One thing is for sure. I am incredibly glad I didn’t try to do the market today.

I did the usual morning stuff, including watering the garden. My brother had his zero turn mower out already, which amazed me, because the grass was still so very wet from dew. He just did the areas he needed to work around, and this mower can handle it.

Then they started loading things into the bin!

After I finished the outside stuff, I came in and started making myself breakfast. Between the fan and the cooking noises, I could hear nothing elsewhere in the house, so it was a surprise when my oldest daughter came rushing in, telling me my husband had been calling for me.

He had his door closed to keep the cats out, and when I got to him, I found him sitting on the side of the bed, barely able to sit upright. He kept falling backwards, and he couldn’t speak. He tried to, but could only manage making noise, while his lips simply could not move. While I was holding him up, he managed to gesture towards the top of his medication fridge, where his Dex 4 bottles were sitting.

He was suffering from low blood sugar. I helped him down a couple of the sugar pills and, once I was sure he wouldn’t fall over again, got a glucometer. During that time, he took a couple more sugar pills. I used the glucometer – which was not easy, as he doesn’t bleed well – and got a 2.5 For those of you in the US, that’s a 45.

By that point, I was on the phone with 911, which was a pain because I could barely make out what the person who answered was saying. I got transferred to the ambulance dispatcher and while I talked to her, my husband visibly improved, in that he could speak, though very slurred. He was able to open the bottle of Dex 4 and took 3 more sugar pills while I had the dispatcher on speakerphone.

Once the ambulance was on the way and the dispatcher got the other information she needed, I tested him again. He was still at 2.5, but already getting much, much better. His could hold himself upright and could speak more coherently. He told me that he’d had to drag himself into consciousness. He had ripped his CPAP mask off, though at the time he wasn’t even sure what he was removing.

Meanwhile, I told my daughter an ambulance was on the way and to open the gate. I had sent a quick message to my brother and SIL, but they were outside so my daughter had shouted out to them that there was an ambulance coming, but she didn’t know why.

Once she was back inside, she started moving stuff around to make room for a stretcher to come through but, in the end, that wasn’t needed. With help, my husband was able to get dressed and use his walker to get outside, where he waited by the front steps, with half a loaf of bread, as he needed to eat something but couldn’t stomach anything else. I’d offered part of my own breakfast that I’d been making (which a daughter tended to and later finished for me), but that was too much for him.

Meanwhile, my brother came over to talk to us. My SIL was at the road, ready to direct the ambulance. My brother told us, they always drive right by – they’ve had to call an ambulance for my late father in the past, and that’s what what had happened before.

Once he was outside, I tested his sugars again and he was up to 3.1mmol/L, which would be about 55mg/dL He was looking and acting dramatically better by then, too.

The ambulance got there very quickly. When they arrived, my husband was able to walk up the steps through the side door while the tended to him, and one of them stayed to ask me questions. My husband had told him he’d dropped to 1mmol/L (18mg/dL). I told the paramedic that the last time that happened, he was in the hospital and they’d given him too much insulin. So the paramedic understood that my husband knew what a 1 felt like. I told the paramedic what readings I’d gotten and, with how much my husband had clearly improved, he jokily apologized that they took so long to get here, we fixed him ourselves.

They did not take long at all to get here. Especially considering they did not come from the nearest town.

They kept him in the ambulance for a while longer and when they checked his sugars, he was at 6mmol/L (106mg/dL) and safe. After talking to him about it, my husband decided to not go to the hospital.

While they were tending to him, my daughter finished cooking my breakfast and I went in to eat – since I was so hungry by then, I was feeling dizzy! Part way through, the paramedic came in to update me and we talked about the situation some more.

Then Leyendecker came over and demanded pets. The paramedic accommodated quite happily. The Potato Beetle came over. He was so taken by then that, when he went back to the ambulance, my husband said the paramedic and brought it up with glee. Sadly, he has two big dogs that have never seen a cat, so adopting one wasn’t an option. 😄

Meanwhile, with everything under control, I could see my brother and SIL tossing things from the junk pile into the bin, leaving behind the electronics garbage, appliances and metal. They also loaded a trailer of stuff to dump, and my brother even went and gathered the toilet collection (I think we found 6 toilets scattered around the yard in total, right after we moved here).

Once my husband was back inside and the ambulance was gone, we took advantage of so many things being shoved aside to make room for a stretcher that never came in. We moved out a couple of boxes from my mother’s apartment and cleared the top of the old dishwasher that can’t be used. It’s the sort that gets wheeled over and attached to a sink’s tap, but it won’t work with the tap we now have, nor could we even plug it in anymore. The top of the dishwasher is what we were using to hold our big jug of drinking water. Once the dishwasher was cleared, I was able to get it out of the house and roll it to the end of the sidewalk. I had to leave it there, as the wheels would not roll well on the grass, so getting it to the bin was going to be a 2 person job. Then I took out some of the electronics waste we kept not getting to the dump and set that with the appliances in the remains of the junk pile. The old dishwasher was sitting where it was for a reason; we have a cube shelf with storage cubes for winter gear that the cats kept tearing up to get into, so the dishwasher was protecting it. Now that it’s gone, we moved our recycling bins to that spot so the cats still can’t get into them.

