Blackout

I know better than to compare a fictional story to real life. But yet I found myself doing just that, trying to comprehend the experiences of a character that were so foreign to me, but unfortunately probably familiar to many others. In the book, the character is an alcoholic, often drinking so much to help her cope with life that she blacks out. Multiple times she wakes with a feeling of guilt, knowing that she did something wrong, something embarrassing, something out of character, but not being able to remember what she did.

“I wake with a crushing sensation of wrongness, of shame, and I know immediately that I’ve done something stupid,” she says.

I’m not going to get into the struggle and devastation that alcoholism can cause for the person and those around them. That is not what this post is at all about. What I do want to focus on is the fact that what troubled this character was the need to remember these missing memories so that she could take full ownership of them and their consequences. Without being able to remember what the character had done during those missing hours, she felt unable to take responsibility for her actions and to feel fully accountable.

As she says, ” I know what I’m responsible for, I know all the terrible things I’ve done, even if I don’t remember the details- but I feel distanced from those actions. I feel them at one remove.”

Why did this aspect of the book strike me so much? It’s not like I could relate to the character. In fact, I think it was exactly my inability to relate to the situation that stuck with me. It’s not that I haven’t made mistakes that I’ve felt guilty for. I’ve regretted or questioned decisions, but I’ve always been able to remember what led to them and fully take responsibility for them. And until I read this book, I’ve completely taken this simple fact for granted. While we do make mistakes and have regrets, we are still in control of our actions. When you take responsibility for what you’ve done, you can learn from it, put it behind you, and move forward.

A couple months ago, I made some changes to my lifestyle. I started following a nutrition and exercise plan. And for 2 months I stuck with it for the  most part. I saw changes in the way my body looked, I lost a little weight, I became leaner and stronger, and my A1c dropped, I felt good. And then the holidays came. With the countless holiday parties, eating more meals out, going on a cruise, and being off my normal schedule, I started making less healthy decisions. I ordered dessert, I snacked into the evening, I ate the fries instead of switching to a healthier side, I grazed through parties eating even though I wasn’t hungry. I got off track.

About a week ago, I woke up in the morning full of regret. On my CGM was proof of the decisions I made the night before, my entire night dancing above the 180 line, dipping and rising. My stomach not quite itself, I knew I was still feeling the effects of my earlier choices. But unlike the character in the book, I remembered what led me to this point. I could recall the unhealthy decisions that I had made. But instead of feeling defeated, I felt empowered! Because by knowing what got me to this point, I also know what I can do differently next time. I can prevent this feeling. Your memories and emotions, as negative as they might be, don’t need to be what holds you back, they can be motivators to propel you forward.

This past week, I got back out my nutrition plan and started fresh. I know that I’ll slip up from time to time, but I’m on the right path. And the regret that I felt, while not desirable, was a catalyst to get me back on a healthy path, and for that, I can’t regret my regret.

Change is hard

I’m going to tell you something that you already know. It’s something that I’m sure you’ve all experienced first hand.

Change is hard.

And you know what changes are especially hard? Health changes. Doing something that may be unpleasant or unfavorable in the short term to benefit you in the long term. We all know that we’re supposed to eat healthy, but if given the choice, most people would still choose the dessert or chips over the steamed broccoli. Whether it’s losing weight, eating healthier, becoming more physically fit, quitting smoking, becoming a better self-manager of a condition, or any other positive health change, even getting to the point of change is hard, let alone taking action. But these changes are worth the struggle.

Making health changes and sticking with them require a certain amount of motivation and confidence. You have to have the desire to change, but also the confidence that you can stick with it. It helps to have not only an end goal, but also a deeper value that your change is helping you live up to.

If making a health change wasn’t hard enough, it’s likely you’re going to face obstacles that try to undermine your resolve and your progress. It could be in the form of tempting situations, circumstances that are out of your control, or even people who intentionally or unintentionally sabotage your best efforts.

Alright, I’m going to take this out of the abstract and get personal. About a week and a half ago I decided to start a new fitness and nutrition program. That decision was immediately met with skepticism and opposition, mostly by those close to me. What they thought was maybe supportive behavior could be seen as the opposite.

“You don’t need to lose weight, you’re beautiful just as you are.”

“You already know how to eat healthy, what’s that program going to tell you that you don’t already know?”

Don’t get me wrong, I appreciate the intent of these comments, they come from a very loving place, but in terms of the decision I already made, they weren’t quite the types of supportive statements I was looking for.

