Tag: Diabetes

Ozempic

bgibson135

I started my first injection of Ozempic on September 18, 2024. These were weekly injections and the first four weeks I was to inject a .25 dosage. After that, I was to inject a .5 dosage. I didn’t notice any changes the first week, but thereafter I started to see reduced resting blood glucose levels and my weight started to fluctuate slightly downward. This morning I was slightly above 250 lbs. *If you can lose enough weight the Type 2 diabetes should disappear, but losing that weight, at my age and level of inactivity is very difficult. I am currently trying to maintain a daily calorie count near 1,880.

A future SHARPS container.

The easier to use injection system was with Trulicity. They provided a separate epi (not sure if that’s the correct designation) pen for each injection and the needle was hidden, only coming out after you pressed the pen button and going back inside after the solution was expended. Therefore, if you rested the pen on your stomach (alternating on each side of my belly button about a couple of inches) before pressing the button you never actually saw the syringe. This is the more preferrable system since there is a slight reluctance to inject yourself, even if the needle is both short and narrow.

OZEMPIC 1 MG PEN INSTRUCTIONS (PDF)

But the Ozempic needle is short. Maybe about a quarter inch in length and is extremely small gauged. It doesn’t hurt going in and you just have to wait for about five seconds for the delivery and then add an extra count of about 6 to complete the process before removing the syringe. Then, put the cap back on the syringe, unscrew it and put the used syringe in your “SHARPS” container. I am currently using one of my empty Diltiazim bottles as a SHARPS container. The plastic is thick and will protect from the used syringes poking through the bottle.

I had used Trulicity for several years without a problem until it became unavailable for refill not quite a year ago. I then switched to Rybelsus which was a daily tablet but didn’t work well, and then finally Ozempic which is working tremendously well! Why did Trulicity become unavailable? It may be that it has become in short supply because of persons starting to use this drug to help them lose weight.

[NOTE 10/31/24]: I’ve probably mentioned this elsewhere, but if not, this is a good time to mention that the beautiful blue cloudy sky at the top of my blog postings was something that I cut from a web cam view from the Beaufort Hotel web cam one morning. When I look at it closely I am amazed at how artistic this sky actually was. It’s not a doctored photo either, although it looks to have some photographic filter applied to it.

Another note to make here is that last night I finally purchased an upgrade to my WordPress web site (eptemplate.wordpress.com) and now can access that site with a new URL: billggibsonii.com I would have preferred a different “top level domain extension” of something other than .com, but this extension was the least expensive to maintain annually at just $13. [end NOTE]

[NOTE 11/13/24]: Here are a couple of graphs of my weight and resting blood glucose levels:

[end NOTE]

[NOTE 11/20/24]: I may have mentioned this elsewhere, but this is a reminder for myself. The first round of Ozempic I was required to take a dose each week at .25 and on the fifth and sixth weeks to up the dosage to .5. But, I took that to mean that I should keep the dosage at the .5 level thereafter. However, I noticed that the second Ozempic package was just like the first. It had spaces for me to enter four .25 doses (four separate weeks) and then the .5 dosage for the last two weeks. But, if I take .5 dosage for four weeks, I end up with two unused syringes. I think that is correct, but I need to ask which way I should be dosing myself.

This isn’t important, but a couple of years ago (that means two years ago) Jim Sharpe was very ill at Thanksgiving. So much so that He didn’t come out of his bedroom until late afternoon. He looked horrible. His skin was translucent (like really old people get) and he was slow at answering questions put to him. He answered correctly, but the answers were extremely slow for Jim Sharpe. But, the next visit (probably a couple of months later) I was hesitant at going in his bedroom (they had moved it to their music room and had a hospital bed) because I just didn’t want to see him in the condition he had been in back at the last Thanksgiving. Finally one of the nurses convinced me to step in to say hello to him.

To my surprise, Jim although still looking ill, no longer had the translucent skin and his mind was a sharp as it ever had been. I said something to him and he fired right back with a direct answer.

It seems that he had been overdosing himself with some of his medications and this had caused his severe decline. But once his kids got him back taking only the correct dosage, his mind returned.

I think I have more respect for Jim Sharpe because of the way he handled his final days, that from all the previous years I had known him. He was a class act, and went as I would hope to go. I guess it might be that he was confident in the life he had lived and was prepared to go on to the next life. [end NOTE]

I take a series of pills daily. There is a morning batch, and an evening batch, and I give myself an Ozempic shot once week, usually on Wednesday.

