Consume ALL The Carbs!

See the title of this blog post? That’s basically my mantra lately.

Working from home (and never leaving the house, in general, except to walk around the neighborhood) has made me crave nothing but carbohydrates. Whether it’s in the form of biscuits, chips, chocolate, or cereal…I’ve been mowing down on many more carbs than I typically do.

I guess it’s the way I deal with stress and anxiety. Don’t get me wrong, I’m still eating plenty of fruits, veggies, and proteins…but I’ve also added an unnecessary amount of carbs into my daily diet. So I’m not totally trashing my body, but I am going through a little more insulin than normal. I’m also probably more apt to moving around whenever I can in order to combat higher-than-I’d-like blood sugars.

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Me with all my beloved carbs…and looking like I belong in the 90s with my Lisa Frank sweatshirt.

I can’t help it, I love carbs. They bring me comfort. They’re delicious. They come in so many iterations. But I don’t love how they make me feel (bloated, hyperglycemic, unhealthy, etc.). And I especially don’t love how they cause me to take more insulin than I prefer taking in a single day.

So I’m hoping that by admitting here that I’m overdoing it in the carbohydrate department will encourage me to cut back. Maybe small changes, like chia seed pudding (more to come on that in a future post) instead of cereal in the mornings for breakfast, are what I need to get me back on track. I’m not saying that I’m going to stay away from carbs altogether (oh heavens, no); rather, I’ll just be more mindful of how many I consume in a single day.

Besides making me feel better about myself overall, it’ll help me appreciate yummy low blood sugar treats – hello, Reese’s eggs – during those times that I genuinely need something sweet and carb-o-licious.

The Gratitude Challenge: 5 Things I’m Grateful For

Yesterday, my dear friend Emma (who I did the Ask Me About My Type 1 Podcast with) posted a daily gratitude challenge on her Instagram account. She explained that the leadership training program that she runs teaches participants to develop small habits that change your life. One is to write daily “gratitudes” that help highlight all of your reasons “why”.

I interpret my “why” as the things that keep me going – the positives that help me shine a bit brighter, and the parts of my life that I just don’t appreciate or recognize as much as I should.

The Gratitude Challenge_ 5 Things I'm Grateful For
Will you take on the gratitude challenge?

So I decided to take time to list five of my “gratitudes” in today’s blog post, and like Emma, I challenge you to do the same.

Gratitude #1: My people (and pets). Goodness knows that I could and should tell the people in my life that I love them more often than I do. My people – my family, friends, coworkers – are incredible sources of strength and support in my life. They make me laugh, they are there to console me when I’m upset, and they are always generally around to offer wisdom and a listening ear when I need it. And I cannot forget my pets…Clarence the Shetland Sheepdog and Tyrion “Tater Tot” the betta fish bring me joy on a daily basis.

Gratitude #2: A roof over my head (and all things that come with that). I am so lucky to have a home to live in, a warm bed to sleep in, a kitchen to dine in, a family room to relax in…these are things that I absolutely take for granted during normal circumstances, and I can’t help but feel fortunate to have them given these strange times.

Gratitude #3: The ability to work remotely. These are trying times for working Americans…many people are without jobs right now, and I can only imagine how many families this directly and indirectly impacts. I’m appreciative of the fact that I am able to do my job (and do it well) remotely, and in that same vein, I’m glad that my department employs video chat during meetings – it truly does help me feel that much more connected to my coworkers!

Gratitude #4: The wide array of entertainment options available to me. I have so many universes, plots, and characters to explore right now through various books, television shows, movies, video games…and I finally have time to really delve into them in the coming weeks. I’m particularly looking forward to reading more – I used to positively devour books (I read the last book in the Harry Potter series in about 12 hours). My new nighttime routine is to get cozy and read for at least a half hour before going to bed. I find it to be the perfect escape. Plus, I can continue to pursue my hobbies – knitting, playing the mandolin, crafting in general, etc. – with all of this spare time I’m suddenly finding on my hands.

Gratitude #5: God. I don’t think I’ve ever discussed my religion openly online before, but I am a Catholic and I try to practice my faith in little ways on a daily basis. One thing that I do nightly is pray. When I pray, I have conversations with God, and it has brought me so much comfort in the last several weeks. And even if I wasn’t religious, I’m sure I’d still find it beneficial to meditate or reflect at the end of each day…to mull over the things that went well, and maybe some of the things that didn’t, and focus on the positives of the bigger picture.

