Tag: Hyperglycemia

The itch that won’t quit

From time to time, when I change my infusion site it itches like mad. We’ve all had that itch that just won’t stop. For me, its the site where my insert has been stuck to my body for 2 or 3 days or even a freshly inserted infusion set. It itches and itches and I really have to try my best to resist the urge not to scratch it to death. From the moment it makes contact with my skin or from the moment I remove it, the itch becomes unbearable.

When removing the insert, it can also prove to be very difficult as the insert is extremely sticky. It clings to my skin for dear life and I sometimes find it difficult to separate it from my body. What makes it even harder are those awkward new sites you decide to try out. You transform into a performing Cirque du Soleil acrobat whilst manoeuvring your body to get it in the right spot.

As for a new insert, ripping it off a brand new site would be an absolute waste (especially since diabetes accessories are so costly) and for those old tatty insert’s that just won’t let go, you just want to tear them off!!

After removing the insert, the skin underneath reveals a raised surface, slightly irritated and now, finally, it is able to get some air and it just seems to itch even more.  A grey sticky adhesive coats the area where the insert once sat and resembles someone who hasn’t moisturised their skin for days.

I remember having itching issues from time to time when I was on multiple daily injections (MDI) but not as much since I’ve been an insulin pump user. I suppose when you introduce something foreign on to your body that isn’t supposed to be there, it can cause a number of potential of problems. Several aspects of insulin pumping can cause skin irritations or allergies for diabetics. Causes may include the Teflon cannula, the metal needle, the site adhesive or adhesive materials, and even the insulin itself. When I was MDI, my itching was mainly due to the overuse of certain sites and the metal needle.

When it comes to my itchy insert sites, the truth is it happens very rarely and I haven’t really been able to pinpoint the direct cause of the itch. So, for now, I think I’m just going to try my best to keep rotating my sites, moisturise those sensitive sites (after 22 years I’ve got quite a few) and just continue to keep my skin well moisturised and maybe even try a protective cream to create a barrier between my skin and the inserts to reduce any irritation. With everything that diabetes throws at me I try my best to work it out and make it work. Although I get an itch from time to time, I’ve accepted that it is a part of MY diabetes and that’s ok. I’m very lucky to have a pump and I can deal with a little itch now and again.

Amina xxx

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Wordless Wednesday #6

Happy Diabetes Awareness Month Friends! My aim this month is to try and spread as much awareness for diabetes as I can.  As someone who advocates for diabetes, I want to continue to share the correct message about what it truly means to live with this condition.

JDRF have created an amazing tool which helps diabetics calculate some of their personal daily diabetes stats. I wanted to share my stats with you so you can have an insight into what my life with this condition has been like and what it has taken for me to still be here living a healthy life style.

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This is a rough calculation as there wasn’t an option to enter how many injections you took per day. In my case, I went from 2 injections a day to 5 injections a day in my teens, therefore the number would probably be a lot higher.

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These calculations are for my time on an Insulin Pump – 7 years and 5 months.

 

If you want to calculate your own or your loved ones footprint then click here.

 

Amina xx

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Myabetic Giveaway 1st November -14th November 2016

Since today marks the beginning of Diabetes Awareness Month, what better way to kick-start the month and advocate for diabetes, than by collaborating with some of diabetes extremely influencial bloggers and advocates, to give away accessories from one of my favourite diabetes companies  – Myabetic

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I absolutely love the accessories available!! If you don’t know anything about the Myabetic accessories then I suggest you check out their site here.

Their amazing accessories, for me, have become the Chanel of diabetes. It has transformed the dull and sometimes invisible blood glucose case I’ve carried around with me most of my life into something that I can be proud of. On first glance, you would perceive it to a beautiful handbag or wallet and it is on closer inspection that its true purpose comes to light.

myabetic7-red-girlWhen I first heard about Myabetic accessories, I was instantly drawn to them. They were bold, chic and beautifully put together. It offers a way for diabetics of all ages, men women and children to express themselves. The dismal blacks and greys that I was once restricted to were now being transformed into something that was very personal to me. It offered many varied, vibrant and colourful choices, which made misplacing my blood glucose meter a thing of the past. Like a brand new bag, it showed my individuality and allowed me to be proud of my diabetes.

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Here’s what you need to do to be in with a chance to win the Myabetic accessory of your choice:

  • Go to TheFitBlog
  • Click on the giveaway form
  • Follow Myabetic, TheFitBlog and all the other diabetes advocates on social media.

You can follow me here:

Follow in as many places as you can and share the post with friends online.

 **Giveaway runs from today the 1st of November – 14th November 2016. The winner will be drawn randomly  at noon on the14th of November and contacted directly by email.

 

GOOD LUCK EVERYONE. I WISH YOU ALL THE BEST!

 

Amina xx

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Sick Days!

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Having a cold can be awful, but a cold combined with diabetes is even worse. It messes with your sugar levels making them difficult to manage. Blood glucose levels can become extremely high. These high BG levels are due to a release of stress hormone which occurs when the body is fighting an illness. Glucose is produced in abundance making BG levels sky-rocket.

This weekend I’ve been fighting a cold. I always try to be prepared for cold viruses but the truth is you can never really be prepared. I’ve realised that sometimes the plan can completely fall apart. Usually, I struggle with very high BG levels when I have a cold.  However, this time,  Instead of high BG levels, I experienced a combination of extremely low blood glucose levels and a few high BG levels. So I’ve literally been “yo-yo’in” all over the place.  PFFFFFF!!

Last night, after hours of trying to correct my BG level, I made the decision to completely suspend my pump because my BG level would not go any higher than 4.2 mmol/l, even whilst my pump was suspended. It remained on 4.2 mmol/l and then started to drop again. It was not until I administered a Glucagon injection that I was able to finally reach a BG of 6.0 mmols/l, at which point I was so exhausted that I passed at 3am until this morning.

Even though my BG levels have been fluctuating, I’ve still tried my best to follow a few steps to maintain some level of control with my sugars.

Here are a few things I do:

  • Regularly monitor my glucose levels
  • Check for ketones if  my sugar is high
  • Drink a lot of water to dilute the glucose in my blood and also to keep myself hydrated.
  • If I continue to experience high sugars then I make a slight adjustment in my basal rates by first using the temp basal function on my pump. I usually increase my temp basal initially by 20%,over two hours, whilst continuously monitoring my BG levels. It’s probably wise to seek advice from a doctor with this if you haven’t discussed a sick day plan for your insulin. Also, when I was on multiple daily injections, if my BG rose above 13mmol/l then I’d increase my dose by units for each injection. If it went over 22mmol/lk then I would increase my dose by 4 units per injection. ((Please seek advice from your doctor before you do this))
  • Even though I can’t really taste much and I don’t feel like eating, I still force myself to eat something.
  • Although high BG levels are prone, make sure you still have an up to date Glucagon injection in cases of Hypoglycaemia.

Amina xx

Guest Post: Appleton

INTRODUCING

APPLETON

 

Appleton undercover

Appleton is an Artist and Photographer, who has been creating art images and sculptures for over 40 years. He attended Boston University, where he studied both art and photography. After completing his studies, he moved to New York City, where he found that the diverse cultural landscape offered him great inspiration for much of his early documentary work.

Area’s such as, West Side Highline, before its massive makeover specifically offered a great platform for inspiration.

“The old rusted tracks and overgrown grass,  the bright open and vastness would become negatives that would eventually fill a few three-ring binders. A love of industrial objects, the lost and found would become the work and the sculptures.”

All a Board

All a Board

Appleton’s work, takes the ordinary, often overlooked images, the ones you walk past everyday to another place and time, he is able to bring these images to their rightful place.

South Bound

South Bound

 

Appleton’s relationship with Diabetes,

One of the main focuses of Appleton’s current pieces, is to promote diabetes awareness by incorporating into his work different essentials diabetics need on a daily basis to survive.

 

Some-times-you-have-to-Spell-it-out.

Some-times-you-have-to-Spell-it-out.

 

After surviving a diabetic coma at the age of six, Appleton began to collect almost every insulin bottle that had gone through his system. This amounted to hundreds of insulin vials, faded syringes and old blood strips. They were all reminders of his survival through the years.

 

With no cure in sight, Appleton’s mission is to spread and raise awareness of diabetes through his art. Appleton hopes to inspire the millions who have this nightmare of a disease, to carry on but also to educate those who know nothing of the condition. By doing this, he also hopes to eliminate misconceptions and false hoods about the condition.

Cool Blue Designer Insulin

Cool Blue Designer Insulin

Joseph BeuysMark Rothko, Gerhard Richter, Andrew Goldsworthy, the Starn Twins and Shepard Fairey  – are amongst many artists that have greatly inspired Appleton.

Thank you Appleton for sharing your truly inspirational pieces. Your creativity has motivated me to continue to share my experiences with diabetes and I know that it will also inspire many others living with this awful disease. I’m also convinced that, it will reach many others who have yet to learn about this condition.

Connect with Appleton @   www.AppletonArtWorks.com @appletonpictures (instagram)

 

Amina xx

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What does Ramadan mean to a Type 1 diabetic?

Monday 6th of June, marked the beginning of the blessed month of Ramadan, which is observed during the ninth month of the Islamic calendar. During this month, Muslim’s fast from sunrise until sunset, when they are without food and without water.

Fasting-TIME-LINE-  So what does Ramadan mean for Muslim diabetics? What does that mean to me?

As a Muslim and a diabetic, I am exempt from fasting. Islam makes exceptions for those who are ill or on medication, for pregnant or breast feeding women etc.

Something you may not know about me, when I was first diagnosed it was also the very first time I tried to fast. I was excited to attempt the fasting and had set my mind to really giving it my all.

Day one was a struggle. I felt awful of course because I did not know that my diabetes had begun to manifest. I felt exhausted. I had an urge to drink constantly and why did I need to urinate so frequently? I hadn’t taken one drop of liquid all day. I slept and slept, but still could not find the motivation to do the things I needed to do. I thought to myself, maybe this is how the fasting was supposed to feel. It was was a struggle but I made it to the end.

Day two came and I felt like it was even more of a struggle than day one. I continued to tell myself that, this was how the fast was supposed to feel. The symptoms from the day before seemed to be amplified. I walked around with my eyes half closed from sheer exhaustion and a thirst like no other.  It completely drained me but I made it to the end of another day. I remember breaking my fast and consuming ridiculous amounts of water, juice anything to quench my thirst.

