 to 10 minutes).



Shape in a ball; place in lightly greased bowl, turning once to grease surface. Cover; let rise in warm place till double (about 1 1/2 hours).



Punch down. Let rise again till double (about 45 minutes).

Cut dough in 2 portions. Shape each in smooth ball; cover and let rest 10 minutes. Shape in loaves. place in 2 greased 8 1/2 x 4 1/2 x 2 1/2 - inch loaf pans. Cover and let rise till double ( about 1 hour). Bake in hot oven (400 degrees) 35 minutes or till done. If tops brown too fast, cover loaves with foil last 20 minutes.



Makes 2 loaves. While still warm brush top of loaves with butter.


I am getting ready to head out into the yard and get some more done on my front flower garden and lay out an area for a vegetable garden. Before I do though, I wanted to share with you what transpired at Diabetic Boot Camp Friday. I inquired about the Januvia. Dr. Lee explained that it is pretty much the same as the Byetta only in pill form. In other words it is a fast acting short term fix to control your numbers. It is to be used for those that are on pills only. That leaves me out because my diabetic best friend is the insulin syringe. My blood work was mixed with good and bad. My Cholesterol results were all within a few numbers high or low from what it should be. So Dr. Lee increased the dosage of the Lovastatin that I take from 20 mg to 40. Hopefully that will put all my numbers where they should be. My A1C results left a lot to be desired. It came back as 8.1 when it should be between 4.4 - 6.3. At this point we are going to try working on those between meal snacks. I am one that loves fruit, but long ago found that oranges and other citrus fruits are off limits to me. To get my fruit fix, I then turned to apples. I love them any way I can get them. Well it seems as if my body can no longer tolerate them either. As an example, I checked my blood sugar after dinner a few nights ago and I got 120 reading. That wasn't bad at all. About 9:00 I cut up an apple to snack on and then a couple of hours later I checked my blood sugar before my bedtime Lantus injection. My wonderfully delicious apple had driven my blood sugar level up to 224. So it is with deep sorrow that I have to say good bye to all fruit. Perhaps I should consider taking some sort of vitamins to avoid getting scurvy. If cutting out the fruit doesn't work then we are going to have to completely do away with all snacks between meals or go to insulin shots when I feel the need for a snack. Being diabetic sucks, to be plain and simply blunt about it. So goes the adventures at Diabetic Boot Camp. I am scheduled to go back in 3 months, we will just have to wait and see how it goes between now and then.

J.D. took the camera for a walk while I was seeing the Doctor and got some good pictures of the park with everything in bloom. The Feast of the Flowering Moon is going on this weekend and he got some good photos of that too. I am going to put a slide show together this afternoon or tomorrow for him and he will be posting it on his blog.... So be sure to check them out at J.D.'s Soapbox in the next day or two.

~Jo

Sunday, April 6, 2008

Just One Of Those Interruptions


" I refuse to let this rule my life!" Those were the words that went through my mind over and over again as I drove home from a doctor's appointment in 1994. It was at this appointment when I learned for the first time that I am a diabetic. I was so determined that if I have to have this disease, so be it, but it would not rule my life. It wasn't as if I hadn't been warned in advance that there was a chance that this would happen. It was 24 years prior to being diagnosed as a diabetic that I was pregnant with Tersie and the doctor had then told me then that I had Gestational Diabetes. This bit of information explained why my babies were 9 pounds plus when they were born and why I didn't gain any weight while I carried them. He told me that I should have this checked from time to time because usually women that have high blood sugar readings during pregnancy will become type 2 diabetics years down the road. Even with knowing the possibility was there. Even knowing my odds of becoming a diabetic was greater because my grandmother had this disease. Even with knowing all of these things, it still felt as if the wind had been knocked out of me when I was told that it had finally caught up with me.


I had made the appointment with the doctor in 1994 because I was having my yearly Spring bout with pollen allergies and Bronchitis. I complained to him about how just before getting sick I had felt so tired all of a sudden. I told him about how it seemed to take all of the effort I could manage to just put one foot in front of the other and move and so forth. It was a easy call for my doctor, being a diabetic himself, to order some blood work because he suspected Diabetes.

I haven't allowed Diabetes to rule my life. I have had to learn to live with it though. If you are blind you learn how to read braille and walk with a seeing eye dog. When you are hearing impaired, you learn to read lips and use sign language. When you are diabetic, you learn what you need to do to live with diabetes.

It has been 14 years since I was diagnosed. I am still learning things that I didn't know. At first I was only taking the pills to control my sugar levels. Mistakenly, I cut out almost everything that contained sugar. I learned that lesson while standing in the check out line at K-Mart. All of a sudden I broke out in a cold sweat, with a trembling shaky feeling, and dizziness. Fortunately, I had read enough to know that what was happening to me was my blood sugars were bottoming out on me. A candy bar off the impulse rack took care of that one. That was when I learned that it is alright to eat a moderate amount of sweets as long as I am taking the pills for my diabetes to prevent my blood sugars from dropping too much.

The first 6 years of this journey was the toughest for me. I felt so alone in this battle. I had my doctor that I could talk to and the books in the library, but that was about it. That was quite a while before I knew anything about the Internet and the world of support and information that it would contain. I think I was taking at one time or another just about every pill they have available for diabetes. For those 6 years I found that some of the pills that might help with the blood sugar levels, also caused weight gain. I took pills that caused me to have stomach issues of all sorts. I took pills that caused me to retain fluid until I was puffed out like a toad. My blood sugar readings were all over the charts. Seldom were they where they were supposed to be, they were either way too high or dangerously low. I would find myself having bouts of depression. I was tired of taking so many pills and never feeling good.


