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Thursday, April 2, 2015

after treatment.... a look back (aka the power of insulin)

Every April it's my birthday, and also every April I get nostalgic/nauseated thinking about when I checked myself into MGH back in 2008, two days after my 20th birthday, to start treating (once and for all) my type I diabetes.

As I mentioned in my last post, my A1C was "over 18" at that time. I had spent over a year walking (zombying) around Boston, putting on the regular face of a very skinny undergrad who happened to have to pee 2-5 times an hour. I remember when the depression set in (can you blame me?) and I remember the severity of the denial - the food binges at Whole Foods, the endless bottles of gatorade/powerade/younameit as I stood behind the CVS Rx counter pretending to be a friendly and efficient pharmacy tech. {In case you aren't familiar with this blog, stop feeling sorry for me now! Today, I am more than OK!} Nevertheless, every April I can't help but look back to some degree. For some reason, it's hitting me harder this year, 7 years after the fact (7-yr itch I guess).

I think the reason I was able to hold on for that long was the slow progression. One of the main reasons I didn't treat right away was that  oftentimes I would check my BG and it would be in the 90s (without any insulin whatsoever), although it would often be 300+ after meals) So - it was caught early and progressed slowly (did I mention that I really didn't like needles back then - of course, I am now apathetic to them).

That day. I went to lab. I peed. I was trying to do lab work. I peed. I had the most awful disgusting deep cough you could imagine that wasn't going away. And a headache. My adviser suggested I go to health services. I obliged. My bg was "high", my ketones were "through the roof", (should I even talk about my cholesterol, triglycerides, etc. & oh! and my weight of 90-something pounds!) my pcp pleaded with me on the phone to go to the hospital. I obliged.

Standing outside (in the rain) waiting for the taxi (I told HS btw that I was going to "walk there" and they were like "No, We are calling you a taxi!") to go the the ER. Making the phone calls to my mom and boyfriend seemed surreal. "I'm going to the hospital and getting insulin because I'm really sick and I'm done fucking around." I said. Or something to that effect. I pretty sure I described most of the hospital experiences themselves (all two fucking days of them) in my older posts back in 2012.

There was paperwork. There were nurses and doctors. There was a silly student who said - "oh, birth control and diabetes - you must have blood clots and that's why your legs feel crampy! " There was an attending who promptly corrected him (as in "she's in dka so the leg cramping is likely from that, not the birth control [ps. thank god I was on birth control back then"]) In the end, the defining moments were: 1. receiving insulin; 2. administering my own insulin; 3. getting out.

Here's on the getting out part;
The trees were clearer, the sun was brighter, the depression was nonexistent. Non-existent. I was alive again. I walked to CVS to fill my scripts. It was a little strange because I had just transitioned from working as a pharm tech at that one to going to a private Rx to tech, so I knew those who filled my scripts (in fact, the days I was hospitalized were supposed to be my last two days of work there and wow! what a way to exit and then come to fill a bunch on insulin scripts to prove I wasn't just calling out sick).

Looking back, I obviously wish I treated sooner. A lot sooner. But I can't blame myself forever. All I can do is try to give back by raising awareness, making connections, doing the best I can today, and slowly building my career so I can have a lab of my own (which I will undoubtedly end up using for Diabetes research to an extent, regardless of what the grant money's for ;)

On that note - don't worry if I'm out for a while (grants don't write themselves you know  <3

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