As I have already stated, my blood sugar ran much too high from my diagnosis in 1945 until the 1980’s when I discovered that I was supposed to eat a low carb diet. I did not know about carbs being part of the equation prior to that time. I could only test my urine to get some idea of my blood sugar level. Of course urine sugar does not necessarily correlate well at all with the blood sugar level at any given time. I did not know that though and I always tested my urine before eating and limited my portion sizes and types of food accordingly. Through the years I had learned that certain foods were not good for me. I could feel my highs and lows quite well. (Much later on I discovered the highs I felt were like 250 or greater and the lows were actually in the low 100’s.) I knew that too much fruit, pasta, bread and the desserts Mother made for me made me feel high if I ate big portions so I limited these portions so I could feel better. I knew nothing about carbs but this was still a very crude form of carb control. I am sure that it helped during my teen years and until I learned what an important role carb counting could play in the 1980’s. I never was more than 5 pounds overweight until the 1990’s. Weight was not a problem. I did not keep a log until I started carb counting. No doctor prior to the 1980’s ever suggested that I keep a log or limit my portion sizes on certain foods.
My wife and I moved to different locations several times during our early years. I had an MS degree but not a PhD. To get tenure at a four year college a PhD was required. I was a full-time teacher at two four year colleges in the south but I was allowed to teach only two years at each of them because I did not have a PhD. We moved from Bridgewater, VA to Wingate, NC then to Richmond, VA and finally to Kingston, NY between 1964 and 1970. Every time we moved I looked for a new doctor but I never found one I especially liked. They were OK for diagnosing and writing prescriptions but none of them knew much about diabetes. Either knowledge about diabetes progressed very slowly prior to 1980 or else the doctors I saw were just not keeping up with any advancements being made and so I learned so little during all those years.
While we were living in Richmond I found a specialist in diabetes listed in the yellow pages. I do not remember if he was an endocrinologist but I do not think he was. It was 1970 and there may not have been endos at that time, at least not in the areas where I lived. I was very excited about this diabetes expert and I made an appointment. His office was very crowded and patients were spending, on the average, about 15 minutes with him. He saw me for the first time and looked at my blood test result that his lab technitian had performed on me when I first arrived at his office complex. He frowned and said the result was very high. I do not remember the level now. He spent so little time with me even though it was my first visit. He gave me a book about diabetes that had been written about 20 years earlier. I am almost certain it was written in the early 1950’s. I do not remember the author or title of the book. He told me to pay particular attention to a certain page. That was a very strange doctor visit, very short and not at all informative. I was very disappointed. I liked my previous GP’s better than this so-called expert. I went to my car and immediately turned to the page he felt was so important. There was a chart on that page. In the leftmost column there was a list of ages at time of diagnosis and in the adjacent column there was a prediction of age at time of death. According to that chart I was supposed to die in my late 40’s. I was 30 at that time so this suggested I had less than 20 years to live. I was terribly depressed!!! I went home and showed Anita and she hugged me and gave me the comfort I desperately needed but that chart nagged me terribly for many years after that day. Anita and I discussed the office visit, the doctor and the book and we decided I would not see the doctor again. We threw the book in the trash can. We knew that I had no complications and I felt good even though I had high blood sugar almost all the time. We wanted to believe that I was an exceptional individual and the statistics in that book did not apply to me. Actually that did turn out to be the case but we did not know that at the time. It was merely wishful thinking.
We moved to Kingston, NY in Augst of 1970. I had to go that far to find a college where I could get tenure and advancement in rank without a PhD. Only an MS degree was required in the community college system of NY state. We were very impressed with the job I had there. The fringe benifits were fantastic. I looked for a doctor and found a GP with a heavy German accent. He was the best doctor I had had at that time. He knew much about diabetes and he spent as much as 30 minutes with me on each visit. He tested my blood himself while I watched. It was high but with his instructions I learned a little about carbs and certain things I should eat in very limited portions. I followed his advice and before he was in semi-retirement in the late 1970’s I had the best control I had ever had. My urine sugar still showed high much of the time but I also had frequent lows and I began feeling very high in the upper 100’s whereas I had previously felt good at that level. It was extreme highs well over 200 that had made me feel high and somewhat sick prior to that time.
In 1977 I knew that my doctor was about to move out of the area and I needed another doctor. A neighbor recommended a new doctor who had just opened up his practice. He was from Thailand and had a heavy accent and he was a specialist in internal medicine. His office was in the basement level of the Kingston hospital. He was in charge of the dialysis department at the hospital and still has that position at the present time. He spent a lot of time with me on my first visit. He obviously knew very much about diabetes. I was so impressed and I thanked my neighbor for recommending him. Dr. B. is the best doctor I have ever had and he is still my doctor today. He is only a few years younger than me and may retire at any time. I dread the day I will have to do without him. He has helped me so much. He has had many diabetic patients and they talk about him in the waiting room. Everybody loves Dr.B. I appreciate this doctor so much that I have tears in my eyes while I am writing this chapter.
He told me to buy a glucometer in the late 1970’s. I had never heard of one. It was the AccuChek meter, perhaps their first model. It was much bigger and more cumbersome to operate than today’s meters. It took a much longer time to produce my blood sugar level. Almost every time I used the meter it showed me a high number. Many times it was a little over 200. I did not trust or like this crazy meter! It could not possibly be correct! I felt good, how could all these highs be correct? This had to be a defective meter. But no, it was not defective. I realized for the first time that I had been running very high blood sugar for 35 years. Dr. B. confirmed my suspicions and we talked at length about it. What a revelation!!! Why hadn’t I developed terrible diabetic complications after 35 years of high blood sugar? Dr. B. could not answer that question and he still can’t today but he did tell me he had other patients who had diabetes for a long time and many of them were on dialysis or had heart or eye problems or amputations. In the early 1980’s I started keeping logs of my BG levels, insulin dosages and number of carbs eaten. It was a very new experience for me and I enjoyed making out those logs and watching my control gradually improve. I was on Humulin N and R at the time I first saw Dr. B. I stayed with those insulins for quite some time. I had thrown my old glass syringe away and was using disposable syringes. They were great. No more boiling the glass syringe and needles every morning in order to sterilize them for repeated use.
I do not remember when I had my first A1c or what the result was. I think it was in the mid 1980’s and I know it was higher than Dr. B. wanted. I kept on plugging away and kept improving but it was still too high. Dr. B. asked me to consider going to the Joslin Clinic in Boston for diabetes treatment. I was doing so much better and I kept on improving so I did not want to go to Boston. Later on he asked me to consider using an insulin pump. Again I refused because my A1c was getting better and better. He saw room for improvement and wanted me to pump. He never pressed me to make changes if he saw I was opposed. I kind of wish that he had insisted that I use a pump back then. I started using vials of Humalog separately from my NPH and I had the best control ever. I had been using an NPH & Humalog mix prior to that time. Dr. B. had hesitated letting me use the vials of Humalog because he knew I had hypos rather frequently. I had been taken to the ER once during the 1980’s when Anita was not able to bring me out of my unconscious state. There were two or three other ambulance visits when the same thing occurred but the shot they gave me each time worked so quickly and I immediately stood up and walked around. I was fully aware of my surroundings and I told the guys I did not need to go to the hospital. They had me sign a paper that allowed me to stay at home. This has not happened in recent years. My hypos are not nearly as bad or as frequent now.