I had started to lose weight, my clothes were hanging off me. If you knew me then, you’d know how skinny and tall I was. Therefore any amount of weight loss was extremely evident. My Mother noticed the severe amount of weight I had lost and some of the symptoms I presented. She insisted that I stop the fasting. Even though I felt awful, I also felt sad to stop fasting. It pained me to think that I was not going to be continuing, but deep down I knew that I could not continue as I was. And as they say the rest is history, you can read my diabetes story in more detail here.

After my diagnosis and every year Ramadan came around, I found it hard to truly find my place.  Everyone in my family was fasting and I could not partake in the fasting so what else could I do?

I had to find other ways to be a part of this special month.  As I investigated and connected more with my religion, I began to understand that there were other aspects to Ramadan and that Ramadan wasn’t solely just about the fast itself. It was only one portion of the whole month.

 

So what did I learn?

  • Connecting with the Creator – One of the first and most important aspects that I learnt was, that for the entire month I had to try my best to live in an environment where I was more conscious of my creator, every second of the day. It was also a time for spiritual reflection and deep devotion of oneself to worship and pray to God     and to try my best to solidify my relationship with him. Reading as much of the Quran (the holy book for Muslims) and really taking my time to understand it properly.

 

  • Check yourself before you wreck yourself – It was also a month where I could evaluate my own behaviour and attitude towards myself and others. It taught me how to control my anger, ego, arrogance and to show humility and politeness, kindness and forgiveness to others (something I try to do every day, regardless of month).

 

  • Offerings – It was also a time to be generous and give charity (Zakat) to those in need. Because I wasn’t able to fast, with this aspect I give money to support someone (with food) in need for the entire month. It also became a time for me to strive to do as many good deeds as possible.

 

  • Leave off that bad language/ attitude/ everything – For those who know me, I don’t use bad language. I leave off the F and P’s and Qs and try to avoid it all together daily. However, during this time it is important that we aim to do these things and to be more aware of the language we chose to use. Staying away from desires and sins becomes very important for observing this entire month.

 

  • Brain training – One of the benefits of fasting is that it helps to repair and build new connections in the brain by generating new synapses and ultimately keeping the mind young. I have had to find other ways to challenge my brain to allow it to grow and strengthen itself and in turn keep it young. I do this by constantly learning new things, new languages (currently tackling Korean), reading on subjects I knew nothing about or reading around subjects in more detail.  

 

 So what are the benefits of fasting?

By fasting, it demonstrates our ability not only to conquer hunger but also our capacity to control psychological aspects of our behaviour, such as our reaction to things that we dislike. There are also many scientific benefits such as;

 

  • Speeds up metabolism – Fasting Intermittently, gives your digestive system a break whilst promoting your metabolism to burn through calories more efficiently. Intermittent fasts can regulate your digestion and encourage healthy bowel function, and therefore improving your metabolic function.

 

  • Fasting can improve your immune system – It does this by reducing free radical damage, reduces inflammatory conditions and also eliminates the production of cancer cells.

 

  • Improves Brain function – This fantastic lecture by Mark Mattson who is the Chief of the Laboratory of Neuroscience at the National Institute on Aging. He is also a professor of Neuroscience at The Johns Hopkins University, and one of the foremost researchers in the area of cellular and molecular mechanisms underlying multiple neurodegenerative disorders, like Parkinson’s and Alzheimer’s disease, outlines some of the benefits fasting can have on the brain.

 

  • Fasting for Clarity of mind and soul – Fasting is not just a practice for Muslims, many other religions also chose to fast,  just ike many members of my own family, who fast during Lent. It is a way to help many people feel connected to life by practicing things such as reading(holy text), meditating , performing yoga and martial arts. Because the body is deprived of food for a period of time this allows the body to make more energy. It gives the body a respite and a chance to heal and to reorder its systems. It allows us to feel better both physically and mentally (the mind is able to repair, develop new connections and reset itself).  With a lighter body and clearer mind we become more aware of our surroundings, our beliefs and of course our actions.

 

Amina xx

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Guest Post: Angelica Chavez

Anglica1I’d like to introduce Angelica, an entrepreneur, designer and blogger at Lyfebulb, who has type 1 diabetes.

I’ve been drawing since I was 5 years old, intrigued with studying the human form. Art from paintings and architecture has also always captivated me, along with science and film. I’ve always had a curious mind for obtaining loads of knowledge on new topics, so I research like crazy when I design or work on a new project. 

I was diagnosed with Diabetes on November 6th, 1998, a couple days after dealing with painful symptoms and a final night of trauma. The few days before being diagnosed, I lost weight to the bone, threw up everything I ate, needed to pee constantly, and had horrible throat and stomach pains. After two trips to the doctor, I had a glucose of 1000mg/dL (55.6mmol/l). The next twelve months were the hardest my family and I would ever endure, especially because of a hypoglycaemic attack I got one night after not eating.

“I’ve honestly never felt like diabetes affected me, but it did affect my family.”

My mother was really traumatized after the attack and became almost obsessed with watching over me to make sure I was always ok. Sadly, everything flew past her except for me, which in turn affected my sisters. My middle sister grew up fast having to take care of our youngest sister, and my youngest sister felt alone for a couple years of not having our parents’ attention. As time passed, though, we overcame this stress and separation.

Pump or needles?

I have a Medtronic pump and LOVE the freedom, but like all diabetics, I want to be needle-free! Or at least pain free haha! The pump needle still scares me every time. Thank goodness it’s not every day.

Diabetes, Beyond and the positive impacts on my life

Diabetes has kept me mindful of my health, and taught me strength and independence. All the Diabetics I’ve met through Instagram have also inspired me to feel proud and not to give up!

My current entrepreneurial projects are: Veltimera- an ecofashionable nonprofit for animal rights, in which I’m currently designing a Fall 2016 collection to fund animal rescues.

Anglica2Fashion Academy & Network- an upcoming online fashion school with courses on design to business.

Anglica6Piece of SASS Swimwear- a sustainable swimwear line for all beautiful body types; and Rebel Empire Apparel– an upcoming t-shirt line based in Los Angeles.

Angleica3Teamwork, organization, and persistence are the key to making these all successful one day. There is a quote that says,

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That is a hard lesson that not many people understand, because all they see is the success of a company or person and not its dedicated work. Another quote that I absolutely love is 

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I know I definitely have already failed tons of times, but I’ve learned what not to do and have researched new ways of doing things the right way.

One tip I recommend when starting your own business is having an intense passion for what you’re working towards keeps you focused and strong. Without passion, people give up after the first failure or don’t have the drive to educate themselves in what needs to be done.

My drive and passion are animals. Ever since I became vegan, I have not stopped thinking about them. They are the reason I became an entrepreneur in 2012 and haven’t given up.

Veganism in my life

Veganism has actually made it easier for me to manage my diabetes, because most of my foods are plant based. For example- Breakfast is tofu stir-fry, Anglica7

Brunch is a peanut butter banana smoothie, Lunch is a Veggie burger with fries, and Dinner is bean and vegan cheese tacos with chocolate almond milk. Anglica4

I always switch my meals around, because I LOVE flavours, but I’ve managed to keep my meals constant in carb count and reduced my basals (which are hourly insulin pump administrations). I do recommend, though, if you consider trying veganism, write everything down for the first 2-4 weeks to understand your body. Everyone reacts differently to new lifestyles.

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P.S. To answer any questions, I’m 100% healthy with all my vitamins and minerals, and vegetables and nuts fulfil my bodies need for protein. No, I never feel deprived; in fact, I’ve become more open to new foods, because taste has improved like a thousand times. I also transitioned to veganism over the course of 3 years, and I don’t buy organic like people might assume.

Advice to the younger, newly diagnosed, me!

You will make it through and be a great artist with lots of good friends and successful creative projects. It might be hard right now, and I know you don’t want to take your shots because you hate the needles, but think of your family. You are a warrior, and they need you.

If you want to follow Angelica’s work or have any questions for her, then you can find her on instagram @ Inspired Vegan and Diabetic with Style. You can also connect with Angelica via Facebook and Twitter. 

 

 

 

 

 

 

 

 

 

 

 

Listen to your body

Something I realised after my diagnosis was, I had to really start to listen to my body and try my best to understand what was happening to me.

body1The body is a complex system which does everything from help you move your arms, fight infections and even process the food we eat on a daily basis. It is able to constantly give you signs and signals which lets you know for instance that you’re coming down with something or if in fact the problem is more deep rooted. Without a second thought, your body breathes for you, pumps blood through your veins, just to keep you alive. It’s pretty miraculous!

In the case of diabetes the body also gives us signs. Signs which allow us to begin to recognise symptoms of lows, highs, falling or raising BGs. Even before my diagnosis, my body was giving me warning signs, showing me that something wasn’t right. Whilst experiencing the symptoms of thirst, constant urination, tiredness and the weight loss, these were all indications that something was happening.  This is why diabetes awareness is so important.  For me, with the knowledge my mother had of diabetes, I was able to survive and begin my diabetes journey.  Many people, who have no diabetes awareness and aren’t able to recognise any of the symptoms may not be as lucky as I was.

When we’re affected by things like stress, exercise or hormonal changes, we are able to begin to understand so many things.

In the case of low BG’s, I’ve had to make firm decisions in my mind that I am actually having a hypo and  then act on it in that moment. I’ve had to train my mind to distinguish and realise that a high BG is a high BG and a low BG is a low BG. It’s not easy but with time we begin to get a grasp on some of the warning sign we experience.

 Learning and listening to these signs are crucial to recognising future symptoms which will occur.

The human body is even more amazing in that we have been given five senses which guide us, as we traverse through the world around us. Our senses are able to send messages through the brain, with the help of the nervous system to deliver messages to us. These senses include: Taste, Touch, Smell, Sight, and hearing.

I strongly believe that we also have a sixth sense. (No I don’t mean seeing dead people lol).  This sixth sense i’m reffering to is our intellect. It is the sense which helps us understand so many thing including our physiology. For we diabetics, being able to differentiate between a low or high BG level sensation/s becomes quite critical, because let’s not forget these are medical emergency after all. In some cases we experiences low or high BG on a daily basis, whilst trying to obtain that number in the ideal range. It is an endless cycle of sustaining and monitoring. We check our BG, we bolus and we eat.

