Sniffles, Sore Throats, and High Blood Sugar Levels

The sure-fire sign that I’m developing a cold is when my throat begins to tingle.

It’s subtle, but unmistakable. It won’t go away with a few sips of water – it lingers, and worsens over the course of a day or two. That’s when I know that I’m coming down with something, and that I’d better brace myself for the symptoms that will come on next: a stuffy nose, aches, coughing, and so forth.

What I was less prepared for this time around (which hit me right on the heels of my Nashville trip) was much higher-than-normal blood sugar levels.

Let me back up a bit. It all started with the aforementioned sore throat on my second-to-last day in Nashville. I knew I was coming down with something, but I also knew I couldn’t do much about it other than try to have fun the rest of my trip (which I certainly did). By the time I woke up the day we were due to fly home, I was seriously struggling as congestion settled into my ears and head.

The next four days were a blur as I slept on and off, went through multiple boxes of tissues, and took both Benadryl and Tylenol to combat my symptoms. I also went through copious amounts of insulin as a new symptom emerged: high blood sugar levels.

I wasn’t surprised by the high sugars; after all, I was barely moving and not eating much more than the dusty cans of soup sitting in my pantry. But I was definitely frustrated as I couldn’t recall the last time that I had to deal with both “real people” sickness (also known as any type of sickness that is separate from diabetes) and turbulent blood sugars. That’s why I ended up contacting my doctor just to see if there was any advice (or medication) that I could take to make all my symptoms more bearable.

Fortunately, my doctor was able to confirm that I didn’t have covid, strep, or the flu – a major relief to me – but unfortunately, she had no other help to give me other than reassurance that continuing to stay hydrated, well rested, and on top of my levels would be the best way to beat this. So I doubled down and listened to my body’s needs (I think it was rebelling against me for the way I treated it with little sleep and too much overindulgence in Nashville – more on that later) by doing just that, even though it meant completing a couple of pod changes a full day earlier than normal because I was using so much insulin.

My perseverance paid off, and by day 6 or 7 of my cold, I finally started turning a corner. While my cough and the remnants of congestion are still hanging around, at least my blood sugar levels returned to normal, along with my daily insulin intake. A huge relief, and a solid sign that I’m doing a good job at taking care of my overtired immune system as well as my ever-needy diabetes.

A Diabetes First

Forget “a diabetes first” as the title for this blog post – “a first” would suffice. That’s because I experienced *drumroll please* my very first stomach bug this past weekend! (At least, the first one that I can remember; most certainly, the first of my adulthood.)

I don’t know how I caught it and honestly, as I sit here and write this, it’s taking the very little energy I have to summarize what I dealt with over the weekend. But here’s the short version: I was out shopping with my partner on Friday evening. On our drive home, I grew increasingly nauseous and essentially bolted it to the bathroom when we made it home. I won’t cover all the gory details here, but basically, I was pretty ill for many hours. Food and drink quickly became out of the question for me, and even though my stomach was churning relentlessly, I still had enough mental bandwidth to check my blood sugar every so often to make sure it wasn’t climbing or falling.

Much to my relief, my blood sugar was the only thing that remained stable all weekend long. As I fought through waves of nausea, I was grateful that I didn’t have any insulin on board as an additional factor to contend with. It seemed like my diabetes knew I was going through enough, so the least it could do was play nice while my body dealt with the bug as best as it could.

I’ve slowly reintroduced foods into my diet today – I never would’ve thought I’d be so simultaneously excited and nervous to eat saltine crackers, rice, or plain chicken – and I’m still amazed at how my diabetes seems to be cooperating as I continue to recover. Granted, this could be because I’m eating very simple carbohydrates and not many at one time, but still. I’m appreciative of the fact that I can rest up without worrying as much about my blood sugar levels.

Don’t get me wrong, though…as nice as it was to have approximately 48 hours of in-range blood sugars (above 80 and below 150 on my own Dexcom graph), I definitely wouldn’t trade them in favor for a stomach bug. I’d much rather put in a little more effort on my own to obtain in-range readings than have to go through that whole ordeal again.

A Bit Under the Weather

Well, it finally happened…I tested positive for covid.

The past couple of weeks have been an absolute blur as I first dealt with my boyfriend’s bout of covid – during which I felt totally healthy and well – then woke up one morning with a sore throat that immediately signaled to me that I hadn’t managed to avoid it, despite being fully vaccinated and double boosted.

I’m grateful for my constant companion, Nurse Violet, throughout this whole ordeal.

