My Diabetes Update, or "That's a Good Question; We Don't Know"

I received good news and bad news about my diabetes about three weeks ago. The good news is that I don't have diabetes. My blood sugar is actually in good shape after they put a stent into a bile duct that was blocked. I don't have diabetes at all. 

However, the bad news is that my bile duct was closed because of cancer. I met with the oncologists for the first time today. What I learned is that it is pancreatic cancer that has metastasized to my liver. Because it is that advanced, it is deemed to be stage four cancer. 

The questions the doctors asked were more about the quality of my life today, whether or not I am in severe pain, and to tell me there are two treatment options that often work to at least slow the growth and spreading of the cancer. In the best case, the treatment will stop the spreading, and the cancerous growth may shrink. However, they would expect that it will eventually come back even in the best-case scenario. 

My Diabetes Follow Up Visit

It was time for the follow up appointment with my doctor yesterday. It couldn't have come soon enough for some of my friends who seem to worry about my health because, they believe, I am reckless with it. For example, if I had taken my incessant coughing and dry heaving as seriously as they did, I might recognize that I could have a bleeding ulcer. 

I try to explain to them that throwing up is different than dry heaving, and I haven't been throwing up for six weeks either. I tell them that I threw up once six weeks ago and twice last week, but they always hear me coughing. I tell them that the most common time I cough is after a hit of weed or a dab, but what do I know compared to some app that diagnoses all types of terminal illnesses for exaggerated symptoms?

Anyway, I assured them that I would ask the doctor about it. 

I'm On My Way to Wound Care

I was recently diagnosed as diabetic. Type II diabetes runs in my family. However, my predisposition to the disease is not because of genetically deficient pancreas in both family lines. The predisposition toward diabetes that I inherited from my parents is obesity. 

I can't do anything about the predisposition toward obesity, but I can control my diet and try to keep my weight down. I have lost 25 pounds since I was diagnosed with diabetes shortly before Christmas. When my doctor sees my weight, he may even congratulate me for going from morbidly obese to just really fat, but he will let me know that I have more weight to lose.

Dealing with Diabetes

My doctor warned me several years ago to watch my weight and diet because I was edging toward diabetes. I heeded his warning and got my A1C level under control by losing weight via a high protein, low carb diet. That was then.

As I suffered setbacks in my mental health, my attitude toward my physical health declined. It may have been consequential. It had to do with finding comfort by eating foods that were not on my diet. Potatoes and breads started working their way back into my diet. Desserts became more regular. Sugary snacks between meals also became more frequent. Finding something to eat or snack on became something to do. 

I don't know how much of neglecting my diet was part of prioritizing my care for others ahead of my own needs, but, regardless, I have crossed the line from pre-diabetic in July to diabetic in December. I may be able to reverse the diagnosis by putting my own needs first, but, until I do, I am measuring my glucose levels three times a day and taking Metformin twice a day.