Never too old for it to feel fab when someone is proud of you! Best HbA1c in 6 years, and still improving ššš
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@thesugarfiles
Never too old for it to feel fab when someone is proud of you! Best HbA1c in 6 years, and still improving ššš
Follow-Up
Just a quick note to say, I woke up within target, even after gobbling half a bag of sweets AND reducing my insulin by 15% for 5 hours. I've become my very own science experiment, and am getting results!
"We Up All Night To Get Lucky"
In the words of Pharrell Williams, I guess I am. Lucky, I mean. I was about to start a rant about being desperate for a good nightās sleep, and a hypo stealing that luxury, but really, I should be grateful for my hypo-awareness - a lot of people with diabetes donāt get the symptoms of a low blood sugar level, and that can be VERY DANGEROUS, resulting in a coma or even DEATH!
So whatās up tonight? Well, Iām not entirely sure. Iāve had three intense cardio sessions in a row, and have been reducing my insulin accordingly (so I thought!). I felt a little shakey before bed, despite having a blood sugar level within target, so indulged in a sugary snack. Iāve just woken up feeling shakey again, but my level is STILL within target - meaning that without that before-bed snack, I wouldāve been dangerously low.
Iāve decided to trust my gut, and had another snack now despite my in-target reading, and reduced my insulin again. I would prefer to wake up a little higher than perfect, than risk another hypo. Will let you know how it goes! For now, peace out xx
I love when exercise sorts my BG out, without the need for another bolus of insulin! Pre-workout, I was 12.6 mmol/L. A Zumba class followed by some time of the stepper and I'm back down within target, at 4.2 šŖš¾
What a difference a change of site can make! I wondered what on earth was going on with my BGs this weekend, but this is proof that for me, the Omnipod doesn't work well on my glutes š Changed the site last night back to my tummy, and we're back in business!
We can ALL make a difference. You never know how your story can help someone else, so it's so important to TALK! I'm heartbroken that this gorgeous lady who I met on holiday last year is going through this with her daughter, but so pleased that she feels that there's someone that she can talk to - and that it's me. I don't claim to be the "best" diabetic in terms of numbers, but for me, there's so much more to being the "best"; living LIFE, and not letting diabetes rule it!
Here's to: new beginnings A few months ago I decided that it was time to take control of my diabetes, after years of not making it my priority. Everything else seemed more important than my health, until a mini-scare after my routine yearly diabetic eye screening. Everything was, fortunately, sound, but I realised that I would only have myself to blame if anything did go wrong in the future. So, I met with my consultant endocrinologist, who arranged for me to speak with the diabetic nurse about insulin pumps. An insulin pump is designed to deliver your insulin without the need for an injection. Yes, you still have to test your blood sugar levels and count your carbohydrates, but it means a little more ease and flexibility. Today, the nurse and I chose a pump that would work for me, and scheduled an appointment to start "therapy". I feel emotional. Firstly, because I have been lucky enough receive treatment that will make my life so much easier, and my HEALTH so much better. Secondly - and this will sound bizarre - because my whole life is about to change dramatically. I have taken at least 2 injections every single say for practically my whole life. I don't remember a time when I didn't have to. It's going to be really really strange, and I'm not really sure what to make of it... So, until then..!
Diabetes is all about numbers, and one of the biggest problems with type 1 is the feeling of FAILURE when things don't go quite to plan. Honestly, it can eat you up inside, especially when you can't find a reason for it! When estimations, guess-work and previous experience come together, it is truly MAGICAL. Blood sugar levels DECREASE with too much insulin, not enough carbohydrates and exercise. Blood sugar levels INCREASE with not enough insulin and too much carbohydrate. Last night, I had a good weights and cardio session at the gym, and to counteract that, loaded up on carbs and reduced my insulin. Before bed, I tested my BG level, and it was SKY HIGH (19.6) š Clearly, the exercise had not caught up with my carb intake. I tested again just after midnight, because I couldn't sleep, and there hasn't been any change. Past experience has taught me to never underestimate the delayed effect of exercise, so I further reduced my usual nighttime insulin dose, and didn't take any of the other type of insulin to correct my BG to a normal level (4.0-7.0). This morning, I woke up feeling fab, at 4.1 - BANG on target š It might not seem much to be excited about, but I feel like I'm making it all work for me. #winning
Gifts from Brazil
Eureka! I think Iāve made a discovery!
Generally, I eat a pretty low-fat diet; fat-free natural yoghurt, skimmed milk, yolk-less-eggs, baked-not-fried⦠You get the picture.
But, as Iāve discussed A LOT recently, my body has become more efficient at breaking down carbohydrates as Iāve become a little fitter, leading to a reduced need for insulin. This IS a good thing, but my insulin calculations havenāt quite caught up with my newfound ability to burn carbs, so I seem to be running on the lower side of optimum, and feeling unwell in the middle of the night.