Strengthening your consciousness and being aware of your physiology is an advantage in that it will allow you to have a better comprehension, when changes arise due to BG levels.

You can begin to listen to your body by training your mind to make you more mindful of the signs you personally feel, before, during and after BG level changes. Identifying these symptoms will help make you even more responsive in the following hypo/hyper events to come.  I know that symptoms can vary and even change with time but what is important is being aware of what is happening to you in these moments.

Action, repetition and  finally recognition

When we experience any symptoms related to BG levels changing, our brain is able to create a memory of these symptoms we’ve experienced. This process is known as Recognition Memory.

Recognition memory is the ability to recognise previously encountered events, objects, or people.

brain

When we re-experience a certain BG related symptom, the brain is able to match a previous occurrence of the event happening beforehand. This then becomes an indication for us to know that we’ve experience this feeling before.  It’s becomes familiar and we know that we’ve gone through it in the past. We’re then able to recall this memory by accessing details related to that memory.

 Since we all know symptoms can vary from person to person, sometimes we miss a symptom because in fact maybe it’s a new memory which the body has never experienced before. Therefore, when this happens, it will be the first time the brain makes a memory of the event happening. If the event occurs again, it will then go through the recognition memory process to let you know that you are in fact familiar with this event taking place.

In the past I’ve experienced low BG’s were I don’t have any symptoms and remain in the low for a long time. However, this was mostly during my pregnancies, when there were so many changes occurring in my body. Nevertheless, even when I wasn’t aware of the symptoms and found myself in the middle of very severe lows, I still made a mental note of how I felt in those moments. This helped me to learn how to treat them and achieve a more normal BG level.

Hypoglycaemia unawareness can occur after living with this condition for many years. Constant lows can interfere with the release of stress hormones, which occurs when BG levels drop too low.  Stress hormones encourage the release of glucose. The liver secretes a hormone called Glycogen, which is decreased in people with type 1 diabetes after several years of living with the condition.  If glycogen isn’t being released then BG levels will remain low because the stress response isn’t producing any glucose to elevate the BG level. Therefore you remain in a low state for longer.

Tips to avoid hypoglycaemia unawareness

  • Test frequently to be more aware of dropping BG’s.
  • With the help of your diabetes team make adjustments to your Basal rates to try and avoid low BG’s occurring.
  • Develop an understanding of how to get those low BG’s back up and in range.

The next time you have a low or high BG try your best to be aware of what is happening to you in that instant.  Think about what you feel beforehand, during and after the hypo. Make a mental note and acknowledge the feeling you go through. Even if you have no initial symptoms and find yourself in the middle of a low, during the hypo you still experience certain feelings so try your best to be aware.

What methods do you use to recognise that your BG is low or high?

Guest post: The Fit Blog Part 1

I’d like to introduce husband and wife, fitness instructors, Christel (who has type 1 diabetes) and Tobias. Through their blog, TheFitBlog, they share CNT1their passion for a healthy and fit lifestyle, whist giving people the support to succeed with their fitness goals.

How did you start TheFitBlog?

Tobias and I have always had the desire to do our own thing. The summer of 2015 it all came together and we decided to take a leap of faith and make our hobby and passion our occupation. TheFitBlog is a general health and fitness site while the “Fit with Diabetes” section on the blog is my platform to discuss health and fitness from a diabetes perspective.

When I started working out more seriously, I searched without much luck for good information online on how to successfully combine training and diabetes management, so I had to figure it out on my own. TheFitBlog is my chance to share my experience and learnings with others.

How long have you had type 1 diabetes? How did you find out? What steps did you take?

I was diagnosed with Type 1 diabetes in December 1997. I’d just finished high school that summer and spent my time working in a preschool, partying hard and eating and drinking everything in sight. I displayed all the classical diabetes symptoms; hunger, thirst, sleepiness, frequent need to urinate and a slender physique. But all of that I simply attributed to my lifestyle.

At one point, my family did urge me to see a doctor, I did, and he was determined I had diabetes. I was admitted to a diabetes clinic as an outpatient and they spent the next two days teaching me about diabetes, how to take my shots, test my blood sugars and how to treat lows. First day of my diagnosis I was encouraged to never let my diabetes manage my life or to be a hindrance and I took that to heart and have lived by it ever since. Eight months later, I left for my first backpacking trip around India and I never slowed down.

How often do you work out?

Hi, my name is Christel, and I’m a workout –holic :-). I’m in the gym 6 days a week right now. However, 2016 is also a competition year for me so I’m working out as an athlete. I compete in NPC bikini competitions and have qualified to potentially take home a pro card later this year. A more normal gym schedule for me is 4-5 times a week and I think that is plenty for most people.Untitled-11

How do you balance working out with diabetes?

There is definitely a learning curve, but once I understood my body and how I react to different kinds of exercise, it’s actually pretty easy. When you understand how your body reacts to certain foods and exercise you’ll know how to adjust your insulin and not have to worry about lows all the time. Of course, I don’t always get it right but 95% of the time my sugars are perfect pre, during and post a workout. My advice is to take a lot of notes and find out how your body reacts to different foods and exercise and learn from it. In the long run, I find that working out makes your diabetes easier to manage, not harder.

How often do you have rest days?

Rest days are usually the hard ones for me since my insulin sensitivity goes down. I have a minimum of one rest day per week. There are some great sunset walks where we live in Santa Monica CA. It’s important to have rest days, since that’s when your body rebuilds and get stronger.

“When I work out, I’ve found that it’s much better for me to work out in the morning opposed to the evening. My sugars have a tendency to drop drastically in the night time, so I lean towards working out in the morning. Being able to stay motivated whilst maintaining good BG levels is extremely difficult.”

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What time of day do you like to work out? Have you found that working out at certain times are better for you and your BG levels?

My advice is to work out the time of day that suits you best. In the morning, you’ll have less insulin on-board so you’ll be less prone to low blood sugar. If your goal is weight loss, you might even benefit from morning sessions before breakfast. I do fasting cardio in the morning and resistance training in the afternoon/evening to build muscle mass. The key is to determine the right insulin level. It will depend on what you eat, your insulin sensitivity and how aggressively you work out.

Do you use a pump or injections?

I’m one of the rare MDI / CGM combinations. Pumps are awesome, but not for me at this time in my life. It’s still an extremely valuable tool and something I recommend for everyone who starts working out. I have very good control with MDI because I’m willing to inject 10 times a day if needed and test my blood sugar just as often.

How often do you test your BG and how do you record your BG levels?

Whenever I feel I need it. So it might be 10 times a day or it might be 8. I have a Bayer meter that saves all my readings so I can just download it when needed.

How do you stay motivated whilst managing low BG levels?

I guess I really don’t think about my blood sugar in those terms. My motivation to do what I do is not affected by my blood sugars. I manage them to allow me to do what I do.

How do you correct your BG levels without ruining the hard work you’ve put in?

By learning how much insulin and food to consume around workouts I hardly ever have low blood sugars during exercise. If I do, I treat it as it is; a medical emergency. I’ll eat 2-3 glucose tablets and either have a fruit strip and continue my workout or simply go home. A few glucose tablets and a fruit strip will never ruin your progress even if you are trying to drop weight. What will derail your progress is if you treat lows with candy or sugary soda.

What advice do you give to your diabetic clients when it comes to low/high BG’s when working out?

I always have clients track their activities, food, sleep patterns etc., and then together we work on determining why and when he or she is going low to reduce the risk of it happening

“As a mother, my schedule can be pretty hectic and fitting in a work out can sometimes be impossible. I like to do quick HIT workouts for a 20- 30 minute period or target one area e.g. my abs. My goal is to be working out a lot more than I currently do.”

Untitled-12

 

What advice would you give to me and to others who are struggling to achieve their fitness goals due to the hectic lifestyles or plummeting BG levels?

Even a little physical activity is better than nothing. First, decide what you want to achieve. If it’s cardiovascular health, focus on cardio. If it’s building strength, chose resistance training. Since time is a limited resource, you might have to focus your attention to one thing only.

I mainly do resistance training, because I think it gives a better return on the time I spend. Muscles help burn calories and increase your insulin sensitivity, so adding a little muscle mass is great for people with diabetes.

The reason why your blood sugars drop when you work out is that you have too much insulin in your system. So just as you learn your carb ratios over time, put in the time to get to know your insulin sensitivity after different types of workouts and adjust your insulin accordingly.

Look out for Part 2 of TheFitBlog guest post from Christel and Tobias on Nutrition. In the mean time if you want to read more about Christel and Tobias, then check out their blog at TheFitBlog. You can also find them on Twitter , Facebook and Instagram.

Amina xx

Snow day tips!

Yesterday, I was discussing the seasons with my son and now that it’s March we’d soon be able to see flowers blooming. However, this morning, we woke up to this!

snowfall

I love a bit of snow but I always have to take into consideration, how the colder weather will affect my BG levels. In most conditions, whether it’s hot, humid or cold, my BG levels always drop. So I knew I had to prepare myself, especially since I had the morning school run to do (which also meant I’d be driving) so yet another reasons to make sure my BG levels were under control. With all of this in mind, I’ve put together a list of tips on how to manage BG levels in the colder weather.

Test, test, test don’t guesstimate:
The cold weather can definitely affect your levels, so always remember to check your BG levels often. Frequent testing will allow you to avoid any high or low BG levels. Test before you leave the house. When I drive, I always make sure my BG is around 7mmol/l so today I started at 7.8mmol/l.

A few hours after school run……..

BGMETER

Stay warm:
Make sure you’re dressed in warm clothing. Wearing gloves will help to keep your fingers warm so that when you need to test your BG level your fingers aren’t completely frozen. Try to warm them up before testing so you are able to get enough blood. Although I had gloves on this morning, my hands were still a little cold, so I used the car heater to warm them up. Also make sure you wear comfortable and warm shoes with a good grip that will protect your feet and keep them warm to ensure good circulation. Keep your feet well moisturised and check them regularly for any cuts or cracks etc.

Glucose:
Make sure you take some form of glucose with you when you leave the house. Choose glucose that will not freeze in the car. You need something that is easy to access in case of a low BG. I have a secret draw in my car where I hide snacks and juice boxes just etc. Just in case my BG decides to drop.

Protect your insulin and devices:
Just like hot weather, the cold weather can also affect your diabetes accessories. If you wear an insulin pump, wear the pump close to your body, under layers of clothing. In extreme weathers, insulin can break down and become ineffective. Also make sure your BG meter is in its case. I usually wrap it in a towel, if I’m travelling in the car for a long period of time in the cold.

