Insulin

 When I was admitted to the hospital in mid-December to deal with the cellulitis in my left foot, they took a spot blood sugar test. It was almost 350. The normal fasting range is about 80-120 depending, and after eating a meal your max should be about 180. 

One of my big problems is that chronically high blood sugar inhibits the body's ability to heal from wounds. The distal extremities (hands and feet) suffer the most. And there I was, sky-high blood sugar (very high, but on the ambulance I saw grossly obese patients with 600+ blood sugars) with a foot wound that was threatening to go septic. Sepsis is a blood infection if you don't know, and can easily lead to multi-system organ failure and shortly after that, death. 

So the docs had to get my blood sugar down quickly. This means insulin. Upon discharge, my sugars were still 190-200+ and so they prescribed five insulin injections a day. A long-term injection in the morning, a short-term injection before every meal, and then another long-term injection just after dinner. 

I did that for about a month. Then, after a short struggle with my insurance company, I started taking Mounjoro again. This is a weekly injection that I give myself that obviates the need for the pre-meal short-term injections. So I was down to two injections a day, three on Saturdays.

Earlier this week, I forgot to take my evening long-term insulin injection, and was surprised to see my morning sugar at 91. I decided at that moment to purposefully skip my evening injections for a few days to see what's up. Sugars never went above 110! 

Today, I didn't take my morning injection and will not take my evening injection. Can't wait to see what my sugar is tomorrow. 

I am REALLY REALLY REALLY excited about this, because here's the 4-1-1 on insulin: Taking large doses of insulin can inhibit weight loss. I HAVE been losing weight, but at painfully slow rates. If I can get off insulin AND keep my blood sugar around 90-110 consistently, then the weight will FALL off. 

WHO-HOO!