Monday, September 24, 2012

From the Files of a Nursing Student: Blue

It was kind of a lax weekend, and by "lax"...I mean that there were no looming tests on Monday. Not that this means that they're giving us a breather, because there's a paper due today. (fortunately for me, I have one from the previous attempt at this course, that was never graded & in my eyes, legit for round #2) Hubby is away on a business trip for 9 days, so it's me & the baby. Baby plus keeping up with this place (cats, laundry, etc.) has me so busy I'm really grateful that there isn't another test till next Monday.

Four weeks down. Four to go. On Thursday, after I took my hubby to the airport & ran to the grocery store & went home, a brief GI virus sidelined me for the rest of the day & I wasn't sure that I could drag myself around on Friday,but I felt marginally better by then. Took my cardio test & sat through 5 hours of GI lectures. I did very,very badly on the cardio test (but my average is still ok...still there's no excuse for it). I think it was a combo of feeling sub-par plus not being able to "think" it out plus total brain deadness on the math questions. I studied, I REALLY studied. Cardio is supposed to be the worst test though (other then the final) so I just need to concentrate on getting stellar grades for the 2 tests before the final. My mom is coming up to help me out for a few days this week, so that will be really helpful. (try lifesaving...she cooks me food,cleans,shops,helps with the baby. I don't know how she does it all,but she had six kids so I'm sure this is just minimal compared to back in the day) That comes with its own particular brand of stress,as she's of the opinion that the first few years of a child's life should be exclusively day-care free..let's just say that we disagree on that point. I don't think I'm emotionally scarring my child for life,& I do my best for my baby.(and I enjoy doing it,he's a good baby) He is happy,healthy, & loves people(everyone..not just his momma)in some respects I feel like the interaction is good for him as well.

Four weeks to go. (have I said that yet?feels like I've been in this course for-ev-er. At the end of this course, there's a break until Jan. because of a weird quirk in what course plan,cannot take a 3rd semester course right after a 2nd semester) I've discovered why the hospital freaks the sams hill out whenever there's a glucose value like say, 53 (or 284)...those values require follow up by the nurse & possible notification of the doctor. And if you're a tired OB, a blood glucose of 284 is likely to majorly annoy you.(especially if you have no clue how swing-ish a type 1's blood glucose can be, post-pregnancy(or pretty much any time) Their goal is to
ensure that there are no surgery complications and discharge you as soon as possible. (and diabetes kind of throws a wrench in that process)
I really think they go overkill on it,as a type 1 I do not need to see a diabetes educator every time my blood glucose goes outside of the range...but it's all very much CYA. But you've got to remember that the vast majority of PWD are type 2...and have stabl-er blood glucoses then type 1's. They often do well on sliding scales,& have residual insulin production to keep their bgs lower. However, that doesn't help me in figuring out what type they are if they are older,perhaps overweight,already have some complications,and are exclusively on insulin but were just diagnosed. (because that info isn't in the charts)Doesn't this information MATTER? (well,it does to me...apparently not to anyone else) Couldn't they try type 2 meds, or has there been any screening bloodwork for antibodies,and shouldn't they get education on counting carbs etc.etc.etc...when it comes to diabetes, I wish I had a clearer clinical picture then the one I get.

A FB friend of mine passed away last night, she was 31 years old, type 1, and had just had surgery. (we used to chat on a diabetes chat) It's so sad when things like this happen out of the blue,& the family is left to grieve. (so much of that around the DOC lately) 31 is too young to die. 40 is too young to die. Please keep those families in your thoughts & prayers. I guess I've just been going through a mini-midlife crises, one in which I've been learning (in depth) about hospitals (and the million & one things that can go wrong post surgery...clots & DVT's, heart attacks, strokes,etc) and being in my 30's, it's been a jolting realization that yes, young people have these problems too...especially PWD. Waiting till I'm 45 & in the CCU with a massive MI isn't going to do me any good,I really need to start improving my diet & exercise NOW. (regardless of cholesterol, people have heart attacks from other things) And women, especially young women, do not have a good prognosis post-heart attack. I don't want to leave behind my family just yet, I want my baby to have a mother & my hubby to have a wife. (for a good long while) Life doesn't feel very fair sometimes but its a heck of a lot fairer then to die of a complication, too young. That complication isn't always "D" related...blood clots can be a complication of any surgery, regardless of the diabetes. You can do your best to lead a healthy life with D..but things can still happen, outside of your control. I just wish there was a cure for diabetes though,because it breaks my heart every time I see a blue candle.


Scott K. Johnson said...

Hang in there, Heidi. You can totally do this, and you'll be so proud once you're through it all.

I too was very saddened by our friends passing.

Cami Hood said...

From what I’ve experienced, fasting is done eight hours before the blood glucose test, and for the two-hour postprandial test, you would need to start eating a meal exactly two hours before the blood sample is taken. It went well for me. Seeing the needle and the tube didn’t scare me at all, and the result was normal. Yay! ^__^ So, how did you prepare for the blood sugar testing?

Cami Hood