My Diabetic Heart

Living with Congestive Heart Failure and Type 2 Diabetes

WELCOME TO My Diabetic Heart!

Type 2 Diabetes and Congestive Heart Failure are two common conditions that people are diagnosed with every day. Living with one of these conditions at any age is hard enough; imagine living with both at the age of 28. That's what this blog is all about. It's about my life with Type 2 Diabetes and CHF, and about showing that you can live a fulfilling life with each.

29
May

Taking the Plunge

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After publishing the post, Excited for Nothing, on May 16th, I put in a call to my doctor’s office about the medication issues that I had been experiencing. I explained to the nurse that while the stomach issues I had been dealing with while on Janumet had subsided, the Glipizide was doing nothing to help lower my blood glucose levels.  They had, in fact, shot up.  Something needed to be done about it, and fast.

I told the nurse that I had previously mentioned to the doctor that I would be willing to give injectable medications a try, but that the doctor hadn’t wanted to put me through that if it wasn’t necessary.  I basically told her to tell the doctor that I really didn’t give a shit about having to deal with injections, and that I would try anything if it would help me.

My doctor apparently got the message and took me at my word; I received a call back later that afternoon saying the doctor was putting me on Byetta.  Now, I had already done my research on Byetta because it was one of the medications I mentioned to the doctor previously, and was dumbfounded when the nurse said the words “It’s Insulin”.  I knew it wasn’t, and couldn’t stop myself from telling her otherwise.  Anyone who knows me already knows how well that went over, so there’s no need to go into a rant about a rant. :-)

So yeah, I’m now taking two (2) 5 mcg injections of Byetta every day and, so far, it really hasn’t been that big of a deal.  The most common side effect I’ve heard about is nausea, but I really haven’t experienced much of that.  I have noticed that I’m experiencing a bit more heart burn than usual.  Acid Stomach is listed as a side effect of Byetta, but considering that I deal with Acid Reflux anyway, it’s really hard to tell whether it’s an old gripe or a new pain in the ass.  I guess time will tell.

The biggest benefit so far is that I’m starting to see an improvement in my glucose readings.  Hopefully, that trend will continue.  :-)

And I must say that I’ve taken to the whole injection thing rather well.  For all my preaching,  “I’ll try anything”, I was admittedly a bit nervous about the whole thing.  But much like the timidness that I felt when I first started poking my fingers to test my blood sugar, the nervousness over the injections has quickly subsided.  It’s amazing what you can get used to doing when you have to do it to survive.

I know I’ve said this before, as have many others in the diabetes online community, but it bears repeating again.

There is an enormous stigma, particularly among people with type 2 diabetes, that having to switch to injectable medications, whether it be insulin, Byetta, Victoza, etc…, means that they are a failure in terms of diabetes management.  And many people resist the move to such treatment options because of that.

Simply put, that stigma is bullshit and it’s bad for you.

Each person’s diabetes is different and, not surprisingly, what may work for one person in terms of treatment may not work for someone else.   Each person living with this disease has to do what is best for them.  If using insulin, Byetta, or some other injectable is what’s best, then so be it.  No one should be made to feel bad about doing what is best for their own well being.

Each and every day that we survive this disease is a win. And with an opponent like diabetes, you’ve got to win by any means necessary!

Speaking of which, it’s time to shoot up again.  Ciao!

  1. on May 30th at 12:07 am
    PrincessLadyBug said:

    Awesome post as always, friend! I’m glad you’re seeing some good results and I’m glad you set that nurse straight. I would have done the same. They need to know their shit before they start telling you want to do. Your life depends on it. So you just keep ranting when need be. :)

  2. on May 30th at 03:22 am
    Lexi said:

    Wonderful news that your bgs are doing better. Good for you writing this, Im sure youve helped so many by doing so.

    Ive never heard of non insulin injectables. So interesting!