The answer: increase my fats! Unsaturated fats are good for a few reasons:
1. More fat means less need for carbohydrates. The three macronutrients that the body needs are proteins, carbohydrates and fats. Once you ensure youāre getting enough protein, the rest of calorific intake is divided between the other two, to make 100%. If your calories from fat are increased, your carbs calories will, obviously, decrease. Carbohydrates need insulin to be utilised, and as I mentioned in the previous blog post, insulin inhibits fatty metabolism. So, ironically, more fat means more fat burning and better weight loss!
2. Fat makes you feel FULL. When fat hits your intestines, all sorts of chemicals are released, that inform your brain that all is well and your body has enough food. Thereās nothing worse for weight-loss than feeling hungry, and this also helps me to differentiate between being āemptyā and being hypoglycaemic. As a kid, I didnāt understand the difference, and would treat āhyposā with a sugary snack that werenāt actually hypos; the result would be that my blood sugar level would run high, which over time, leads to poor control and complications.
3. They help with the absorption of vitamins, so you can feel more energised and less tired after early starts, long days, and heavy gym sessions.
I've since stocked up on Brazil nuts, and have switched from fat-free natural yoghurt to low-fat Greek yoghurt. Just small changes, but it seems to be doing the trick so far. #winning
Fasted Cardio and DM
Most people cut carbs when they're preparing for an aesthetic fitness event, like a bodybuilding competition or of course, a pageant. Being diabetic throws a spanner in the works; this means that, while its all fun-and-games to be able to take fewer insulin injections when you're eating less carbohydrates, storage becomes an issue, and I find myself running low and feeling not-quite-right. It's a balancing act. Last year, I managed to get into the best fitness and physical shape of my life, through a combination of careful eating, testing and exercising. My medication has since changed though, and I'm struggling to shed the unwanted layers of fat (my body type likes a bit of fat tissue, I just want to be a little tighter!). "Fasted cardio" seemed to work for me last time, so where possible, I would wake up early and get a session in, providing my blood sugar level was high enough to avoid any issues. That, and I was only working part-time then (joys!), so had more time AND more energy! Fasted cardio is supposed to work by using stored fats for energy, when there is less carbohydrate and insulin around. When non-diabetics eat, insulin is released by the pancreas, the transport nutrients into the cells, so that they can be used for energy. Insulin ALSO impairs the breakdown of fats, so when there's lots of it around, carbohydrates are broken down into energy and fats are not. In a fasted state, e.g. when you first wake up in the morning, it's easier for your body to utilise fat storage for energy instead of sugars. I'm not, by any means, suggesting that ANYONE starve themselves - that would counterproductive and dangerous. Enter: metabolic disorder, Diabetes Mellitus. My body doesn't make insulin. Ever. That's because, in a freak mistake when I was 2 or 3 years old, my immune system got very confused, and mistook the specialised cells in my pancreas that make insulin for "baddies", and destroyed them. The result is Type 1 Diabetes. Instead, I take insulin via injection, several times daily. If I don't, I can get pretty ill, and it's all very unpleasant. When it comes to fasted cardio, I don't make any insulin anyway, so there are no natural peaks. SURELY, I can use this to my advantage? However, if there's no glucose in your cells, your body thinks you're starving, and breaks down sugars stored in your liver, which need to be replaced (please see my post "Beacons": http://thesugarfiles.tumblr.com/post/136137594529/beacons). So, it's time to figure this thing out all over again. With four weeks to go until Miss Galaxy England, let's hope it works!
Beacons
This morning, I woke up at 6.15. Yes, 6.15AM on a public holiday. I (momentarily) considered a trip to the gym to make the most of the day, then reality kicked in: something IS NOT right. And it wasn't. A blood test revealed that I was a mere 3.9; while "health" is indicated by readings of between 3.6 and 6.8, this is the total amount carried by all the tiny blood cells in the small sample tested. There is simply TOO MUCH blood in the body to have a completely uniform concentration of sugar throughout, so it's likely that some of the tiny cells supplying my brain were carry FAR less sugar - giving rise to my untimely awakening and sense of confusion! What with it being Christmas, I eagerly broke into the box of Quality Street chocolates on the table, followed by a few multigrain rice cakes. My usual "hypo(glycaemic) saver" of choice would be a handful of Jelly Babies and some cereal, but that's irrelevant. The point: if your regular meal is more than 2 hours away, it's best follow up on quick acting sugars with some complex carbohydrates for STORAGE - when the body (diabetic or not) goes into an emergency state, it breaks down the carbohydrate stores in the liver to provide "fuel" in the form of sugar, as this is the only thing that the brain can use for energy. No sugar equals, quite literally, no brain power, which can lead to coma... And otherwise. So, after a hypo, these sugars need to be replaced, and the body converts them into a product called glycogen which can be kept in the liver for times of need. Adrenaline, a hormone produced for example, when anxious, also leads to the breakdown of glycogen, so after a pageant, I sometimes need MORE insulin to put the release sugar back where it belongs! Oh, the body is MAGICAL, isn't it?!
