29/04/2020

Surviving Covid_19 Part 2

I haven't posted in a long time. My test for Covid_19 came back negative. I felt relatively ok for a while after the test but then, when I got the result, how I was feeling slowly deteriorated. I was fatigued and light-headed a lot. I felt depressed and this stopped me from doing things even more than the fatigue. I was going to call the doctor but I decided to wait until after my diabetic nurse appointment.
The diabetic nurse is active in the wards for two weeks so I was told that her colleague would phone me instead. It's disappointing that I couldn't attend the outpatients for my appointment but obviously it's not possible in the current situation. If I attended I could have found out my HbA1c and got bloods done for various bodily functions. I meant to ask about this since I was feeling unwell but my head was so busy making sure I wouldn't forget another issue that I forgot about the situation with blood tests. He basically discussed with me how I was doing with controlling blood sugars and when I told him I was trending a bit high because of not being out and about and snacking a bit more he said a lot of diabetic patients are the same way. The function for logging my insulin doses in my glucometer stopped towards the end of last month and I wanted to ask the nurse about the code for turning that function back on with my laptop. That's the thing I was making sure I remembered that made me forget to ask about getting blood tests. I could switch insulin settings on in my laptop but it asks to key in a code before you can access this function. The guy offered to send me out a replacement glucometer but I told him I had a spare and neither has the insulin logging function enabled. They only have codes for Freestyle Libre but my glucometer is a Freestyle Optium Neo. He said he'll get on to freestyle about it and get back to me.
I adjusted how I dose for mealtimes and also discussed this with him and he was ok with it. The diabetic nurse gave me a ballpark figure of 1 unit of insulin dropping my blood sugar by 3mmol/l in one of my first appointments. So, along with my regular mealtime doses, if I was 9mmol/l or above I'd take one extra unit, 12 or above two extra units etc. I tried an adjustment of the mmol per unit figure to see what it felt like. I adjusted down to 1 unit of insulin dropping 2.5 instead of 3 mmol/l. So now I take one extra unit for 8.5 or above and two extra units for 11 or above etc. At the moment this seems to be working. I had a low from being late having supper a few days ago but I think this was due to overcompensating my dinner dose to allow for a sweet treat as a dessert afterwards. Other days, so far, I don't get too high after a normal meal since making the 2.5mmol/l adjustment.
I phoned the doctor and told him my symptoms yesterday. He said they were consistent with someone recovering from Covid_19. He also said that there were quite a few people coming back with false negatives. So I probably had it but tested negative. He asked me if I got any exercise and I told him I did a bit of yoga and was able to go for walks out as far as the bridge at Blennerville and back even though I wouldn't do it at a brisk pace. He told me that was a very good sign. He told me to keep an eye on the moments of light-headedness and if they continue I'll need to get my blood pressure checked, even suggesting that it might be too low. He asked me about the diabetes as well and I told him about the call from the diabetic nurse's colleague the previous day. My doctor seems concerned if I mention lows. I have noticed a few more lows than normal recently though. He told me to talk to my diabetic nurse if I go low more often than normal in the coming weeks. I told him I always carry glucose tablets with me when I'm out & about and he seemed reassured by that. I thought of asking him about something else but decided against it, for now at least, in case it was just the stress of the situation we're in now triggering inflammation. I'll wait until/if the virus isn't a factor.
That's all I have for now. I'll try and get back into weekly posts again. Hopefully I'll recover to be well enough to do that. It won't all be doom & gloom. I'll do a few recipes and more upbeat posts in future too.

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