(6 vials of Novolog. Only one of my medications and only enough for 1 month)
Being a diabetic is always hard. Throw into the mix some extenuating circumstances and being a diabetic is really hard. I switched to a new doctor in December of last year and went to one appointment before finding out little twitchy was on his way. When I went to my next appointment in February of this year, I told them about my "condition" and all of the nice ladies in the office put me on high alert.
Since February, I've been e-mailing my numbers, my daily carb intake, and the amount of insulin I use on a weekly basis in an excel spreadsheet. It's a total pain in the butt in case you were curious. Up until July, I had monthly appointments and now I go every two weeks so that they can check my A1C number (which two weeks ago was 5.9 - in the "non diabetic" category, yeah me!) and evaluate my numbers and insulin regimen.
I guess more for the sake of posterity than anything else, I wanted to document the major amounts of medication it takes to keep me going, as healthy as possible.
I use three types of medication:
Lantus insulin - this is a 24 hour insulin that I should only have to take once a day and it stays in my system for, you guessed it, 24 hours. These shots usually go into my hip or my belly and are followed by a trail of bruises.
Novolog insulin - this is a short acting insulin that I take whenever I eat anything. I use a sliding scale of insulin to carb and this ratio is generally pretty stable. This shot goes into my arm anywhere from 3-6 times a day. Bruises galore.
Metformin - this is the most evil medication I've ever taken. It's a pill. Each pill is 500 milligrams. The number one side effect of metformin is nausea and vomiting and massive stomach aches/cramps, which affects 65% of the people who take the medication. Thank heavens it hasn't made me puke but this medication has, on many occasion made me so ill I cannot stand up straight. I've been experimenting with dosage a lot over the last 2 years. I can tolerate 1000 milligrams a day well. I do alright with 1500 if I take 500 in the morning and 1000 at night. But, add that 4th pill, which I've had to do many occasions and within hours, I am tragically ill.
In January and February, when I was still exercising 4 days a week and feeling pretty good about life, my insulin use was at a bare minimum. I was using about 20 units of Lantus a day, only at night. My sliding scale for Novolog was around 1:30 (1 unit of insulin for every 30 carbs) and I was taking 2 metformin a day. On days that I exercised in the afternoon, I usually didn't even need to do my lunch time Novolog because the exercise took care of it for me.
Fast forward many, many months and my body is a walking pharmacy. I take 177 units of Lantus a day (87 in the morning and 90 at night). My sliding scale for Novolog is 1:2 (1 unit for every 2 carbs), except in the morning when I'm almost at a 1:1 ratio. And I'm taking 3 Metformin a day (1500 milligrams), 1 in the morning and 2 at night.
I wish I could do math, and figure out the percentage of increase in my medication but I am not that smart. I do know that even though it seems that my insulin use has gone through the roof to the moon, I'm still not using as much as I was before Wyatt was born. The week before he was born three years ago, I was at 240 units of Lantus a day so I'm pretty proud of myself for only being at 177.
Once this kid gets here, everything will change immediately. That change will be the scary one because i don't know where I'll be. No idea how much insulin I'll need, what my carb ratio will be, or how my body will react.
That's going to be interesting.