In the "Pursuit of Happiness"
It's been a while since I dared to test my blood glucose level (BG from herein) before dinner. I find that, at work, I'm so focused on caring for my patients, that I frequently miss my lunchtime insulin, and end up being sky-high by 6pm. *insert clever quite here: "you can't pour from an empty cup. Look after yourself first", blah blah* Last year, I arranged a few appointments with a clinical psychologist to try to figure out WHY I refused to take my diabetes seriously. We came to the conclusion, ironically, that a need for things to be perfect stands between me and good diabetic control. It's counterintuitive. Insanely. You'd expect that perfectionism would ENCOURAGE me to be a better diabetic, but really, knowing that I haven't had a perfect day of carb-counting, eating and injecting prevents me from testing my BG and seeing a "bad" number. Why does that mean poor control? Because seeing these "bad" numbers would give me a chance to correct them and bring my BG back to a healthy number, instead of ignoring them and staying "high" which cause damage to my cells. (To clarify, while a high blood sugar level is dangerous and harms the body, it does not affect the person in the same way as a low blood sugar would; mood, concentration and coordination are not affected to my experience, unlike a low blood sugar where working or driving would be incredibly dangerous.) Anyway, so I finally tested, and hurrah: 9.8 ! My target range is between 3.6 and 7.5 before a meal, so I'm a little out-of-line, but not nearly as scary a number as I had expected. To put that into perspective, high is 15 and sky high is 25. This means that, if it wasn't for the sneaky shortbread biscuit I had on leaving work, I would've been right on track *more cheers* Small daily improvements make all the difference. I'm going to hold onto this cheerful feeling, and keep recreating it. Slowly.
It is sad that we may never know how our lives would be without diabetesā¦
(via diabetesyoyo)
This is the attitude that gets me down. I think my life would still be exactly the same because, yes, it frustrates from time-to-time, but if I wasn't diabetic, I'm sure they'd be something else to complain about..!
As a dentist, I meet people daily who are fighting some kind of battle, and they often open up to me about things. I have diabetes, but it doesn't rule me. I eat what I want to, and take some insulin when needed. I exercise, and eat a banana when I'm done.
If anything' going to bring me down, it won't be diabetes, and it certainly won't be my attitude towards it!!!
A learning curve that's so long, it's almost a circle..!
Had a mini-cardio session last night (260 cals worth) and a decent walk around town in search of baubles and a Christmas jumper. The insulin pen beside my bed only had 22 units left in it, so that's what I took (I usually take 36, or 32 after a good amount of exercise). Scoffed a bowl of Fruit'n'Fibre because I felt empty. Yet, I STILL woke up on the low side of "target blood glucose level". Usually, eating more carbs and not taking enough insulin will do the opposite, and send your blood glucose level sky-high... What-on-earth?! The science: the fitter you become, the more sensitive your muscles (including, I assume, heart muscle) will become to insulin. Hence, my body is becoming more able to maintain a good blood glucose level on less insulin. This is particularly exciting as insulin is used by the body to store fat tissue, so the less insulin you need, the less fat you will store. Fatty tissue also increases resistance to insulin, meaning you need more insulin to get the same energy from the carbohydrates you eat. So, fitter = reduced need for insulin = less fat storage = better sensitivity to insulin. And the cycle continues! Hurray to better fitness š
So, here we go...
I won't lie - I have NO idea how this blogging thing works, despite being a so-called member of the Digital Generation, so please excuse me.
Why am I trying it? I have diabetes, type 1, and have done for almost 23 years. Notice that careful choice of words... "I have diabetes". I was informed at Dental School never to refer to a patient as "a diabetic", and fair enough; diabetes is a part of my life, but it's not who I AM.
Well, especially not me. Truth be told, I suck at it. My HbA1c is ridiculous, and the saddest part is, nothing seems to motivate me for longer than a day to do something about it.
Having had a looooong chat with the Consultant today, who I have to admit, is thee most amazing person I have ever had the privilege of meeting diabetes-wise, I've decided that it's high time to get "stuff" in order.
Apart from being a "diabetic" and a dentist, I also compete in beauty pageants, and have recently created a platform to improve awareness of Type 1 Diabetes and raise funds for the Juvenile Diabetes Research fund (https://www.justgiving.com/IntMCR2014/), because quite frankly, diabetes is sucky condition that noone seems to know very much about.
It's not like I'm keen to tell everyone I meet that I have diabetes, but when I do, they look at me puzzled and respond with one of the following: "but you're so young/healthy-looking/slim". Yes, diabetics can be all three, believe it or not *raises eyebrow sarcastically*. We are so frequently bombarded with information about Type 2 diabetes (because of its prevalence, and fair enough), that we do not realise that there is another sort that unfortunately affects thousands of unsuspecting, otherwise healthy children and young people... And these children and young people get older.
So... Why am I blogging about it?Ā
I just figured that if I kept a diary of a sort of where I'm going and how I'm feeling, it might make things a little "realer" and help me to stay on track. That, and I'm so embarrassed about my current HbA1c, that sharing some (potential) successes will do me some good.
Love always xx