08:40 BST
Yesterday was a dull
day. I can't seem to remember a single
ray of sunshine (which may not mean
there wasn't one that escaped my
attention). Even without sunshine the
temperature rose to the seemingly
typical 16° C for late September.
There is bright sunshine as I
type this, but the sky seems covered
by long streaky clouds with some thin
blue strips. The sun must be shining
through one of those blue bits of sky.
The forecast says there will be full
sunshine until 10am when we will only
get sunny spells (1pm may not even
feature any sunshine). This afternoon
should see the temperature rise from
this morning's 10° C to 17° C. During
a sunny spell that might feel nice.
There is a small chance of rain
tomorrow, but only 9am is show as
raining at the moment. Most of
tomorrow will see sunny spells, and
the temperature should rise to 18° C
for a couple of hours.
Yesterday was an
odd day. I am not sure how to describe
how I felt. I couldn't even work it
out for myself. I didn't seem to feel
sleepy tired, but I did seem to feel
lacking in enthusiasm - a feeling that
persisted in different degrees through
the day. I did very little, but I did
manage two important things.
I started yesterday with
breakfast - two small packets of
usually quite safe instant noodles. At
11:20am I got my delivery of Welsh
cheese - as noted and described
yesterday. I could not resist tasting
a little chunk of the Y-Fenni cheese.
Once again it didn't seem so wonderful
as the stuff Tesco used to sell 10+
years ago. After opening the cheese,
and cutting out a small taster, I
decided that while I was in the
kitchen I should do the well overdue
washing up in the sink.
What I should have done next
was to have a shower, and probably
wash my hair, but I could not seem to
find the enthusiasm for it. Having a
shower was one of the preparations
prior to injecting myself with
Mounjaro - the (alleged) miracle
slimming drug. Instead of a shower I
swabbed a small area of my belly with
some alcohol hand sanitiser.
With a sterile area of belly I
got the injector pen out, and re-read
the instructions. It is, or should be
very straight forward except for one
thing. There is a rotary dial on the
injector and you initially set it to
zero, and there is a printed "0" on
the dial. After expelling any air, and
making sure a drip of the drug appears
at the tip of the needle, you set the
dial to "1" for a standard single
dose. There does not seem to be any
other numbers on the dial, and all I
could do was to use the first big line
of the scale and assume that was "1".
I inserted the needle very
fast, and barely felt it go in. It is
a very fine, very sharp needle. I
pressed the plunger and assumed/hoped
I had given myself the full single
dose of medicine. There was no way of
knowing for sure, and I just had to
wait to see if anything happened. For
some reason I seem to be unsure of
what order the next two things
happened. I think the first thing that
happened was a slight feeling of being
light headed (that being an imperfect
description of what I felt).
I guess I felt a little
shaky, and sort of wobbly. One thing
the nurse and the instructions warn of
was going Hypoglycaemic. This is when
the blood glucose level falls to low.
I checked and found I was actually
hyperglycaemic - the exact opposite.
My blood glucose was almost
dangerously high (around 10mmol/l). I
couldn't think of anything I had eaten
that would account for this - unless
the cheese was full of sugar.
I don't think it was the cheese
because a little bit later I had some
lunch. It was a very careful choice of
lunch. I had more of the cheese, but
this time in thin-ish slices on rice
crackers. Ideally I should have had
nothing after that high blood glucose
reading, but I could not resist. On
any normal day the rice crackers and
cheese (normal cheddar choose) would
barely tickle my blood glucose.
I spent the rest of the
afternoon, or at least a lot of it,
laying on my bed reading and trying to
snooze. Evidently I was not tired in a
sleepy sense because I don't think I
fell asleep even once. Maybe on reason
was that I was distracted trying to
analyse how I felt about eating. I
concluded that while I may not have
felt hungry, or not as such, I did not
want to go to bed at the end of the
day without eating something for
dinner.