As fate would have it, my doctor was leaving the area and I started seeing another doctor in the same practice. We discussed how my blood sugar readings were so all over the place and he suggested that I start injections of insulin. He put me on Lantus, which is a time delayed insulin that works over a 24 hour period. With lessons from his nurse on how to give myself injections, I was starting down a new path with this disease. You know the one, the same disease that I swore would not rule my life. I was hesitant about giving myself these shots, but gritted my teeth and stuck that needle in my leg. After a while giving myself the injections has become second nature for me. In no time at all, I started feeling pretty close to the person I used to be. It was wonderful! When I told my doctor how much better I was feeling, I asked him why I wasn't put on insulin six years ago when I was first diagnosed. I was told that many doctors try to put off introducing insulin as a treatment as long as they can because they feel it interferes with the patient being able to lead a normal life. My opinion of this is that insulin does not change my life style in the least............ Blood sugar levels that are out of control does interfere with my life. At that time I was taking my insulin at bed time and 1 pill in the morning.

As time passes, changes have to be made because eventually the body needs more help then what it is getting. Last year I started going to an Endocrinologist. I refer to my visits with her as Diabetes Boot camp and I call her my Drill Instructor. She believes in treating this disease aggressively and that is fine with me. She added Byetta injections do my treatment and sent me to the dietitian for instructions on injecting with the pen which contains the Byetta. I think Byetta is a giant step forward in treatment of diabetes. Not only does it help tremendously, but it doesn't cause weight gain like so many other medications do.


I mentioned before that I am still learning things 14 years after first being diagnosed. I learned two magic numbers while I was with the dietitian that had never been mentioned to me before. Those numbers are 15 and 45. These 2 numbers have the ability to help keep my blood sugar readings within an acceptable range. My nurse (Molly) told me that I will have better control if I try to limit my total carbs for breakfast, lunch and dinner to 45. Snacks between meals and in the evening after dinner should be limited to 15 total carbs. That in itself has been a tremendous help for me in trying to control my blood sugar levels. I will be the first to admit though that I do get lazy from time to time and don't check those carbs.......


When I first started living with diabetes, I mistakenly thought that all I had to do was stay away from the sweets and take my pills. It is so much more than that. One of my favorite vegetables is corn. Imagine my disappointment when I found out that there are enough carbs in a serving of corn to equal a cup good old white granulated sugar. (Place pouting face here). Some Doctors thought I should not eat three meals a day, but instead a bunch of smaller meals (5 to 6). I think most doctors have gotten away from that suggestion. Talk about interfering with a person's life style.
Just to sum things up, the Lantus and Byetta, the two magic numbers and testing on a regular basis has made it possible for me to live with my Diabetes instead of letting it rule my life. I hope that this information has been helpful.
Have a blessed day.......... ~Jo

Saturday, January 19, 2008

Diabetes Boot Camp





I spent the better part of the yesterday afternoon at my Endocrinologist's (aka Diabetes Boot Camp Drill Instructor) office. She went over my latest blood work results, which she wasn't impressed with. Those numbers are still way higher than she wants them to be.


I am on an oral medication for diabetes as well as insulin (Lantus) and Lizard Spit (Byetta). She decided that we need to increase the units of insulin that I take and make some adjustments to the oral meds and see what sort of results we get from that. Now don't get all grossed out over the Lizard Spit remark. The original protein that brought about Byetta was found in the saliva of the Gila Monster (one of only two poisonous lizards in North America). When I first found that bit of information out I thought it to be pretty interesting. It is always nice to know where things originate from that you are putting into your body.


I tend to off track from time to time ........... The Byetta is wonderful stuff, but is tricky to use I am finding out. I visited a web site (Diabetes Monitor)that spells this information out for you. For instance there is a window of one hour after you inject Byetta that you must eat. At what point you eat within that window, determines how well the Byetta is going to work and the effects it can have on you in the process. I found many such tid bits of information that I was not aware of before. My Drill Instructor, as good as she is, just didn't pass all of these extras on to me or was not aware of them. No problem though, now I know the rest of the story.


I told you about my Santa (Vicky) from AmMed Direct in December. Well I am still receiving wonderful little care packages from them with sample snack bars and lotion, diabetic recipes, coupons for diabetic supplies and sundry needs. If you are not hooked up with them, you really need to check out their web site and get in touch. I was paying big bucks for my testing supplies through my Prescription Insurance. Vicky took matters into her hands and found out that my Medical Insurance will cover my test supplies at a fraction of what it was costing me before.


Another really wonderful resource that I happened to stumble across a while back is dLife . I have found that I could spend hours at this web site just feasting on all of the information that is available there. dLife also features a TV program that airs on Sundays. I am not sure of the time or channel, but it is posted at the site. I have caught the program a few times and have found it very informative.


Living with diabetes can certainly be a challenge at times, but it doesn't have to consume your life. Any help that we, as diabetics can find helps makes the challenge a little less taxing. I hope that you find the links I have provided here helpful. If you are not diabetic, but know someone that is, why not pass this information on to them. Please do this especially if that person is newly diagnosed. I remember feeling so overwhelmed when I was first diagnosed. That was quite a while before computers became a big part of every home. I had no idea that so many other people were fighting the same battles I was with the disease and that they were probably feeling pretty much alone, as well. My resources at the time pretty much consisted of my family doctor and what pamphlets he had available.