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Medical Forum / Diseases and Disorders / Diabetes / March 2008Stupid move THIS week!
I take so many pills and supplements that I use an oversized container with breakfast, lunch, dinner and bedtime compartments in it for each day of the week. I noticed this last Sat. when I doled out my pills, I failed to put any Amaryl in the dinner compartment. I thought this was odd because I remembered putting two pills in each day. Thinking I just spaced out again, I put the pills in the dinner slots and forgot about it. Until today... I had run out of my Reglan for gastroparesis. The last pill I had would be taken tomorrow night. There were no refills left on the prescription so I was waiting for the Dr. to call back on that. That's another idiotic story about that and I won't even get into it. Finally got the pills and began putting them in the bedtime slots. That's when I noticed the blue pills in there. *Ding, ding!* Lightbulb went off in my head. I wondered why my BG was so good when I awoke on Mon. morning and again this morning. Odder still was what happened after dinner last night. I made mashed potatoes and hamburger gravy for dinner last night. I ate my normal portion but felt particularly hungry afterwards so I licked the remaining potatoes off the serving spoon, taking care to have plenty of them in there when I did so. Two hours after dinner my BG was 93. I would have expected it to be higher. I didn't do anything about it either, figuring I'd just be sitting here at the computer. Wasn't planning to be active at all. But then about 1/2 an hour before I would normally eat my snack, I began to feel those good old hypo symptoms. And sure enough, BG had plummeted. I wolfed down two bean tacos AND a handful of Fritos, feeling starved. Was afraid I'd wake up to high BG this morning from the excess carbs, but no. Perfectly normal number. At any rate, what I wound up doing was taking an Amaryl for breakfast, dinner AND at bedtime. That's one pill more than I should have taken and more than the max. safe dose. Oopsie! Now I want to kick myself because I am only allowed so many pills per month and I screwed up twice. I do think there was a time or two I forgot to take my dinner meds in the past so many months so perhaps that made up for it. And now I have to be careful tonight that I don't go hypo again. I didn't eat breakfast this morning, having gotten up late. Angela and I went out for Mexican food and then did a lot of shopping, so a lot of walking. And I ate a late small dinner because I wasn't hungry. Had only something from the salad bar at the grocery store, but I did take a couple of spoonfuls of Tabbouleh and some kidney beans. Now hopefully the salad will digest... If anyone knows how to find a good brain, let me know! Mine appears not to be working at the moment. Ive done that before..or took my meds and forgot i took em so took extra or couldnt recall so i opted to skip that does. Happens to us all so either your brains normal or we all need a new one..lol. KROM >I take so many pills and supplements that I use an oversized container with >breakfast, lunch, dinner and bedtime compartments in it for each day of the [quoted text clipped - 44 lines] > If anyone knows how to find a good brain, let me know! Mine appears not > to be working at the moment. > Ive done that before..or took my meds and forgot i took em so took extra > or couldnt recall so i opted to skip that does. > > Happens to us all so either your brains normal or we all need a new > one..lol. Exactly. We are all human, and are fallible.  SignatureT2 - Oct. '96 - Lantus, oral meds, diet http://www.lockergnome.com/darksentinel Undo the munge to reply by email >>I take so many pills and supplements that I use an oversized container >>with breakfast, lunch, dinner and bedtime compartments in it for each day [quoted text clipped - 4 lines] >>Until today... > snipped < Your story serves well to illustrate how we are hungriest when our BG is between 70 - 90 mg/dL and that we tend to falsely believe that hunger means hypoglycemia when it actually mean euglycemia. It remains smarter to eat less, down to the right amount: http://HeartMDPhD.com/BeSmart Be hungry... be healthy... be hungrier... be blessed: http://HeartMDPhD.com/BeHealthy Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com Swordbearer for the KING of kings and LORD of lords. http://HeartMDPhD.com/Sword > I take so many pills and supplements that I use an oversized container with > breakfast, lunch, dinner and bedtime compartments in it for each day of the [quoted text clipped - 42 lines] > If anyone knows how to find a good brain, let me know! Mine appears not to > be working at the moment. > I take so many pills and supplements that I use an oversized container > with breakfast, lunch, dinner and bedtime compartments in it for each day [quoted text clipped - 44 lines] > If anyone knows how to find a good brain, let me know! Mine appears not > to be working at the moment. Julie, you haven't done anything that vast majority of us have done at one time or another. So please, don't be so hard on yourself. In fact, since they added the Cymbalta with me, I've had a hard time remembering whether I have taken my hydrocodones or not. I bought an extra set of pill holders just so I can keep track of them. So just relax, and don't berate yourself for being human. SignatureT2 - Oct. '96 - Lantus, oral meds, diet http://www.lockergnome.com/darksentinel Undo the