08:19 BST
It was
generally bright and sunny
yesterday, although once or twice a
thin cloud drifted in front of the
sun, and it dimmed a bit. The
afternoon temperature reached the
forecast 26° C, and maybe a little
bit more, but the heat didn't seem
to feel oppressive.
So far this morning there has
been no hint of any rain, and yet it
is most definitely cloudy. By my
reckoning the rain has 22 minutes to
show or the forecast was a hoax...well
sort of. Thick cloud is forecast from
9am to 5pm, and even though none is
shown in the forecast, I would not be
surprised if we didn't get at least a
few spots of rain during that time.
From 6pm the clouds may have changed
from very dark to light grey, but it
seems we will not see a single ray of
sunshine today. The temperature may
only rise to 21° C, and that might
almost feel cold compared to some of
the hottest days recently. Tomorrow
morning may see some thundery showers.
I have no idea why, but they always
seem to be shown with the rays of the
sun around them. I doubt we will see a
single ray of sunshine at any time
tomorrow. Once again the temperature
may only rise to 21° C. Monday may be
no warmer, but there may be some sunny
spells in the afternoon, but a lot
could change by then.
Yesterday was really all about
my visit to see the actual diabetic
nurse (the nurse who deals with
diabetic patients). I think she was
the one I saw a year (maybe two) ago,
and thought she was a bit harsh. This
time she was less annoying, and made
some fair suggestions.
I was not due to visit the
nurse until 2:50pm, and so I could
take things easy all morning, and even
some of the afternoon. It may be an
indication of taking things easy that
I wrote 3,089 words yesterday. It is
rare I manage that much. Maybe I had a
lot to say yesterday morning. After
writing I laid on my bed and read for
a while, and then I think I had a
snooze before reading some more.
One thing I did do was eat any
more after my breakfast of one single
100gm packet of instant noodles. The
odd thing is that I didn't feel any
temptation to have a snack or even a
little nibble. One reason was that I
just didn't seem to want to eat, and
another was that there was always a
chance that the nurse might want to
check my blood glucose level. I think
that has only ever happened once, and
that was probably when I was given the
GlucoRX blood glucose meter, and we
did a check on the meter rather than
of me.
One nagging doubt during my
long wait was whether I would find
myself needing another poo. At times
it did feel like I might need to go,
but considering how much I had done
between 4 and 5am, it didn't seem
likely. I didn't seem to pee much
either, and that was slightly annoying
because a few big pees may have made
me seem a bit lighter if the nurse had
forced me onto the scales.
I think it was a bit after
midday that I washed and conditioned
my hair, and had a good scrub under
the shower. Although I had used only
slightly warm water, it was still good
to have plenty of time to cool down
before I had to go out. I also cleaned
my feet with alcohol gel (Covid hand
cleaner), and particularly between two
particular toes where it can get a bit
smelly. Once again this was just in
case the nurse insisted on checking my
feet again if she didn't trust the
healthcare worker who did it a
fortnight or so ago.
Just before I was due to leave
I went to the toilet, and spent a
little longer in there that was ideal.
It was lucky nothing happened because
I suddenly realised I had left only 10
minutes to get to the surgery, and it
is about a 6 minute walk. I think I
might have done it in 5 minutes. I
arrived at the surgery breathing heavy
but far from gasping, but I could feel
the first hints of angina. Although
waiting in the waiting room is super
boring, it was a good thing in terms
of cooling down after a faster walk
that was ideal.
When I used the screen to
report my arrival it mentioned the
name of the nurse, and it was not a
name I recognised. It looked a bit
African both in forename and surname.
When I was called to the consulting
room I saw that it was Jane - one of
the nurses I have seen before, and she
is not African at all. Unfortunately
she was the one who was all stick and
no carrot, and I prepared for an ear
bashing.
Maybe she was in a better mood
yesterday, and was even a bit
supportive. She said that my blood
test had revealed a small rise in my
blood glucose, and it was getting near
the danger zone. That was not really
news to me because I already knew that
May had been a bad month when I had
lost control, and the start of June
was also not good, but I know my blood
glucose is back under control now. I
said I felt content to manage it
myself, and she half agreed I could do
so.
One good, or possibly bad thing
was that she said that after looking
at my medical history I was a perfect
candidate for a course of injections
from the new wonder drug
Mounjaro.
It is a tricky decision to make
regarding taking up this offer. The
drug has some serious side effects
when used when some medical conditions
already exist, but I have been assured
that I have none of these problems.
