Archive for the ‘My Soapbox’ category

Me and Numbers

August 24th, 2010

I don’t read a lot of other blogs—diabetes-related or others—but I have been more interested in them as I continue to write my own.

One thing I see on nearly every other diabetes blog is something I thought about before starting Diabetes Outside’s blog: posting my latest meter reading or yesterday’s blood glucose numbers.

I opted against doing it, and when I see it on other blogs I know why it isn’t for me.

It’s the same reason I never answer the question “how are you?” or “how was your day?” with a number.  It’s just a number; and a random, relatively imprecise one at that.  (Meters can be up to 20%+/- of an accepted lab result to be considered accurate.)

But more than the randomness of a number, it would seem to me to heighten the importance of my diabetes if I equate my emotional status with a number day in and day out.

Don’t get me wrong; I absolutely will answer by saying: “I feel like crap; I’ve been over 300 all afternoon” or “I’m exhausted I was 43 and now I’m 245 30 minutes later” or what have you.  It’s the response of simply “I’m 180” or “I’m 120” that gets me.

Think about when you were in school and being graded.  Think about getting a grade in every subject several times every day.  Would you want to answer the “how are you?” question by saying “C” or “B” or even “A”? 

I hope not.

I have my own emotions separate and distinct from my blood glucose.  Sure, I get irritable and uncomfortable and exhausted and desperate with different levels of sugar in my blood stream.  But that isn’t who I am.

I don’t let my diabetes define me.  I never have—and after seeing the picture of what I used to imagine diabetes looked like in my world, I’m very glad I skipped any definition as I’m sure it would have had devastating results.  It works for me to know that I’m me and any number that comes after it is properly in its place: AFTER. 

Me first.

If I didn’t have that, I would feel like my diabetes had won. 

I’m not going to let it win like that—at least not without a very good fight—because I am worth more than any random number that pops up after five seconds. 

I cannot express how much I hope you feel the same for yourself.

What Food Do You Miss Most? Is a Confusing Question For Me

August 20th, 2010

I was reading a FaceBook page about diabetes and they posed the question: what food do you miss most since you were diagnosed with diabetes?

Hmm.

This question confuses me.

First of all, this particular site shall remain nameless since I’m about to be critical.  Most of their questions seem to focus on what I would say are the more negative side of living with diabetes: what do you miss, what is the hardest, how often do you want to curl up in a ball and cry kinds of questions.  These are all good questions that facilitate camaraderie and discussion, but it doesn’t often work for me and they have a LOT of these questions; I’m not sure many positive things result from this type of camaraderie.

Secondly, to me this may be a question for people with type two diabetes and not type one.  I expect type two diabetics need to mold their eating choices to fit the disease more so than type ones need to in an effort to keep their bodies working at maximum insulin efficiency.  Type ones have zero insulin efficiency on our own, so we need only try to keep our blood sugar levels even and in range.  (Also incredibly difficult, just in different ways and for different reasons.)  Limiting or managing how many quickly-absorbed carbohydrates is one of the best ways to do this, and since candy is a “quick carb” it usually is better managed than, say, a carrot.  (Although both have carbs and both need management.)

Reading the answers, though, it seems like a lot of type ones answer with what a person not well versed in living with diabetes would expect: “my daughter misses eating candy” and “I miss those sugar straws” and so on.  One particular answer was “I miss almost everything.”

Alright.  Here’s where I need to climb on my box yet again: 

IS THIS A PITY PARTY, OR IS THIS YOUR LIFE?  YOU DECIDE.

Yes, there is absolutely a time to feel sorry for your loss.  Of course you miss the now-rose-tinted carefree days where the word “carbohydrate” didn’t mean anything to you and certainly didn’t strike fear in your heart.  Of course you need to eat differently after you have been diagnosed with diabetes—either type.  Of course your food life was simpler then.

But to say that you have nothing now, no options, you miss everything, your world is over… that smacks of a temper tantrum to me: high drama, little reality.