I have a routine that helps me remember to take my morning pills and my evening pills. Each week I refill the daily pill trays in advance. This weekly pill tray is beside my easy chair.

Each morning, usually a little after 7 am, I take the day’s pill container (morning & evening pills) to the bathroom and take the morning dosages. I also weigh myself and test my “resting blood glucose level,” and record these online.

I leave this daily container on the stand beside my bathroom sink. In the evening, usually after 7 pm, I look and see if the morning pills have been taken, and if the evening pills are still there, I take them. Once I’ve taken all pills for a day, I return the empty daily pill trays back to the weekly container beside my easy chair. And the process repeats the next morning.

I misplaced one of my daily pill containers when I went to visit Mary Ann. Don’t know if I left it there, or if it slipped down somewhere that I haven’t yet found it, but that is now a long time ago. So, I decided to use the little glass vials (two sizes) that I had bought to make a unique chess set to organize my daily medications and found a flexible rubber ice maker in which they fit easily. Morning meds, labeled with the day of the week in the front, and the smaller vial in the back for each day. This has worked well, although sometimes the larger pills may get caught in the vial temporarily. *The rubberized ice tray also works well to organize my AA & AAA batteries for my remotes. That would be 14 batteries per tray.

I am surprised at how quickly each week’s worth of pills go by. But that is “life in the fast lane” for a 71 years old. *I have a calendar posted to my bathroom wall, above my weight scale. I keep a note card on which I record my daily weight, and later post it to my online site, myfitnesspal.com . I also write “OZEMPIC” on each Wednesday on the calendar, ahead of time. This is a reminder to take my Ozempic shot that day. I put a check mark by the word Ozempic once I have taken the shot.

There have been a few times, when my pill routine has been interrupted, or totally forgotten. If I’ve covered my weekly pill trays with a book or magazine (usually I do not), then I may forget to take my day’s pill trays to the bathroom. Or, I think there have been a couple of times when I was going out of town for the day, and in a rush forgot to take my morning pills. *If I forget, I try to take the dosage I’ve forgotten almost immediately. Then if there are several hours till the next scheduled dose, I try to spread the time out “a little.” But, the idea is to get back on track, ASAP.

[NOTE 02/18/25]: So it didn’t take long for me to have a specific instance of forgetting to take my daily pills. We have a winter snow storm predicted to start tomorrow morning. I had a list of items (mostly food purchases) that I wanted to make early (first thing) today, so I checked when Walmart would be open and it opens at 6 am. It was a little after 6 am so I rushed to get dressed and wrestled with the thought of eating out, or getting items, and then returning home to eat. I got out the door, and stopped at Walmart first. Not a lot of people there yet, and I quickly got everything+. Then I headed up to get gas and that went quickly also. I decided to go to the Rainbow for breakfast. I rarely go out for breakfast, but for years, I might eat at the Rainbow at least 200 days out of the year. That would be eating every weekday morning, on my way to work. But now, most days, I have the time to fix breakfast for myself and enjoy what I fix more than eating at a restaurant.

So, I “had time to kill” before Harris Teeter was scheduled to start selling their Rotisserie Chickens at 11 am. It was still before 9 am, when First Citizens Bank would open and I could cash a check. I did cash a check there later. I then went over to Harris Teeter, hoping they might start selling the prepared chickens before 11 am. My plan was to see if HT had the Plain Greek Gods Yogurt. Seems they don’t, more times than when they do, but they did, and I took a container for my cart. I think I also bought a couple of shallots, and I did see one woman get a chicken brought out to her ahead of time, but I decided to wait a little while longer so I took my cart over to the Starbucks in HT and sat down, able to see where the Rotisserie Chickens would be placed for sale. About 10:30 am I saw one of the HT workers bringing out what appeared to be Rotisserie Chickens. It was and I got my red box and headed to the check out. I then stopped by Publix to change the date for me to pick up my “half loaf of seeded Rye bread.” I had scheduled for pickup on Thursday before finding out that it was supposed to be the aftermath of the pending winter snow/ice storm. I changed the pickup day to Saturday, and according to WRAL Weather, that should be warmer & less angst about travel on the local roads.

