Diabetes Blog Week- Day 2



“This year, Diabetes Blog Week and TuDiabetes are teaming up to bring out the poet in you! Write a poem, rhyme, ballad, haiku, or any other form of poetry about diabetes.”

CGM, Go To Bed

An ode to my continuous glucose monitor


10:30 pm:

I put you on my nightstand, I lay you down to rest,
In case I don’t feel well, my blood sugar you will test.

My blood sugar is steady, not too high and not too low,
That ice cream after dinner, I hope you will not show.

An undisturbed night of sleep is what I really need,
A steady line on your graph in the morning, I truly hope to read.

Slumber is upon me, I’m drifting off to sleep,
I beg you CGM, a quiet night without a peep.

1 am: Buzz buzz buzz

Double arrows pointing up I awaken with a start to find,
Of all the arrows, up and down, you’re my least favorite kind.

Not much I can do, laying here with insulin on its way,
Groggily back to sleep I go, and hoping this time to stay.

2 am: Buzz buzz buzz

My eyes spring open, you caught me quite off guard,
My bg’s now over 180, you just had to make this hard.

My number is too high now, but I’m hoping not for long,
It may start to drop too fast, but hopefully I’m wrong.

4:30 am: Beeeeeep Beeeeep Beeeeeep

From my nightstand I hear your sound, which can only mean one thing,
“You’ve dropped below 55, wake up, wake up!” your beeps eagerly sing.

I take my fruit snacks and into my mouth I dump them all,
For the last time tonight, please back to sleep I hope I fall.

4:45 am: Buzz buzz buzz

Now you say I’m under 80, well at least I’m on the rise,
Maybe giving insulin for that high wasn’t all too wise.

Please CGM, let this be all, I’m really very sleepy,
If you wake me up one more time I may get a little weepy!

7:30 Ringgg Ringgg Ringgg

You’ve got to be kidding me, what is it now? You haven’t had enough?
With all the ups and downs this night, my sleep has been quite rough.

It’s my alarm! Time to get up; to work I must get ready and go.
Oh what’s that on the graph? A perfect number NOW you decide to show!

Diabetes Blog Week- Day 1

Today begins the Fifth Annual Diabetes Blog Week, and I am happy to be participating for my second year! Each day this week, I’ll be responding to a different prompt, sharing my perspective on different topics within the diabetes community. I’m excited to share my thoughts as well as read all the different posts in the Diabetes Online Community (DOC). I hope to discover some new and thought provoking blogs as well! So here we go!

Change The World- Monday 5/12

“Let’s kick off Diabetes Blog Week by talking about the diabetes causes and issues that really get us fired up. Whether or not you “formally” advocate for any cause, share the issues that are important to you.”

I love technology. I may not always be the first to have the latest and greatest, but I definitely get excited with every advancement. But more than the gadget itself, I love what technology can do to ease and even improve our lives. When used for good, technology can have a powerful influence in shaping people’s behaviors. Where I get excited is how technology can be used to help people live healthier, more fulfilling lives.

Take the Fitbit or other wearable sensors, for example. This simple, discreet wristband essentially tracks distance in the form of steps. Integrated with a smartphone app or wireless USB adaptor, it presents a user-friendly interface with real time tally of steps taken, distance in miles, calories burned, minutes active, and other tracking features. It gives the user simple indicators in a clear way, even using stoplight colors to show when you are close to your goal. It even incorporates with social media, showing you where you rank amongst your friends. Simply by wearing this wristband and having instantaneous access to my daily progress, I’ve found that I have changed my behaviors to reach my daily goal. These changes may be small but they’re still positive changes. Whether that’s taking the long way somewhere or opting for a walk during lunch, every step counts.

