Archive for the ‘Random Musings’ category

I Love When the Experts Agree With Me

September 14th, 2010

I get a fair number of questions from the people in my life about what I eat, what I don’t eat, whether I think X food is good or bad, etc.  It comes with the territory, I think, of being a personal trainer/bootcamp instructor and basically putting myself out there when it comes to diabetes as well.

So I really love when I read something that an expert says that mirrors something I just said last week to someone, or something an expert said that put tactfully something I wish I could have said but didn’t say because I’m not the most tactful person.

Oh, and because I just adore being right.

Today’s example (of me being right, in case you missed it) is found in the September 2010 IDEA Fitness Journal and has to do with using agave syrup rather than sugar. 

So, the expert (Jennie McCary, MS, RD, LD and New Mexico’s 2009 Outstanding Dietician of the Year) shares that as a fructose sweetener, agave syrup has about the same number of calories per teaspoon as white sugar.  It is sweeter than table sugar and honey, so you can save some calories by using less.  Because of its high fructose content, it is touted as a sweetener with a low glycemic index.  But be aware that this may not be true across all agave products.  Agave’s fructose content varies, depending on the source of the nectar and how highly processed the syrup is.

Bottom line?  Sugar is sugar is sugar.  Agave syrup still contains calories, so as with any caloric sweetener, use it moderately and examine product labels to know what you are getting.

Here is what I know about any type of sweetener people are told is the next greatest thing: It’s still the same.  As the expert states: sugar is sugar is sugar.

Sure, the different types of sweeteners may hit your blood stream slightly differently than one another, but overall, we find ourselves again at healthy eating being something requiring moderation every day.

I know it’s a drag in some ways, but is it really that challenging?  How differently do you think we would eat if we didn’t hear the latest infomercial or see the brightest bag on the grocery shelf?  How do you think you would eat if you had never heard the term “glycemic index”?  For that matter, how do you think you would eat if every time you went down the cereal aisle you only looked at the shelves above four feet? 

(I decided years ago that for me, I don’t need to put more chemicals in my body if I can avoid it.  As a result of that decision, I stopped consuming artificial sweeteners of all types (no Splenda, no NutraSweet, no Equal, etc) and try to only eat foods with ingredients I can pronounce.  I’m nowhere near 100% with that, but I am happy with my decision and don’t regret a thing. 

I’m all for eating real sugar and real butter rather than laboratory invented foodstuffs.  Like I said, I’m not anywhere near 100% but it’s a goal of mine to eat with as minimal factory intervention as possible.)

Urban Dare Report

September 13th, 2010

My Urban Dare Partner wrote up a fabulous report of our adventure in San Francisco on Saturday.  It’s so great and pretty and well-formatted I hesitate to copy it, so please head over to Wet Dog and check it out!

Wet Dog Blog: Urban Dare San Francisco 9-11-2010

We weren’t sure how fast we were going to make it from point to point, so when we arrived (45 minutes before the announced start) I lowered my basal for 90 minutes.  Once we got our questions, I was so focused on the task at hand I didn’t think about much else!  I did check and was 167; perfect for an unknown adventure. 

We were on our way to the three-headed Buddha and Peggy turned to me and asked if I needed to eat or check or anything.  I said nope.  A few minutes later we got to the Buddha and I checked.  I was 60.  (I now suspect Peggy is in fact a D4D able to smell a falling blood glucose level!)

I ate a Gu and had half of my sandwich as we tried to get the guy to do a cartwheel.  (One of the highlights of my day.)

Then we were on to the next stop!

I don’t think I checked or felt a need to check the rest of the way.  When we got to the end, I was 147 or something like that.  I hadn’t bolused since the race began.  Go exercise!

Anyway, a ton of fun and an activity I would recommend to anyone, anytime.  So much fun!!  (And yes I know I’m a shorty.)

Is There Such A Thing As A “Bad” Diabetic?

September 10th, 2010

A lady made a comment the other day about her mother being a “bad diabetic” and herself struggling with living with diabetes.

It made me really sad.

I don’t want anyone thinking they are a “bad diabetic” because they have natural mood swings, food cravings, moments of weakness in the face of temptations, moments of forgetfulness or even denial.

Those are things that make your normal, not things that determine your merit in the face of a complicated and unrelenting disease called diabetes.

 Let me also be clear on another thing: your response to your disease will affect and possibly damage your relationships with those you love and those who love you but it can truly only physically hurt YOU.  There is no second-hand smoke when it comes to diabetes.  No one else can catch it, and in that same vein, no one else can do what you yourself need to do after you’ve been diagnosed.