I got back home and got everything inside (two trips), and had lunch (chicken livers, Asian cucumber salad, and a slice of Sourdough bread.). At some point I go to bed for an afternoon nap and about 4:20 pm, I wake up and head to the bathroom. I look over and see that my day’s pill container isn’t on the counter beside my bathroom sink. “Oh, heck!” I went and got my forgotten pills, and took the morning batch immediately. I might wait until 9 pm tonight to take my evening doses. So, that is a specific example of how my mind can get distracted from taking my pills. And, I am in the process of washing some dirty towels, clothing next & my dishes may be finished in the dishwasher. [end NOTE]

Well, well, well…

bgibson135

The past few days spent mostly down and around Hubert, NC was interesting. I jumped off of an “out of control” golf cart and rolled on the ground rather than wait for it to crash into something or go into a deep ditch. I was unhurt, and not sore later, but I had to ask Ray to help me get up. *Oh, they have a large mirror that covers most of the wall in their bathroom and it is usually there that I realize how grossly fat I am, and have been for many years. And, that is even after I’ve lost about 15 pounds in the last year and have been hovering just about the 250 lbs. mark for several months.

Switching to Ozempic has corralled my rising resting blood sugar levels. I had taken Trulicity for several years and then at a point about a year ago, I could no longer get my prescription filled in a timely manner, and eventually after two months unfilled, I considered “couldn’t get it filled at all.” I attributed the lack of this medication to all those persons who are beginning to use it to keep their weight under control. However, I still feel I should have had “first dibbs” on this medication because I had been taking it, as I said, for several years. But now, I wouldn’t want to return to Trulicity. Ozempic appears to be slightly better in controlling my blood sugar. **However, the injection mechanism is slightly less sophisticated that Trulicity. But, you also reuse the Ozempic pen for several injections, replacing the needles several times until all the fluid has been used up. Last week I completed my first rotation of six injections. I started with four, once a week, injections at .25 dosage, followed by two more weeks at .5 dosage. The needle is small and does not hurt going in. You just have to count to six after the dosage counter has reached “0”.

I think I eat reasonably healthily most of the time. I like brussels sprouts (with balsamic vinegar, dijon mustard and agave nectar as a sauce). They prepare and cook quickly and it is an excellent side dish for something like a pork chop. But, I’ve also fixed some delicious chicken gizzards and had them with rice, once, and with mashed potatoes several times.

Oddly for me, I found myself without much food “in the house” Saturday night. At least food that wouldn’t be bad for me. There were hotdogs and some baloney, and potato salad, a loaf of white bread, some peanut butter & nuts chocolate fudge, cinnamon candy and ginger ale (not sugar free). I had one hotdog, and a slice of baloney on one slice of bread, some potato salad, I ate a few olives and one small piece of fudge, and no ginger ale, just ice water. I don’t know what happened to the pork roast, but I didn’t see it in the fridge. I went to Burger King on Sunday morning, the one that stands on the spot where the old Morton Family home stood on the corner of Queens Creek Road and Highway 24. I told the young woman who took my order that I had lived on this spot and that the first day they were opened, a Sunday, I had come in and sat over in one of the booths thinking about where the old kitchen had been located. *I had a Ham, Egg and Cheese Croissandwich, some tater tots, and coffee. I also had one container of honey mustard, catchup and I went out to the car and got a couple of containers of the curry mixture I make that works good on potatoes. It was starting to sprinkle a little. I hadn’t had this breakfast in quite a while, but have had it many times in the past.

Looking out the Burger King Drive-Thru last week, and my kitchen from 64 years ago.
As the inside of Burger King looked last week.

Above: Note how clean and straight the lines on the edge of the wooden porch are. This porch probably hadn’t been replaced too long because as the wood ages, and wears, the edges break off and become slightly ragged, but that’s not the case here. Also, the chain is off the bike. We were trying to remove the rear tail of the bike and this loosened the chain. The front of the car is of a Chevy painted beige, which was probably a Marine Base relic. Uncle Bob had a Ford approximately the same age as the Chevy and the same color. The little house off the back of the porch was what Lyde had stayed in because she suffered from Tuberculosis. Because I was around it, I still “show positive” for TB and I guess if I had a weakened condition, TB might become a problem for me. The little house formerly had been a logger’s cabin. No bathroom, just room for a bed and a table and a place for a hot plate or coffee pot. The mule, with his tail to us is just across the ditch, and between him and the tobacco barn past him is Queens Creek Road. The tobacco barn burned down not too many years later, and the mule was sold also.