There are ways to eat anything you want to eat when you live with diabetes—yes, the ways you used to eat without thought are gone forever, but that doesn’t mean you need to not eat something in particular ever again.  If I have an undeniable craving for a Coke Slurpee, I can figure out a way to make it work.  I don’t have to miss a thing.

I know I’d rather figure out how to make something work than throw myself on the floor and cry. 

I hope you agree.

I’m Ready!

August 16th, 2010

I promise I’ll get off my numerous soapboxes.  (After today, I mean.)  And this one I suspect is a little bit preaching to the choir, yet my fingers are itching to write this again:

I want a different name.

I’m trying to figure out how to explain this desire.  I wonder if natural blondes feel similarly when a bottle- bleached platinum blonde stands next to them and whines about blondes not getting any respect?

Or something.  I don’t know.

I just know I want a different name.

I don’t want to ever hear someone ask me if I eat cinnamon because cinnamon is supposed to cure diabetes.  Or blueberries or the latest wack-a-fruit found in the Amazon.  I want to never see that question on someone’s face that starts with “but you aren’t overweight.”  I want my inbox to never contain email about preventing diabetes.  Or prediabetes.

Just give me a new name.  Please.

Is it because I never had the chance to prevent my diabetes?  Or is it because I spend quite a bit of time explaining my disease to others who think it’s the other kind of diabetes?  Do I feel like some sort of victim of the media’s mass marketing of the solitary word “diabetes” to mean something that does not apply to me?  Or is it that I’m offended by the condescension I read into messages from the American Diabetes Association, who I would have thought understood me?  Or am I sad my body destroyed a portion of itself decades ago and can’t believe anyone could be so complacent to knowingly let a similar thing happen in their own body?  Am I bitter that I don’t ever have the chance to reverse or improve my diabetes?

Probably a little bit of all of those.  I don’t know.

I just know I want a new name.

Not a new type.  Not a new term.  Not a new prefix or suffix.  No anagrams.  No new rhyming jingle that works on a bracelet or bumper sticker.  Nope, I don’t need any of those.

I just want a new name, and I think I deserve it.

Out of all of the things about living with type one diabetes I deal with every day as I sleep, wake, eat, breathe, work, dream, move, cry, laugh, and think, THIS is the one I think I really would like one hundred percent.  No conditions, no complications, no pills, no lab work, no trials.  Just a new name.

I’m ready.

Are you?

Take Care of Your Heart

August 13th, 2010

I want to highlight this one again and repeat the information as often as possible: take care of your heart.  Take care of it by using it and working your heart to encourage it to grow stronger and healthier every day.

Exercise.

The risk of dying from cardiovascular disease prior to age 40 is nearly twentyfold in persons with type one diabetes compared to non-diabetics.  You need to take care of that ticker!  How?

Exercise.

Children and teens with type one diabetes will deal with their disease better when the entire family faces management as a team.  One of the ways to help and support a loved one with type one is to model acceptance and adoption of exercise in the lives of each individual family member.  It isn’t just your heart you need to care for; it’s for your loved ones as well. 

Exercise. 

Adolescents and adults who exercise have a greater perception and positive view of their own health.  How can one living with a chronic disease like type one diabetes improve their own outlook and know they are helping their body stay healthy?

Exercise.

Adolescents have a demonstrated tendency for poor glycemic control through years of turbulent hormonal and social and physical changes.  How can you cope with the stress of these difficult blood sugar fluctuations?

Exercise.

For parents and people with type one diabetes, sometimes you need to look past the fear of going low during exercise.  Sometimes you need to look at long term complications and be afraid enough of those to change what you do NOW

Given the fantastic tools we now have compared to the tools available 60 years ago for managing type one diabetes, we don’t need to be as afraid of kidney or eye problems associated with microvascular damage.  We’ve moved to macrovascular concerns: heart disease and strokeA diagnosis of type one diabetes is the warning sign for these catastrophic events.  However, we have the tools to deal with those complications and we can use them NOW.