Bonus Gratitude #6: It’s kind of (okay, definitely) weird to say that I’m grateful for diabetes…but it’s not the thing itself I’m thankful for. Hell no. Rather, it’s the other things – the people, the wisdomthe self-sufficiency, the experiences – that my diabetes has brought into my life that I’d like to express gratitude for.

Now you know some of my many “gratitudes”…why don’t you let me know yours? Tell me what you’re grateful for by dropping a comment here, or by tagging me on Instagram or Twitter. Let’s see how many people we can get to participate.

I’m Still Here

Hey friends. You probably noticed I didn’t have a new post up this week. (Unless you are one of the few people who saw my incomplete post go up on Monday…I took it down as fast as I could, and the finished version should be up soon. My bad!)

The reason for that is simple: I didn’t really know what to say. We’re living in an interesting time, to say the least, and I didn’t know how to address that on my blog. It seems silly to not address it at all (especially considering I just talked about it a few posts ago). But it also feels inauthentic to continue adding to the already-immense volume of information out there. I don’t feel that I have any commentary to add that would be of any value.

So I’m not talking about our current health situation right now. But that leaves the question…do I still talk about my health situation, meaning my diabetes? Is it stupid to blog about given everything else going on in the world?

Maybe, but maybe not.

I'm still here
I’m still here, making dorky faces.

My diabetes – and everyone else’s diabetes – won’t be going away just because there’s a pandemic right now. So why stop blogging about it? It might be nice for others to have a continuous reminder that they’re not alone with diabetes, not before, not now, and not ever. If sharing my story here helps other people in the diabetes community feel more connected in this time of social distancing, then I’m more than happy to keep telling it.

Plus…I think it’ll be good for my mental health (and hopefully for that of other people) to have something to write/read that won’t be anxiety-provoking.

Anyways, I just wanted to give you all a friendly little wave with this blog post – *waves energetically* – and let you know that I’m here if you need someone to talk to. Let’s all remember to stay human amid the chaos: Be kind, help others when you can, and we’ll weather the storm together.

3 Things I Want the World to Know About Insulin

See that tiny glass vial in the below image? Can you believe that the contents of it are extremely precious?

Can you believe that, at approximately $9,400 per gallon, insulin is ranked as the sixth most expensive liquid in the world?

It’s kind of crazy, right? But besides knowing that insulin is priced outrageously, there’s actually a few other things that I think the world should know about insulin.

Ethan Zohn_ A Survivor Contestant Who Inspires-2

  1. Not all insulin is created equal. Just like diabetes, insulin exists in various forms. Besides liquid insulin, there’s also inhaled insulin (Afrezza). And some people with diabetes may even take oral medications that are designed to help increase the effectiveness of insulin that they either receive via injection or produce on their own. There’s brand-name insulin produced by several drug manufacturers (the big three being Eli Lilly, Novo Nordisk, and Sanofi) as well as generic versions of the drug…but that doesn’t mean that generic insulin works just the same as brand-name insulin for all people with diabetes. Insulin is complicated and different types work better for different people.
  2. Insulin is incredibly sensitive. Take one look at the vial in the above photo and tell me that the insulin inside it is safe at all times. Nope, it sure isn’t! Besides the packaging being super fragile, people who rely on insulin must also be careful to keep it at the proper temperature at all times. All it takes is dropping the vial once or leaving it in an unstable environment for the insulin to be rendered useless, potentially wasting a few hundred dollars. It’s as volatile as it sounds.’
  3. Taking too much or too little insulin is dangerous and life-threatening. For some people, there can literally be a life-or-death difference between one unit of insulin. Too much can cause blood sugar to plummet and a person can experience severe hypoglycemia that may result in shock. Too little insulin has the opposite effect: A person will experience hyperglycemia that can have ranging consequences, some that are minimal/temporary, others that are very serious. That’s why precision is so important when dosing for insulin; on top of that, nobody wants to waste a single drop of the stuff because it is so expensive. But this is what many people with diabetes need in order to survive.