But I think it’s because of those vaccinations that my personal experience with it has truly been very mild. I’ve had no symptoms other than a tingly throat, body aches, and a general sense of fatigue. The body aches have definitely been far from pleasant, but the silver lining in this whole situation is that my blood sugars have been completely and totally normal (knock on wood that this trend continues, seeing as I’m still positive as I write this post). They are maybe running just a tad bit higher than usual because I’m getting very little movement in throughout the day, but really, it’s nothing I can’t handle. And since I’ve started taking Paxlovid (as prescribed by my primary care doctor), I’m hopeful that I’ll be on the upswing of things before long.

In the meantime, though, it’s time for me to try to relish in taking it easy for a few more days as I complete my isolation period.

“Real People” Sick

I’m sick. I’ve just got a cold, but my throat and head are aching so much that it’s knocked the wind out of me.

I spent the weekend confined to my bed, only getting up to blow my nose, use the bathroom, and eat something every now and then…not that I’ve had much of an appetite.

I think this is my body’s way of punishing me. It’s trying to force me to slow down, and I have no choice but to heed its commands.

I guess I shouldn’t be surprised…I’ve purposely kept myself as busy as possible in the last month. I’m always involved in something, whether it’s making plans with people, distracting myself with a new pet betta fish (his name is Tyrion and I love him), or crafting up a storm (I’m almost done knitting my first sweater and I’ve made two hats within the last two weeks). I’ve had a rough start to the year and unconsciously decided at some point or another that the best way to cope was to not cope at all. Hence, my body is rebelling against me, making it impossible for me to engage in any of the activities that would keep me busy.

And I’m annoyed.

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A sick PWD must have these essentials: a fully loaded test kit and a cup of tea made with honey and lemon. (Don’t forget to bolus.)

The silver lining is that my blood sugar/my diabetes don’t seem to be bothered by the cold. I’m sure my numbers would be better if I was exercising regularly, but that’s to be expected.

So I’m what we, people with diabetes, call “real people” sick: I’m definitely fighting something, but since it’s not affecting my blood sugars, it doesn’t have anything to do with my diabetes. And that’s a relief. Because handling sickness ON TOP OF out-of-control blood sugars/diabetes would be enough to drive me insane right now.

It’s almost nice that my blood sugar isn’t the first thing I’m worried about at the moment; instead, my priority is on relieving the pressure in my head and catching up on sleep. But I admit that it’s also frustrating because slowing down means that all of my other concerns, bothers, and feelings have time to catch up with me.

I guess all I can do now is practice being patient with myself (ha) so I can resume my routine of going from one thing to the next as soon as possible. And hey, I’ve had a genuine excuse to lay in bed and binge-watch Sex and the City for hours, so it can’t be all that bad, right?

Just Breathe

Just breathe…a mantra easier said than done when each breath flows in and out smoothly, instead of in ragged, wheezing gasps.

I’m no stranger to asthma. I dealt with it throughout most of my childhood. The details are blurry on when I experienced my first asthma attack, but all I know is that it left me rasping and feeling (on top of sounding) like the cute little penguin from the Toy Story series, Wheezy.

The only thing that would keep my asthma symptoms at bay was nebulizer treatments. The nebulizer is one of those loud machines that generates vapors – albuterol medicine – that must be breathed in through a mouthpiece. I hated these treatments because they left me feeling shaky for a long time afterward and often caused high blood sugar, but it was much easier and more comfortable to breathe after them…so they were worth it.

Throughout my teenage and most of my young adult years, though, asthma slowly became a distant memory. I experienced it less frequently until it stopped altogether, and suddenly diabetes was the only thing I had to worry about. And I was glad for it.

But then…let’s fast-forward to the week leading up to Christmas. I was busy. I mean, wicked busy. I was running all over the place, jetting from one party to another, interacting with all sorts of people who were bringing germs from all over to each of these merry gatherings. I was getting run down and sleeping less due to the holiday celebrations, so really, it shouldn’t have surprised me when I felt the first tinge of a sort throat in church on Christmas Eve. But when that sore throat was soon followed by a tight chest and a whistling sound whenever I exhaled, I was taken aback – not to mention straight-up annoyed.

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The rescue inhaler that’s been my best buddy the last couple of weeks.

I treated the initial waves of wheeziness with my rescue inhaler. But when that started to be less effective over shorter and shorter lengths of time, I knew I needed to get in touch with my primary care doctor. So I did, and I met with a nurse practitioner who diagnosed me with something new: reactive airway disease. I left the office feeling shell-shocked over a new diagnosis that would mean that I would have to use a different kind of inhaler twice daily for the next two weeks.

I was afraid to start it for many reasons, but the two biggest ones were 1) I was nervous it would make my blood sugar go up and 2) it can cause thrush (also known as an oral yeast infection, which sounds positively nightmarish) if I forget to rinse my mouth out with water after each dose.