One of my problems is that it feels a
bit like cheating, or that I am
failing to get the same results by
other methods - aka diet and exercise.
I told the nurse that I would
continue what has already allowed some
useful, but not huge weight loss, but
as winter approached, and the thought
of going out walking (the only sort of
exercise I will do) in the cold, dark
and rain (and even snow !) made me
want to stay in and eat too much, then
maybe I would take up her offer. That
seemed to satisfy her to some extent.
That nurse was still true to
form when she made official entries of
things like my blood pressure and
weight, as measured at home. I printed
out my spreadsheets, and they clearly
showed that my weight and blood
pressure was abnormally high on that
morning. I suggested she record the
more typical readings from the day
before, but she recorded the one off
bad readings. She could have put down
the running average as calculated on
the spreadsheet, and which is a better
indicator of the truth, but she didn't
even look at it.
I felt fairly happy when I left
the surgery to walk home. I think I
tried to walk a bit slower, but it was
probably hardly slower at all. One
reason for rushing home was that there
was something in the freezer I wanted
for my very late lunch. It was plain
vanilla ice cream. I had eaten some
the day before yesterday, and my blood
glucose only went up a tiny bit.
Yesterday I ate about the same amount.
It was not long after the ice
cream that I had what I was
considering as a possible dinner. It
was a pack of Tesco savoury eggs - a
bit like miniature Scotch eggs. They
are almost nice, but tedious if eaten
with nothing else. I had them with
tomato chutney - normally considered
very dangerous because of it's high
sugar content. It was partly a sort of
protest about diet things, and also an
experiment. The sad thing about that
tomato chutney is that it is not nice
enough to make the dangerous choice of
having it valid.
It was probably less than 2
hours before the BBC 6 O'clock news,
and time for dinner. I made a
conscious decision to have an
extremely light dinner. It was about
half a dozen sourdough crackers and
sliced Edam cheese. The latter made it
less healthy, but the crackers made it
more healthy for one special reason.
Those crackers are so hard and brittle
that they break into shards that can,
or at least feel like, they are
cutting you gums and mouth. Six of
them is about all I can take before my
mouth is complaining. I did not eat
anything else after than brief dinner.
There was only one important
thing I did last night, and it was to
close my bedroom window before I lost
too much heat. As the sun set it
started getting almost chilly feeling
outside, but by shutting the window,
and closing the curtains it stayed
warm enough to sleep in no more than
underpants, and with no duvet covering
me. I think it was 10pm when I turned
the TV off, and I only spent 10 or 15
minutes reading before I put the book
down, and was soon fast asleep.
I seemed to sleep well last
night. One excellent thing was that I
didn't suffer any stomach problems,
and didn't need to spend any time
sitting on the toilet when I should
have been sleeping. I also didn't seem
to wake as frequently to go for a pee,
and when I did it was less than usual.
This time there may have been a valid
reason for it (that was not, I hope,
kidney failure),
During my last hour in bed,
some of it asleep, it was feeling a
bit cool, although just pulling the
empty duvet cover over me felt almost
too warm for comfort. I think I ended
up covering one arm and one leg, and
bit of my chest. When I finally got up
I went for a pee, and once again it
was smaller than expected, or hoped
for. The lack of peeing meant my
weight had not gone down much after
yesterday's big blip. I had lost
200gm, but that was all.
This time my lack of peeing can
be blamed on very low (for me) blood
glucose. The Contour meter read
7.1mmol/l. The GlucoRX meter read
7.0mmol/l, and the Contour Plus meter
read 7.3mmol/l. I used just a single
bead of blood for all three meters,
and if I had cleaned the old blood
off, and squeezed a fresh drop for
each meter the readings may have all
been identical. Although still
extremely good by my usual standards,
it would have been a bit nicer if they
had been just a tiny bit lower, with a
reading starting with a 6, and I would
have been able to use dark green as
the colour code on my spreadsheet
(sevens are coloured light green).
I can't decide what I am going
to do today. It is still dry outside,
and both forecasters say it should
stay dry all day - although the Met
Office does say a 40% chance of rain
right now, and that seems high enough
that rain should not come as a
surprise. Even if dry it is still
bloody gloomy outside, and outdoor
activities hold zero appeal - except
for one. It is possible, maybe even
probable that I will go shopping in
Aldi today. I heard they had re-opened
after their refit, and as well as
wanting a few items, I am curious what
might have appeared in the central
aisle. The most essential thing is to
check that they still have staffed
checkouts, and aren't using the refit
as an excuse to try out 100% self
checkout again. If they are they will
have lost my custom !