Stay active:
The cold weather can make you want to just snuggle up in a nice warm blanket with a hot cup of tea or coffee. Nevertheless, you should try to keep yourself active during these colder temperatures. When you move around it will help to keep BG levels lower even when the weather isn’t a factor. Just because its cold and snowing outside doesn’t mean you can’t enjoy the weather. I like to play in the snow with my children, building snowmen and throwing snow balls.Exercise is key!

snowboots

Cutting back:
Because my BG levels like to drop, this usually means I have to adjust my basal rates. If you notice a change in your levels then contact your healthcare team so they can help you adjust your rates.

 

Amina xx

 

A BS kinda day!

*BS  as in  Blood  Sugars*

Unless you are a diabetic or a person who has a loved one who suffers from diabetes, you may have no idea what diabetes is all about. How constant it is and in actual fact, how life threatening it can be. It is a hard condition to manage and you may not even consider the daily vigilance an individual needs to have, in order to keep a tight reign on their blood glucose levels.

I thought the best way to develop an understanding of what day to day living with diabetes can be like, was to give you a glimpse into the sort of days I can have. Every day is unpredictable.

SHSL-BLOOD-SUGARS

So here goes

December 15th–  I decided to pick a random crazy day, so you can truly see how up and down sugars can be. The day starts with the night of the 14th.

 10:37pm – Blood sugar reading – 6.5mmol/l 

The perfect Blood sugar reading to go to bed with. After a heavy pasta dinner that night, I’m pleasantly surprised. I usually aim for a BS between 6.5 -7 mmol/l  before heading off to bed.  Although 6.5mmol was a great reading, it’s become a habit to always make sure that i’m prepared for any lows in the night. It saves me from having to make that journey down the stairs, or disturbing my husband. Although he say’s,  “he doesn’t mind”. I sometimes feel bad that I’m disturbing his sleep too, but if I really can’t make it I do ask him.

Nighttimehypo

I head off to bed and a few hours later I reach a point in my sleep, where I’m fighting to open my eyes. I’m using every last bit of energy I have to try and get myself up. It isn’t just the feeling of being tired and not wanting to open your eyes. It’s a real struggle, one which means your draining every last bit of energy you have in your body. I tend to have this feeling, when I’m hypoing, but you can never be too sure so I decided to check my blood sugar level.

02.36 am – Reaching for my blood glucose meter I feel very weak. My pj top is soaked. It’s definitely a hypo. Thank god I brought up all those goodies the night before. I check my sugar level and low and behold, I’m having a pretty low low.

Blood sugar reading – 3.4mmol/l

To correct my low blood sugars I usually give myself  15g of fast acting carbs. This usually comes in the form of Lucozade (which by the way isn’t so great in the early hours of the morning).

But this is diabetes, being forced to wake up in the middle of the night to eat or drink something, when all you want to do is sleep. I dare not just go back to sleep!

So, after having my Lucozade I waited 15 minutes, I sat on the edge of my bed in my sweaty pjs. NICE! I watched the time as it ticked by slowly.

The thing about hypo’s are, they can make you feel quite ravenous.  In that momment, you’d do anything to get back to feeling more like your usual self again. Knowing that the food consumed will allow me to return to this normal state, sometimes I am guilty of consuming more than the 15g and waiting for my BS to increase.

Resisting an over correction is one thing but on that night I found I wasn’t able to wait the full 15 mins without checking my BS level again. 7 minutes later, at 2.43 am, when I tested my BS I got a reading of   3.4 mmol/l. Hmmm it hasn’t budged yet!!!

Do I wait till I reach the 15 Mins?

Nope!  I go straight for the apple and satsuma.

02.55 am  – And  yes I’ve  finishedboth fruits in record time. BS reading  is now 4.0 mmol.l. Great finally its starting to come up! I wait a little bit longer and test my BS at 3.30am 5.0 mmols/l. Maybe I was safe to go back to sleep now. At this point I’m feeling even more exhausted than ever.  In a sitting position I rest my head against the headboard and fall into a very deep sleep, until my alarm goes off at 6.30am.

 

07.31 am – BS reading before breakfast 6.0mmol/l

  

The rest of the day went a little something like this….

13.09 BS reading before Lunch

17.10 BS reading before dinner

22.32 BS reading a few hours after dinner.

This was definitely a rebound BS.

*Rebound otherwise known as the Somogyi phenomenon. This sometimes occur when the BS level drops very low and then rebounds very high, causing a high BS level.*

I’m happy to report that after a crazy couple of hours my sugar settled and fell more in the normal range again. PHEW! So just remember, the next time you see me looking all tired, or I make mention of feeling exhausted. It’s possible that I had a crazy night like this one.

Thanks for stopping by  Amina x

Insulin gone bad

insulin

How do you know if your insulin has gone off? Does it smell bad? Does it look bad?

The question of insulin being off is indeed a preemptive one. Of course, there are certain ways to examine the insulin, but still one can never be completely certain that, the insulin being used is in fact ok to use. There are a few precautions that can be taken to make sure that the insulin isn’t ineffective. These steps are:

(1) Always checking the expiry date on the vial. Is it expired or not?

2) Is it cloudy in appearance with clumps that don’t disappear even after rolling the vial in between your palms?

3) Did you store it in a very hot or very cold environment?

(4) Does the insulin look stringy?

(5) Has it changed colour?

A few other things to consider, which could affect the performance of the insulin are:

(6) Has the insulin vial been opened for more than 28 days, stored either at room temperature or in the fridge?(depending on which insulin type you have,  the number of days differ)

(7) Has the rubber on the vial been punctured several times, due to only small amounts of insulin been used?

If all checks are made correctly, then it will help you avoid using insulin that has gone off.

So, what do you do, when you think you’ve made all these checks and the insulin seems fine? Of course you use it just like I did a few weeks ago…..

I decided to change my pump site and used an unopened vial I had left over from my Summer vacation. As usual, I inspected the vial to make sure that it was still in date, that it was not cloudy in appearance with clumps and I knew that it was stored in the fridge.

During my vacation, I transported my insulin in a Frio bag. When I arrived at my destination it was significantly hotter so I then put my vials directly from the Frio bag into the fridge. Keep in mind the FRIO bag can be used for up to 52 hours and it will maintain the temperature that the insulin vials need to be at.  However, when I initially went to put the vials in the fridge, it seemed warmer than it should be, so I adjusted the dial and waited . The fridge cooled down so I put my vials inside. This one vial was never opened and remained in the Frio bag and then in the fridge throughout the entire vacation until I returned home.

I changed my site, bolused, had my breakfast and off I went to take my son to school. I came home, checked my blood sugar and it was  9.5mmols/l.

Hmm! Ok,  that’s great for a workout.

I worked out and what usually happens is that my sugar will drop. In this case, my sugar was 16mmol/l. I decided to give myself a bolus to bring my sugar level down. I waited and tested it 15 minutes later, only to find out that it had now jumped to 20mmol/l. I then thought that maybe it was the site, where I had put my insert and that maybe I should change it. So, that’s exactly what I did.  I got a new insert, syringe and used the same vial of insulin. (At the time I didn’t realise that the cause of my high sugars was in fact due to this insulin vial.) I changed my site and decided to bolus again to bring my sugar down. I waited a further 15 minutes and checked my sugar level, which now read a shocking 25mmol/l on my blood glucose meter.

What on earth was going on?

It wasn’t until then that I had the thought that, maybe this vial of insulin wasn’t good. I  decided to do my checks again.

(1) I looked at the expiry date 07/2017. It was in date so that wasn’t the problem.

(2) It was stored in the fridge and the fridge is in good working order and it was kept at the right temperature. Plus I’d transported it correctly throughout my vacation.

(3) It wasn’t stringy.

(4) It hadn’t changed colour.

(5) The vial had not been opened and therefore it still had the orange cap on it and of course it did not have any punctures in the rubber.

(6) I took a good look at the insulin, it seemed ok. I then decided to take a good look at the vial whilst holding it in front of a light and then I realised it was cloudy with a few small clumps in it. I then rolled the vial a few times in between my palms and the clumps remained . The insulin had gone off, which would explain my crazy high blood sugars. I throw the vial away immediately. I didn’t quite understand, when the vial had, had a chance to go off. I had taken all the necessary measures to ensure it would be ok, but I guess it must have been affected at some point.

To bring down my sugar I took a syringe and a new vial of insulin and injected 6mmol/s directly into my leg. I checked my sugar after 15 minutes and it had started to fall and it had come down to 23mmol/l. It then took nearly the entire day of bolusing and checking my blood sugars before they came back into a range that I’d concider good. I felt absolutely drained from all the elevated blood sugars I’d experienced that day. I had ketones in my urine, but thank god they slowly disappeared as my sugar came back down.

If you suspect that your insulin is indeed ineffective after doing all the checks, I would get rid of the vial immediately and open a new one. Remember, once a bottle of insulin is opened, not all insulin has the same open expiration date. For example Novorapid, once opened must be thrown away after 30 days for a 10mL cartridge and 28 days for a 3mL cartridge and penfill.

 Amina xx

 

 

 

 

 

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The Good, The Bad and the Ugly!

stethoscope

We all know that when it comes to managing our diabetes, how essential it is to have a good doctor or consultant. During my time living with this condition, I can honestly say I’ve had less than a handful of good doctors. By “good” doctor I mean a doctor who will converse with you and not talk at you. A doctor who will give you advice whilst listening to your suggestions because after all you’re the one living with this condition on a daily basis. A doctor who takes your appointment just as seriously as you do and doesn’t make it a joke. A doctor who is just as dedicated as you are in helping you achieve something out of that 20, 30, 40 minute appointment. A doctor who actually cares about you and doesn’t scrutinise every low or high BG reading they see written down.

As a child I had great doctors, who explained everything to me and my parents and made me feel at ease. It wasn’t until I was moved to the adult diabetes clinic (which by the way was very daunting at 18), that I actually started to experience first-hand what dare I say a” bad” doctor was. Ever since I started at the adult diabetes clinic, I’ve had doctors who haven’t taken my appointment time or me very seriously. They were quick to point fingers, didn’t want to hear anything I had to say and personally I think they weren’t right for me or my diabetes.

