Apply Blood

Dealing with Type 2 Diabetes can be onerous. Even worse than the insulin shots (which I need to do four times daily) are the finger-stick glucose tests. I know I can always give myself an insulin shot anywhere without arousing too much attention, but finger sticks are a different matter entirely.

The problem arises when you have difficulty getting your blood to bead on your finger so that you can apply the test strip and get a glucose reading. Sometimes, I have to stick myself several times, usually painfully, on some of my fingers. My right forefinger is already nerve damaged, so that I have to be very careful about avoiding the nerves on it. On my thumbs and little fingers, I need a thicker lancet to draw blood, currently a 30 gauge. On my other fingers, a narrower 33 gauge lancet is sufficient.

Can you imagine me at a restaurant sticking myself several times with a needle, with a loud “Ouch” from time to time? So when I go out to eat, I don’t usually test myself.

My doctor wants me to test my glucose three times a day, before each meal. Just before each appointment with her, I produce a spreadsheet with the before-meal glucose readings for each day since my last appointment.

Type 2 Diabetes requires considerable attention to detail. This can be rough if you are going out to eat, busy cooking a dinner, or taking a trip. When Martine and I went to Las Vegas last month, for example, I skipped doing the tests

Living With Type 2 Diabetes

I Always Knew I Was Going to Become Diabetic

It seems that all the older people in my family were diabetic: my father, my mother, and even my great grandmother. Now even my younger brother is borderline.

Each day, I have to give myself three shots of Humalog (Lispro) and one shot of Lantus (Glargine). The Humalog shots all come before or immediately after meals, and the Lantus just before going to sleep. That’s not so bad, because both types of insulin use a KwikPen with an extremely skinny needle. I administer the insulin either in my gut or my thigh, with only occasionally a bad stick that hits a nerve.

What is worse are the finger sticks, which I have to do three times a day before meals. I have to poke a lancet into my fingertips and squeeze out a bead of blood so that I can tap it with a test strip connected to a device that reads the glucose level of my blood at that point. The problem is that I have trouble getting enough blood to give me a reading. Sometimes I have to poke the same fingertip as much as three times to draw enough blood.

As if that weren’t bad enough, some of my fingers (left thumb and right thumb) require a thicker lancet in order to get blood. My left forefinger has sustained some damage from all the finger sticking, so I usually skip it altogether. So I do a 9-finger rotation over a three-day period.

I don’t mind going with pen needle, nibs, and insulin to a restaurant, but I refuse to also prick my fingertips at the same meal. After all, the finger sticks are for measuring, whereas the insulin keeps my blood sugar low.

The good news is that what I’m doing is working for me. My last A1C reading was 6.5; and my finger stick readings tend to be in the low 100s.