The Hunter-Gatherer (faustin) wrote,
The Hunter-Gatherer
faustin

what 24 hours of normalcy looked like

BACKSTORY: I was diagnosed with diabetes in September of 1993. In 1996 I went on my first insulin pump, a Minimed 506. The pump, market conditions and the state of diabetic care at that time are all fascinating, but that's another story.

I went off the pump in 2001, and from 2001-2004, depending on work, I could switch back and forth between "multiple daily injections" and using the pump. I think I went back on the pump nearly full-time in early 2004. I ran out of supplies in March of 2007, while I was still in Siberia, and I've been on injections since.

My pump infusion sites suffer from the same problems, however. The latex canula will sometimes hit straight against muscle and fail to deliver (somewhat painful, too). My love handles, where I keep my pump infusions (sides of navel don't work), have strings and pockets of tangible scar tissue.

* * * * *

My blood sugars from the past 28 hours.
My appointment was at 10:00, and right before the appointment I checked my BG and was hypoglycemic at 49:

20090605 - time - BG

9:12:00 131
10:00:00 49 HYPO at beginning of appointment
11:15:00 57 HYPO at end of appointment
14:12:00 74
17:14:00 101 dinner: mushroom-chicken-cheese-walnut-creamcheese soup
21:14:00 54 ...oops. Hypo.
23:30:00 97 bad snack: 6 cookies & milk; watching documentary on 20th Century history of technological innovations

20090606

6:02:00 122 ideal waking BG
9:04:00 88 ...managed the very difficult wake-up successfully
10:20:00 155 ...maintaining, 155 is just slightly high. Perhaps stress from meet with contractors? (excitement & consequential, important)
11:53:00 50 Brunch: edamame, bacon, yogurt, tomato juice
13:08:00 77 (i.e. almost 10 minutes ago)

AVERAGE BG for this period: 87.916
STANDARD DEVIATION: 34.56


Those last two numbers tell the story. I started making this argument -- about the importance, relevance and value of standard deviation -- in early 2004. It seems an endocrinologist who is also an IDDM got on board and started publicizing the same message in 2007, it has been carried by at least one influential diabetic blogger, and so I hope the idea will soon get widespread adoption.

There was a DiabetesMine competition for best product or development ideas, and I had intended to submit my arguments for the adoption of STANDARD DEVIATION as a more important metric of insulin therapy / blood sugar control than HbA1c, but then I read in the same DiabetesMine about the doctor in Washington who had started championing STD DEV in 2007, so I didn't bother.
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