Exercise.   Protect your heart, your body, and your life.

Get out there.

Exercise Is Medicine—I love it!!

August 12th, 2010

I’ve been writing for a while about how much I use exercise as a tool to help me stay healthy with type one diabetes.  The American College of Sports Medicine (ACSM) has launched a campaigned called “Exercise is Medicine” with various tools to help those with all sorts of health issues think about how to exercise to improve their health.

 I of course zoomed over to the Type 2 Diabetes page to see what ACSM has to say.  Yup; pretty simple from my perspective.  The page just outlines what many of us already know about our diabetes and physical activity, in terms of increased insulin sensitivity and a resulting increased need for carbohydrates.  We are lucky in that we don’t have any physical limitations our disease created and (absent any complications) our mobility is not compromised.  We can do what anyone else can do.  We just need to think about it a little bit more.

Speaking of thinking about exercise in our lives, I invite everyone to check out another tool at the ACSM’s Exercise is Medicine page.  It’s a way to think about exercise in our lives.  I know I posted yesterday about my questions why someone might not exercise and I think the grid on the ACSM’s Decisional Balance page is a fairly good reflection of reality.  (Including my questions why someone would chose the “inactive” side of things.)

So spend a little time at the Exercise is Medicine website and see if there are any tools you can use to re-think exercise in your life.  Keep thinking, start doing, and let me know if you need some help. 

You’ll thank yourself.

Wow. That’s a lot of people!

August 11th, 2010

The government reported earlier this month that more than 26.7% of the entire US population is obese. 

That’s more than 72 MILLION PEOPLE.  And those numbers don’t even include anyone “overweight.” 

Get this:  the numbers are from a SURVEY, so people were self-reporting their own data. 

Yikes.

Now, I’m not saying those 400,000 people who did the survey lied. 

I’m just saying my own driver’s license isn’t right.

It makes me sad and frustrated all at the same time.  I wonder what our ancestors would think of us now: we have all sorts of medicines and procedures and knowledge that can help us live a long life and so many of us are throwing it away because we eat too much chemical food and don’t move around so much or exercise at all.  I wonder what those people who had to grow their own food and work their own land and walk miles to school or to a neighbor would think of us now.

Don’t forget: I’ve been there.  I don’t think I was morbidly obese yet, but I was pretty close.  I understand that it is easy to eat and not exercise.  I watch my husband schedule time to work out on the treadmill at work have to work so late he can’t fit in the treadmill time.  I watch coworkers join gyms and never go to those gyms.

I understand how hectic our lives are and how often caring for a child or parent or spouse or job or career or any number of circumstance can make us think exercise should fall off the list.

What I don’t understand is how many people don’t even question why, or think about working to change their habits to include exercise higher on their priority list.  Don’t they know they will be better able to care for another if they take care of themselves first?  Don’t they pay attention to the flight attendants explaining the oxygen instructions??

We have all kinds of information about what we need to do to keep ourselves healthy.  We know it’s a matter of calories in, calories out.  We know it’s about moving more and sitting less. 

 So what are we missing?

I Admit It

August 4th, 2010

I admit it—I don’t understand what point all the anger is supposed to serve for people living and dealing with diabetes.

I’m not at all saying that I don’t get or have never been angry about having diabetes—that would be a lie—I just don’t spend much time in that mental space quite simply because being there exhausts me and it rarely gives me anything in return.

Sadness, sure.  Frustration, sure.  Confusion, sure.  But anger, just not that much. 

I read an old blog post from Parenting Diabetic Kids this morning where they listed the Top Ten Things the parents hate to hear.  Mainly it was what you might expect from a loved one forced to give a little one a shot or finger stick, and who is concerned with lows and highs. 

It was the unadulterated anger when faced with comments from others about sugar, what the kids can eat, how they got the disease, unknowing comments and related assumptions there is only one type of diabetes that concern me.  One of the comments in response to someone learning a child has diabetes that topped the list was “at least it’s not cancer.”  The response from many parents to this comment alone was less than gracious.