I dreaded every appointment and would leave the appointment without any new ideas on how to work towards managing my diabetes even further. My time had been wasted and all I had to work with was negative and useless facts. On a positive note, I must say the nurses have always been a very strong support system in the clinic and in most cases they were better than the doctors I’d met.

I was also very fortunate to experience good doctors during my pregnancies, which is a completely different ball game. The doctors during my pregnancy set a very high standard, which made me fearful to return to the doctors I had previously. They were thorough, patient, caring, everything you’d expect from a good doctor. Nevertheless, before I was transferred back to the adult diabetes clinic, I decided to talk to the diabetes consultant. He helped me get through my pregnancies and knew all about my concerns when it came to finding the right doctor. He recommended a new doctor who was due to start at the diabetic clinic, so I went with it. When I finally got to meet this new doctor, I was extremely anxious because I had no idea who I’d get.

“Would it be the good doctor or the bad doctor?”

Well, I’m glad to say that this time I got a great doctor. He introduced himself and then instead of asking me a million and sixty question about my diabetes, I could tell that he had read my files. He’d looked at the notes beforehand and knew exactly where I was up to. Great! No silly questions like,

“When did you become diabetic?”

He did however ask me to present my sugars and my BG meters. He downloaded all the data and I waited for his reaction to some of my low lows and high high’s. I braced myself for a good telling off, but nothing came. He made notes and really studied my BG levels. Then would you believe we had a conversation about where and how we could tighten things up. He didn’t say, “Why was it so low here? “Why was it high there?” or “What did you eat here?” We all know that sometimes we can’t even remember what we ate the night before, let alone that Wednesday night six months ago.

So far so good. I gave him a thumbs up!

We went over everything from blood results, to trying out different setting on my pump, to exercise. We covered everything. What I really liked, is that he set out a goal for the following appointment. We discussed basal testing (this is the background insulin) at certain times where my sugars were a little crazy and to not freak out and over bolus (give myself too much insulin) when I see my BG going too high. I left my appointment feeling like I had achieved something out of the time. It wasn’t time wasted like it used to be. I felt determined. I was going to meet the goals he had set out for me. I was going to do it, not for him but for me!
To be continued…………

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I usually have a few questions I ask myself when I’m meeting a new doctor. Will this doctor help me on this difficult road I’m on? Or will he make my journey that much harder?

Here are a few of the things I ask myself:
– Is the doctor empathetic: Does this doctor try to understand what I am feeling and experiencing, physically and emotionally and can he/she communicate that understanding to me?

– Is the doctor forthright: Can this doctor tell me what I need to know so I am able to understand everything clearly?

– How respectful is this doctor: Does the doctor listen and take my comments seriously and works with me?

– Is this doctor caring and patient?

– Is this doctor thorough, conscientious and persistent?

– Does this doctor have substantial diabetes knowledge? For example, current events, CGM sensors, blood glucose meters and pumps etc? Because what’s the point in talking to a doctor who doesn’t even understand how the pump functions?

If you’ve not figured it out yet, having a good diabetes doctor is extremely important when it comes to managing your diabetes. I do believe sometimes you have to experience the bad before you are able to know what is right for you. I hope at least that my post will help you when it comes to finding the right doctor for you.

Thanks for stopping by
Amina xxx

 

Talk about your medicines month

This month of October marks the calendar as “Talk About Your Medicines” month. The American Recall Center invited me to talk about the medicine I use. I hope that this will help to spread further awareness for diabetes.

What’s my medicine?

My Medicine is Insulin. Insulin is a hormone which is produced in the pancreas.
As a type 1 diabetic, I am unable to produce insulin and must administer a synthetic engineered form into my body. It is essential that I inject insulin into my body on a daily basis. I greatly depend on it and it is vital for my survival.

“I am insulin dependent.”

My insulin therapy started over 20 years ago now and it will be with me for the rest of my life. You may or may not have gathered yet but insulin is not a cure for diabetes. As Dr F Banting once said, “Insulin is not a cure for diabetes; it is a treatment. It enables the diabetic to burn sufficient carbohydrates, so that proteins and fats may be added to the diet in sufficient quantities to provide energy for the economic burdens of life.”

Having this chronic disease means that I have no choice but to take this medicine if I want to live a healthy lifestyle. It allows me to live in general. Without it I would be extremely ill and my day to day functions would be limited.

When I was first diagnosed, without my natural insulin production, it took a matter of a week before I became a skeleton. I was weak, constantly consuming what seemed to be gallons of water and daily living became a struggle. The lack of insulin in my body meant that I couldn’t function well. “I was wasting away!”

Starting my insulin therapy impacted me greatly. I had to learn to accept it and trust that this medicine would help me be well again and allow me to be myself again. It was a big change in my life, but remembering the feeling of sickness I had felt before my diagnosis, made me want to be healthy and normal again.

How do you remember to take your medicine?
Remembering to take my medicine can be difficult at times. However after 20 years of living with this condition, there really is no room for forgetting to take your insulin. I’ve made it a priority and it has become a part of my daily routine. Having to calculate carbohydrates I consume forces me to remember to take my insulin. I won’t lie, I have on occasion forgotten to take my insulin. However, I usually remember during my first few bites of a meal and quickly give myself a bolus(dose of insulin). It really isn’t an easy job at all. It’s constant, everyday, night and day. You can’t really escape it or say, “Ok I’ve had enough” or, “oh no! I skipped that dose. Never mind I’ll take another dose tomorrow.” It just doesn’t work like that.

Where do I go for medical support?
For medical support I usually attend a Diabetes clinic. If I have any concerns I tend to reach out to the clinic and also to my GP. I am free to make contact with them during the week. Nevertheless, medical support during the weekend is limited to going to the hospital.

Advice for others
As a newly diagnosed patient about to start a course of insulin therapy. My advice to you is to remember, diabetes and insulin therapy is an enormous and daunting prospect to come to terms with. The concept that you will have to take this medicine for the rest of your life is a lot to contend with. Accepting that this is now your fate, is key to maintaining and managing your diabetes. You must make it your business to learn as much as you can about this condition and its treatment if you want to live a healthy life.
Take it step by step and try to do the basics, e.g. taking your insulin before meals, testing your blood glucose levels and taking note of what your levels are at certain times. Don’t be afraid to ask questions, consult your doctors about the insulin therapy your about to commence. Something that really helped me was to connect with other diabetics both newly diagnosed and diabetics who had been living with the condition for years.

What drug interactions must you be aware of?
When I was first diagnosed I had no idea about different drugs interacting with my insulin. It wasn’t till later in my diabetes life, that I began to understand that there are many drugs which in fact can interact with insulin, drugs such as Aspirin, oral contraceptives, anabolic steroids, thyroid medication and many more. Consulting with your GP is the best thing to do. They will be able to tell you exactly what drugs can interact with the type of insulin you are taking.

The risks and benefits of taking insulin?
The major risks involved in taking insulin are taking too much or too little. This can have a severe effect on your blood glucose levels and can cause hypoglycaemia or hyperglycaemia. Taking the correct dosage is very important.
The benefits of taking my insulin is that I am healthy. Even though I am dependant on it, without it I wouldn’t have been able to achieve many things in my life thus far. Would I be the adult that I am now without it? In all honestly I don’t think I would be the strong, determined individual I am today. This medicine has been instrumental in helping me face my condition. Without my insulin I would not have been around to encounter all of life’s challenges.

What do you wish you knew before taking insulin?
I wish at the time of my diagnosis I knew more about insulin and how it worked. Also I wish I had a better understanding of how soon my insulin/s peaked.

Taking you medicine is crucial when you are a diabetic. However, it is also very important to know more about the medicine you are taking. Don’t take it blindly without knowing more about it and how it will affect you. Being a diabetic is extremely arduous but try to stay positive, be patient, stay determined, reach out to others when you need the support and most of all remember to take your insulin.

Amina xx

Life’s Blessings

So let me start by apologising to my readers for being away from my blog for the past few months. A lot has happened since I last posted but i’m back and I hope to be posting more frequently.

Life is amazing and can take you on so many different paths.  My life took a turn and I was very blessed to have a healthy baby girl

mami susu handSumayah sleeping

As you may or may not know diabetes and pregnancy is not so straight forwards. Diabetes is constant, twenty four seven, seven days a week, three hundred and sixty five days a year and every single second of the day. There’s no break! Now let’s throw pregnancy into the mix. Every worry, stress, discomfort and anxiety I have with just the diabetes alone was trebled. I no longer just had the responsibility of just managing myself and my diabetes. I was now caring for this precious life growing inside me. This gift which was now my responsibility. On top of all of this I also had to make sure my four year old son was cared for and entertained.

Although this was my second pregnancy, it was completely different to my first. In terms of how my sugars behaved, my insulin requirement during the pregnancy etc.  With my first pregnancy I definitely stressed myself out mainly due to blood sugar levels and I found that this time it was no different.  I think it’s a natural feeling to have in the beginning considering how important this journey is.

I’ve learnt to think of it in this way. I have to be able to create the best environment, the best condition for my baby to have the best start in life. Good sugars, good control, being vigilant, being involved in this whole process from the beginning to end and a lot of prays equals a healthy baby. God willing.

I also realised that even though stress is a part and parcel of the pregnancy it is still crucial not to let the stress take over completely. Stress can definitely interfere with sugar levels and I know that all too well. I had to remind myself of this and although still being vigilant I also had to let go of the worry a little and leave it in god’s hands.

beachThanks to my brother for sending me this picture during my pregnancy of his trip to Mexico. It was a great de stress tool. Also long deep breaths and sleep when I could fit it in.

 

I can honestly say that this pregnancy journey was extremely challenging. However the end result makes every emotion I felt, every difficulty I went through worth it. To all the D mums currently on this journey or about to start this journey. Be patient, stay strong and be positive. Try your best and remain stress free.

 

 

Amina xxx

Let’s make it happen together!!!

1.  Push for the best results for you

2.  Stay strong

3.  Be determined to reach and keep within that normal range

4.  Do what you’re supposed to do, ie test sugars levels, eat well, take your insulin, exercise (find something active that you love and can maintain).

5.  Overwhelmed don’t suffer by yourself 

STAY POSITIVE

6.  Remember a down day is normal. Everyone has their down day!

7.”Take responsibility and control of it, before it controls you.”