This is a post about diabetes, why am I talking about Fitbit? Well because I’m passionate about the integration, communication, and synchronization of all diabetes related devices into a meaningful experience. While there’s been significant progression, we aren’t there yet. My glucose meter talks to my insulin pump, but neither my insulin pump nor my meter talks to my CGM (yes I know some can). None of these are talking to my smartphone. I know there are some great apps out there, and even special meters that can be plugged right into my phone, but that’s not what I want. I don’t want to have to manually enter in my blood sugars or my boluses, I’m lazy and forgetful. I want an app that already knows because it’s collecting data wirelessly from all my devices.

But I don’t want it to stop there, I want clear graphs and indicators providing me trends in my blood sugars and recommendations of what I need to do based on a personalized history and my doctors recommendations. I want it to alert me the way my CGM does when it notices a trend in a negative direction. But I want my alerts to be tailored to me based on the carbs it knows I ate and the insulin it knows I gave. Data is great, but not if I don’t know what to do with it and surely not if it doesn’t have meaning to me as a patient and a person.

We as diabetics do and track so much. There’s so much to remember, so much to calculate. I want something that will reduce my burden, not add to my list of things to do. Why do I love my Fitbit? Because it’s not asking me to count my steps and then enter it in an app, it already knows. It takes that information, calculates it into other meaningful statistics and gives me a sense of what my next steps are (no pun intended). I want this for my diabetes self-management. This is the cause that gets me fired up. I want integration. I want to reduce user burden. I want clear, meaningful data that is comprehendible by someone without a medical degree. Well, what I really want is a cure, but until then, I’m counting on technology to at least make things a little easier.

 

Diabetes Blog Week Day 7: Spread the Love


Today’s post: As another Diabetes Blog Week draws to a close, let’s reflect on some of the great bloggers we’ve found this week. Give some love to three blog posts you’ve read and loved during Diabetes Blog Week, and tell us why they’re worth reading. Or share three blogs you’ve found this week that are new to you. 

I want to read every single blog post for every day. I’m pretty sure that’s what I’ll be doing for the next couple weeks. I’ve only scratched the surface with all these amazing posts and I’m looking forward to reading more. My blog roll has certainly grown this week and I know it will only continue to get longer. 

What I’ve most enjoyed about this week is all the different emotions that I personally experienced reading these posts. Some of them made me smile and laugh out loud. Some of them made me sad. Reading a few posts, I was scared for the person, but then happy to hear that everything worked out. Some made me angry! Angry at the mistreatment, injustice, and challenges that people had to deal with. Some heartfelt posts touched somewhere deep inside. Many posts made me happy for the person. Sometimes as I read, I was nodding along, thinking to myself, “I feel the same way!” or “that happened to me too!” I connected to the person and to their experience even though we’ve never met. But most importantly, this week made me feel supported. Your comments and tweets reaffirmed why I started my blog. This week has made me feel both proud and fortunate to be part of the DOC. I can’t wait to read more about your lives and experiences. I know this is the beginning of a beautiful friendship. 

Seriously every blog post I read was amazing, everyone deserves praise for courageously sharing their journey. And I admit that I still haven’t had time to get to them all. But here are my shout outs:

Day 1: Share and Don’t Share. Hannah’s post from Finding Balance gives both her and her mom’s perspective when it comes to what they would and wouldn’t want their endo to know.

Day 2: We, the Undersigned. Jessica wrote a great petition on Mastering Me to the Type 1 individual. A petition for you to live your best life with diabetes. I would definitely sign this!

Day 3: Memories. Kelly’s memory from Diabetesaliciousness got me really fired up. I couldn’t believe the trouble that her and her dad were given at a baseball game, what her dad did to stick up for her, and then how Kelly stuck up for her Dad!

Day 4: Accomplishments Big and Small. Adjoa from A Girl’s Reflections, writes “There is a choice in every diabetes moment, between acting out of love, or out of fear.” She writes a powerful post about learning to value all of her, including her diabetes.

 


Day 5: Freaky Friday: Jess talks about the common language of chronic illnesses on Me and D and her experience serving on a Teen Advisory board at her children’s hospital with teens that have other chronic illnesses. 