  3. on May 30th at 02:32 pm
    Jeff said:

    Glad to here of your improved BG results, Mike :)

    Curious, do you use a regular syringe for Byetta, or is it a pen-like injection device?

    I remember reading about Byetta a good while ago out of curiosity. Here’s to our groovy Gila Monster Friend. Yay!

  4. on May 30th at 05:34 pm
    Mike said:

    Thanks, Jeff! Byetta comes in a pen-like device, and there are two different dosages available; 5 mcg and 10 mcg. And yes, hurray for lizard spit. :-)

  5. on May 30th at 06:17 pm
    Jeff said:

    Cool stuff .. Thanks 4 the info, Mike ! :)

  6. on May 30th at 06:54 pm
    Dr. P said:

    Welcome to the Byetta Club Mike,

    I was diagnosed Type 2 in Feb and I’ve been on Byetta since my release from the hospital. (I had a terrible experience that lead to the discovery of Diabetes). Anyway, you’ll see the weight start falling off very soon.

    I started Byetta at 225lbs near the end of February and I’m now 198lbs. I feel like it’s coming off faster than I can tone it up (so beware).

    I’m SO happy that you don’t have the nausea, because I do and it’s a drag. The first time I took it (had no clue about the side effects so I wasn’t expecting any), I felt like vomiting IN MY BREAKFAST. I can’t remember what I was eating that morning, but I remember it being delicious and I upset by the thought of ruining it. But, it was just a feeling-which has gotten less and less over the weeks.

    I was suppose to move up to 10mg last month, but I had serve nausea after one dosage of 10mg and told my doctor that I was fine with 5mg.

    Since I’m new to the whole PWD thing, my blog is rather new, but I did write an entry about Byetta and the shot. You might enjoy it, if you hadn’t read it already. It’s entitled “Give Myself a Shot-You Must be Tripping” http://www.AnAfricanAmericanDiabetic.blogspot.com

  7. on May 31st at 02:25 pm
    Sarah said:

    Good for you, Mike!
    I had a nurse piss me off the other day because she had me listed as a type 2 (that’s not what made me mad) and when I tried to correct her, she asked me if I was on insulin or just pills. Like that’s what differentiated the two! You would think that with so many T2′s going to injectables – insulin or not – that they would remove that stigma, but apparently not.
    My boss was on Byetta for a little while. He seemed to do well on it – some nausea, but not terrible he claims. Good luck to you!!! :-)



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My Diabetic Heart by Mike Durbin is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 United States License.

Featured Post

An Appointment Worth the Wait
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After nearly two months of waiting for the appointment, I finally got to see the cardiologist on Friday to review the results of the cardiac MRI, blood work, and 30 day heart monitor that I had to endure in an effort to determine why there had been a decline in the function of my heart and if I would need a defibrillator.

I woke up late and had to scramble to get ready and head out to the medical center on the other side of town.  Normally if I’m in a rush and stressed like that it shows up when the nurses check my blood pressure, etc.., but not this visit.  My BP was normal and by the time the doctor came in to see me, I was oddly peaceful.

To my relief, the doctor confirmed that the cardiac MRI  indicated that my ejection fraction is at 47%. That is in stark contrast to the 35% that previous tests had indicated. And since defibrillators generally aren’t prescribed for patients with ejection fractions over 36%, that means I will not need one.  The doctor stated that a normal ejection fraction is around 55%, and since mine is 47%, he considers the weakness of my heart muscle to be mild.  Since I’m already taking the best medications for treating congestive heart failure and improving heart strength, the doctor wants to continue with the regimen that I’m on now and see how things progress.

The results of the blood work done to check my potassium, iron, thyroid, etc… all came back within the normal ranges.  While I’m thankful that those results were good, they are also frustrating because we were hoping to find a treatable cause for the decline, like an iron overload or something like that.  Alas, there’s no evidence of that, and I’m really not going to spend much time dwelling on it.

