I have been a caretaker all my life. I learn how to give a shot when I
was 17 years old. What I've learned over time is that you do have to
listen to what your doctor says but you need to read up on the
conditions of the person that you're taking care of. This last year I
have been taking care of an older diabetic person. The person has a mild
cognitive disorder and bad kidneys and diabetes 2. By reading up on
person's condition, it also makes what the doctor says more sense it
allows you to know when to call the doctor and when not to also allows
you to set up protocols that I make sense to you also it helps you
understand what is going on
The problem with the Internet is that many articles just do not make
sense or there too academic. Even worse they come and go. I have found
several websites that made it easier to explain to my friends the
situation that I'm going through however over time they disappear. One
was called: My Aging Parents.
Many blog sites will cut and paste different websites. I wish I could
since the information was helpful to me. I believe it would be helpful
However, in the United States, we have to deal with Copyright our laws.
Even under the theory of fair use, I have already learned the hard way
about justice sometimes is a matter of how has a better lawyer. When I
say that, I do not claim victimhood.
My recommendation is that you decide on a notebook such as OneNote and
copy and paste the information so that it will always be there and is
available to you. I am choosing OneNote because when push comes to
shove when it counts, I turn to Microsoft Office. I do use other Office
Suites such as Google Docs, just that Microsoft Office is a lot less
I hope that over the year, I can synthesize the information that I find
so it can be available to me and hopefully useful to you.
I have moved from Google Sheets to Microsoft Excel for doing Insulin
titration for my mother. I am an Android, Linux, Windows shop and felt
that Google sheets would be better for being able to move between
Windows and my Samsung tablet and phone. From past experience, Google
Docs is excellent in collaboration. The issue that I noticed was that
sometimes the data that I entered in did not prorogate between devices.
I know that SAAS spreadsheets are a hub and spoke. What I think was
happening was that the cached version was not being uploaded to the
central server. When it was, uploaded, it became the older version
because it was changed elsewhere. The issue may have been my work
offline settings or how I move from device to device or wifi to wifi. In
the end, it does not matter to me. For my well being and mother’s
health, it just has to work.
Before I show an HTML table representation of my spreadsheet, here are
The titration uses the fasting simple moving average. From what I
understand about Tresiba, does change should happen every 3 to 4 days.
The countif function checks to see if the last 4 doses were the same. If
they are the same, titrate. Also, if the simple moving average is under
70, reduce dosage by 10%.
Today, I hit obese body fat or 25.1 based on my Garmin Index Scale. I look
at BMI as a benchmark, but my goals are not by body weight percentage. I had promised
I would never be obese again, but here I am.
Read an MFP blog post. I liked it because it sums up how I feel about
dieting. It was simply called: You Can't Outrun a Bad
I laughed at it because when I first started dieting my hour lunch walk
did not burn up enough calories so that I could eat a piece of pizza. It
is worth reading. Over this week I had burned a lot of active calories
biking, sailing and running. I still put on the pounds.
My current problem with dieting is I like to eat and drink with friends.
Also, my stress level is a little high. I eat when I am stressed out.
Well to the highlights:
The first paragraph made me laugh since I allowed myself to get mugged
by chocolate cake:
It's a huge battle which I suck at some days. I don't know about you,
but even though I am not afraid of being mugged my a chocolate cake
with vanilla icing (is this profiling), this effing food thing is
tough. It does not care how fit you are, or what you do; when you
consume more calories than you burn, you gain weight
This sums what it is about dieting. I do believe that food is a lot more
complex that the calorie in, calorie out mantra. Just that calorie in,
calorie out works. I do not know how, but I have already put on my most
feared ten-holiday pounds. I have to work to get them off.
The next part is that one just has to work the program. My program is
three parts: Calorie counting, exercise, sleep. If I do not record my
food, I tend to eat more. Exercise makes me feel good and allows me to
be active. Without good sleep, it seems that the other two do not
The last statement is important. I have been giving myself permission to
cheat on my diet.
One of the things I know about failing is that we give ourselves
permission to do it. We make excuses. "It's only once", "it's
vacation", "it's OK to start over tomorrow", "it's just a stressful
time" and the hits keep on coming. In 7 years on MFP I have seen a
lot of people come and go - a lot - thousands in fact!
In my family, it was always Monday to start a diet. Maybe even eat
enough food that it would take a month to work off the bing. When it
comes to dieting, there is no time like the present.
I am a big fan of statistics. They make order out of chaos. The
summation hit home. I am currently in the 55% of those who do not keep
all my weight off. I am terrified of being the 40% who gain their weight
back or even more. I want to be the 5% who make there goal of weight
loss and keep it off.
I admit, I will will always be a recovering overweight person.
Last weekend, sailed in the Santa Barbara Sailing Club’s goblin regatta.
Very fun and tough competition. Wind was extremely better than what was
forecasted. These are pictures that
Jenny took on the second
day of the race and are just awesome.
January 1st, 2016, I looked into the mirror and told myself:
“Michael you are fat.” I know that it is not PC, but problems cannot be
solved without stating the problem. I started what I called my Quest for a Healthy BMI.
Target weight was for a BMI of 25 or 175. Since that
time my lowest weight was167 pounds. What I discovered, is that
keeping the weight off is hard. I allowed myself to gain weight back up
to 195. My current seven-day moving average weight is 186.5. My current
goal is 170.
Some of the reasons that I am doing this again are:
Vanity: I liked the way I looked.
Makes it easier to sail, dance and be active.
I do not have support for the damage that overweight causes later in
life. I do not want to be a burden to my family, friends or society.
This time around, I am not looking at BMI as the goal target. I am going
to use the body fat percentage. Currently, I am 23.8% or average. I
would like to be at 17% or at the fit level. The number is based on the
chart from American Council on
Obesity is a grave public health threat, more serious even than the
opioid epidemic. It is linked to chronic diseases including type 2
diabetes, hyperlipidemia, high blood pressure, cardiovascular disease,
and cancer. Obesity accounts for 18 percent of deaths among
40 to 85, according to a 2013 study challenging the prevailing wisdom
among scientists, which had placed the rate at around 5 percent. This
means obesity is comparable to cigarette smoking as a public health
hazard; smoking kills one of five Americans and is the leading
preventable cause of death in the United
The obesity crisis may be less dramatic than the opioid
gripping the nation, but it is just as deadly. Opioids accounted for
around two-thirds of the 64,000 deaths related to drug overdose in 2016.
Excess body weight leading to cancer causes about 7 percent of
or 40,000 deaths each year. This number doesn’t include deaths from the
many other medical conditions associated with obesity. Obese people are
between 1.5 to 2.5 times more likely to die of heart disease than people
with normal body mass indices (BMIs).