Get creative with diabetes #3 – This is to the mum’s

PARENTHOOD & DIABETES

 

This is a shout out to us “the diabetic mums”

The mum’s who live each day in constant turmoil with this ever so perplexing condition,

The mum’s who carried you for nine months,

Stressed about their sugars,

Concerned that they may swing too low or too high,

Ever so fearful for their unborn child.

The mum’s who give their all, their love, their support,

The ones who are right there through every blood glucose check fighting for your campaign (The D).

This is to the mum who cried and struggled all night with her sugars, but is always up the following day ready to greet you with a smile.

The worrying mum who worries inside, without a sign she remains positive and strong.

She waits calmly, patiently for that number to appear, ready to take action in an instant.

This is to the mum’s who, persist, stays determined and are very passionate about their D.

They feel no need to hide it or be embarrassed by it.

They share their knowledge, their life and experiences.

They educate one, they educate them all.

This is to the mum’s, who long after they’ve said their good nights and tucked you up in bed,

Come back and linger about you,

Glancing at your pump and inspecting your sugar level, all in hope that their little one is doing well.

This is to the mum’s who still fight for your D even now that you’re gone.

This is to the mum’s, who don’t like to get involved,

Aren’t open to talking about the D

Their expressions says I don’t care or it’s all your fault.

However deep down inside they want nothing more than to see that you’re healthy and well.

This is the mum’s who give priority to other things besides their D.

Neglecting and forgetting themselves, they suffer in silence too afraid to ask for help in fear of what people may say.

And

This is to the dad’s with or without D who’ve loved, feared fought for us and been the bravest of them all.

Amina xx

The curious Peanut boy

My 3 year has a very inquisitive mind and could absolutely drive you mad with the millions of questions he can come up with. isa scooterHe never wants to hear the straight forwards answer. He always wants the answer with detail. He loves learning about new things and is absolutely obsessed with everything from Space, to Volcano’s and the sea. His favourite subjects of discussion right now are the human body and my diabetes.

I’ve never felt that I have to hide my diabetes from anyone and it has never been a secret to my son either. He is very use to seeing me changing my inserts, playing with my insulin pump, pricking my fingers and he’s even found strips I’ve dropped in some place or another. If I’m guzzling down a sweet drink, he’ll ask me, “Mami is your sugar going low, low, low?” He’s very brave and has come to understand that in situations where my BG is dropping, that I need something sweet. He’ll run to my “special” cupboard of sweet goodies and bring a whole selection of foods and drinks. Of course he’ll wait patiently, smiling his biggest smile, waiting to get his sweet or sip of my drink hahaha! 

I guess right now he’s just taken a strong interest in my diabetes. Instead of just being an observer he wants to get involved and help me with anything diabetes related. He has even asked me a few times to test his blood glucose level and is starting to understand what a good number and bad number is. He’s even asked me if he can insert my insert. On many occasions he’s been with me at my diabetes appointments, taking it all in.

I recently made the decision to teach him how to dial my husband’s number, family members and even the emergency services. Just in case I may need any of them and he is the only one there. Thank god this has never happened and I pray I don’t need him to call anyone in an emergency. Surprisingly enough I ask him from time to time if he remembers and he recalled every instruction and number I gave him. He never ceases to amaze me.

Being a mother with diabetes I feel that it’s very important that my son knows about my condition and doesn’t feel ashamed or afraid of it, but instead that he knows every aspect of it. His recent curiosity and approach to diabetes makes me very proud. He has a great deal of awareness of what diabetes is and how it affects me. Now that he has taken an interest I try my best to include him in what I do on a daily basis. If he has any questions I always give him a good answer. He now knows that although he doesn’t have it the lady in his life (his mami) does. I’ve come to realise that although it affects my life ultimately it also has an effect on his life.

I really hope that other mothers and fathers with diabetes will be able to read my post and not feel that they have to hide their condition from their children. Include your children and don’t feel ashamed to share this aspect of your life with them.

Amina xxx

No strips and expired strips!

As a T1D I know how important it is to have blood glucose strips which aren’t out of date, an expired strip could potentially give me the wrong blood glucose reading. Let’s face it that number that appears on the meter is so important, because as a diabetic I live by the numbers which appear on my meter. It allows me to confirm whether I have a low, high or a good blood glucose level (4-7 mmol/l).  Depending on what the outcome may be I can then act by either treating my low, high or just do nothing but record my level. Knowing my BGL’s are of great importance and it is just as significant as my insulin. My insulin and test strips are pivotal to me being able to manage my diabetes to the best standard possible. Unfortunately I can’t say that I’ve always had an abundant number of strips available or never been faced with expired test strips. I’d be lying if I said that has never happened to me.

That night I realised I used expired blood glucose strips……………..

I was woken one night because I just didn’t feel right. I felt as if my sugar was high. I reached for my blood glucose meter and realised I’d run out of strips. Actually I knew I didn’t have that many strips available the night before and had used the last one before bed. Therefore I checked in my usual back up strip storage places and couldn’t find a thing. My next move is always to go to my other blood glucose meters (x1) and see if there might be any strips in there. Yup I found nothing! So I decided to dig out some old meters (how I did this half asleep I do not know). By the way I have one really ancient meter with no battery and the other was the same as my (One touch Ultra Easy).

I opened up the case for the meter and (bling) I’ve never been so happy to see blood glucose strips and a full tub of 25 strips.  Without even looking at the expiry date I grabbed a strip, pricked my finger and tested my BGL.

HIGH

“WHATTTTTTTTTTTTTT?” OK I felt that way so at least I’m able to recognise my high symptoms.

I don’t know about any of the other T1D’s but the very few times I’ve had a reading that just says high or low on my meter, I totally freak out and want to correct it right then and there! I corrected it with a bolus and then I gave it 30 minutes to see if it would come down. I drank some water because strangely enough that seems to help too. Anyway finger prick number two, I expected the reading to be lower. My meter then produces another reading of

HIGH

“WHAT!! WHY HASN’T IT COME DOWN?”

I actually started to feel a lot better but then silly me instead of trusting how I was feeling.  I then corrected again! I waited another 30 minutes and at this point I started to feel a little low. It just made no sense. I then decided I’d go and wake my husband up who was actually already on his way to me.  I got him to test his BGL which read

HIGH

Side note: My husband isn’t a diabetic so really his BGL should have been within the norm.

I quickly checked the expiry date on the tub and saw that it was out of date by a year {{shock horror}} so all my readings had been incorrect to start with. I couldn’t do anything but at this point I felt as if my BGL was extremely low so I treated it slightly and waited until I felt OK. It was already morning I stayed awake and went to pick up my prescription as soon as the pharmacy opened.

My advice to all the diabetics who use test strips. Please make sure you have sufficient strips and strips which aren’t expired. This experience was extremely scary for me and an experience I’d rather not find myself in again. Having strips and strips that aren’t out of date is so crucial!

Has anyone else ever found themselves without strips or used expired strips without initially knowing? I’d love to hear your experiences.

Thanks Amina  xx

#Wordless Wednesday~ What’s in your Mary Poppin’s bag?

This is my first wordless Wednesday post and it was inspired by one of my fellow D bloggers a1-Conceive! In her post “The day I lost it at the grocery store…”, she mentioned how us D ladies usually have to carry huge bags so huge that in fact they resemble Mary Poppin’s bag in size. So the pictures below show my MP bag today and its content.

bag1

insidethebagnumbers

1)Lucozade 2) Makeup 3)Glasses 4) Inserts and syringes 5) Novorapid Insulin and Glucagon 6) Purse 7) Peanut boys books 8)Blood glucose machine 9) Car Keys 10) Key chain  11) ohhh and the little green car that belongs to my peanut boy.

MORE WORDS THAN PICTURES OPPS

What is it about coffee?

Kaffee

© ram69 – Fotolia.com

Coffee  커피  قهوة  café Kaffee コー​​ヒー

Is coffee good or bad for diabetes? Hmmm!! This is a question I‘ve been asking myself ever since my blood glucose levels (BGL) started to wreak havoc.

As a child coffee was always painted in such poor light. It was something I was never allowed to have. I was told it would stunt my growth and that it was really bad for me. All the adults around me were drinking it so why was it such a bad thing? The smell it produced was amazing, it made me curious. “What was it like? Why was it so bad for me?” What made even less sense was that I was allowed to have milky tea, which made me happy because all the adults were drinking it too.

Side note: I also love a good cup of tea. Tea however doesn’t seem to affect me in the same way that coffee does.

As I grew I started to drink coffee, I’d drink one or two cups every week. I loved a good cup of coffee. It didn’t hurt me or affect my diabetes in anyway so I continued to drink it. Since I married my husband (who is a mega coffee drinker), I’ve drastically increased my consumption. My one to two cups every week increased to two to three cups in a day “shaking my head”. But I “love” coffee!!! Recently I began to realise that maybe coffee doesn’t love me back.

Every time I’d drink a cup of coffee I noticed that it increased my BGL with no sign of coming down. Also if I ever ate after consuming a cup of coffee my BGL’s would increase even more, forcing me to correct it with a bolus (insulin correction) to bring it back down.

I decided to do some reading about coffee and its possible effects on type 1 diabetes. A lot of the articles and papers I read were very confusing. Some of the articles would express how beneficial coffee was to diabetes and other articles would point out all the wrongs with coffee and diabetes. I think the reason for this conflicting information is because, coffee contains several types of chemicals and some of these chemicals are beneficial whilst others potentially aren’t. This is due to the fact that caffeine is able to impair insulin sensitivity.  In a person with type 2 diabetes this will increase BGL slightly, however with a type 1 diabetic BGL will increase a great deal and will require a bolus to reduce BGL.

FYI: coffee has many benefits it contains polyphenols which have been known to prevent illnesses such as type 2 diabetes. It also contains many nutrients such as magnesium and chromium. The nutrients have been known to improve insulin sensitivity. (Note to self I better get some magnesium and chromium supplements)

According to 2011 “Breast Cancer Research” studies show that coffee contains numerous phytoestrogens, which are chemicals found in plants that sometimes act like the hormone estrogen in your body. The role that phytoestrogens play in your body varies, however, with some mimicking estrogen and having the same effects as this hormone and others blocking estrogen’s effects. Coffee appears to have both varieties and factors like its preparation method, filtering or boiling may influence how much of each type you take.

After all my reading, I made the decision to give the coffee a break and do a detox (I will do a more detailed post on my detox in the future), to cleanse my system and also to truly find out if it was the coffee that was affecting my blood glucose levels. I actually stayed away from all caffeine during the detox, so no tea as well. During the detox my BGL remained stable (no crazy lows or highs).  After two weeks of detoxing I slowly reintroduce the tea first and my BGL continued to act as it did during the detox.