So it’s up to you, for better and for worse.

But I still cringe when I hear someone refer to themselves as a “bad diabetic” because they want birthday cake, or because they ate potato chips, or whatever.  I know it is most often said in jest but there is real truth and fear behind those words

Yes, listen to your doctors and diabetes educators.  Yes, listen to the guidelines broadcast throughout the country and medical community.  Yes, understand what is going on with your blood sugars in response to your food and medication.  Yes, participate in your understanding of your disease

Learn what foods make you feel healthier and what foods make you groan an hour later.  Learn how exercise can make you feel physically and mentally.  Learn what it takes to treat yourself well and how that feels.

But relax a bit on your self-criticisms.  Don’t let a number determine how you feel about yourself.  Please don’t let those little gadgets tell you how much you are worth in the world.  Be more than your disease.  Don’t let the fear of failing to be a “perfect” diabetic turn you into thinking you are a “bad” person or “bad” diabetic. 

I don’t even think “perfect” really exists.  And I know there is no such thing as a “bad” diabetic.

Treat yourself kindly and intelligently.  You deserve it.

25 Facebook Responses. Oh My.

September 9th, 2010

I came home from my Disneyland Half Marathon Weekend with four awesome trophies signifying my hard work and running accomplishments.  Tuesday evening I took a picture of all four of them and posted them to my facebook page.

What a disastrous idea.

3 medals and a toenail-- each a trophy I earned

I had 25 responses to this one photo.  And they were not all in the “congratulations you rock” kind of way.

No. 

I got to have a discussion of how, and if, I care for my diabetic feet.

Really??

That is what we needed to discuss in that photo?  Wow. 

I can rationalize these responses into the commenters caring about me because they saw I had a bruised toenail, a lack of a knowledge of marathon running (a result of running 35+ miles/week for several months, bruised and missing toenails are a consequence of the sport), all sorts of rationalizations to avoid telling well-intentioned souls they have completely missed the mark.

But I’m really, REALLY tired of that rationalization and benefit of the doubt I give to others who feel free to offer unsolicited opinions and share unrelated concerns because they see me primarily as a diabetic. 

I usually don’t hear it from people who live with diabetes—it’s the ones who don’t have diabetes who feel a need to remind me I have a disease.  Hmm.

If I had a black eye after a car crash, would you tell me my diabetes might make me go blind someday? 

Did you realize that those comments assure me you see me NOT as Amy first, but as a diabetic?

What a shame.

You’re missing out.

You’re missing out on ME. 

It makes sense why many of us don’t talk about our diabetes.  Why should we?  If we know that whatever mood we’re in will be blamed not on our minds or emotions but on our blood sugars, what worth do we have as individuals?

It’s too bad; I am a complete person AND I have diabetes; they don’t eclipse each other.  They shouldn’t, and if you let someone in your life appear before you as a diabetic first, you are missing out on who they really are. 

Diabetes is hard enough, but when we feel our identities shrink in the face of the disease it is almost intolerable.  I ran all those miles, had all that fun, met all kinds of people and ran alongside people from all over the country for two really fun hours.  I trained for nearly two years to earn one of those medals.  I traveled to cities and towns I’d never seen and saw countless sunrises on the way.  Sure, I brought glucose with me and stopped to check my blood sugar I don’t know how often.  But that wasn’t what you saw.  You saw my toe.  My “diabetic” toe.

What’s more, I don’t check my feet because I have diabetes.  I pay attention to my feet because I worked for a podiatrist for more than a decade, look at them every day when I stretch, paint my toenails myself, sit with my legs crossed and my bare feet underneath me, and am more ticklish than anyone I’ve ever met.  I pay attention to my feet because I am a runner.

But some thought I needed the reminder to take care of my “diabetic feet” because they saw my bruised toe. 

I should have replied “you know, everyone gets bruises—not just people with diabetes.”

Although you don’t usually get bruised toenails from sitting on the couch.

Make sure when you find yourself in a similar spot you remember YOU can eclipse your diabetes.  Don’t let people in your life see things any other way. 

You deserve it.

My Disneyland Report

September 8th, 2010

Many of you may know that I was in Disneyland last weekend for the Disneyland Half Marathon.  I had so much fun I feel kind of dopey writing about it—there is no chance all that fun can possibly come across on a computer screen!!

But I’ll try.

