Wednesday: Diabetes … What’s New ?

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On Tuesday afternoon, a Micro Burst ran over the city.

In a matter of FIVE minutes, yes, FIVE minutes, entire sections of the city were FLATTENED to the GROUND.

Trees, Houses, Buildings, and Cars were CRUSHED …
Lights were knocked down, electricity was out for thousands of people across the island.

Parks with CENTURY old trees that have stood for ages, were snapped like twigs and scattered all over the ground, in the road and on sidewalks.

On my way to the doctors office, in NDG, one of the hardest hit areas of the Western section of the island of Montreal, when I came OUT of the Metro (there was electricity in the tunnels) and walked the 100 yards to the building where my doctors are, there were entire TREES down IN THE STREET, blocking traffic and the bike lanes.

The power was out above ground. And the building I was going to was working on emergency generators for elevators and lights. We sat in the dark because there was little light to be had.

That was a thing …

My new doctor, a very kind and funny Lady doc, took over my file a month ago. She is a specialist with combined knowledge of HIV and Diabetes and Triglycerides.

I had begin Insulin about two months ago. And we began at 10 units, that was followed up with a trial of twenty units, which failed. I could not handle the rise in insulin so fast.

We settled on 19, which funny enough, worked.

I was on 19 units a day for a month. I’ve been on Trulicity once a week, and Invokana daily. I dropped labs on Monday. And my A1C was at 13.

I gained 5 pounds and am sitting at 167. FUCK !!! Keto Diet is still in motion.

I was warned that Insulin will make one hungry and when one is hungry, one eats.

Not that I have been eating junk, mind you. I haven’t. But I did add some lunch food daily that is palm sized portions, which is, by my nutritionists rules, acceptable.

I suffer from mild lipodystrophy in my tummy, that I can’t seem to break, my ass is just fine, thank you very much. But I am eternally, a little bit pregnant …

We dropped the Invokana, because new data has shown a prevalence of shorter longevity and a rise in amputations of lower body parts.We added Jardiance, a drug that is in the same class as Invokana. With less amputation fears.

This morning I hit an 8 in my morning stick. Not that I have been checking my blood for the last month, MY BAD… ugh !!!

Anyways, she wants me to hit 6’s or 7’s in my morning stick. And to that end we are going to start insulin at 20, that was this morning.

I will check my blood every morning. And if the number does NOT go DOWN, we tick another unit up, into the pen, until we hit the optimum number of 6 or 7.

There is room to increase insulin safely.

However, when I stuck my insulin this morning I got one serious headache. It was massive, and I took some meds and took a nap, hoping it would go away.

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My triglycerides have come down from 15 to 7. Still not out of the woods, as my doc would like, she wants them lower. UGH ! Still 7 is a good round number.

We are trying NOT to add any more drugs to mys system unless medically warranted for one reason or another. There are drugs that can be prescribed to lower my triglycerides via further drug treatment.

The Insulin (TouJeo) I am on, brings those numbers down naturally. So while that is working ever so slowly, we are going to stay the course.

More to come.

Tuesday: Harmonization FAILURE !!!

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I have been riding a wave of feeling good, looking good, and hopeful that my medical condition was about to get much better with labs on the table coming today.

I was terribly Disappointed with my doctor visit today.

  • Yes, I have lost some serious weight
  • Yes, I have been on the Keto Diet since the end of March 2016
  • We added Edurant (HIV) medication (once daily dosing)
  • And upped my Trulicity (dosage weekly)

My HIV numbers are stellar. Cd4’s are above 1000, but:

  • My sugar test stick at the clinic was 20.7
  • My resting fast was 20 on paper
  • And my sugar number was 9.5
  • My Triglycerides were high as well (they have been see sawing for ever)

It was obvious today, that the Harmonization Tests of both types of medication have Failed. Either the drugs are conflicting still, the dosage is wrong, or put bluntly, my doctor could not find an “on paper reason” for my numbers to be so, “out of whack” today.

With serious weight loss, and corrective diet, and reworked medication, a change should have appeared on paper, and didn’t.

My doctors had a phone conference as I sat there, when they decided to test me right then and there to check my sugars, by test strip. Which landed at 20.7.

I test at home and my numbers bounce from 10, up to 20 on any given day. Even if I have a restricted diet, and I am not putting bad food into my system and I am eating a restricted diet, the numbers should be working in my favor, but they are not.

Friends have said that I need to keep my head on and wait to see what the Diabetes clinic says at my emergency appointment on Friday morning, and not jump to any conclusions.

I might need insulin corrective medication added, or just rework my insulin regulation  or they are going to change the mix again.

Some people, I have heard, cannot regulate their sugars successfully and need serious medical intervention. It seems I am at that point myself.

Stay tuned …

Thursday Episode 1 – Harmonization

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Years ago, when I was diagnosed with Type 2 diabetes, I started drug regimens very slowly. Over those years, it seemed the drugs were not working as well as expected.

What we did not know then, was that having dual diseases meant that both sets of drugs had to harmonize, so that both regimens worked on their associated problems.

Together.

Last fall, Dr. George changed up my Diabetes medication and added Trulicity to the mix at a low dose. Trulicity is a once a week injection. I began to loose serious weight, for the first time in over twenty years.

In February when I saw him again, the numbers were still too high. I then went to see Dr. Chris, and that day both he and Dr. George were in the same office. They had figured out, for the first time since I got sick, that the drugs were knocking each other out, one for one, thereby negating the effectiveness of the drugs across the board.

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Dr. Chris took away a few drugs, and added new ones, on single dose daily dosing. Dr. George upped my Trulicity to a higher weekly dosage as well, he tweaked my other diabetes medications also.

I had lost ten pounds by the February medical check-up. In March, my friend Joe introduced me to the KETO diet. Which I jumped on furiously.

I have lost a total of thirty pounds so far.

In the words of the Divine Miss M … I Look Good !

Today, I was up at 6 a.m. to make my trek up the hill to the General to drop labs.

Three months of new drugs, one intense diet that has totally changed the way I live, and a lot more healthy living, we will see just how good this harmonization test worked.

If it was successful we will have found a new way to treat dual diagnosis patients with HIV and Type 2 Diabetes.

Let Us Pray …