munge to reply by email > Julie, you haven't done anything that vast majority of us have done at one > time or another. So please, don't be so hard on yourself. In fact, since > they added the Cymbalta with me, I've had a hard time remembering whether > I have taken my hydrocodones or not. I bought an extra set of pill holders > just so I can keep track of them. So just relax, and don't berate yourself > for being human. Thanks. >> Julie, you haven't done anything that vast majority of us have done at one >> time or another. So please, don't be so hard on yourself. In fact, since [quoted text clipped - 4 lines] > >Thanks. Hi Julie, I know what you're talking about -- and I don't take near as many things as you apparently do. However, I do have things that must be taken *just at morning* (thryroid etc) and just in the evening (bedtime) and some that must be taken more than one time a day. I don't know if your upsized holder can be separated or how it is set up. But the way I work it (I don't have small children around very often so they aren't an issue as to safety) I put my morning doses in one place that I know I will see them every morning. Whenever I have a med that has to be taken at meals, I keep them right next to the salt/pepper/sweetner container on my sideboard. And the night doses are kept with my night clothes. The things I must take mid day I keep in a pouch in my purse since I never know where I will be. Just a thought -- I know it works for me. And I'm with the others -- try not to be too hard on yourself -- you have a rather busy life from what I can tell. Laura > I've had a hard time remembering whether I have taken my hydrocodones or > not. I bought an extra set of pill holders just so I can keep track of > them. I have a little bouquet of pill holders. I also have a system for moving the pills-in-bottles from one little basket to another on the counter &/or turning them upside down as I take them during the day, or if it's a "skip day", or whatever. Maybe I should try one of those baskets they make for multiple remotes. I wonder if the slots are fat enough for my bottles. Time for another trip to Best Buy! :-) bj >> I've had a hard time remembering whether I have taken my hydrocodones or >> not. I bought an extra set of pill holders just so I can keep track of [quoted text clipped - 9 lines] > I wonder if the slots are fat enough for my bottles. > Time for another trip to Best Buy! :-) I have the double set as I normally don't have any afternoon meds. But the Cymbalta is hitting me kind of hard, so thought it best to get the second set just to be safe. SignatureT2 - Oct. '96 - Lantus, oral meds, diet http://www.lockergnome.com/darksentinel Undo the munge to reply by email "DarkSentinel" <darkmungesentinel@munge.charter.munge.net> a écrit ... >> I take so many pills and supplements that I use an oversized container >> with breakfast, lunch, dinner and bedtime compartments in it for each day [quoted text clipped - 51 lines] > just so I can keep track of them. So just relax, and don't berate yourself > for being human. Julie, DS says it all very well. We're all human (me, more than most, as I have done that before and found myself short befeore the start of the month, when I see my doctor). I also used a pill doser (whatever they are called, I only know them as 'pilulier'); until I forgot where I put it, forgot to refill it, and lord knows what else ! All I have picked up from that is to carry on as if nothing was wrong, rely on the indulgence of your doctor and things will be alright . <hugs> Frank >If anyone knows how to find a good brain, let me know! Mine appears not to >be working at the moment. BTDT. The one that has caught me out is the generic prescribing. Here we get all our pills in the original manufacturer's blister packs. Time was when each different drug had a specific shape size and colour, but now the same drug from a different source may exactly resemble one of the other pills, unless you turn the pack over and read the small dark silver on light silver print. Even the days of the week printed on don't help much if they're in Turkish. Taking two statins and missing an ARB isn't too tragic, but taking two ARBs and missing the statin laid me out once. I try to ensure that I take the different drugs off the card in a different order for each, every little trick helps. > The one that has caught me out is the generic prescribing. Here we get > all our pills in the original manufacturer's blister packs. .... > I try to ensure that I take the different drugs off the card in a > different order for each, every little trick helps. I think I'd still prefer the 7-day pill containers. I put my week's meds in a little pile of containers on Saturday night & I'm set for the week -- & can easily see whether or not I've taken "today's pill" for whatever. I have a little slip of paper in the slot for one that I skip once a week. The only other rx med I have is Fosamax, which comes in hard-to-break-into blister paks, 4 to a little folder; that's a 1/week pill & there's room to write which day I actually take it (it sometimes varies, due to how it has to be taken & my sometimes varying schedule). bj : I think I'd still prefer the 7-day pill containers. : I put my week's meds in a little pile of containers on Saturday night & I'm [quoted text clipped - 5 lines] : due to how it has to be taken & my sometimes varying schedule). : bj Just to let you know. There is now a generic for Fossemax vailable. It is not that cheap, but