We got there on Thursday and picked up our bib numbers on Friday.  Fun already—the expo was in full swing when we went to pick everything up so I even got to shop!  Not only did I get to shop at the expo… but they were selling RUNNING STUFF to people who ENJOY RUNNING so I was hanging with my peeps.

So fun.

One shop had all kinds of fun shirts; I wanted to buy every single one they had but I held back and I think only got three.  Maybe four; I can’t remember—I was in the Zone. 

On Saturday we had to be at the start line by 6:15am.  Yikes.  No big deal; there were only 5,000 runners and it was a fun run so no one crowded too much.  Super fast, super fun course through both Disneyland and Disney’s California Adventure.  Yay!!  The Disney runs take you all sorts of places you’ve seen and all through parts of the area you’ve never seen—those parts behind the “Cast Members Only” gates!

Sunday’s half marathon was a bit slower than the 5k (it’s much easier to maintain a faster pace for 25-30 minutes than 90-120 minutes!) but just as fun.  This run was monitored for pacing, so they started us out in waves, according to our predicted finish times.  It was a great way to start since we weren’t afraid of trampling a walker as those of us with less control over our excitement busted out of the gate.

You can see in the Garmin report where I stopped to check my blood sugar: mile 4, mile 6, and around 8.5-9 (my heart rate drops and my pace slows way down).  What you can’t see are my blood sugars: I started before the run around 180, which is a great spot for me to start a long run on a course I haven’t done before.  Excitement got to me and at mile 4 I was 304.  I was smart this time and remembered what happened last time I didn’t eat; this time I took insulin and ate anyway.  I would normally stop again at mile 8 but since I was high at mile 4 I didn’t want it to take that long before I checked again.  The check at 6 miles had me again at 304.  This was a fine result, since I knew I had insulin still on board that hadn’t it, but the sugar had already entered my blood stream.  Holding steady at that point was pretty great for my run.

I was down to 215 when I checked again for the last time.  I knew I still had a way to go so I ate another Gu (25 grams CHO) and kept running.  I did not bolus for that second Gu because I knew how my body would likely respond.  By the time I finished the half marathon I was 141.

Not a bad result.  I felt strong and relaxed during the run and while I would have preferred to keep my blood sugars under 200 for the entire run, that isn’t always possible for Event Day when the excitement is going full blast (did I mention I was BEHIND CAST-ONLY DOORS AT DISNEYLAND?!) and I’m not in control of the course.

I wonder how fast I could have run it if I didn’t stop for blood sugar checks and if I weren’t at 300 for a portion of the run.  I smile when I think about it—I feel like I am making a great showing in my runs and no one else probably knows how it feels to function with a blood sugar of 300. 

Much less set a personal record.

My Disney Half Marathon Medal

Still on the Zen Thing

September 7th, 2010

Since you were born, what has your body done for you? Since you were born, what have you done for your body?  –Zen proverb

Last week I wrote a bit about what my body has done for me.  Today I want to talk about what each of us has done for our bodies.

Granted, those of us living with diabetes are at what some may consider a disadvantage because our bodies don’t function as they were designed to function.  But I don’t consider that a stopping point—I consider that a STARTING point.

It would be easy to say I’m too tired from swings in my blood sugars, too scared of going low, too busy managing my disease to take care of my body.  But as one of my bootcampers said once: “it’s not about easy.”  (Nor did anyone ever claim it would or even could be.)

I’m in this for life.

I certainly haven’t always felt this way; I know I spent time being afraid of my life with diabetes.  Growing up and before I was diagnosed, I was not encouraged to go out and run around—a scuffed knee was a big deal in my house.  But now, I see that scuffed knees heal and I want to get out and encounter the world, interact with it and experience life.

I need my body to help me do that.

So, I take care of my body now in ways I never had to as a kid and didn’t when I was a teen with type one diabetes.  I drink a lot of water to keep myself hydrated.  I try to minimize the chemicals I ingest.  I try to fill up on veggies and fruits before moving to quick carbs or fat-loaded proteins.  I try to fuel my body with quality sources of energy.

Above all, I try to exercise my body so that it knows I care about it. 

I lift weights to keep my bones strong and my muscles challenged.  I run to keep my heart healthy and my joints moving.  I stretch to reward my tired body with relaxation and increased blood flow with the nutrients my body needs.

And I don’t stop. 

Of course I take rest days when I or my body needs them.  But I don’t think exercise is only for a period of time or only until I reach a certain poundage or clothing size.

