Tuesday, June 12, 2018

Keto is Not Working for Me



It kinda feels like this was an instantaneous decision. It was pretty quick but it took a few days. Here is how it went:

I guess I need to start with why I was doing keto in case you don't know. In January 2017 I was hospitalized for Lactic Acidosis from taking Metformin. For a few months I tried various Diabetes medications that I had bad reactions to. I ended up on insulin. My A1C went up to 9.1. I was seriously concerned for my life. So, in April 2017 I started Keto. It was great. My blood sugar dropped. My A1C dropped. I was happy and telling everyone everywhere to start Keto.

February 2018 was my best endocrinology appointment. My doc said that all of my numbers were good. He was happy, I was happy. He talked to me about how to adjust my insulin and that he wanted me to take Red Rice Yeast because I don't tolerate cholesterol medication. If you had asked me about Keto after that appointment I would have said, "Heck Yeah! Do Keto! It's awesome!"

I have been doing a lot of spiritual work. A side effect of that is attracting things that I need from unexpected sources. It is kinda cool. I also have to learn to be open minded to receive these things. I have an amazing friend in Sweden.

She saw a post I made a few days ago lamenting that I would not be a Granny fitness model. She contacted me and suggested I look in to the Medical Medium and a couple guys who created Mastering Diabetes. I really wasn't interested but I really like this friend so I checked it out. I told her I wasn't interested. I explained how bad my Diabetes was. She said she had a friend who has Diabetes and this has helped her a lot and asked if she could send me some articles. I said ok. They were actually YouTube videos. These are the links for the videos: https://youtu.be/thY5Ge5Cggo https://youtu.be/5KWAgKR9JBE I watched all 2 hours. The stuff made sense. They talked about the Keto diet and what is good about it. Then they explained that it works great in the short term but eventually it increases insulin resistance and causes malabsorbtion of nutrients. That made me think. I told my friend that I need to think about it and that I will let her know what I decide. I told her that it would be a polar shift from what I am doing now and that would be really hard.

The Medical Medium guy suggested drinking celery juice and someone recommended lemon water. I thought I could add those things. The Mastering Diabetes guy suggested starting with breakfast. He said to eat 4 fruits for breakfast every day. I REALLY miss fruit. So. I decided to make those 3 changes and think about the rest.

That was yesterday. (Sunday, June 10, 2018)

Today (Monday, June 11, 2018) I had an appointment with my endocrinologist.
 Image result for soubhi nizam
I had been wearing a continuous glucose monitor for 11 days. I had labs drawn the same day it was put on. Today I got my results. My A1C had jumped almost a whole percentage point in 4 months! I went from 7.6 to 8.5. Just so you know the goal is to be under 6. He asked if I had been adjusting my Tresiba(long acting insulin). I told him I forgot I could do that. He asked if I had been adjusting my Novolog(short acting insulin). I told him I had. He asked if I was taking Red Rice Yeast for my cholesterol. I told him I forgot about that. He told me he was putting non compliant on my chart. Ouch! He told me he was doubling my high blood pressure medication and that my vitamin D was low enough that he wants me to start a prescription strength supplement. I was discouraged. I had just spent 18 days in Arizona and Florida! The valley of the sun and the sunshine state! I have to say though that his social skills have improved a LOT in the past year. He delivered all of this information in a kind manner. I noticed on my blood test that my protein is also low. Isn't that weird. I eat so much protein and my protein is low.

So, that confirmed for me that Keto is not working for me. That is frustrating because I have spent the past year learning how to cook and eat Keto. I am not going to change everything overnight. I will start with breakfast and then change lunch and then dinner. I will give myself at least a month to transition. I want to heal myself. I believe that there is some way to do this with food. I believe that my body wants to heal itself and that I need to give it the tools to do that. The tricky part is finding the right tools.

I bought the Red Rice Yeast and while I was at the Good Earth I met a lady that taught me all about CBD. I bought some of that too. I am open to new ideas. Wish me Health and Luck and Light on my journey.


Friday, June 8, 2018

An Amazing Day!!!