The main thing about getting the dishwasher out, though, was that we could set up the laundry hose out the window to do my husband’s bedding.

Thankfully, my husband is almost back to “normal” (for him, anyhow). He’s going to be testing his sugars a lot more often over the next while, not to check for highs, but lows, while he adjusts how much Tejeo he is talking. This is a slow release insulin that it taken only once a day.

We have figured out what triggered this. While the girls and I were in the city, we made sure that my husband had food he could easily get for himself. The problem is, between the chronic pain and the Ozempic, he has no appetite. He ate next to nothing, all day, then went to bed early and on an empty stomach. The slow release insulin, meanwhile, keeps doing its thing no matter how much he has or hasn’t eaten. He later told me that what he was feeling this morning was WAY worse than what he’d gone though while at the hospital. It’s entirely possible his blood glucose had actually dropped below 1mmol/L(18mg/dL)

Which brings me to a huge frustration. When my husband had to start seeing a Nurse Practitioner, after our doctor disappeared (he went on medical leave and never came back), she basically ignored his back injury and was focused completely on his blood glucose and on getting him to lose weight. Even the diabetic nurse he was referred to told us that he would not be able to control his blood glucose until he got control of the pain, and he has never been able to get control of the pain, no matter what painkillers they’ve put him on. I firmly believe there is an overdiagnosis of diabetes. A LOT of things can result in high blood glucose. Sleep apnea is one of them, so my husband is dealing with both the chronic pain and the sleep apnea. Also things like high stress levels, anxiety, etc. He’s on a ludicrously high dose of Ozempic now and, frankly, I don’t know that it’s actually helping him. There’s nothing he can do about the spleep apnea; he was diagnosed at a sleep research facility and the head researcher, who was also a university professor, actually asked permission to use his test results in class as an example of how bad it can get. They actually took measurements inside his throat, and found the tissues were smaller than typical for someone of my husbands 6′ plus frame. As he ages, everything gets looser and starts to cause problems. He could lose all the “extra” weight, and would still have severe obstructive sleep apnea.

Which means he may not actually be T2 diabetic. The high blood glucose is more likely a symptom of other issues that cannot be fixed. There is no surgery. Not therapy. No anything that can “fix” the ultimate cause of his back injury, and certainly not the spine damage he was born with that wasn’t discovered until he was finally referred to a spine clinic, after 2 years of the NP focusing completely on his blood glucose and weight.

There is a lot out there about how dangerous high blood glucose is and, in the long term, that may be true. The reality is, low blood sugar is far more dangerous. High blood sugars can cause problems after decades. Low blood sugars can kill you within minutes – and my husband came very close to dying this morning.

The scary thing is that the powers that be keep lowering the threshold. It used to be that you weren’t considered T2 until our BG levels were at 8/144 or above, and after you had that reading after two blood tests (lab tests, as glucometers weren’t common yet) and after several other tests were done to factor other things out. Then the threshold was dropped to 7/126 or higher, and all it took was a single glucometer test at the doctor’s office. Then a new category was invented: pre-diabetes, which is declared if you get a reading of 6.5/117 or higher. Then there was “metabolic syndrome”.

Scarier still is that they lowered the range of “normal”. While looking for conversion charts for this post, I also got charts of what the different ranges were. “Normal” in Canada (probably elsewhere, too) is now a fasting BG of 4 – 5.5/72-99. The first time my husband was “diagnosed” with T2 (which miraculously went away once he got a proper CPAP to treat his sleep apnea), we were told that anything below 5/90 was concerning, anything below 4/72 was dangerous. The safe range was from 5-7/90-126. Now, one chart I found includes a BG reading as low as 2.6/50 as the bottom range of “excellent”.

To top it off, having T2 and higher BG readings is also increasingly viewed as a moral failing rather than a symptom or a side effect, or even just a data point. Treating T2, however, has become incredibly lucrative. I expect attitudes and treatments are going to get worse before they start getting better.

end rant

I’ll get off my soap box now. I’m just so frustrated. I almost lost my husband this morning. I am so very thankful that he recovered so quickly, though he says he’s still shaky. This, on top of the constant pain he’s dealing with. He isn’t living. He’s existing – and there is really nothing that can be done about it anymore. That window closed many years ago.

The Re-Farmer