So when you see the hashtag #Insulin4All or hear someone talking about how overpriced it is, you’ll know some of the basic characteristics about insulin that make it invaluable to people with diabetes. Perhaps you’ll be inspired to join the fight to make insulin affordable and available to all – as it should’ve been to begin with.

Diabetes Made Me

A thought occurred to me the other day: While diabetes doesn’t define who I am, it has unquestionably majorly impacted my life. I started thinking about and writing down how it has done so.

My diabetes has made me…

  • Worry endlessly about my daily choices
  • Angry, sad, confused (sometimes, all at once)
  • Become a control freak
  • Sleep fewer hours at night
  • Afraid about what could go wrong, and when
  • Wonder whether or not I’ll have trouble affording my medications in the future (not just my necessary diabetes prescriptions)
  • Believe that there are just some things in life I can’t do because of it

What sticks out to me about that list is that all of it is negative. So I tried thinking about all of the positive ways that diabetes has affected me, and I’m happy to say that I came up with a longer, happier list:

My diabetes has also made me…

  • Knowledgeable about nutrition
  • Unafraid of needles
  • Understand my own body better
  • Meet and connect with people I might not have otherwise
  • Comfortable with speaking in front of large groups about it
  • Become more philanthropic by volunteering my time and energy for certain groups
  • Self-sufficient (well, slightly self-sufficient)
  • Pack smartly when traveling
  • Prepared at practically all times for any diabetes-related scenario
  • Motivated to exercise on a daily basis to achieve better blood sugars
  • Mentally and physically stronger
Diabetes Made Me
Guess what else diabetes made me do? …It made me take this photo!!!

Diabetes makes me think about and do so many things that I would never dream of if I didn’t have it. A lot of those things are a pain in the neck and I truly wish I could have a break from them, but more of those things have shaped me into a well-rounded individual.

The good outweighs the bad, and diabetes has made me glad to have that perspective.

7 Questions People Always Ask Me About Type 1 Diabetes

This blog post was originally published on March 2, 2019 at Hugging the Cactus. I’m reposting it now because…these seven questions are timeless.

Human beings are naturally curious creatures. So it’s never really surprised me when, upon discovering my T1D, people tend to ask me boatloads of questions about what it’s like. And it’s definitely not at all shocking that many of these questions are recurring.

I've missed you terribly!

Here’s a list of seven questions that I’m almost always asked when I encounter someone who’s just learning about my diabetes. You’ll notice a trend as you read, because even though there’s “no such thing” as a stupid question, this list kinda gets dumber as it goes on. There, you’ve been warned…

7. What does it mean when your blood sugar is high/low?
This is definitely a fair question. I never expect someone who is unfamiliar with diabetes to know the meaning of hypoglycemia or hyperglycemia. I actually kind of appreciate being asked this question, because it helps me spread awareness. The more people that know how to react in severe high or low blood sugar cases, the better, IMHO.

6. Why do you wear all of those devices?
Another decent question – I never mind explaining how my CGM and my pump work, but I do mind when people say ignorant things, like “Oh, are those patches to help you quit smoking?” *Eye roll*

5. Can you eat/drink [fill-in-the-blank]?
Ugh…I get why people ask me this, but it’s a little more tiring to explain. My answer is usually along the lines of: “I can eat or drink whatever I like, but I need to take insulin to account for it. So I try to eat a limited amount of carbs at a time, because that means I have to take less insulin, and there’s less room for error.” But even after that easy-to-understand explanation, the typical follow-up questions are “BUT CAN YOU EAT CAKE/COOKIES/ICE CREAM/ANY SUGARY FOOD?!” And that’s when I lose a bit of my patience, TBH.

4. Does it hurt when you check your blood sugar/give yourself a shot?
I mean, no? I’m not trying to be facetious or anything, but really, after 21+ years of checking blood sugar and giving myself insulin multiple times per day…there’d be a real issue if it hurt every single time. I concede that there are the occasional sites that sting, but it’s not nearly as bad as many people seem to assume.

3. What’s that beeping sound/ARE YOU GOING TO EXPLODE?!
Honestly…use common sense. What’s the likelier scenario here: That my devices have built-in alarms, or that I’m going to spontaneously combust?