I did stop briefly on the Swansboro waterfront to read a small portion of “Becoming” the Michelle Obama memoir, and later in Jacksonville at a park by the river, I also read a little more. A page or three at a time and eventually, if I live so long, I will finish this book too. Too, as I have about 30 Michael Connelly novels (mostly Bosch), a memoir of JFK, Jr., and a tribute by friends of Tim Russert during the past year. This reading started after I had snagged the Matthew Perry memoir from a nearby Little Lending Library at the end of last October. The “hinkey” thing about the Perry tome was that I got it, not because I was interested in him, but because I was going to move it to another LLL, but several days later, I saw a picture of Perry on a celebrity tribute web site and said to myself, “I didn’t know he was dead,” and shortly thereafter found that he had actually died about three days after I had got his book. I though this was hinkey and then said to myself, “I guess I’ll have to read this now,” and I did. Three pages into his memoir he makes the statement, “I should be dead by now,” and then he goes on to explain about the “Big Terrible Thing.” The “Thing” being his almost life long drug addition. After reading this book, I would be much more lenient on those persons that provided him with those last illegal drugs. Matthew Perry did this to himself. The others may have overdosed him, but with his inner weakness, he basically committed suicide. **After I finished the Perry memoir, I was in a reading mode and so, because I had a bunch of the Michael Connelly Bosch novels that I had bought to add to various LLLs, I started reading them. I didn’t start reading in order. Connelly started publishing these in 1992 with “The Black Echo.” I probably started with “Echo Park” and then at some point jumped back to the first five or six novels. ***I’ve told a few people that I learned to despise Harry Bosch from reading these novels. I liked the Harry Bosch character that I came to know from the TV series, but by the second novel, “Black Ice,” I came to describe Harry Bosch as, “that lying piece of dog shit, that shouldn’t be trusted and should step to the back of the line, instead of getting special “cut to the front” privileges.

ADDENDUM[09/30/25]: I was in Harris Teeter yesterday getting ready to pay for my lunch salad and I looked at a magazine cover. It had Charlie Sheen on the cover. His big head, similar to Matthew Perry’s on his book cover. But what jostled my memory of the Perry book was that Sheen’s cover said, “I should be dead by now.” Now that’s the statement that Perry said in his memoir about three pages into it. I got the Perry book at a LLL, and about 3 days later he died of a drug overdose. *Read his book and there is no surprise. He couldn’t control his addiction, and finally it did him in. But oh, the suffering he put himself and others through until the final conclusion. I almost said to the checkout clerk, “He’s going to be dead soon,” but I didn’t. [end]

I rode around to different areas in and around Swansboro, Stella, Sneads Ferry, and then quickly down to Wilmington where I was planning to eat at a KFC buffet. However, the KFC I visited on Market Street had no buffet so I just used their bathroom. I thought that the Arby’s I have eaten at many times over many visits to Wilmington would be nearby, and it was. Just a few blocks further down, I turned into the Arby’s parking lot. There is a Miller-Mott Education site in the back. But, there was yellow caution tape across the drive-thru entrance, and then I noted work trucks and an industrial waste dumpster, and then the cuss word as I realized that this Arby’s location was closed for renovations. Damn, what is it with no food?

I decided not to hang around Wilmington, mildly hungry, so I started back for Fayetteville but with the idea of stopping at Elizabethtown to see if they had a KFC buffet. They had a KFC, but no buffet. I didn’t want to eat more Mexican because we had eaten at El Catrin in Swansboro on Friday. Finally made it back home and made some mashed potatoes and warmed up a helping of chicken gizzards. They were good again. *But, for dinner I really didn’t know what I wanted, maybe kielbasa & lentils? I finally just ate some Neuske’s Smoked Liver Pate with some Whole Foods Black Sesame Rice crackers. As I write this, I’m still wrestling with what to either fix for breakfast, or if I should scrounge up enough paper money to go out for breakfast.

The pears I had bought at Pate’s had all gone bad, but the tangerines were still delicious. I have found that I can use my boxcutter tool with the blade just slightly out to slice the peeling of oranges or tangerines. Years ago Tupperware gave away a peel slicer as a promotional gift. I had gotten several of these when I worked at the Hem of His Garment Thrift Store. Using the boxcutter is basically doing what the Tupperware tools did.