Day 6: Diabetes Art. Meri writes a touching poem to her 3 diabetic boys at Our Diabetic Life. Here’s an excerpt: “My boys, you are my heroes.  I am your biggest fan. Through all that life throws our way, Just keep in mind, “You can!””

What a great week it’s been! I can’t wait until next year’s Diabetes Blog Week!

Diabetes Blog Week Day 6: Diabetes Art

Today’s topic: Diabetes Art
Infusion sets, omnipods, sensors, and tape.
These all look foreign and unusual on your body to someone who isn’t familiar with diabetes.
I’ve spent a lot of time trying to conceal what’s on my stomach, to prevent the stares.
But not today.
Today I want to draw attention to this area.
I want it to be seen and admired. I want it to be viewed as something beautiful.
 I am not embarrassed. I am not ashamed.
I am proud.
I am diabetic.

Diabetes Blog Week Day 5: Dream Diabetes Device Wildcard

 
Today instead of swapping diseases, like today’s topic, I’m going to swap topics. 

Tell us what your fantasy diabetes device would be. Think of your dream blood glucose checker, delivery system for insulin or other meds, magic carb counter, etc etc etc. The sky is the limit – what would you love to see?

I’m going to start by saying that I do not want another device to carry around. Between my pump, meter, CGM, and phone, that is enough devices to have with me all the time. Here’s what I do want. I want an app on my phone that integrates everything on to one platform. But it’s not just going to store blood sugar numbers and insulin doses, oh no. This app is quite sophisticated. This kind of technology has not even been invented yet, that I know of (this will be awesome to read 5 years from now when this dream is a reality). Let me paint you a picture.

You’re out to eat and you ordered this amazing Mexican dish. You aren’t quite sure how many carbs it is though. There’s the rice and the beans, the tortilla, the filling, etc. Maybe you can make a pretty close estimation, but it’s still just a guess. You take out your phone and open the DiaBites App (pronounced die-ah-bite-ees, patent pending).

You take a picture of your food using the camera in the app. Presto! DiaBites brings up a screen that tells you exactly (Yes, exactly! This is my dream device) how many carbs are in the food that is right in front of you. It also breaks down the other nutritional information (calories, sugars, fat). 

But that’s not all this app does! You scroll down. DiaBites tells you exactly how much insulin you should give yourself. You look at the number it’s telling you to bolus. Wait, that seems a little low for all that food. That can’t be right. Don’t worry, it is! DiaBites also takes into account your active insulin and your current blood sugar number. How does it know this information?! It wirelessly collects this information from your pump and CGM. You now know exactly how much insulin you need to give for that delicious Mexican meal.

The DiaBites app has other great features. As it collects your glucose numbers, basal rates, and boluses, it charts your trends and can alert you in text format when you’re blood sugar is too high or low, as well as when it’s rising or dropping at a fast pace. This is similar to current CGM’s although you are able to see and customize the alerts on your phone. The app will also recommend insulin doses based on your calculations to correct for the number. For D-parents, you can set the app to receive text updates from your child’s CGM. You’ll be alerted on your own phone when your child’s blood sugar is above or below the level you set, no matter where your child is. 

Numbers, graphs, charts, and pictures can all be sent to you or your doctor’s email with a push of a button. No more manual tracking of exactly what you ate, how much insulin you gave, and your pre and post blood sugars. DiaBites compiles all this information (including pictures of all your meals) for you in an easy to read daily journal which can be downloaded quickly and easily or uploaded directly from your phone. Don’t worry, you can select if and which pictures to send, just in case you don’t want your doctor to know about that piece of cake.

DiaBites the App, coming soon to iPhone and Android (I wish!!!)


Image from Blogchef.net- Smothered Burrito Recipe

 

Diabetes Blog Week Day 4: Accomplishments Big and Small

Today’s prompt:  Share the greatest accomplishment you’ve made in terms of dealing with your diabetes. No accomplishment is too big or too small.