My motivation for joining the program was about more than purely losing weight. I joined the program because when I pulled on my fall clothes, I noticed that my pants were getting harder to button and my shirts weren’t fitting the way they were last year. I joined the program because I was getting a lot of stomach aches and wanted to feel better. I joined the program because I thought that changing my diet to be filled with more unprocessed, healthy foods with less carbs would help me stabilize my blood sugars and maybe be just the change I need to finally get my A1c out of the 7’s. And ultimately with more stabilized blood sugars, I can help reduce my risk for future complications, a worry that is always lingering in the back of my mind. For me, my decision is about way more than just losing weight, but you don’t always have 5 minutes to explain your motivations when you’re turning down a piece of birthday cake or a drink at the bar. But whatever your reason, recognize that you’re doing something great for yourself and that’s what really matters.

If someone is on a journey of personal growth or health, our job isn’t to test their discipline, or to make assumptions about their reasons for wanting to change. People’s reasons are often personal and complex. Instead, our job is to support them and be there for them however they see fit. And if you aren’t sure how to best support them, ask. Maybe they need someone to hold them accountable, maybe they need a person to vent to, or maybe the best way you can support them is by keeping quiet. But the only way to know is to ask. A simple conversation helped to turn my skeptics into strong supporters who now understand my deeper motivation and reasons for my health changes.

Change is hard. Let’s all be part of what makes change possible rather than what stands in its way.

Stress and a Pouch

How does your stress influence your diabetes and vice versa?

It’s a question that I’ve been thinking a lot about lately. Why? I was invited by my friend who teaches an undergraduate class on the Psychology of Stress and Relaxation to come and speak to the class. They’re currently talking about the psychophysiology of stress and the relationship between stress and illness/chronic conditions. I was invited to share my personal experiences with diabetes and stress.

I actually have a lot to say on the topic, but as I was writing up my talking points, I realized that a lot of the stress that I have around my diabetes is this underlying constant stress. It’s the every day worry about my blood sugar control, dealing with the highs and lows, worrying about the long term complications, coping with the unknowns and unexpectedness of the disease. It’s the stress of constant vigilance, alertness, and preparedness.

And as I’ve lived with diabetes longer, what may have originally caused more stress and anxiety, is now just part of what it means to live with diabetes.

But of course, the day before I am scheduled to talk with the class, I had a truly stressful, out-of-the-norm experience.

I keep all the supplies that I need to change my infusion set in a small blue pouch. Inside I keep a couple reservoirs, infusion sets, the inserter, a vial of insulin, test strips and a couple batteries for my pump. I usually keep the pouch in my work bag or workout bag and take it with me for any overnight stays or long days away from my apartment. In the 15 years I’ve had diabetes, I’ve never lost or misplaced this vitally important pouch….until today.

I was busy getting my bags ready for work this morning, I knew I would be running out of insulin sometime during work today so I made sure my blue diabetes supply pouch was packed. However I couldn’t find it. I searched frantically through all my bags, my closet, all around my room and apartment. I went out of my car, no luck. Inside I was mildly panicked, but I remembered that I had taken the pouch in my boyfriend’s car on Saturday so I thought maybe I had left it there. It was 8 am on Tuesday. I’m going out of town on Thursday so if it truly was lost, I would need to have a new inserter overnight shipped to me so that I would have it before I left town.

I sent my boyfriend about 6 frantic texts. But as expected, he didn’t answer. It just so happened that my boyfriend had the day off today and I was sure that he was sleeping in. Since he keeps his phone silenced in a different room, I knew he wouldn’t answer my texts or calls until he woke up…whenever that would be.

IMG_8542So I waited anxiously for him to awaken. And waited, and waited. Finally at 11 am he woke up to my texts and calls.

“It’s not here.”

After making sure that he had thoroughly searched his car and apartment, I was ready to place the order and pay the extra cost for the inserter to be shipped overnight.

“I’m going to your apartment to look. You probably didn’t look that well since you were in a rush this morning.”

How could I say no to such a generous offer? However now I was really starting to worry that the inserter wouldn’t ship in time to get here by tomorrow if I had to order it. “Hurry!”

I waited anxiously for some good news.

“Wtf it’s not here.”

Ugh. My finger was hovering over the “place order” button online. With that confirmation, I clicked the button. I thanked my boyfriend for his thoughtfulness and his attempt to find it. It was unfortunate to have to pay $15 in shipping, but hey, you have to do what you have to do for your health.

Literally 2 minutes later…

“Omg” “I found it!”

Of course. Turns out, as my boyfriend was leaving, he almost tripped on a random paper bag on the floor and felt something inside. Sure enough, the blue pouch was inside the paper bag. I must have thrown it in there when I was getting out of his car over the weekend and completely forgot about it. I was so relieved! I needed that inserter to be able to change my set and now I wouldn’t have to worry about it getting here on time.

I kept the other order so I would have a back up so I could avoid a future situation like this, but called the company and had it changed to the free standard shipping.

Talk about a stressful morning though! At least I have a story to tell tomorrow to the class!