I wanted to call this the best day ever!!! but I have had so many of those that I think I maybe need to change my wording. haha

I was exhausted from so much travel and happiness. I had been traveling for most of a month to see family in different parts of the US. I was riding in the back seat of our explorer because the sun was too hot up front. I had been lying down because sitting up was too much. I got a call. It was my manager from work. A place that I hadn't been to in 10 months. I was so excited to hear from him! And this time I was able to hear better than usual. That was awesome! He was inviting me to eat lunch and go bowling with my team the next day. I was like..."Heck yes!" I knew I couldn't pick up a bowling ball but I could be there. He told me to call my leave of absence caseworker to make sure it was ok. I did. She said it was fine but to be aware that other people may have a perception that if I could go to lunch I could go to work. I told her that I wasn't worried about that because it was her that makes the decisions. Not them. Besides, she doesn't know my team.

When I got off the phone I told my husband. He was in disbelief. He told me I wasn't up to it. I told him that I knew that but I was going anyway.  I had to stop to go to the bathroom every 40 miles for the rest of the trip home.

The next day I planned every detail carefully. When I woke up I felt like it would be impossible to go. I rested and hydrated. I opted not to shower or put on makeup. I brushed my hair but that really just made things worse. I wore a long comfy dress, took a lot of water and powerade, mapped the location on my phone and headed out the door.

80 degrees feels like Dante's inferno to me. I am so glad that I have air conditioning and that I had the presence of mind to put the sun shades in my windshield the last time I had driven. It was an hour drive to get there. I listened to itunes and practiced singing La Vie En Rose over and over. Maybe one day I will get a video.

When I arrived I was exhausted. It was so hot! There was no parking at the restaurant. No disabled parking anywhere that I could see. I ended parking a few lots away and started my trip with my walker out of the parking lot and over the broken sidewalk. I arrived at the front door of the establishment winded. Walking slow has it's advantages. I could look at the different doors to determine where I should enter. I chose the one with the mat. It turned out to be the right choice. I opened the door and made my way in with my walker. I noticed a man at the end of the long hall. It was Jason! My friend! I was so excited but I couldn't make my feet move faster. He called out to him and I wished he would come closer. I finally reached him a little over half way down the hall. I hugged him. He said everyone wanted to see me. I told him that I needed to go to the bathroom. He pointed it out but said I should say hi to everyone first. He didn't know what he was asking but I followed him. He went around a corner and told me to wait so he could introduce me. I wish I could remember everything he said. I know he asked for everyone's attention and the roar of conversation halted. Eventually he said, "The Sooze" to which everyone whooped and cheered and clapped. I felt so loved before I even saw them. I walked around the corner and felt the love and joy and acceptance. I am an assembly empath which means that I feel the undercurrent of emotions in groups of people. At this moment it was a glorious spiritual gift. I was soon surrounded by people who were hugging me and telling me how happy they were to see me. After about four hugs I had to start sitting down between hugs. It was an amazing thing to be overcome by the energy of love. When they were done I went to the bathroom. I was surprised to find a perfect disabled bathroom with room to navigate my walker and do my business. The door wasn't too heavy so it was ok that there wasn't a button to open it.

I sat at the end of the table happily chatting with Nikki, Jason, Daniel and Jeff. I pulled out my phone to take pictures and discovered I had left it in my car. 😔 I ordered food and had fun. I then realized I was missing out on a bunch of people at the table. I moved to sit between Phay and Daniel. I chatted with the friends around me until my food came and then I quickly got tired. The table was picnic table style with no back. Brady came over to chat. Then I excused myself to sit in my walker. It's really a rollator with a seat. It has a back I can lean against. After I felt a little better I used my feet to roll down the side of the table and talk to more friends. Then I was exhausted. I told my manager/friend/kindred spirit that I wouldn't be going bowling. I asked Phay to box up my food. I said goodbye to everyone as they left for bowling. Nikki walked me out to my car. It turned out she was parked close by. She helped me put my walker in the car. I found my phone. We took a selfie. Then I drove home daydreaming about this blog post. Jim encouraged me to finish my book. He wants to know what happens next. As I write this I am loving people, life and the joy that is in it all.

Wednesday, March 28, 2018

What is a Good Day?

Yesterday at the infusion center the nurses kept telling me how great I looked and acted. It was hard for me to accept. But you know when people keep telling you that stuff it does improve your mood. Before I left one of them said, "You're smiling so you must be feeling good!" As I was leaving I wished there was a dance club attached to the hospital so I could go dancing for a minute. As I drove home (one nurse pointed out that I had put my walker in the trunk, drove to the hospital by myself, got the walker out of the trunk and walked into the infusion center all by myself.) Confidence by Demi Lovato came on and I partied a little bit in my car. I even shoulder danced a bit and daydreamed that Justin Timberlake saw me bopping my shoulder and started a conversation about me being a dancer. I have a very active imagination. I had listened to one of his songs on the way to the hospital so that probably had something to do with his involvement in my daydream. By the time I got home I was getting tired but my high hadn't ended. I walked to the mailbox without my walker! When I came in the house my husband remarked that I looked like I was doing well. I told him he must be right because the nurses thought so too. Instead of going to bed at 2pm I stayed up and ate something and watched TV with him for a little bit. I decided it was time to reevaluate what a good day is for me.