Overall, though, it doesn’t sound like too big of a deal, right? If it helps my breathing, it shouldn’t be an issue to add this inhaler into my morning and evening routines.

Silly old me, however, did turn this into a big deal. I wasted far too much time fretting over this inhaler and saying “woe is me” for having to deal with yet another medication that was extremely expensive (I paid $56.83 for the darn thing…I have no idea what the total would have been if I was uninsured).

My logical self knows that this won’t do any good. So now, I’m getting my act together and just rolling with the punches.

I’m trying to gently remind myself…just breathe.

 

Managing Diabetes When Sick

This post initially appeared on Hugging the Cactus on February 26, 2018. Since I’ve already dealt with two bouts of congestion and coughing this cold and flu season, I figured it was appropriate to republish this post to remind myself of my philosophy when I’m run down with illness: Don’t push myself and give my body time to rest as much as it needs in order to get better faster. 

The inevitable finally happened: I caught a cold. It really didn’t surprise me, because 1) it’s cold season and 2) I’ve been running around like a mad woman the past couple weeks and missing out on sleep.

Though it was expected, it certainly wasn’t welcome. I can’t stand being limited with my activity levels, and it’s been tough enough to get by recently due to my broken arm. Alas, I spent about three full days doing nothing but sleeping and binge watching Gilmore Girls as I nursed myself back to health.

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My best friend during my cold? This box of tissues.

During this time, I was extra concerned about my blood sugar levels. They tend to be better when I’m active, so I was worried about how they would fare when I was moving so little.

I admit that I probably did the wrong thing by not eating much during this time. It seemed like I needed to pump myself up with a heftier dose of insulin any time I was eating a meal, likely to compensate for the lack of movement. Even so, I seemed to spike a little too much for my liking after meals. So I really cut back on food. In hindsight, it wasn’t my best move, because even when I did eat it was not healthy (few fruits/veggies, mostly breads and fats).

But I do give myself credit for staying hydrated – a crucial step in getting better. I drank so much water, Powerade, and tea that I felt like I was constantly taking trips to the bathroom. It was worth it, though, because it’s easy to become dehydrated when sick and make a bad situation worse.

Also, I think I made the right move by taking some sick time from work. The day I woke up with a tingly throat, I thought I could soldier on and work a full day, but it became clear the moment I sat down at my desk and couldn’t focus that it would be best to just go home. I took a sick day the following day and was able to work from home the day after that, so I’m grateful that I have a flexible and understanding employer who knows that health is a priority over everything else.

As much as I loathed being mostly confined to my room for 72 hours, it was the smart call. It reminded me how important it is to listen to my body and to not push it when I’m not feeling 100%. There’s no shame in self-care.

Managing Diabetes When Sick

The inevitable finally happened: I caught a cold. It really didn’t surprise me, because 1) it’s cold season and 2) I’ve been running around like a mad woman the past couple weeks and missing out on sleep.

Though it was expected, it certainly wasn’t welcome. I can’t stand being limited with my activity levels, and it’s been tough enough to get by recently due to my broken arm. Alas, I spent about three full days doing nothing but sleeping and binge watching Gilmore Girls as I nursed myself back to health.

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My best friend during my cold? This box of tissues.

During this time, I was extra concerned about my blood sugar levels. They tend to be better when I’m active, so I was worried about how they would fare when I was moving so little.

I admit that I probably did the wrong thing by not eating much during this time. It seemed like I needed to pump myself up with a heftier dose of insulin any time I was eating a meal, likely to compensate for the lack of movement. Even so, I seemed to spike a little too much for my liking after meals. So I really cut back on food. In hindsight, it wasn’t my best move, because even when I did eat it was not healthy (few fruits/veggies, mostly breads and fats).

But I do give myself credit for staying hydrated – a crucial step in getting better. I drank so much water, Powerade, and tea that I felt like I was constantly taking trips to the bathroom. It was worth it, though, because it’s easy to become dehydrated when sick and make a bad situation worse.

Also, I think I made the right move by taking some sick time from work. The day I woke up with a tingly throat, I thought I could soldier on and work a full day, but it became clear the moment I sat down at my desk and couldn’t focus that it would be best to just go home. I took a sick day the following day and was able to work from home the day after that, so I’m grateful that I have a flexible and understanding employer who knows that health is a priority over everything else.

As much as I loathed being mostly confined to my room for 72 hours, it was the smart call. It reminded me how important it is to listen to my body and to not push it when I’m not feeling 100%. There’s no shame in self-care.