Medical Forum / Diseases and Disorders / Diabetes / August 2007
Control
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Julie Bove - 01 Aug 2007 01:46 GMT What a frustrating word! Was at the eye Dr. yesterday and he was asking about my BG. Left eye seemed to keep fluctuating when he did the lens thing, asking me which one was better. First, number one would be better, then number two. Bottom line my prescription didn't change, although I am getting new glasses after having that accident with the old ones around Xmas time. I got new frames with the old lenses in them, but it wasn't a perfect fit and I always worry that they'll pop out. Anyway...
The eye Dr. asked me, "So... Would you say you have fair control? Poor control?"
Why can't they call it something else? At the moment I feel like the damned thing is controlling me and not the other way around. I mean... My numbers were higher than I'd like, for no apparent reason. Endo. put me on an additional med and instead of my numbers going down, they shot up over 300!
Stopped the new med for a few days. Numbers dropped. Started it up again and my numbers are lower now, but some are still higher than I'd like.
That word "control" just annoys me. Makes me feel like a failure when I'm doing all that's within my power to keep my BG where it should be and it still isn't working.
Andrew B. Chung, MD/PhD - 01 Aug 2007 02:05 GMT > What a frustrating word! Was at the eye Dr. yesterday and he was asking > about my BG. Left eye seemed to keep fluctuating when he did the lens [quoted text clipped - 19 lines] > doing all that's within my power to keep my BG where it should be and it > still isn't working. It is GOD Who is in control and not us, thankfully.
Be hungry... be healthy... be blessed:
http://HeartMDPhD.com/PressRelease
Prayerfully in Jesus' awesome love,
Andrew <>< -- Andrew B. Chung, MD/PhD Cardiologist
Susan - 01 Aug 2007 03:15 GMT > What a frustrating word! Was at the eye Dr. yesterday and he was asking > about my BG. Left eye seemed to keep fluctuating when he did the lens [quoted text clipped - 19 lines] > doing all that's within my power to keep my BG where it should be and it > still isn't working. Julie, it's control, an objective term, not self control, an accusatory one.
Right now you don't have a handle on it, so you're not in control, it's true.
Frustrating, I'm sure.
Susan
Loretta Eisenberg - 01 Aug 2007 04:51 GMT Julie, that is how they ask people if they have good numbers, are you in fair control or good control or no control. If you are doing all that you say you are to be in control, it must be frustrating to have to answer that question. Its just a word and he didnt know it bothered you. Loretta
Julie Bove - 01 Aug 2007 06:12 GMT > Julie, that is how they ask people if they have good numbers, are you in > fair control or good control or no control. If you are doing all that > you say you are to be in control, it must be frustrating to have to > answer that question. Its just a word and he didnt know it bothered > you. I know I'm not the only one who is bothered by that word. This subject came up when I was in a diabetes support group. The leader was a brittle type 1. She hated the word.
Laura@notmy.com - 01 Aug 2007 07:04 GMT >I know I'm not the only one who is bothered by that word. This subject >came up when I was in a diabetes support group. The leader was a brittle >type 1. She hated the word. Julie, I think I understand your frustration. The implication of the word is that you have the power in your behavior to control your BG and if you are not "in control", then you must be doing something wrong, when in your case you're doing everything you can do and the rest of your body just won't respond to your efforts because of the other conditions you are faced with. It's kind of like when a patient really is doing everything their doctor advises and is then labeled "non-compliant" when in fact the treatment is what is failing not the patient.
Alan S - 01 Aug 2007 07:46 GMT >> Julie, that is how they ask people if they have good numbers, are you in >> fair control or good control or no control. If you are doing all that [quoted text clipped - 5 lines] >came up when I was in a diabetes support group. The leader was a brittle >type 1. She hated the word. Words rarely bother me. Meanings and intent may offend me - but the word does not. I aim for good Control of my diabetes; I see no other word that suits as well although some come close, like management.
While words don't bother me, restriction and distortion of the use of words does. I'm pretty tired of the PC world that puts meanings to words that I never intended. People keep stealing the words I grew up with and giving them new meanings I never used or intended. A Dame was the wife of a lord. To be Gay was to have fun, without any sexual connotations. Madam was the female salutation on a letter. There are too many other examples.