It was rather startling and I wonder how they make it through the day with all that anger inside and leaking out when they have to also deal with diabetes.

I’m not saying I don’t understand these frustrations.  What I don’t understand is the repeated messages I see online and have seen over the years in “support groups” for people with diabetes.  I don’t understand how so many can “live” so long in such an angry space.

And of course it isn’t just the parents or caregivers I’m talking about.  I meet many people with diabetes who were diagnosed forty years ago and still live with pure anger about it every day.

I think diabetes is a really hard thing to live with.  I think type one diabetes is crazy hard to balance, and I can’t imagine how it is to deal with the rather limited tools and restrictions imposed on people with type two.  I understand that these difficulties can be opportunities to spur more research and education about ways to remove the harmful eventualities of the disease progression and new methods and new medications.  I’m all for that.

Maybe I just get confused because I wonder what guarantees anyone thought were waiting for them in life?  I look around and see so many terrible things happening in the world and I look down at my digital pump and its sterile infusion set and my fancy insulin and get my blood sugar result in 5 seconds and I just wonder: what does all the anger do for anyone?

I do want to applaud one comment I read from someone who has two family members with type one.  I think she gets what it is like, even if her own pancreas works, to live with the constant checks.

My husband and daughter are both diabetic and we always get these comments. But I have to say I agree with the “at least it’s not cancer”. There were kids in hospital when [my daughter] was diagnosed at age 2 last year, who were dying – of cancer or other diseases. Those parents were losing their kids. My husband’s colleague had a 2-year-old boy diagnosed with MD a few years ago. That family watched their child die and there was NOTHING they could do about it. At least [my daughter] has a pump and a blood meter! I’m not going to lose my kid. OK she’ll face physical problems and many emotional issues but with the help and support of her family and friends she can get through them and lead a normal life. My friend’s little girl is highly allergic to a number of foods and can actually eat less at parties than [my daughter] can. If she eats the wrong thing she might die immediately. I think I’d be far more scared about that! We’ve all got challenges to deal with in life, and our job is to get on with them and help our kids lead as normal a life as possible. And who knows, dealing with diabetes might just make them stronger, healthier adults. I have certainly learned a lot and grown up a lot in the last 15 months since [my daughter’s] diagnosis, even though my husband has been Type 1 for nearly 10 years now. He has learned a lot too. Hang in there, keep smiling and keep raising awareness!

More About Getting Outside

August 3rd, 2010

Yeah; talk about a soapbox.  I love this one!  Sorry to nag a little bit, but I think it’s worth it.  And if you’re lucky it smells good, too.

And guess what?  Someone else thinks it’s important, too!  Researchers analyzed ten studies that involved more than 1200 people and found that getting outside and moving around for even just five minutes will enhance and improve mood

I adore the fact that the researchers were not doing this as a psychological study—they were doing it to build up evidence for city planners and school designers!  This is the kind of person I need in my future. 

They did point out that it helped if you were in a “pleasant” outdoor environment… which, I can tell you, definitely does affect the quality of my workouts.  There are times of the year when running out at the nearby baylands is just so stinky I think about leaving and driving someplace else instead of runwning through the stink.  There were a number of months that I ran certain streets on Wednesdays and was always getting upset with myself for not looking at the calendar before I left—where I was running, Wednesdays were Garbage Days.  Ew.    

But think about the last time you were at a park, or walked through a pretty neighborhood, or actually did stop and smell the roses.  When you recall those memories, don’t they bring a smile to your face?

Awesome.

The article, published in Environmental Science and Technology, describes these activities as “green exercise”.  I call it “outside”. 

Where will your August Adventure take your mood?

Happy August!

August 2nd, 2010

For many of us, August is a bittersweet month since it begins in freedom filled summer and ends smack dab back in the classroom routine. 

So let’s make a promise to ourselves right now.  Let’s promise to get outside every day this month for a little fun and a little activity.  Every day.