I was surprised by what happened when I started to exercise my body and get it to a weight it wanted to be.  I felt better.  My confidence rose.  My knowledge that I am a participant rather than a spectator in my life led me to new experiences, new goals, and new achievements.  What amazing benefits.

See, I don’t think any of us are supposed to ever reach the horizon—I think that’s the point.  We need it to be visible yet just out of reach so that we have someplace to dream about, someplace to reach for, and someplace to go. 

Thanks to the way I care for my body, I know I will be dreaming, reaching, and travelling for quite some time. 

Right on.

This Zen Proverb Made Me Think

September 3rd, 2010

Since you were born, what has your body done for you? Since you were born, what have you done for your body?

–Zen proverb

See, now this is a question I think separates the men from the boys, as it were. 

I know that most of us with diabetes read that first question and have a vehement response: my body gave me diabetes.  Gee, thanks.

Not.

But then the second question is where the meat is: WHAT HAVE YOU DONE FOR YOUR BODY?

Are you hanging onto your anger at your body over developing diabetes? 

Are you letting it waste away by not challenging yourself physically?

Are you poisoning it with unnecessary chemicals?

Well; are you?

We each get one body.  ONE.  It must last us our entire lives—we do not get another chance at this.  We can’t sit back and passively destroy our bodies.

I don’t want to fight my body any more than I already do with my diabetes: I want to enlist my body as one of my best tools!  Just like I can’t leave my best tools out in the yard all year to gather dust, grime, and rust, I can’t assume my body will be okay if I don’t take care of it.

We need to get moving, get exercising, get thinking about how we can take care of our bodies.  Not only because we “should,” but because we, and our bodies, deserve it.

Since I was born, my body has done an incredible amount for me.  My legs have supported me every place I’ve ever gone.  They have endured four shots a day with only a rare mark to display the unnatural act.  My feet have been bruised, blistered, cold, and sweaty hot yet they have kept me grounded

My waist has appeared and disappeared and reappeared as I grew, matured, gained, and lost weight.  My shoulders have remained high as I faced countless challenges, only reluctantly stooping once in a blue moon. 

My arms have hugged more friends than I knew existed, and held onto my parents when my legs hadn’t yet learned to walk.  They reached for the stars and climbed tree branches and caught footballs and threw red rubber balls and bent and straightened for every pushup I’ve ever done. 

My hands have done more than I ever thought.  My fingers have felt more surfaces and touched more and bled more than most, I am sure.  My hands remain strong to hold a friend’s hand in need, to pat someone on the back for a job well done, to high five a child and to shake paws with a good dog.  My fingers have followed the lines of miniscule type in too many law books and I have watched them quiver when I have been low.  My fingers placed my husband’s wedding band on his finger as we held each other’s hands.

This weekend, my body is taking me for a run through one of the happiest places on earth as I run the Disneyland Half Marathon and 5k.

I couldn’t do any of this if I didn’t have this one body. 

My body has done so much for me, despite some considerable flaws.  But when I look at what I have really received from my body, really and truly, the flaws fade away. 

My body has enabled me to BE, in this massive and wonderful world.

What has your body done for you?

I’ve Said it Before: It Takes a Village

September 2nd, 2010

I am often struck by other people.  Sometimes in a good way, sometimes in a bad way, but overall, I really like learning and observing how other people “work.”

I had an appointment last week with an esthetician I have seen several times over the past two years.  We often talk about bootcamp or running or waking up early or whatever comes up.  Last week I went in wearing a tank top, since it was hot outside. 

She saw my CGM on my arm and asked me what it was.  (I do love that people feel free to ask me; I really see that as a compliment!)  I told her, thinking we must have discussed my pump over the course of our relationship.

She started at me, her eyes big as saucers.

“Do you have type one diabetes?!”

“Yeah; I thought you knew!”

Okay.  Now.  How many people who don’t have diabetes know that there are two types of diabetes and know how to differentiate between the two? 

It turns out, her best friend was just diagnosed with type one three weeks ago.  My esthetician proceeded to ask me a zillion questions and not one of them was dumb.  She had done some serious homework.

It made me so happy.  What a wonderful friend!!

I’ve had several people tell me they know someone with diabetes (either type) but don’t know what some of the ins and outs are with living with the disease.  It made me remember the lady at Intuit who was excited to hear me say “Diabetes Outside” and had several questions for me about how she could best support the people she cares about. 

How fantastic is that; really.