I see my accomplishments as building blocks to keeping myself healthy. They honestly all felt like the “greatest accomplishment” at the time. Instead of focusing on just one, allow me to share some with you, starting from the very beginning. (Many of these I’ve already written about so I’ve included the link to past posts)

  1. The first shot that my parents gave me. It was in the hospital after being diagnosed. I hate needles, just receiving a shot was an accomplishment.
  2. The first time I poked my finger. And then eventually being able to do it without crying or having a fit each time. 
  3. The first shot that I gave myself. It was because I was too angry at my mom at the time to ask her to do it. But hey, anger as a motivation still did the trick.
  4. The first time I had a sleepover after I was diagnosed. Being away from my parents when I had become so dependent on them was a big deal, even when it was just for one night.
  5. Switching to an insulin pump and inserting my first infusion set. I passed out the very first time from holding my breath in anticipation. The nurse kindly reassured me that a medical center was one of the best places to pass out.
  6. Inserting my infusion set without numbing my skin first. I used to use Emla cream (a local anesthetic) to numb my skin every time I had to change my set. The day that I decided not to use it was a pretty big deal.
  7. Going to sleep away camp, both diabetes camp and non-diabetes camp. It was a big step to be away from home for an extended period of time and be responsible for my own care.
  8. Deciding that it’s okay that people can see my infusion set (and later, sensor) at the pool. Realizing that I don’t need to hide it, despite the stares.
  9. Taking care of my diabetes in college. That’s kind of a broad one, but an accomplishment nonetheless.
  10. Studying abroad in England for 6 months with my diabetes and traveling around the world. Always an additional challenge traveling with diabetes.
  11. Starting to use my CGM and inserting my first sensor. I still hesitate, but I’m getting better each time.
  12. Switching the sensor to new locations on my body. Sometimes I can be a little reluctant to change.
  13. Starting my blog and sharing my experiences with my readers. I don’t think I could have anticipated how discovering the DOC and blogging would positively change my life.
  14. Having my A1c drop to the lowest it’s been in years at my last appointment. Even if it goes up at my next appointment, at least I know that I can do it.
  15. Realizing that even though having diabetes is not easy, it has given me many other strengths.

I could spend more time talking about each of these accomplishments, but looking at this list (which still doesn’t include a lot of other diabetes achievements) helps me to realize that I truly have accomplished a lot in the past 12 years, many of which were not easy feats. I often get caught up in the day-to-day management of my diabetes. I get upset when I see the daily spikes in my blood sugar or when I have to treat a low in the middle of my workout. Taking a step back to see how far I’ve come since my diagnosis helps to put it all in perspective. Living with diabetes isn’t easy. Each day is a struggle, but I’ve come a long way. Yesterday’s mountain is today’s mole hill. A finger prick that used to bring tears and take 30 minutes now is now an act that I don’t even think about. In a way, every day feels like an accomplishment. 

It’s not just about diabetes though, it’s life in general. Your struggles now may become one of your biggest accomplishments later. These struggles and accomplishments are what help to build your inner strength and character. Big or small, they are what make you the person you are today.



Diabetes Blog Week Day 3: Memories

Today’s prompt: Share your most memorable diabetes day. 

My most memorable diabetes day is without a doubt my diagnosis, but I’ve already written about that.  It’s been hard to think about a particular day or experience that really stands out. The experience I’m going to share may not be my “most memorable”, but it is one that has stuck with me.

One of my favorite spots

Where I went to college, there is an area of land called The Arb, which consists of 123 acres of nature. There are walking paths, an abundance of trees, open fields, a river, and beautiful landscapes. There are always people walking, jogging, picnicking, laying in the sun, and enjoying the outdoors. One of my favorite things to do while in college was to go for a walk in-between or after class when it was nice out. Sometimes I’d find a bench and read or other times I’d walk the paths. The Arb is big enough that you could walk into the woods and be at least 20 minutes from any of the entrances. It was a great place to clear your mind.