I think I'll start stealing them back. And regain some Control of my own language.
Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraltraveloz.blogspot.com/ latest: Mossman Gorge in the Daintree Rainforest http://loraldiabetes.blogspot.com/ latest: Self-Testing and Type 2 Management
hemyd - 01 Aug 2007 12:27 GMT >>> Julie, that is how they ask people if they have good numbers, are you in >>> fair control or good control or no control. If you are doing all that [quoted text clipped - 22 lines] > I think I'll start stealing them back. And regain some > Control of my own language. If you truly want to know what can be done with words - with whole sentences, in fact - you need to be in the corporate environment.....
Henry.
Alan S - 01 Aug 2007 14:56 GMT >>>> Julie, that is how they ask people if they have good numbers, are you in >>>> fair control or good control or no control. If you are doing all that [quoted text clipped - 27 lines] > >Henry. I am eternally grateful that that is one place I will never be again. Even worse, I was in the Defence Department dealing with bureaucrats who made Sir Humphrey seem normal.
For USAians who have never seen "Yes Minister" - it's too hard to explain, so watch this instead: http://www.youtube.com/watch?v=oyhxqIzAKdY Sir Humphrey opens the conversation; he is advising his Prime Minister on the semantics of truth.
Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraltraveloz.blogspot.com/ latest: Mossman Gorge in the Daintree Rainforest http://loraldiabetes.blogspot.com/ latest: Self-Testing and Type 2 Management
Frank t2 - 02 Aug 2007 00:28 GMT Then, of course, there is the famous one about English newspapers:
http://www.youtube.com/watch?v=cxdMFRwztl4
"Alan S" <loralgtweightandcarbs@gmail.com> a écrit ...
> I am eternally grateful that that is one place I will never > be again. Even worse, I was in the Defence Department [quoted text clipped - 7 lines] > > Cheers, Alan, T2, Australia. Priscilla H. Ballou - 02 Aug 2007 18:19 GMT > Then, of course, there is the famous one about English newspapers: > [quoted text clipped - 11 lines] > > Sir Humphrey opens the conversation; he is advising his > > Prime Minister on the semantics of truth. Thanks for these links. I'd forgotten how much I enjoyed "Yes, Minister" and "Yes, Prime Minister."
Priscilla
Frank t2 - 02 Aug 2007 23:21 GMT For a cool lady like you ... any time.
"Priscilla H. Ballou" <vze23t8n@verizon.net> a écrit ...
> > " Frank t2" <a@b.c> wrote: > [quoted text clipped - 18 lines] > > Priscilla krom - 01 Aug 2007 10:47 GMT A "failure" is a end result and you arent done working on your numbers so you cant fail. I see you trying everything possible to maintian good numbers despite meds and obsticles. You should be proud of yourself.
KROM
> What a frustrating word! Was at the eye Dr. yesterday and he was asking > about my BG. Left eye seemed to keep fluctuating when he did the lens [quoted text clipped - 19 lines] > doing all that's within my power to keep my BG where it should be and it > still isn't working. Emily - 01 Aug 2007 18:50 GMT > What a frustrating word! Was at the eye Dr. yesterday and he was asking > about my BG. Left eye seemed to keep fluctuating when he did the lens [quoted text clipped - 19 lines] > doing all that's within my power to keep my BG where it should be and it > still isn't working. I hear you Julie. It's such a PITA when other health problems crop up, because they all wreak havoc on the diabetes. I have been consistently labeled as good control since starting insulin, and for the most part have had that. (80-110). However, with the UTI I had recently, I was so NOT in control. It stunk. (not to mention the fact that I had finally scheduled my apt. to be refracted which I didn't have done at my dilated exam because I wasn't yet in 'control'). Fortunately, I was back in a decent range by then--and my script also didn't change, but I too am getting new glasses as my current pair is my ONLY pair, and that is not a good thing if I were to lose or break them. (can't drive or read or do much of anything without them. Well, I can read, if the print is large enough and it's about two inches from my face. My mom makes fun of me cause I bring things closer to my face when I can't see them--she does the opposite). I always know before I get other symptoms that SOMETHING is going on with my body, cause my BG goes higher than I'd like. During my UTI I used one and a half whole novolog pens! I usually use less than one a month! Now that the infection is gone, I've broken out my novo-pen Jr. The half units really help, since I am now super sensitive to insulin. A half unit too much, and I am headed low. That's another issue, I go high with infections etc. so I change my insulin around, and then suddenly, one day I'm not sick anymore, and I'm still using the infection dosing, and I go low all day long (can't exactly undo the amount of levemir I took the night before...). So I have to eat to treat the lows, and then I've consumed way too many calories for the day. Just know I'm thinking of you and your health issues and sending positive thoughts your way. I would hate to be so unable to control things on a daily basis, it's bad enough when I'm sick, and I seem to get sick a lot... But, at least I have moments of control in between.