When I was a little girl most girls wanted to be teachers and nurses. It was the 1970's so when someone asked what a little girl wanted to be she didn't have a lot of options. I remember thinking I didn't want to be either of those things. I talked to my mom about it and she told me that I wanted to be President of the United States! I beamed. She was right. I was going to be President of the United States and I was going to be the best President of the United States EVER! I tell you this so you know something about my personality. My life took a different path. I hate to tell people this but I still haven't become President of the United States and it is unlikely that I ever will.

For me a good day would be waking up, showering, fixing my hair and makeup, preparing healthy food, going to work, being the most productive member of my team, celebrating someone's birthday or having a team potluck, having lunch with a friend, doing some volunteer work, listening to a self help book during my commute, attending college after work, coming home to play with my grandchildren, spend time with my husband, talk to one of my kids, practice an instrument and a new language, get ready for bed, sleep 8 hours and start again in the morning.

Now you understand why often times in the past year when my husband would say, "You look good today." I would get defensive. In fact, just 2 days ago, before bed, I was pouting to him. I said, "I wasn't very productive today." He said, "Yes you were! You made a recipe and you did dishes." I feel like he said something else but I don't remember it. In my mind I reminded myself that I need to change my expectations and I replied, "You are right. Thanks."

Yesterday I woke up feeling yucky. Often when people ask me how I feel I don't know what to say. Yesterday I told my son in law that I was better than some days and worse than others. But yesterday turned out to be a good day. I took a shower and went to the infusion center all by myself. That was my productivity. Not exactly President of the United States but I ended my day happy. That is important. I need to remember to judge myself not by how much I do but by whether I did my best.

I have this idea that because I don't go to work that I have time to practice 3 instruments and 8 languages every day along with cleaning and organizing my house, doing some dancing and preparing all of my meals. If I could do all of that I could probably go back to work. I need to be nice to myself. I know I would not put all of this pressure on anyone else. It's time to be nice to me.

Goal number one: Get my smile back. When I was working my friends called me sunshine because I was always smiling. Maybe if I lighten up the pressure I can find my smile again. Disabled people are allowed to smile. :)

Tuesday, March 6, 2018

Tracking Tracking Tracking

I do not like tracking. It doesn't matter what I am tracking whether it is symptoms or calories. I just don't like it. Even though I don't like it I am learning that it is important. I tracked my symptoms for a couple months last year and it really helped. I was able to refer back to it when doctors asked me questions. I don't know about you but when they do that to me my mind goes blank. It is just contrary to my personality to be consistent about anything. I do eat every day and sleep every day so that is something. Right? I will just build on that.

What I really need to start tracking is food. I have heard that the key is to track it before it goes in your mouth. Ugh. That used to be impossible because by the time I realized I was hungry I was starving and would just eat anything in sight to feel better. Since I have been doing keto and getting better at it I no longer have this issue. I have gotten better at preparing recipes to add diversity to my diet. So, I think it is a reasonable time to start doing this.

Why is this important? I am not losing weight. I believe that it is because I am eating too much. I know my diabetes doesn't help but I think it must still be possible so I am going to try. I will also see my macros to determine if something needs to be adjusted.

Wish me luck!

Thursday, March 1, 2018

Depression Strikes

I'm really trying to stop asking why. Over the past year I have learned that doctors don't have answers to every little weird symptom that I experience.

Right now I am depressed. It's bad. When I start feeling that way the ugly thoughts come in. Nobody loves me. Nobody wants me around. Yesterday my husband told me that the way I have been talking to him makes him feel bad. He needs me to be nicer. It's good that he pointed that out so that I can make an effort to be kinder to him. I think that's a symptom of the depression. It is harder to be nice when I'm depressed.