There were a few points of interest on tapes from the heart monitor I wore for a month, but the doctor said they seemed to indicate normal elevations in heart rate that anyone can expect from time to time.  Nothing to really worry about.

I can’t begin to explain how glad I am to finally have some of the answers that I needed, and how thankful I am that the results from the tests were worth the grief I endured going through them.  And as frustrating as the wait has been, it’s been worth it.

As for that odd peaceful feeling I was feeling on Friday?  It’s still with me as I write this.  I’m more at peace with things now than I have been in a long time.  And, along with the improvement in how I’m feeling mentally, I’m also feeling better and stronger physically.  And that, my friends, is saying something.

And speaking of friends, I can’t begin to say how much I appreciate the love, support, good thoughts and prayers that I’ve received from everyone in the Diabetes Online Community over the last few months.  If there were any doubts in my mind as to whether I’m loved or not, they are long gone.  To all of you:  Thank You, and Lots of Love, my friends!

 

Popular Post

It’s OK to Need Help
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In previous blog posts and conversations over the last two years, I’ve made no bones about the fact that I’ve battled with bouts of depression and anxiety since I was diagnosed with congestive heart failure and type 2 diabetes.

The daily routines of medications, blood sugar testing, meal planning, and other related bullshit, combined with the constant worry of trying to figure out how to pay for all of those medications and testing supplies, are simply overwhelming at times.

Add to that all of the typical stuff that goes along with every day life, you know… work, bills, chores, relationships, etc… and you’ve got yourself a great big barrel of fun.

Then top that off with dealing with a loved one being diagnosed with stage 4 cancer and going through all of the activities and emotions that go along with that, and being forced to put a near 9 year relationship on hold while your best friend becomes the primary caregiver for that loved one, and that great big barrel of fun transforms into the biggest clusterf*#K you’ve ever seen.

It’s all enough to destroy someone mentally. And the extreme mental hurt quickly manifests into extreme physical hurt. And you eventually reach a point where you just can’t take it anymore, and feel like throwing the towel in.

As difficult as it is for me to admit, I reached that point in the early part of February.

And the hard part is that I know it didn’t have to happen. I had a little bottle of “happy” pills in my possession that my doctor had given me the month before. I just wasn’t able to take them immediately, because I was starting a new blood sugar medication and had to get through the side effects of it before starting the other medicine.

And then when it was time to start the Celexa, I kept putting it off and putting it off, because of the fear that I’d have the same problems with it that I had with similar drugs years before. When you’ve had a bad experience with medications, or anything for that matter, you tend to shy away from them. It’s perfectly normal to have those feelings.

Things finally reached a point in early February where I knew I needed help, and knew that I had to take the plunge into the world of anti-depressants and anti-anxiety medications again. And so, on the 21st of last month, I broke the seal on the prescription bottle, cut the little pill in half as the doctor had instructed, and jumped.

Tomorrow, March 21st, will mark a month since I started the medication, and I can honestly say that I’m glad I did. I’m not nearly as edgy as I had been, and feel quite mellow most of the time. And mellow is a good thing.

The moral of this story is this: It’s OK to need help; You just have to ask for it!

Recent Comments

Mike Hoskins

Thanks for being awesome, Mike! Not only was it very cool you let me borrow the pin, but it was great sitting and talking for a bit before getting back on the road. And Riley loved seeing you again! The pin on my collar did spark some conversation, too - so thanks, my friend!!

Kate

Yay Mike! Thanks for these links. Heading over to both blogs now!

Ashley

When I decided to keep blogging, I never thought I'd end up being able to help my favorite Jedi Master get on the lizard spit wagon but I'm so glad I was able to help. Love ya buddy.

Mike Hoskins

Thanks for the links to two such awesome people, Mike! Loved hearing all the cool diverse stories of how we got into the DOC, and seeing the wonderful personalities up close and personal whenever that chance arises! Great post, my friend.