We can report in on Facebook.  I’m not talking about doing a strenuous workout every day or anything—I’m talking about being outside for at least 6 minutes every day and not starting to count those 6 minutes until we’re standing up and moving. 

So I’m thinking playing fetch or tug with a dog, or walking after dinner, or shoot even walking after breakfast!  Something more than a walk from our car to the grocery store.

I know many of you face crazy humidity, but what else could you do?  I bet my husband would say gardening—he is so sad it hasn’t gotten hot enough for our tomatoes to turn red this year.  (It’s been a very cold summer, coldest in 40 or 50 years in California!)  I guess swim lessons count, unless it’s an indoor pool.  I don’t want you to be enclosed—I want you out in the open.  Either no walls or no ceiling and preferably neither.  There is something really great about being outside that I think we forget as we watch television or go to work or sit in a classroom. 

Let’s get as much from this last summer month as we can!!

So this is what we need to do:  1. Get outside2. Get moving.  3. Check in with yourself, and check in on Facebook.  That’s it!  You need to do #1 and #2 every day, but you can do #3 whenever it strikes your fancy.  Some people will do great at the daily check-in, some won’t check in at all. 

What should we call it?  August… doesn’t really rhyme with anything… hmm.  Alright; maybe I need some help on the title of our little adventure. 

August Adventures?  I’m not sure.    

Well, for now, since it’s already the second day of August, we’ll go with the working title of August Adventures 2010.  Start thinking about what you can do today, outside, to breathe in some quality fresh air and move your blood around a bit! 

If you have a better title, let me know.  Enjoy it out there today and I’ll see you tomorrow!

The Fourth Fitness Truth

July 30th, 2010

(Sad) Fitness Truth #4: 30 Minutes a Day Doing the Same Old Thing Isn’t Going to Do It For You

(Happy) Fitness Truth #4: Mixing Up Your Routine Keeps You Interested, Involved, and Improving

Ah.  Yes.  The regular workout.  The “I can talk on my cell phone while I’m on the treadmill, and catch the latest gossip  in the magazine or sports on TV, and be done in time for dinner” kind of workout.

Yeah.  That one.

Well, it does have its benefits in there.  The thing is, the benefits dwindle each time you repeat the same mid-level workout because your body is so good at adapting to its most efficient state.  You need to keep your body guessing if you want to continue to see results.

So, if you’ve been working out for more than a few months, you need to start changing things up if you want to bust off a plateau and kick some serious butt. 

For runners, that might mean increasing your speed, adding intervals, adding a mile or adding hills.  Whew.  That should do it!  For walkers, get moving farther within the same period of time, or add intervals, and add hills.  You should as always go for an intense workout if you want to see results.  Intense means precisely that: you should finish sweaty and tired and say “phew; that was hard, but it was awesome!”

If you aren’t up for kicking up the workout, change it up instead.  Try out a new cardio machine at the gym, or bring a friend on a hike, or dust off those roller skates or dig out that soccer ball.  Sign up for a fitness class at the rec center in your city.  Do something you haven’t done before! 

Your body is an amazing machine and it strives for efficiency all the time.  When you repeat a workout and repeat the same level each time, you are performing the workout more efficiently and therefore not working as hard as your fitness improves.  It’s a bummer in some ways, but pretty cool in other ways.  It’s how we all get stronger or faster – those professional athletes who can run a 4 minute mile on the track and don’t even look like they are working hard?  They put in the time and training to teach their bodies how to move efficiently at that speed.  Amazing, isn’t it?

So rather than feel sad that your workouts will bring you diminishing returns, look on the fun side of things—that means that for the same energy output, you will soon be able to get more!  Rather than always doing a pushup with bent legs, change things up for yourself and start adding in some straight-leg pushups.  Grab ten or twelve pound weights instead of five or eight pounds.    There are an infinite number of ways to challenge yourself in a workout.  So get going if you want to continue to see results.

Make your workouts work for you!