School and diabetes

By mindiee Latest Reply 2011-05-05 01:08:34 -0500
Started 2011-04-30 15:42:02 -0500

Hi everyone! I was just accepted to med school and I could not be happier! I have been on insulin since my diagnosis Oct 2010 and I think Im doing alright I mean my A1C is down to 5.7 which to me is next to amazing! But I am worried with going to school and work plus added stress and clinical hours things are going to get tougher and the shots are going to become harder. I am a strict dieter due to gastroparesis and I exercise daily even though i work as an EMT and therefore sometimes have to work weird hours. I guess I am asking if anyone else has ever had trouble keeping up with an insulin schedule while working, going to school and clinical hours. My doctor is talking about a pump but I dont know how great that is going to be for me… guess Im a little over worried but I guess thats better then nothing at all…

10 replies

mindiee 2011-05-05 01:08:34 -0500 Report

thank you so much! and I know what you mean I mean even now working as a tech when I go low I cant always leave when I want to because I do work in an ER and when your doing CPR or taking care of a critical patient leaving isnt always an option… But we have decided on the pump but we are waiting till after I get back from working at a summer camp this summer… I tlaked to my doctor and she doesnt seem to get the idea that part of the thing I am worried about is being competitive… I want to go to med school and become a pediatric surgeon… to do that I have to be the best of the best and as I have now researched to do that I need to have the best treatment around.. I already am treated at Joslin so I have the best Dr around and now we are finding that I have the best treatment as welll.. the best we seem to agree being the constant glucose monitor and the pump so that I have a constant read of where I am trending. This will give me better control I think to then be able to deal with highs and lows before they become a problem

algretha 2011-05-02 19:09:59 -0500 Report

I'm an RN so I understand they hectic schedule of hospital life. The pump makes it soooooo much easier! You can have all different crazy basal schedules to fit your needs. Little tip for clinicals then work -keep a roll of glucose tabs or the gel in your pocket ( they fit fine in scrubs) because you may not be able to leave your immediate area if you feel like your getting low. Best wishes in school!

mindiee 2011-05-02 16:38:43 -0500 Report

thanks so much! you are so right… I talked to my endo today who truly is a sense of sunshine… she is putting me on a pump I guess right after I work at a summer camp this summer we dont want to change too early because I will be in the woods in charge a bunch of girl scouts. Right now I think my sugars are so out of control because I have so much going on… I mean I guess stress really brings my numbers up. I will be challenging my two favorite courses for med school in two weeks and I guess we will jsut have to wait and see how things will work out

Hopieland 2011-05-02 12:46:17 -0500 Report

Hi MIndee! Good question. I know only one person with a pump. She really likes it, but it does fritz on her once in long while. Since you're an EMT you know hectic at times, so it seems your new school schedule, etc. would be a change, but after a week or two you would get into a routine, of sorts at least. I know worry about these type of things…but usually if I wait b4 I jump to conclusions about possible outcomes and so on, things just kinda fall into place by themselves. Otherwise my #'s jump up, my anxiety level matches them and you know the drill. So…you are a disciplined person from the sound of it, and you will adjust to a new, although much more demanding schedule easily enough, so the question is, would a pump work for you. Pump or no pump, under the stress of all the changes, your #'s will probably bounce a bit, and since you're on insulin, I don't know how that works, but taking one step, one day, one thing at a time usually helps keep things quiet on the front-lines. My best thot is that you talk to you PCP some more. Ask questions about the adjustment period for most people and see how you truly feel about that. Overall, if you have a sense of peace about which ever decision you make, for peace—always. Any truly "gut-level" uneasy feeling you have about either way you choose, stop. Look for the peace and follow it. Wish I could be more help, but somehow, I'm confident you'll make the right choice. Keep us posted when you can about your new adventure with Med School and pump or no pump. Think out loud all you want. We'll listen and walk with you.

mindiee 2011-05-01 22:06:43 -0500 Report

thank you everyone… I am talking to my doctor on Monday, well I guess that is tomorrow to see about switching to a pump… she was hesitant I guess because at first she was hoping in some unknown way that I would be able to be taken off insulin but we have quickly found out that that is just not an option for me… I talked to one of my co workers ( I work on an Ambulance and in an ER) she has type 1 diabetes, is a doctor and she loves her pump though she is on the omni pod. I guess I will do some research and see which one looks like the best to me. Does anyone have any advice? I didn't think that the whole diabetes thing would be as tough as it has panned out to be I mean at this point I am running with 48 hour days and though my endo isnt too excited about running myself into the ground slowly I guess I am learning how to control my highs and my lows. Right now I am upwards of 5-7 shots a day which can be tough because when you are a 9-1-1 truck timing just isnt on your side… so maybe a pump will be the best… sorry guess I am just thinking aloud.. SMILE

diabetesfree 2011-04-30 23:06:16 -0500 Report

I would guess that the most difficult part of going to medical school is during the residency period, where you are expected to work in 20 hour shifts. Sometimes, more than 1 shift in a row. This might be one of those situations where an insulin pump would help, at least for regularly scheduled injections. Good luck!!!

keek 2011-04-30 21:27:07 -0500 Report

Hey Mindiee,
I am a teacher and my days can be hectic (perhaps not as crazy as yours!). I have found that being on a pump has really helped. It takes less time so you can eat more quickly (all you have to do is check). I LOVE my pump. I was taking humalog injections with all carbs, plus two basal shots every day. That put me at 5-7 injections daily. It was really hard to make time for taking insulin and eating lunch at work. Now, I insert the pump every 3 days and find that I don't skip meals because I "don't have time." I think a pump would be great for you.

Harlen 2011-04-30 19:19:49 -0500 Report

Way to go thats so great
You mite think of getting a pump ????
It realy has helped me when I need to push to the wall
Best wishes

jayabee52 2011-04-30 17:43:08 -0500 Report

Howdy Mindiee! Welcome to DC!
CONGRATULATIONS on your acceptance to med school! I pray you'll do well.

I pray that you can handle the grueling hours. I worked in a couple of places where I saw the kind of hours physicians keep. I have only heard about the hours that med students keep. Please take time for YOU and your self care. When we get so absorbed in school or work often we forget about our self-care.

Praying God's richest blessings upon you and yours, Minidee!


northerngal 2011-04-30 16:14:21 -0500 Report

I got my degree and worked the last year and a half. Of course it wasn't anywhere near as demanding as becomming an MD. You are already dealing with tough hours and handling it, I think you'll be fine. Don't let all the talk about stress frighten you, it's how you handle the stress that matters. You are already making sure to get exercise and clearing your mind a little and that's the most important thing. My school days were long ago and not nearly as up to date as far as diabetes. I'd encourage the pump, I love it. I can calculate a dose from the pump or the meter and you can use any meter (if you need to) and let the pump do the calculations. Getting the setting right at the outset takes work, but once its done, pumps are wonderful. You'll need to document every thing you eat, doses of insulin and times for at least a week so your endocrinologist can do the proper settings. (Not primary care physician, they are NOT specialized enough.) Go for it and good luck.

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