I can't help but wonder what brought this bought of depression on. I saw my endocrinologist for my Diabetes a couple weeks ago and he smiled and told me I was doing great. That is so nice. I have a bad feeling associated with endocrinologists because they usually tell me to exercise more, change my eating habits and take more medication. They seem to do it all with a scowl on their face. It really feels like they think that anyone that has Diabetes has it because they signed up for it. Like, we went to McDonalds and ordered uncontrolled type 2 Diabetes because we get some sort of pleasure from our disease.  I hope that is not really their thought process but that is how they make me feel. So, on the rare occasion when I see the doctor and he is happy with my progress I feel like I have won the lottery.

How do I control my Diabetes? I eat a low carbohydrate ketogenic diet. This is not easy. I am a picky eater and I am easily bored with food. That means that I spend most of my energy on food. I look for new recipes, I shop for food, I prepare my food. I also inject 2 different kinds of insulin. Long acting and short acting.

Why am I going on about Diabetes when I started talking about Depression?

Normal glucose readings are between 80-100. My diabetic goal is between 100-120. This morning my fasting glucose was 198. I haven't been below 160 for a week. Yesterday it was 218. I think this is causing my Depression. Blood sugar changes can cause mood swings.

I recently learned how Insulin works. It takes the excess sugar(glucose) in the blood and turns it into fat. So, 4 times a day I give myself and injection to make myself fatter. That makes me so sad. I am already overweight. I can barely exercise. I push myself as much as I can. I don't eat sugar. I am still gaining weight. I cannot quit eating. Today I am up to 199.4 pounds. I am 5'9" tall.

What has caused the Diabetes to flare up? I have never heard of anyone talk about a Diabetes flare. I really think that's what this is. I have Sarcoidosis. Are there granulomas in my Liver or Pancreas causing this? I have Dysautonomia. Is there something going on with my nerves in these organs that is causing this? I don't know the answers and I don't know if anyone does. I have Small Fiber Neuropathy. Is there any relationship between that and Diabetes?  When I start down this train of thought I daydream about being a research scientist and finding answers.

There have been storms. Winter finally made it to Utah this year. My husband had been talking about removing my snow tires because it had been so warm. Now, he is thankful he didn't. Can weather cause a Diabetic flare?

Well, I don't know the answers but I know I am depressed.

So, what I can do is think of things I am grateful for. I have a lot of people that love me. I have been happily married for almost 26 years. My husband is my best friend. I have 4 beautiful children who love me. I have 2 amazing daughters in law that love me. I have a son in law that helps to take care of me. I have 9 fabulous grand children and 2 more on the way. One of my grandchildren is a 2 year old grandson who loves to play with my Darth Vader and Storm Trooper toys. He holds them and says pew pew and laughs. I am smart. I look young. My husband thinks I am beautiful. I also have parents, siblings, in laws, friends, and they all love me.



Today I will force myself to sing a song. I have had some requests. I know there are at least 2 people who enjoy me singing on Facebook live. Singing with Sarcoidosis. Wouldn't it be great if I could cure Depression and Sarcoidosis by singing? hahaha

To anyone who took the time to read this - Thank you!


Thursday, February 1, 2018

January Has Been Hard

Life with chronic illness is full of ups and downs. January started out great. It lasted for 3 whole days. Then it went on a slow decline right up to the end. I just now realized that it is over. Today is February 1st. I was hoping that things would start going up. It hasn't happened yet.

I had two new year's resolutions. One was to write a novel. I was going to write 90,000 words in 3 months. The second was to record a Facebook live of me singing every day. Those are pretty ambitious goals. I stuck to them for 3 days!

What did I learn?

I need to take words like never, always and every day out of my vocabulary. I am not an every day kind of person. Even if I were there is no guarantee that I would wake up feeling well enough to sing and write 1,000 words each and every day. And guess what. I haven't felt up to either of those things since January 3rd.

I don't like recording live. I like to edit my mistakes.

January 3rd was also the last day I wrote a blog post. That post was published on www.dysautonomiasupport.org/blog That was awesome.

Last Saturday I received a letter telling me that my securities licenses had been terminated by my employer. That means that I have 2 years to go back to work and have them reinstated or I will have to take the exams again. Those tests are REALLY hard. I know I could pass but still. It is one more thing that I have lost to my illness. Logically I understand. I work for a business and business is about profit and maintaining my licenses is expensive. I was licensed in all 50 states and the US territories. That is a lot of money. Really, they are taking very good care of me. But....it still hurts. I would like to imagine my desk waiting for me encouragingly to get well. I like to imagine that the world stands still and cheers me on in my recovery. But, that is not reality. The stock market will continue and someone has been hired to take my place.