I always have fruit snacks with me in case my blood sugar drops low. They are in every coat pocket, backpack, purses, you name it. I remember a particular day during grad school when I decided to go for a walk in the Arb by myself between classes. I reached my hands into my coat pocket and felt the crinkle of a fruit snack packet. I started my walk into the arb, heading for a spot near the river. My blood sugar was fine when I began, but it quickly started to descend. This was before I had my CGM so I had no idea that it was dropping as fast as it was. All the sudden I went from feeling fine to feeling really really low. All I had with me was what was in my pockets (which didn’t include my meter).

I reached my hand into my pocket to pull out my fruit snacks to treat my low. That’s when I realized that what was in my pocket was actually empty wrappers. I had forgotten to throw them away and to replace the stash in my pockets. I didn’t have anything with me to treat the low!

I started to panic. I was probably only a 15 minute walk back to the Public Health School where my belongings were, but running would only make my blood sugar drop faster (or at least that was  my “low brain” reasoning at the time). I started walking quickly back towards the school. I looked around, I couldn’t see any other people near by. I became really dizzy, to the point where the leaves on the trees were blurring together.  I distinctively remember thinking that I wasn’t going to make it back, I honestly thought that I might pass out right there in the middle of the grass. How long would it take for someone to find me? Who would stop? Would they think that I was just sunbathing? Would my friends worry if I wasn’t in class? Would they think to look for me here?

I’ve had a LOT of lows in my life. I’ve had some that were just as bad as the one I was experiencing and some that were even worse. But what made this day memorable was that I was alone. In the woods. Low. Without a way to treat it. It was honestly my worst nightmare come true.

I made it back to the public health school, my head spinning and my heart racing.  I treated the low right away. However, that might have been the scariest diabetes moment I’ve ever had. Scary because it brought up all the “what ifs”. What if I hadn’t made it back? What if I did pass out? What if no one found me for hours?

Now, I make sure that I have a full packet of fruit snacks with me at all times. I always take my phone and if I will be walking somewhere alone, I make sure someone knows where I am. Having diabetes means ALWAYS being prepared. You never know when or where a low will strike.

 

Diabetes Blog Week Day 2: We, the Undersigned

Todays prompt: Recently various petitions have been circulating the Diabetes Online Community, so today let’s pretend to write our own. Tell us who you would write the petition to – a person, an organization, even an object (animate or inanimate) – get creative!! What are you trying to change and what have you experienced that makes you want this change?
 

In many countries (including the US), Spanish soap operas, telenovelas, play an integral role in people’s lives. However, they are more than just entertainment. They are public service announcements in narrative form. They are carriers of educational messages, reaching millions of people every day. Telenovelas weave health topics into the plot of the show, whether it’s about using condoms, getting tested for STIs/HIV, eating healthy or just going to the doctor. One in three telenovela viewers say that this prime time entertainment TV is their top source of health information, according to the CDC. Entertainment TV has huge potential for carrying educational and health messages to millions of viewers.
 
So why am I telling you this? My petition is to have a character created on the TV show, Glee, that has type 1 diabetes. Glee is not a telenovela or even a soap opera, but it does have many of the same characteristics. As I just described with telenovelas, Glee addresses diverse issues through its stories and characters, reaching 8-11 million viewers. Topics include: teen pregnancy, economic status, race, sexual preference, religion, physical and mental disabilities, sex, school and domestic violence, school shootings, homophobia, eating disorders, sexual assault, drug and alcohol, the list goes on. Using engaging story lines (as well as song and dance) the show brings awareness to and educates viewers on important topics while still providing entertainment.


You don’t have to like the show, many people don’t. What I want to draw attention to is its ability to bring up relevant, complex, and controversial  issues and address them in a way that the audience can relate to and understand. I think it would be a perfect show to have a character that has type 1 diabetes. This person would have diabetes, but would not be the “diabetic” character. They would be multidimensional just like all the other characters. Artie is in a wheel chair, but his character is much more than that. 