I then reintroduced the coffee to see what would happen. I decided to only consume 1 cup of coffee every day in the morning. The first 2 days of drinking the coffee caused my BGL to rise beyond belief.  I would always have to correct with a bolus.

Was this the end of my coffee drinking days? L

I did some more reading and found a few articles which mentioned that a regular high caffeine intake has been linked to better insulin sensitivity. I decided although my BGL had been rising, that I would increase my consumption to 2 cups a day.

Day 3, the strangest thing happened. That morning I started my day with my usual routine of BGL check (7.2mmol/l) and my usual cup of coffee. I then checked my BG after an hour and to my surprise my BGL was within the normal range (4mmol/l – 7mmol/l). What did I do differently? Nothing at all!

My BGL continued to stay in the normal range so I had my second cup of coffee that evening.

Then day 5, my BGL started off in the normal range and then they began to drop almost after every meal. I struggled to get them up and it took a lot of glucose/carbohydrate consumption to get it within a normal range.  Day 6 and 7 were pretty much the same. I had to have my emergency hypo kit to hand all the time.

Week 2, I decided I would go back to having my 1 cup of coffee, once a day in the evening. This seemed to slow down the hypos. I guess that everything in moderation saying does work out after all.

Another side track: I then found out I was pregnant and I completely stopped drinking coffee all together. After my little peanut arrived I made the decision to breast feed so I stayed away from coffee for almost a year. Plus the pregnancy and breast feeding brought a whole new set of hypo issues. My insulin sensitivity increased so much that my rates were nearly zero. My I: C (insulin to carb ratios increased) and ISF (Insulin sensitivity factor decreased), but I was still having hypos especially in the night. Naughty me I admit I even detached from my pump at times. As a matter of a fact even after the pregnancy my BGL’s lean towards the lower side. This is something that I’m working on with my diabetic team.

To answer my initial question, is coffee good or bad for diabetes?

I definitely think that coffee has an effect on BGL’s. In my case too much coffee increased my BGLs. After the detox and reintroduction of coffee my BGLs still seemed to rise. An Increased consumption of coffee resulted in a decrease in my BGL’s.  However I feel that the pregnancy may have been playing a big part in it all.

After a few years I’m now back to drinking coffee and I try to limit it to 2 cups in a week or less. I do find that on the days I drink coffee my BGL can drop  especially in the night. This month I’ve been really good and so far only had 4 cups. I don’t think I’ll ever totally give up on coffee but I will definitely moderate the amount of coffee I’m pumping into my body since it seems to have some sort of effect on my BGLs. Overall my nocturnal hypos have decreased.

Does coffee affect anyone else in this strange way or any other strange way? Diabetic or non-diabetic. Or is it just me? Hahaha

 

Avoid retinopathy

Let’s prevent retinopathy

How can we avoid these complications? Here are some of the steps I try my best to take to avoid complications.

1.      BLOOD SUGARS, BLOOD GLUCOSE LEVELS, BLOOD SUGARS. Get them as tight as possible. Stay within the target levels.I can’t stress how important this is. I try to test my BGL at least 8 – 10 times in a day.

Type 1 diabetic (adult) before meals should be aiming for 4-7mmol/l

Two hours after meals try to aim for less than 9mmol/l

Type 1 diabetic (child) before meal should be aiming for 4-8mmol/l

Two hours after meals try to aim for less than 10mmol/l

2.      HbA1c, A1c = Try to get this between 48 – 58mmol/mol (6.50% – 7.50%)

3.  Make sure blood lipids (fats) are in a healthy range.

4.      Get your eyes tested, every 6 months to a year. Let’s avoid any complications occurring.

5.      If you have high blood pressure, get this checked frequently.
125/80 (healthy range)

6.      I always try to eat healthy.

.   Stay Active. Get that blood circulating

8.  I always attend my annual diabetes check ups.

9. Look after your feet

ClearlyHealth

Don’t complicate it! Part 1

DIABETIC COMPLICATIONSAVOID, AVOID, AVOID!!!!!

This is what I think when I see, or hear  diabetic complications.

One of the reasons why I stress the importance of having good blood glucose levels and HbA1c control, is to avoid complications caused by diabetes. These complications can affect the eyes, the nerves, the kidneys, muscles and the heart. This is something which worries me a great deal. However my worries, drive me to want to have  better, tighter control of my blood glucose levels.

Complications are less likely to develop and are not as severe with diabetics who have good blood glucose level control.  If I can put in the effort to have the best control that I can, these complications are less likely to arise.

“Complications with a capital C”

Complication number 1

Retinopathy –  This is one of the complications which totally freaks me out.This complication causes damage to the retina. All diabetics are at risk of developing retinopathy, whether they control their diabetes by diet, tablet or insulin. There is a much greater risk, if your diabetes isn’t controlled well, if you have high blood pressure and if you’ve had your diabetes for a prolonged period of time.

Illustration of hemorrhage in retina - Diabetic Retinopathy

© Sophia Winters – Fotolia.com

Poor control and high blood glucose levels will cause retinopathy to occur. Over a period of time these high blood glucose levels, will affect the small blood vessels in the retina,  causing them to become inflamed and damaged without the patient’s knowledge.

Blood vessels burst causing haemorrhage and swelling. Blood leaks to the back of the eye (in the picture above, this is represented as spots near the vessels) and oxygen is unable to enter the retina. This results in the growth of abnormal blood vessels on the surface of the retina.  Without treatment, retinopathy continues to progress, eventually leading to blindness. Having good blood glucose control and ultimately a good HbA1c, will help to reduce the risks caused by retinopathy.

There are different types of retinopathy

1. Background Retinopathy (or non- proliferative retinopathy)

In this initial stage, many people do not notice any changes in their vision. These early changes are reversible and do not affect vision.  Diabetics must have regular eye checks to prevent these early stages progressing to a more serious stage of retinopathy. If this early stage occurs, it can be detected and monitored closely.

2.  Maculopathy:

Glucose build up in the eye and damages the small blood vessels in the retina. Diabetics can develop a condition called macular edema. Damaged blood vessels leak fluid onto an area of the eye called the ‘macula’. This part of the eye allows you to see fine detail.  With maculopathy the macula becomes swollen and can causes vision to be become blurred.

3. Proliferative:

As retinopathy develops, the retina becomes deprived of a good blood supply, due to damaged blood vessels. This causes blood vessels to proliferate (or grow). Due to a lack of oxygen in the retina and as the eye tries to repair itself.  This causes new brittle blood vessels to grow in the retina. These new blood vessels can bleed and grow rapidly. If this isn’t treated quickly it can cause vision to be clouded, resulting in a damaged retina. In severe cases this can cause retinal detachment, and glaucoma.

There are 3 main treatments used for diabetic retinopathy, which have been effective in decreasing the loss of vision.These treatments include,

To be continued…………………………….

My first hypo!

PrintLet’s face it you can never really be ready for that first “hypo”. “What was to come?” Although I’d read about the symptoms, I could never have imagined the way it would affect me. I wasn’t really prepared for the feelings I was going to experience. The most frightening thing about it all was that I didn’t even realise, that I was already beginning to go through some of these symptoms. In all honesty, I wasn’t sure! I had nothing that I could measure against and confirm that it was a hypo.

This was my first hypo experience!

Initially I felt hungry. But I just thought, “maybe I was just hungry.” Lunch was nearly ready so I waited patiently. I didn’t feel that I needed to alert my mother. “was it a hypo, should I say something?”.  Believe it, or not, my first reaction wasn’t to go and check my BGL. Although you’d think “well why didn’t she just do that?”. But remember I was a child of 11 and this was the first big responsibility I had ever had. A responsibility which I was still familiarising myself  with. I can only put it down to my inexperience and being new to my diabetes.

Unknowingly as my symptoms progressed, I felt and realised, that these were some of the symptoms I’d read about, “Perhaps I was having a hypo”. I remember stumbling over to my mother, feeling very upset, sweating profusely and telling her, “I think I’m having a hypo.” Her reaction was instant. She sat me down, gave me a sweet drink, which I gulped down straight away. She seemed to be moving at the speed of lighting. She tested my BGL, and we both looked down in shock as my blood glucose meter read 2.1.  In my mind I thought, “is that right?”  At the time,  I just knew that this was way below the normal level.

I felt absolutely awful, I was unable to do much for myself. My clothes were soaked from sweating and for the first time in my life I felt so unlike myself. I was confused by what was happening to me and was unable to move as fast as I would like to.  I quickly ate the lunch my mother had prepared. It took a few minutes for the sweet drink and then the food to take effect and for me to feel a little like myself again. Coming out of the hypo my tongue tingled, my hands shook and I was really exhausted. In my mind I thought,

“So this is what a hypo is? I must have been hypo’in for a while!”

It was a scary thing to go through for first time.  I can only imagine what it was like for my mother watching me go through this first hypo.  Even now,  hypo’s can still be very worrying and scary. My first reaction to feeling hungry or dizzy,  is to test my BGL as soon as possible. This allows me to decide whether it’s my BGL or if I’m just hungry. It’s really important to recognise at least one of your symptoms. If you don’t have symptoms, keeping a close eye on your BGL ‘s  is the only way to do it. Teach the people around you,  and make them aware of your symptoms and how they can help you. I can’t stress how vital this is.

How to treat mild and severe hypo’s?

  • The first thing I usually reach for is  a bottle of Lucozade. But any energy drink  or sweet sugary drink is fine. I consume 50mls, which increases my BGL instantly. The great thing about Lucozade, is that it taste great, its easy to consume and they recently started doing more flavours.

lucozade

  • Although my BGL raises instantly, in order to keep it stable I frequently follow up with some form of carbohydrate i.e. a banana, a slice of bread, raisins or dates etc.
  • I’ll  check my BGL at least an hour after my hypo.

I always carry some form of sweet drink with me (usually Lucozade, as they come in a smaller bottle and are perfect for carrying in a bag). I will also keep some gluco tabs or gluco juice handy. GlucoTabs are fast acting chewable dextrose tablets, which contain 4g of glucose and can be used to treat mild hypo’s. They also come in two great flavours (orange and berry). Gluco juice is a caffeine free shot-sized sugar boost that can also help to treat mild or moderate hypo’s. Each bottle contains 60 mls of juice, containing 15g of fast acting carbohydrates.