I finally got a prescription for IVIG. That is the next step in my search for miraculous healing. It was a lot of work to get it and then to get it to the infusion center. Then there was another communication problem. The hospital didn't submit it to my insurance for approval until I asked for the status. So, I will not start my treatments on Monday. I'm trying to remind myself of all the things I have to be grateful for. I had to call for a nurse (I'm in the infusion center now, getting fluids) to bring me a box of tissue and turn on the air because I was crying ugly tears and I overheated after calling the insurance company to see if they could expedite it. They said I would need to have my doctor fax the request to have it expedited. Then all the self doubt crept in. Can you believe I question whether I am worth having my treatment expedited? I still judge myself for not being able to go to work or climb a mountain. "Come on Susie, suck it up," I say.

What is IVIG? Intravenous Immunoglobulin. When I was a teenager I used to sell my plasma to buy diapers for my babies. Well, the people that sell their plasma are actually making it possible for people like me to receive IVIG. The immune sells donated are going to be injected into me in hopes of strengthening my immune system. I gave, now I will receive. It is very expensive. I have good insurance. (Something to be grateful for.) And they are really good about approving the treatments I need. I found an article about how IVIG can treat Sarcoidosis and Small Fiber Neuropathy. Those are both conditions that I have. I gave it to my doctor and that is how we got to this point.

There are risks involved. It can cause a headache so bad that it requires hospitalization. It can also cause stroke, heart attack or infection. But I am hoping for the best. My hope outweighs the risks.

I started keto again on the 19th. I was up to 201.8 pounds. Now I am at 196.6.

Wednesday, January 3, 2018

Healing - What does it mean?

Hola mi gente! (hi my people)

I am in a facebook group for writers who happen to have Dysautonomia. You wouldn't believe how healing that is. Today there was a prompt:

"What does healing mean to you? This can be physical, emotional or any other type of healing associated with your #chronicillness. What did it mean before compared to after your diagnosis? How have you played a role in your own healing? Are there others that have helped you? What might help you in this journey that you still desire?"

Wow! This is a timely prompt for me. Healing. I am an extremist in my thinking. I am working on this with a therapist. How does that apply to healing. Well, either you are sick or you are completely and totally well. There is no in between. It's kinda funny if you realize that I have been chronically ill pretty much my whole life. When you are chronically ill there is NO completely and totally well. In fact by my definition you'd have to pretty much be Superman. So, no one really qualifies. Do they?
My resting heart rate.

This year has been a year of extreme healing for me. I started it with a goal of using my time off at work for only fun stuff. I was not going to use it for illness of any kind. I ended the year on total permanent disability. Um, that goal didn't go as planned. New Year's Resolution Epic Fail!!!!

How is that extreme healing? You ask. I am no longer in denial. I used to notice that I got sick more often than everyone else and blame myself. "I should go to the gym more." "I should take another supplement." "I should change my mindset." "I should eat healthier." None of those are bad suggestions. But none of them could change that I am ill.

This is me wishing I was with my friends at the Pride Parade.

This lesson did not come easy. I spent most of 2017 very angry. I also learned that anger is not a bad thing. Anger, for me, has been very healing. What can be bad is how I choose to act upon my anger or what I choose to do with it. But if my anger is to give me strength to get through an extremely difficult year, then bring it on! Anger gave me power. It gave me an extra surge of adrenaline to get stuff done.

Today I got angry. I will tell you why. I spoke with my cardiologist's office about my next appointment. They said we need to wait for the results from the cardiac MRI to determine if I can still see my cardiologist or if I need to go to Heart Failure. What the crap?! Heart Failure?! Really?! Who would name a department that?! After I got off the phone I paced and ranted. After a bit I was pleasantly surprised that I was pacing and ranting. That is not something I usually have strength to do. See! Anger is not all bad. If I get an appointment with Heart Failure I intend to have a frank discussion with them about their name. How about Advanced Cardiac Specialists? Or Hopeful Hearts? Words have power and those words sound like they have admitted defeat.

The greatest healing I have done this year is to allow myself to grieve about the loss of my old life and to find pleasure in my new life. That does NOT mean that I want to be ill. It does mean that I have accepted it. There are good things that have happened. I have found time to write. I started a novel. I am SO excited. I am singing. My voice is not what it once was but it still brings me joy so I use it and I share it on Facebook Live. I have made new friends that I never would have known if I were healthy. So, yes. I have healed. And, I have changed my definition of healing.
Me lying in the back of our Explorer because traveling is hard but sometimes it's worth it.