It is possible that it takes
some time, maybe days, before the
Mounjaro starts to make you feel full,
and not needing to eat so much, but I
am sure I never felt anything like
that during the afternoon. Then again,
it seems rare that I feel hungry
unless I have fasted for a day. I
primarily eat for pleasure, and that
was part of the reason I was
definitely going to have a simple,
possibly light dinner later.
I definitely felt weird, in
ways I can't describe, during the
afternoon, and added to the fact that
I had still not had a shower, I made
the decision that I was not going out
in the evening. The original plan was
to go and see what happens in The
Jolly Farmers on a Friday night. As I
am sure I mentioned yesterday, it was
a slightly daunting thing to do
because while I am on nodding, or
saying hello to many of the regulars,
I don't know any well enough to join
it their conversations. I would be
spending the evening pretty much alone
if I had gone.
If I had gone I would not have
wanted to drink on an empty stomach.
That was one reason why I had dinner.
Now the tricky thing is, was it the
drug, or was it the earlier high blood
glucose readings that meant I felt I
could just about skip dinner and go to
bed empty ? One, maybe the more
important thing about the drug was
that it was supposed to make you feel
fuller for longer, and so not need
more food. It may have been too early
after starting the drug, but I can't
say I had any feeling of fullness. I
think the only reason I may have been
able to skip dinner was that I am
(only lightly) practised at skipping
the odd meal when I know my blood
glucose is too high.
My dinner was actually Chicken
Madeira with Rice - pictured above.
Madeira is supposedly a sweet wine,
and while it sounded like it might be
nice, I scrutinised the nutritional
info before I put it into my trolley
in Aldi. The nutritional panel (which
I've cut and appended onto the side of
the main description) says the
calorific value is a bit high, but the
sugar content, the most important
thing thing for a type 2 diabetic, is
zero - which is rather magnificent.
I must admit that apart for
that zero sugar content (which I find
hard to believe), everything else is a
bit high. including the far, although
still shown as green, and the high
salt content - shown in red for danger
! I had hoped that this dinner would
give me a fighting chance for some
good results in the morning. I decided
not to chance my arm by having some
ice cream - even though I was looking
forward to it.
I watched a fair bit of TV last
night, and I think I watched both QI
and Have I Got New For You (I can't
recall which was on first). Watching
both would mean I would not be getting
to bed until 11pm. I guess I was very
tired by then, but I seem to think it
took some time before I could fall
asleep. Once I was asleep I think I
slept well, and I remember very little
about the night. One thing I think I
remember was not having to get up for
a pee in the night more than once,
although I am quite vague about that.
Not peeing much, as seemed to
be the case, might mean that my blood
glucose was back to normal this
morning. That was not really the case.
The Contour meter read a very bad
9.1mmol/l. The GlucoRX meter read
9.0mmol/l, and the new GlucoFix meter
read 9.1mmol/l. These figures are far
too high. I am positive I had nothing
to eat that could cause these high
figures, and so the suspicion must lay
with the Mounjaro slimming drug. I'll
have to read the leaflet again, but I
am sure I only saw references to low
blood glucose as a possible unwanted
side effect.
The other silly thing is my
weight. I would regard all I ate
yesterday was less than usual, and I
would have expected at worst to have
lost 100gm when I weighed myself this
morning. I have actually put on 600gm
! I'll give it some time, but I am
currently thinking that maybe going on
Mounjaro was a bad idea. If the first
day is anything to go by, I can do far
better all by myself. On the 20th of
next month I have an appointment with
the nurse to assess how I am doing. At
this rate I will be reporting I have
put weight on instead of losing it !
Today I don't think I am seeing
anyone or going out anywhere, but I
might go out for a walk in the park.
In the current sunshine it could be
nice, although the air temperature is
quite low at the moment. The main
downsides are that I sort of feel
tired, but that is just the high blood
glucose. The worse thing is that my
knees feel very stiff, and maybe even
aching this morning. They may free up
with a walk....or get worse. I think
that if I can convince myself to
definitely go for a walk, I ought to
start on something simple that could
be extended if I feel better once I
get moving - maybe just head for
Ladywell, through the park, and turn
back if it feels bad, or go further if
it feels good.