O.k., so I think I've used the word control way too much here. I'm a bit of a control freak, or so my therapist and I have determined, and it's probably not a great word for me either. I guess that's why I definitely preferred a diabetes diagnosis over a cancer diagnosis, because diabetes CAN be controlled. Or at least sometimes to a certain extent. I'm slowly learning that control is not always possible with this thing, and that is not what I want to find out!
Emily
Nicky - 01 Aug 2007 18:57 GMT >That word "control" just annoys me. Makes me feel like a failure when I'm >doing all that's within my power to keep my BG where it should be and it >still isn't working. I hear what you're saying - but what else would you suggest?
Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25
Tim Shoppa - 01 Aug 2007 21:17 GMT > >That word "control" just annoys me. Makes me feel like a failure when I'm > >doing all that's within my power to keep my BG where it should be and it > >still isn't working. > > I hear what you're saying - but what else would you suggest? For me, the solution is to just keep on trying. And knowing that I'll still get "out of control" numbers sometimes. If I focus on one bad number, or a whole day's worth of bad numbers, or a whole week's worth of bad numbers, yes like Julie I feel awful. But taken in context I don't feel so bad.
I also look at how the goalposts have become narrower and narrower and narrower in the past 25 years. Heck, 25 years ago my goal had nothing to do with bg's, it was not getting too many dark stripes on the urine test strips.
Once I start feeling bad about bg numbers that aren't in somebody's definition of control, I have to make a very real effort to not focus on the bad numbers meaning I'm a failure, but instead focus on using the numbers as a tool to make things right.
As a teenager (yes, decades ago!) I sometimes felt so bad about the bad bg numbers that I just didn't test. Most of the pressure about the "bad" numbers was self-imposed.
Tim.
Julie Bove - 01 Aug 2007 23:33 GMT >>That word "control" just annoys me. Makes me feel like a failure when I'm >>doing all that's within my power to keep my BG where it should be and it >>still isn't working. > > I hear what you're saying - but what else would you suggest? I don't know.
Tim Shoppa - 01 Aug 2007 21:05 GMT > That word "control" just annoys me. Makes me feel like a failure when I'm > doing all that's within my power to keep my BG where it should be and it > still isn't working. For me, an essential part of the condition is that despite all the work I do, sometimes it just goes out of control (either high or low) with no apparent rhyme or reason.
If I really could "control" it all the time, I'd consider myself 99% cured.
You will note that a couple of times in the past year I've looked at my bg numbers for a week or two straight and all the numbers are in my goal for "control", and I was so proud of that achievement that I posted here. You can safely assume that for the other weeks of the past year, not all of them were in the goal range. Sometimes when things are bad more than half are out of my goal range. And my goal range is so incredibly broad (say, 60-140 preprandial) that most here would consider it insufficient control.
Tim.
guys@consolidated.net - 01 Aug 2007 22:10 GMT >> That word "control" just annoys me. Makes me feel like a failure when I'm >> doing all that's within my power to keep my BG where it should be and it [quoted text clipped - 17 lines] > >Tim. From what I see you are doing a good job. You are looking for more information. That is the most important thing.
Read here for the collective knowledge but you need a good filter.
Testing is your only window to see what is going on.
A true T! will get into trouble quickly without eternal insulin
You must understand Your case and pick the proper route. It may require a capable Endo.
Arguments or inflated demands are not for your benefit but to just be on. But a few here can be very helpful.
I sure needed these groups in the 1980's . That was almost 60 years after the CANADIAN discovery.
You are lucky but we have a long way to go.
Guy
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