The character I’m proposing would have type 1 diabetes, but would not be defined by it. By having such a character, I believe that we can begin to bring awareness and education to viewers about type 1 and type 2 diabetes in a way that can develop over multiple episodes. Rather than having a single episode on a medical show in which there is a short storyline about someone with diabetes, the character on Glee would be someone that has the opportunity to grow and develop. Viewers would have a chance to get to know the character as a person. The character can introduce concepts such as the challenges of living with a chronic disease, self-management, lifestyle modifications, and differences between type 1 and type 2 diabetes. Whether its asthma, diabetes, epilepsy, cystic fibrosis, or some other chronic condition, I think that it is time that there are more positive representation of chronic health conditions on mainstream television. 15-18% of children in the US have a chronic condition. These types of characters on TV can help children, adolescents and adults to not feel marginalized or “different”. They can become a point of reference for children trying to explain diabetes to their friends. “You know that character on Glee? Yea, that’s what I have.”

 
To me, my petition is less about the particular TV show, and more about the fact that a mainstream character with type 1 diabetes is created on primetime television. I chose Glee because I think they do a good job of addressing certain issues, but I admit there may be a better show out there and am open to all possibilities.
 
My petition:
 
We, the undersigned, petition the Fox Broadcasting System and the creators of Glee to create a regularly appearing character on the show who has Type 1 Diabetes.
While many different issues are addressed on this show including characters with unique backgrounds, sexual identities, disabilities, and other characteristics, we believe there is a great opportunity to address a health condition that affects millions of people in the United States. This character can help to bring both awareness and understanding to viewers around the growing health epidemic of Diabetes (type 1 and 2). 
 
Thank you.
 
 
 

Diabetes Blog Week Day 1: Share and Don’t Share


Today’s prompt: “Often our health care team only sees us for about 15 minutes several times a year, and they might not have a sense of what our lives are really like. Today, let’s pretend our medical team is reading our blogs. What do you wish they could see about your and/or your loved one’s daily life with diabetes? On the other hand, what do you hope they don’t see?”

You asked me how things are going.

I said pretty good.

I didn’t know what else to say. 

Things aren’t going “bad”. I generally feel healthy. I don’t have any complications. I have had some disturbing lows and some uncomfortable highs. I felt nauseous, and dizzy, and disoriented, shaky, light headed, and weak, but I don’t feel that way now. I treated those highs and lows and I moved on with my life. 

Things aren’t going “great”. I’m frustrated. I’m confused. I’ve had enough. Sometimes I see my blood sugar go high and I don’t know why. I thought I did everything right, but yet there it goes, rising above 250, 300, 350. Ugh. Other times I kick myself because I forgot. I honestly got caught up in life and forgot to bolus until much later. That’s not an excuse, I know. But doc, it happens. I’m not perfect, but I’m trying! I know sometimes it doesn’t look that way from my numbers, but every day I try. 

You asked me about trends. Am I usually high around this time? Am I usually low?

Umm? Maybe?? You’re asking me to remember over 90 days of blood sugars, when I can barely remember yesterday’s. Yes. Sometimes I run high after dinner and before bed, but not always. Yes. I’ve been waking up low in the morning, but not always. It makes me sound like I don’t pay attention to my numbers, like I don’t care. That I don’t think about them. It’s not like that. My numbers are always on my mind.

I see my A1c. I know what you must be thinking. It is higher than you want, it’s higher than I want. But I do care. I care more than you’ll probably ever know. 

I’m not sure if you believe me, I think you want to. Yet, appointment after appointment we find ourselves in this same situation. Last appointment was great, a .8 drop in my A1c. Finally made it to the low 7’s. I’m not sure the next one will be so great. Don’t give up on me.

I don’t think my A1c is representative of how I view my diabetes. I don’t think it shows how much I do try and how much I do care. And all I hope is that you realize that too. Don’t use that number to label me in your mind. Yes, you can make generalizations about my self-management based on that number. But while my A1c may say a lot, it doesn’t say everything.