Me & my speech.


For insulin dependent diabetics the problems during WHOOPS DISEASE include abnormal sugar results and body actions that impact uses of insulin and diet actions. BUT diabetics that are living healthily may also be facing the WHOOPS DISEASE issue of water weight gain and inaccurate BMI assessments versus body composition measures of weight and body health, more in connecting post.

More Diabetes with WHOOPS DISEASE

Rhapsodie has shared notes on previous pages, some which emphasize diabetes aspects beginning with the first page focused on diabetes with Whoops Disease, more is being shared on this page with details of July and the odd results of things with Rhapsodie’s sugars. The patterns demonstrated on the May, June, and July 2019 pages are not repeated exactly there are alterations that continue, but the patterns are repeated though with those variations.

The low pattern & high pattern get more dramatic. I’ve had insulin changes that were over 5 units higher with the highs in the newer cycles and over 5 units lower in the newer cycles. My shifts are done on 0.05 increments based on the basals I’ve set with my insulin pump, if you’re not using the insulin pump then this means having knowledge of how the insulin percentages may vary.

Insulin Changes with Whoops Disease

The pattern changes repeat, so having knowledge of that means you can shift insulin in preparation of the change of a new day if you are having insulin shifts with Whoops Disease. Please remember the amount of insulin you take is NOT what I am taking, which means the insulin amount variables differ for you & for me, but the percentages of shift from me may help you. Pattern wise with the changes it’s generally been 5 sets of days for ups and 5 sets of days for downs, then a more normal cycle for about 2 weeks a month, which is likely the same for you because that’s a Whoops Disease shift thing.

CHART INFO

These are based on my numbers, you have your own rates, so I’m adding percentage factors based on my rates which may assist you in understanding the shifts with your basal insulin more. Plus the information about how to do the calculations can be done with calculators, computers, on paper OR any other way for you to be able to determine shifts and changes with your insulin rates.

The time frames for these changes up & down extended for weeks, BUT I’ve tried to list the daily numbers so you can see the change patterns for your own uses. Microsoft Excel was used, because I’ve taken the column & row numbers to share on the images for matching the patterns with separate images for your uses.

If you look at these numerical calculations you can see how there is a 0% change like every 7 days, it may assist you in figuring out the insulin shifts for your body. If the percentages of my changes are similar to the percentages of your changes that can be fine. BUT please take care, this disease has had different symptoms in some ways between males and females, and it may also be the case with the percentages of insulin changes.

Sugar Change Pattern Shifts

The sugar change pattern shifts for me have meant that the earlier patterns of basal change of umbrellaed the numbers for the lower basal uses are going lower, the numbers with the higher basal uses are going higher so there are greater leaps in the changes as time has progressed. This means that I’ve had high daily basals going over 38 units per day with low daily basals going under 19 the next month. The numbers on the percentage change charts above are based on past figures from May, June, and July when I started making record of the insulin change patterns. Who knows what the coming weeks and days will be for me AND for you.

I hope this helps if you need the information, but in addition there are insertion site and sugar checking issues.

Insertion Site & Sugar Checking Issues

For type 1 diabetics with insulin dependency shots OR even insulin pumps are normally used. While it’s normal that all fat mass areas of the body can take an insertion for insulin delivery with a limited amount of fat, with a lot of water under the skin, and with less muscles because of less exercise for me because of untreated fractures. It has meant that there are various insertion issues that may or may not be had by other people.

Both of these issue sets are because I use an insulin pump, they may OR may not be as much a hassle for individuals that take shots.

Difficulties With Needles for Insulin Delivery

I have utilized 2 different types of insertion devices for insulin delivery the needle AND the cannula covered needle.

·       Cannula covered needle issues

The cannula is a small plastic tube that lays over a needle for insertion. Once the insertion of the needle is finished, the needle is removed from the cannula and the tube now allows insulin deliveries. There are 2 issues I’ve had with this:

    1. The cannula won’t penetrate the skin, it gets caught and won’t go in, then it begins to ‘wrinkle’ so that I can’t even try to use it more. This is likely because of the water under the skin that makes the skin more moist and more penetration resistant.
    2. The cannula bends OR kinks inside the body. This issue has gotten worse, so that there are fewer and fewer body locations I can insert the cannula needle that will work for days.

The insulin amounts for uses of these systems and their placements vary as we mentioned previously. BUT there is almost always more insulin needed in the areas where these are inserted versus the shorter needle insertions. This may only be a whoops thing, but it may also impact uses by other diabetics.

·       Normal needle issues

Normal needles seem to penetrate the skin with a lot less hassle than with the cannula needles, but there are issues with insulin dispersion, likely because they aren’t as deep in penetrations. BUT the insulin does work faster and better than it does with the cannula needles and their insertion locations.

·       Insertion for days issues

Originally, when I started the insulin pump over 20 years ago I had no issues with the correct insertions unless I left the cannula OR needle in for more than 3 days. Now I can’t leave any of the insertions in for longer than 2.5 days OR I have issues. In general it’s often found that the cannula insertions only work for 2 days while the needle insertions work for up to 2.5 days. BUT there are scarring & bruising issues also.

Scarring & Bruising Issues

Over the years I’ve learned that using the same locations for shots and sugar checking repeatedly results in bruise issues that may not go away. It depends on how much damage is caused repeatedly with insulin insertions and locations. Additional insertion locations reduced these issues a lot, but with fewer and fewer locations that insertions can work on my Whoops body the more and more issues that come.

In addition because the needles stay in the body for 2 to 2.5 days AND my sensors stay in the body for about 7 days it means that with the water layers increased under the skin my skin shifts and moves more. This causes the insertions to cause more skin and body damage with the body movements and uses. Because of that I have some needle marks now from 4 weeks ago which are slowly healing. Cat claw digs which I got last week are more healed now. This means that insertions with normal life are more issues than they should be.

The previously shared insulin issues with amounts used are still impacting me, but there are other insulin use issues that started recently.

Additional Insulin Use Oddities

Not only am I suffering the insulin not acting normally so often that it’s dangerous, I’m also having times where the insulin taken for food doesn’t have the power that it had hours before OR hours later. Plus there are times with the insulin site setups that the amount of insulin values vary.

On the left of my belly right now the insulin is 10-30% of a unit of basal weaker than on the right side of my belly. Which means for every single insertion change the insulin amounts work differently and need to be changed for accurate uses and sugar results.

Other Connecting Posts

Diabetic’s and Treatments

Whoops Disease Info

Additional Connecting Information

Rhapsodie has written about these issues for multiple reasons:

1) To have a shared written record, that’s useful. 2) To provide info to others to assist them in planning to deal with the horrid medical system of the U.S. 3) To hopefully impact doctors & health carers to do more work than just using reports which may be false.

Pain ASSessment Inaccuracies & Health Issues

Rhapsodie’s Visual PAIN Diary- From September 2013 into April 2017

 Rhapsodie’s ideas to improve Medical ASSESSMENTS by doctors

PAIN Variables

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