
I have a love hate relationship with paperwork. At one level, I enjoy the detail, the patterns, and the way it all shares information. But I am a procrastinator. In the midst of everything else I have to do, I put it off, whether it be budgets, correspondence, or diabetes charting. The correspondence used to catch up with me at Christmas time yearly (not sure I ever catch up any more - sorry folks). I catch up with the budgets at least once a year for taxes. And charting is a quarterly
nightmare task to accomplish when I get behind. If only I'd work on these things more often, we'd be talking minutes per day. Minutes to write down what we've spent. Minutes to write down numbers for the daily glucose readings, basals, carbs eaten, dosages... but when I don't, we're talking hours.
Even as my son prepares for his first all-star game this afternoon, as we have swim lessons, doctors' appointments, gardens that need watering, laundry to fold, and birthdays to celebrate, I have to focus. Patience's quarterly clinic is Tuesday morning. And the last time I charted was her last visit, just before taxes were due (so I fell off the wagon immediately - I didn't even chart the day of that appointment. Ouch!). So I have three full months of numbers to fill in from the various sources. All of it is there, just in different places, and I need to pull it all together. I've already put in two hours today and have only written in one month's worth of basals (granted I'm distracted too... which must be why it is moving along so slowly).
Sometimes I wonder why I bother. So what if I don't catch up? But these patterns are helpful today as well as over the long haul. For the non-initiated, she averages 10-13 blood glucose checks (fingerpicks) per day. She gets insulin for all the food she eats (called boluses), plus a constant "drip" all day long (called "basals") and the amounts change depending on what time of day it is, and what kinds of activity she might be doing (or not doing) at any given time - less when swimming, more when watching TV, for example. All these numbers must be written down to paint the picture. Plus we note activity, vacations, illness, when we start a new bottle of insulin etc, since all these things are helpful in understanding the picture. Each year we look back to the year before for patterns, lessons, regimens to follow all of which help better deal with various activities or celebrations (trips, airline flights, special meals/dinners, swim lessons...). Yep - we use it. Not just for patterns now that help us to adjust immediately, but for next year when we "repeat"... When she plays softball next year, we'll look back to this year's numbers to see what worked, what was challenging, and what we learned, so that we can better treat her (avoid lows, highs, and all else - and we did learn a lot). Her practices affected her blood sugars more than her games, for example - that will help a lot to see how that worked.
So I'm going to get back to work. This is what's in front of me (hidden behind this screen on which I'm typing). I have about another hour or two before the big game and I want to get a lot done so the break can feel good and I can truly enjoy the game.
Just a day in the life.....