2. How did you get diabetes/WHAT DID YOU DO WRONG?
This. is. such. an. ignorant. question. Nobody, myself included, did anything “wrong” that resulted in my diabetes diagnosis. I didn’t catch it and no number of lifestyle changes could have prevented me from developing diabetes. My immune system merely decided to attack and destroy the insulin-producing beta cells that lived in my pancreas. There’s no real answer as to how diabetes is caused, though genetics likely play a role in it. Don’t worry, you won’t “catch” the ‘betes by being in my presence.

1. Do you have the…bad kind of diabetes?
This question is THE WORST of them all because there is no good kind of diabetes! Gestational, type 2, LADA…none of them are favorable. They all suck. They all require constant care, regulatory medications, and endocrinology expertise. So please for the love of all that is sacred and holy, next time you hear someone ask this question, gently inform them that there’s no such thing as good/bad diabetes.

 

Catch Me On “This is Type 1”, Episode 28!

Yesterday, episode 28 of This is Type 1 went live – and surprise, it’s the episode in which I was interviewed!

Capture
My podcast promo shot and bio!

Click this link to give the episode a listen. And be sure to let me know your thoughts!

Here’s a little sneak peek of what Colleen and I discuss:

  • How “Hugging the Cactus”, the T1D blog, came to exist
  • My diabetes story – when I was diagnosed, etc.
  • How I define diabetes burnout (and how I deal with it)
  • My process for writing blog posts
  • My favorite posts so far
  • …and so much more!

So, now that I’ve piqued your interest…listen to the episode! I hope you enjoy it. A special shout-out to Colleen and her co-host, Jessie (who unfortunately wasn’t available when we recorded the episode) – thank you BOTH for your time. I appreciate your contributions to diabetes advocacy and the diabetes online community, and I know many, many others appreciate it, too!

Knitting Keeps My Diabetes (And Me) From Unraveling

Sometimes, I feel like I’m 86 years old instead of 26 years old.

Why?

Well, for starters, I’ve always loved watching the soap opera General Hospital, a television program that’s more often associated with older demographics than my own millennial age group. I also enjoy wearing pajamas and being in bed as early as possible on weeknights. And I have developed various aches and pains in the last year that make me feel like my joints are aging at a much more rapid pace compared to the rest of me.

Oh, and one of my favorite pastimes happens to be knitting, which is apparently an “old lady” activity. And if liking to knit makes me old, then dye my hair gray and give me a walker, because I won’t be giving it up any time soon.

Knitting Keeps My Diabetes (And Me) From Unraveling (1)
Me, triumphantly showing off the very first blanket I knit this past fall.

 

Knitting has become important to me because it’s not just about producing something pretty: It’s an outlet for me. It allows me to be creative and it gives me something to focus on when anxious thoughts and feelings start to overtake my mind. It’s a way for me to express my love for someone when I make them a blanket or a scarf that took me hours to stitch together. And it has become a special form of self-care for me and my diabetes that isn’t necessarily about treating myself (like I do with a massage), it’s more about me channeling my time and energy into something else, if that makes any sense.

To elaborate more on how it helps me and my diabetes, knitting is the perfect thing for me to get into when I’m waiting for a bolus to kick in and bring down a high blood sugar. It’s also great when I’m wanting to snack on food because it keeps my brain and fingers preoccupied. Nine times out of ten, if I’m knitting, I’ll choose to continue working on my project rather than pausing for a snack break, which is better for my blood sugar and my waistline.

My balls of yarn and growing collection of knitting needles are there for me when I’m seeking solace or distraction, whether or not I need one or the other due to diabetes. By no means am I awesome at knitting (I truly have a lot to learn still), but that’s not the point…the point is that it keeps me and my diabetes from unraveling during the times that I feel like I’m one stitch away from becoming undone, and I’m so glad that I’ve found joy in it.

 

 

When a Normal Shopping Trip Turns into a T1D Supply Stock-Up

Last week, I went to my local Walgreens to pick up a couple of prescriptions for conditions I have other than diabetes (but I don’t have separate blogs for them because I’m not sure I could write three posts a week on my annual asthma flare-ups or allergy to cats and dogs).