When hypo symptoms persist and a person is either unable to treat themselves, or they are  unconscious. Glucagon injections are used to treat the severe hypoglycaemia. This is a hormone which helps to increase BGL. When glucagon is injected, it is absorbed into the blood stream. The glucagon moves to the liver and encourages the liver to release glucose into the blood. The effect of glucagon isn’t immediate, it usually takes between 10 -15 minutes to raise BGL’s back to a safe level. I’ve never had to use the glucagon injection, as my hypo’s have never been as severe as this. However I always keep a glucagon injection in the house, for when I might need it.

glycogon

Your views

What was your first hypo experience like? How do you treat yours? If you’re not diabetic, have you ever observed a diabetic during a hypo, or been involved in anyway to help them etc? Because I have no experience using the glucagon, what are your experience’s of using one?

x Amina

Hyper or Hypo!

HYPO vs HYPERAs a Type 1 diabetic, I am all too familiar with high and low blood sugars. It’s a constant struggle to keep levels within a good range. When I think about it, diabetes and controlling BGL is quiet a scary prospect. People without diabetes may not realise the difficulty of managing their sugar levels, because the body does this automatically.

On a daily basis I’m faced with the complexity of managing, my sometimes unpredictable blood glucose levels. I’ve learnt that there are many factors which can impact blood glucose level (BGL) such as, eating too much, or not eating enough, eating on time, how much exercise I’ve done, stress, too little, or too much Insulin. It is extremely important to keep a close eye on what I’m eating, the Insulin I take and most of all my BGL. It all ties together!

What is Hyperglycaemia (Sugar High)?

sugar high

Hyperglycaemia – this occurs when blood glucose levels increase above 11mmol (200mg/dL) and circulate in the blood stream. High BGL’s over a period of years can lead to many type of serious complications. I will touch on these complications in another post.

Symptoms

In the weeks prior to my diagnosis, I began to experience symptoms which were consistent with chronic hyperglycaemia. I will just outline a few of these symptoms.

  • FatigueTiredness which I can’t even begin to explain. If I had to explain this, it would feel like running a marathon, with no water, under the scorching sun and no breaks. Absolutely zapped of energy! Then you’ll probably have a rough idea of the sort of exhaustion I feel.
  • Polydipsia – This is a frequent and uncontrollable thirst. (Hence the need for my huge 2L bottle which was permanently attached to my hip before my diagnosis.
  • Polyuria – Frequent Urination. I was permanently glued to the toilet. It was all day and night. From what I can remember, it was probably between (20- 30 times ) in a day.
  • Dry Mouth – My mouth was always dry. No amount of liquid eased this feeling.
  • Fruity taste – This is a very strong and almost sickly fruity taste, which resembles a really sweet pear. This is a sign of ketone’s.
  • Blurred Vision – My eye sight changed and I needed to wear glasses. Which I then wore for 2 years straight.
  • Weight loss Diabetic Ketoacidosis (DKA), this arises when there is a shortage of Insulin in the body. The body in response to this, lack of insulin adjusts and begins to burn fatty acids whilst producing acidic ketone bodies. My appearance changed rapidly. I’m naturally quiet a tall and slim figure so you can only imagine what I looked like.

What is Hypoglycaemia (Sugar Low)?

PrintHypoglycaemia – A hypo is triggered when blood glucose levels fall under 4 mmol/L or (72mg/dL). This fall occurs when, too much insulin is given or too little food is consumed.

My Hypo symptoms:

Hypo symptoms vary from person to person. Some diabetics have very few to no symptoms at all. My symptoms, and the way they happen have changed throughout the years. The biggest change was during my pregnancy. Its really up to the individual to learn their symptoms so that they can act quickly when they find themselves in this situation. However I’ll give you a general break down of the way my symptoms usually occur.

  • Initially I may feel hungry or dizzy – this hunger feeling is an urge to eat something quickly, for me it’s usually something sweet.
  • This is then followed by a change in my mood. Which can range from feeling irritated, angry, and I have even found myself getting upset over the smallest of things. At that moment in time, everything is blown out of proportion. I really believe that emotions, such as anger which may not be in a person’s characteristics may be brought to the surface, or exaggerated because the person is in a hypo state.
  • Change in temperature – Usually I will feel extremely hot. ”Over heated!” Almost like I’ve been made to stand in a sauna for hours. At this point I break out in a sweat.

If my symptoms progress:

  • “The shakes”. I am unable to stop my hands from shaking, followed by a tingling feeling on my tongue.
  • Concentrating on one thing at a time can feel really confusing. I develop the ”one track mind” and I tend to fixate on what is being said, with a need to defend myself, even if it isn’t directed at me.This quickly turns into silence, as I feel myself crashing. Unable to speak, and move, trying to preserve the last bit of energy I have left.
  • ZERO energy – to the point of collapsing.
  • In extreme cases diabetics are known to go into ‘diabetic coma’s’ and even have seizures . I have never experienced this and pray that I never do.

PrintOccasionally I’ve had hypo’s during the night. This is known as ”nocturnal hypoglycaemia”. I usually wake up in a confused state, feeling absolutely exhausted, with a piercing headache, damp clothing and sheets due to sweating.

Dealing with these symptoms can definitely be frustrating and testing at times. The huge responsibility, that comes with accepting my condition, whilst trying to manage it to the best of my ability is terrifying. I can’t say that any one symptom is more severe than the other, as the feeling of each one is severe in itself. As the hypo progresses the earlier symptoms are enhanced. Finding the right balance between food, exercise, and insulin will give you the best of BGL’s on one day. Then on another day this perfect balance becomes irrelevant, causing BGL’s to be disrupted. It really is a daily battle, one which can make other things seem so trivial. As hard as it can be,  I try to remember this,

“my rules of encouragement”

  1. ‘Push’ for the best results for you
  2. Try to stay strong
  3. Be determined to reach and keep within that normal range
  4. Do what you’re supposed to do, ie test sugars levels, eat well, take your insulin, exercise (find something active that you love and can maintain).
  5. ‘Overwhelmed’ don’t suffer by yourself 
  6. Stay positive
  7. Remember a down day is normal. Everyone has their down day!

“Take responsibility and control of it, before it controls you.”

I’d love to see your perspective in the comments! What symptom’s do you have? How do they progress? Have they remained the same throughout your time with diabetes? Any Type II diabetics have you experienced any symptoms? If you’re not diabetic, have you ever experienced being with or around someone who has suffered a hypo/hyper? Are you able to recognise that the person is experiencing a hypo/hyper? Maybe by a change in their mood, expression, or the way they are talking etc?

Test your sugar girl!

Blood glucose  levels = diabetes management

BE HEALTHY KNOW YOUR BGLA major aspect of being able to manage my diabetes is to regularly test my blood glucose levels. This involves inserting a test strip into a blood glucose machine, pricking my finger to draw blood and applying my blood to a test strip.

Testing blood glucose levels (BGL)  is a way for a diabetic to gauge what sort of  levels they are working with. For someone without diabetes this isn’t necessary,  as the body is able to keep the levels in a healthy range automatically. The body produces insulin and allows glucose to be released as energy.

What are the healthy ranges you ask?

In order for me to explain the levels a bit better. Please refer to my table below.

 Type Before Meal  2 hours After Meal
Non diabetic 4.0 – 5.9mmol/L Under 7.8 mmol/L
Type 1 4.0  -7.0mmol/L Under 9.0 mmol/L
Type 2 4.0 – 7.0mmol/L Under 8.5 mmol/L

For a person without diabetes, a normal blood glucose level usually ranges between 4.0mmol/l (72mg/dL)  – 6.1mmol/L (110mg/dL). After a meal, blood glucose levels may increase for a short period of time up to 7.8mmol/L (140mg/dL). With Type 1 diabetes there is the risk of blood glucose levels either raising (Hyperglycemia– this is when an excessive amount of glucose circulates in the blood) or dropping (Hypoglycemia – this is a  diminished amount of glucose in the blood.)

After years of testing, it’s something that you don’t really get use to. For me, it became something that I had to do, even though at times it can be painful, it can leave marks and has hardened my finger tips. The harsh reality is,  that it is a crucial part of being able to manage your diabetes.

How I manage my blood glucose levels

From the very beginning (at the age of 11), I tried as much as I could to take and record my BGL by myself. This was something which was encouraged during my time in the hospital and also at the diabetic clinic. However my parents supported me with this, but never pressured me. I felt comfortable to check my BGL and even inject in front of them and my siblings. They continued to except me for me, and never made me feel any different to them regardless of my condition.

Throughout my 19 years as a diabetic, I’ve gone through my fair share of blood glucose machines. There is such a wide variety of blood glucose machines out there. Most blood glucose machines work in the same way. In the sense that you get a blood sample and a blood glucose result in the end.My first blood glucose machine was big and bulky, required a large sample of blood and  took much longer to produce a blood glucose reading. I was advised by my diabetes team to test my glucose before and 2 hours after my main meals. My blood glucose levels (BGL) would then be recorded in a log book like this.

log book 3

The log book  allowed me to make notes of my insulin doses for that day, week etc. Also any general notes I wanted to jot down could be written in there. Now that I use an insulin pump my log books have changed and I tend to test a lot more frequently.

LOG BOOK

My blood glucose machines now are a lot more advanced and allow me to study the data a lot more closely. I enjoy formulating patterns and occurrences in blood glucose levels etc. (I think this is just the scientist in me). However, it does help me make changes or suggestions to my diabetic healthcare team during appointments.

The right machine

Here are the machines I’m using at the moment.

BGL MACHINE1

It’s always good to have a backup machine. Choosing the right machine is extremely important, because essentially it will allow you to know what is happening with your BGL and help  you to keep within a healthy range.  Personally, I prefer something that is small, easy to carry and requires a small blood sample.

Some insulin pumps, like the (Animas vibe) have the capability to continuously monitor blood glucose levels. These continuous CGM (Continuous Glucose Monitoring) glucose sensors are connected to the body and work with the insulin pump to retrieve blood glucose results. With the BGL’s retrieved, the CGM is able to formulate graphs. This comes in handy when it isn’t possible to test i.e. during the night, early morning, during a workout etc. The CGM is able to alert the user when blood glucose levels are increasing or decreasing. I hope to get my CGM sensor soon and will definitely share my experiences using one.