For those of you with diabetes, take a second and think about the people in your life who have cared enough about you to learn what it is like to have diabetes.  Of course they can’t really ever KNOW, but it says something very powerful about YOU that they cared enough to learn what they’ve learned

Can you tell them a number and they know what it means?  (If you say 250+ do they run for sugar or do they know “low” is the magic word?)  Do they keep eye contact with you as you check your blood sugar or do they glance nervously at your fingers?  Do they suggest eating nuts when you say you need sugar?

For those of you who don’t have diabetes, I want to say thank you.  Thank you for recognizing that diabetes takes a lot of learning and a lot of guessing and a lot of trial and error. 

It means we aren’t as alone as we sometimes feel.  If that doesn’t show caring, I don’t know what does.

Happy September!

September 1st, 2010

So what the heck happened to August?  I had all these great intentions for sharing my 6 minutes of outside time with everyone every day but shoot; there THAT went in less than a blink.  I did end up changing my routine as a result of the challenge, though: now when I go to my law office, I park several blocks away and walk over.  It beats paying for a parking permit or getting a ticket!

I really enjoy the area I get to park in and I’ve met some of the animals in the area.  Most everyone is at work when I’m heading in, but when I head out everyone is home and playing with their kids in the bike-only streets.  Being outside really sets a nice mood for me after I’ve been at work!

Arthur the Cat lives someplace between where I park and where I work.

Since nearly everyone is back into their routine after summer vacations and school is back on, I was trying to think of some fun outside exercise activities that relate to the impending season change(Please note, particularly for my dear friend who shall remain nameless, that I understand technically summer is over on September 21st.  However, I am not so far out of school that I don’t remember the pain associated with September, so I’m saying “Fall” here in a very loose sense.   I beg your indulgence.)

Some ideas I had for some fall activities that I would consider exercise, inspired by a notion of Heaven:

  • Raking leaves
  • Picking apples (and carrying the bushel around)
  • Cool morning bike rides
  • Walking to school—a walk, not a mosey!
  • Biking to school to pick up your kids and then walking home together
  • Running or walking the football bleachers while waiting for the game to start
  • School walk-a-thons: donate to a kid’s school and ask if they would let you walk with them for a bit and double your donation for those miles/laps!

Just thinking about these activities is making me hungry for an apple.  I love a change in seasons!

I also should mention my best gadget for running in the darker hours: it is a baseball hat with LEDs in the brim.  It is the best!!!

The hat I got from www.gofastandlight.com-- I love it!

A Different Perspective on Seeing the Light

August 31st, 2010

I like short magazine tidbits not only because I can power through them without realizing it, but now also so that I can share them with everyone who reads this blog.

Today’s little tidbit came to me as I ate breakfast and paged through Diabetes Forecast.  They asked readers what made them take diabetes seriously

My favorite response was from a woman in Atlanta who answered “when my eye doctor wouldn’t write a prescription for new glasses until I brought my blood glucose down.”

Reading that made me almost jump up and give her eye doctor a standing ovation.  I find that doctor rather remarkable.

(For those of you who do not know, eyesight changes with glucose levels in the body.  Some people with diabetes get blurry vision when they are low or high, some people have trouble seeing before they are diagnosed.  The small capillaries in eyes are damaged by higher blood sugar levels and can eventually lead to blindness if diabetes is untreated.  Retinopathy is another complication of diabetes that leads to problems with vision.  Most of us with either type of diabetes get our eyes checked at least annually and have our eyes dilated and checked for early signs of damage.)

So this eye doctor knew her patient has diabetes that the patient wasn’t paying much attention to and she knew that her patient’s eyesight was only going to deteriorate if the patient kept going as is.

So this brave soul said to her patient: Okay.  I’m not going to help you in the short term because that is a band-aid where you need some real, honest to goodness, help dealing with a real underlying condition that is hurting you in the long term.

Gee, what do you think the reaction was to THAT?  Probably not a big squeezy hug from the patient.

But when you look at the situation, that doctor did I think the absolutely correct and right thing.  She helped her patient take diabetes seriously by taking a serious look at the disease.  She helped her patient get to a more stable spot with her blood glucose levels through that frank discussion and then addressed the patient’s vision needs from that spot.

I think that is a real doctor.  Not everything in life is rainbows and roses as we all know on some level—but we still wish it were!  So the fact this doctor was honest with her patient in a way that helped her patient get to a better healthier spot is simply fantastic

Not only am I happy for the patient, I’m happy for the doctor; I know it wasn’t easy for that doctor or for her patient. 

As one of my doctors would say: It’s Your Time.