Besides shampoo and conditioner, I didn’t need to pick up anything else at Walgreens – it was going to be a quick in-and-out trip. That was the plan, anyways, until I saw my beloved glucose gummies on the diabetes shelf right next to the pharmacy.

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The contents of my shopping basket…I have no shame, apparently. But look, I did end up buying the shampoo and conditioner I actually needed! (And YES, I got my prescriptions, too.)

I couldn’t help but notice that this was the only bottle in stock, so without thinking twice, I put it into my basket. I didn’t need them at this moment in time, but I probably would, down the road – and why not treat a future low with something I actually like?

Then I saw the lotion formulated “just for diabetics”.

Normally, I don’t use products “exclusive” to people for diabetes. But I’ve used this particular lotion before and I can attest to the fact that it is very, very good. It’s probably the best lotion I’ve ever used and the only one I’ve come across (so far) that can actually hydrate my dry, cracked hands in the wintertime. I didn’t need it…but I justified it by saying that it was specially made for a person with diabetes, like me, so it meant I should buy it.

So into the basket it went.

And then, just as I was making my way over to the checkout counter after finally adding the shampoo and conditioner to my basket, my eyes fell on the seasonal candy display.

Oooh, was I in trouble now…

So into the basket went the king-sized Reese’s cups…which I am deeming as a medically necessary diabetes supply item. I didn’t need the Reese’s cups, but I sure as hell WANTED them. Plus, they’d make my gummies last longer, right? I could use them before I opened that bottle.

And sure enough, the Reese’s cups totally came in hand when I had a not-low blood sugar that very same night!

It’s interesting how what was supposed to be an innocent trip to the pharmacy turned into a bit of a T1D shopping spree. I wound up with items for my diabetes that I could certainly live without (except the Reese’s cups, for sure, I can never live without those) but that I could add to my supply stash, anyways…because it never hurts to have extra low supplies or hydrated hands.

An Interview with my Diabetes

Diabetes does not have a life, a voice, or a soul. But many people with diabetes, including me, tend to characterize it like it has human emotions and reactions. “My diabetes is so misbehaved today!”, “Ugh, my diabetes hates when my stress levels get too high”, and “Oh, exercise makes my diabetes very happy!” are among the sentiments that have been said countless times, in a variety of ways, by tons of people with diabetes.

Podcast Logo_
It shouldn’t be surprising that my diabetes, personified, is a cactus. 

So I decided to take it a step further with this blog post and imagine myself conversing with my diabetes…actually, it’s more like an interrogation. There are so many questions I’d like to ask my diabetes so I could maybe, hopefully understand it better. And these are the answers that I can see myself getting in reply.

Me: Hi, diabetes. Wow, 22 years with you and we’re finally just getting to talking now. What’s it been like to grow up with me?

My diabetes: WELL, it’s been a TRIP! Time flies when you’re having as much fun as me, wreaking absolute havoc in your life!

Me: Um, that’s kind of rude. But accurate, I suppose. And it leads to my next question: Why are you so temperamental? Like, one day you’ll be swimming straight in between the lines of my CGM graph…and the next day, I do and eat the exact same things as the day before and you go haywire.

My diabetes: Biiiiiitch, that’s just because I like to keep you on your toes. And I CAN go nuts whenever I want, so why the hell not?

Me: Whoa, relax. No need for the name-calling –

My diabetes: I’ll do what I want! See, look! Your blood sugar is going up RIGHT NOW just because you’re getting all flustered over this interview! Hee, hee, isn’t this fun?

Me: Thanks a lot! Whatever, I’ll just take a bolus –

My diabetes: You’re gonna need a whole lot more than that! 1.5 units to take this 250 down? That’s hilarious. So cute of you.

Me: WHY YOU LITTLE – *lunges for “my diabetes” as if it’s a physical object I can take into a chokehold and strangle, Homer Simpson style*

*Record scratching noise*

That, my friends, is where this totally made-up interview would definitely be cut short because I imagine my diabetes as nothing other than the petulant asshole that it seems to be lately. I’m dealing with a lot of stress lately, and my diabetes is punishing me with plenty of high blood sugars and sluggish responses to my fast-acting insulin.

It’s extremely annoying, but I will admit that writing this fictional interview with it was a little cathartic.