a bit less. Wendy >>The one that has caught me out is the generic prescribing. Here we get >>all our pills in the original manufacturer's blister packs. [quoted text clipped - 13 lines] > due to how it has to be taken & my sometimes varying schedule). > bj Pill boxes are handy. They do reduce the need for more daily discipline. Also they are a better way to use your time and stay organized. I have more problems with insulin use. Sometimes I forget to record the injections and I am leary about injecting twice even that I low dose. I don't usually self-monitor with the meter more than twice a day. Yesterday my fasting was 70 mg/dl and I didn't test again until about 9 PM when the reading was 149 mg/dl. I then knew that I had missed the AM injections that I forgot to post that morning. Keep it simple is a good rule to follow. Frank > Pill boxes are handy. They do reduce the need for more daily discipline. > Also they are a better way to use your time and stay organized. I have > more problems with insulin use. Sometimes I forget to record the > injections and I am leary about injecting twice even that I low dose. I > don't usually self-monitor with the meter more than twice a day. Can you think of some visual clue to "have I done that injection?" Some of the things I don't put in pill boxes but take out of the bottle (couple of supps, stuff like that) I just turn the bottle upside down after the first one each day, over on the side after the 2nd, move to the other basket after the last of the day; I don't have anything I have to think about for more than "3x". Anyways -- there is not just position but location to look at & use for cues. Something to think on, anyway. bj >> Pill boxes are handy. They do reduce the need for more daily discipline. >> Also they are a better way to use your time and stay organized. I have [quoted text clipped - 10 lines] >about for more than "3x". Anyways -- there is not just position but location >to look at & use for cues. Agreed. I'm sailing at the moment, each drug is a different shape and colour on a different shape and colour of card, and I keep them on my desk in the right order, next month's supply may be all different again though but it sure makes things easier to handle when you have several different cues at the same time. Maybe you could discipline yourself to do some positional cue thing with the syringe or pen, move it from left to right when you've taken the shot, leave the plunger out, but remember to be consistent, I have two pullovers here that dear mother knitted, and to make sure I knew which way round they went she helpfully put a coloured tag in the back of the neck of one of them. And a coloured tag in the front of the neck of the other one <sigh> >Maybe you could discipline yourself to do some positional cue thing >with the syringe or pen, move it from left to right when you've taken >the shot, leave the plunger out, G'day G'day, How about making a holder? Perhaps you may remember school science days when test-tubes were kept in holders. That way you'd know where you were up to. Please ask a T1 if this is a healthy thing to do. Being a T2 who doesn't use insulin I wouldn't know. I'm just putting forward the idea for discussion. Best wishes, SignatureQuentin Grady ^ ^ / New Zealand, >#,#< [ / \ /\ "... and the blind dog was leading." http://homepages.paradise.net.nz/quentin >>Maybe you could discipline yourself to do some positional cue thing >>with the syringe or pen, move it from left to right when you've taken [quoted text clipped - 9 lines] > > Best wishes, A "holder" sounds like a version of my 2-baskets-for-bottles system. bj >>>Maybe you could discipline yourself to do some positional cue thing >>>with the syringe or pen, move it from left to right when you've taken [quoted text clipped - 11 lines] > > A "holder" sounds like a version of my 2-baskets-for-bottles system. Your idea of inverting the vial sounds like a good idea, but I don't know if the membrane on the vial would leak after being repeatedly punctured. Frank >>>>Maybe you could discipline yourself to do some positional cue thing >>>>with the syringe or pen, move it from left to right when you've taken [quoted text clipped - 17 lines] > > Frank If I couldn't invert, I guess I'd have to go to more baskets. I do use the counter as well for some things/at some times/for some indications. It's also good mental exercise -- "ok, that means....." & then I have to *remember*! (which, so far, I can) :-) bj Information is flowing beyond our ability to consume. An University professor that was the head of engineering used to give students the seminar talks. One of his talks was " you will be know less when you graduate" He explained that information is being generated faster than you can consume it. As you climb the mountain the more you can see. You know you are so limited. The problem with diabetic information is a lot of misinformation is clouding the real information. I am extremely ignorant about diabetes. There is no doubt of that. I take what I can find, try to sort it out. and do the best I can with what I have. Diabetes and age is taking it's toll. here. But I live in the real world. I deal with problems with what I have. I have done much better than most. I feel sorry for those that are unable to deal with the world except to blast or degrade others. They are a sorry lot, usually with nothing to offer but a "big mouth".. Arrogance equates to ignorance. |
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