Don’t Feel Sorry About My Diabetes

This blog post was originally published on December 17, 2018 at Hugging the Cactus. I decided to repost it today because this is something that will ALWAYS be relevant – in fact, someone just said to me earlier this month that they are sorry I have diabetes! I wish people would stop apologizing for something that nobody can change, and something I accepted long ago…read on for more about why I never want people to feel sorry for me because I have diabetes.

Today’s blog post is going to be short and sweet, and about a subject that I think every person with diabetes deals with whenever they tell someone new about their diabetes.

It doesn’t matter how diabetes comes up in conversation. Whether it’s in a joking, serious, educational, happy, sad, or angry manner, the person I’m talking to almost always says…

“I’m sorry.”

I’m not sorry that I have diabetes, so you shouldn’t be, either.

Sometimes, I think it’s because society has instilled this weird reflex in people to apologize for something that they didn’t do. Other times, I think it’s because people just don’t know how else to respond to something that may be sobering or grounded in reality. But the simple fact of the matter is…

People need to stop apologizing to me, and other people with diabetes, for having it.

Here’s why:

  1. It doesn’t make sense.
  2. We weren’t given a choice – it’s a simple truth that we’ve learned to accept.
  3. It makes me feel strange, because it’s almost like the other person is taking accountability for my diabetes.
  4. I believe that human beings apologize too much, in general, and it diminishes apologies when they matter most or are most sincere.
  5. I’m not sorry that I have diabetes, so why should someone else be?

While I genuinely empathize with and appreciate people who apologize as a knee-jerk response, I’m just here to gently tell them that it isn’t necessary. Save “I’m sorry” for times that it’s warranted, and not for something like having diabetes, a matter in which no one has a choice.

My Top 10 Low Blood Sugar Treatments

Anyone who has ever experienced low blood sugar knows that it’s an icky feeling.

The shakiness. The sweating. The desperate desire to eat the entire contents of your kitchen.

It’s an unpleasant experience, but the one thought that has always made low blood sugars slightly more bearable for me is that I have to consume fast-acting, sugary, yummy carbs that are medically necessary. I’ve had some fun with that medically necessary bit in situations over the years: “Hey, stay away from that cupcake, I need it for my blood sugar!”

In any case, I’ve come up with my 10 favorite low blood sugars treatments that I’ve discovered work best for me…and tend to also be pretty tasty (well, maybe not #3, but everything else is a winner for most people in the flavor department).

1. Marshmallows. Even though I feel like I’m playing chubby bunny (you know, that pointless game when you see how many marshmallows you can fit inside your mouth at once and your cheeks puff out like an adorably plump rabbit munching on carrots) any time I consume a marshmallow, I can’t deny that they work incredibly well for low blood sugars. While I don’t mind the flavor of marshmallows, I definitely don’t love it, so I can always resist the temptation to over-correct a low blood sugar when I use marshmallows to treat it.

2. Mini boxes of yogurt-covered raisins. This has been my go-to for almost 10 years now because they’re just so convenient. The mini boxes are highly portable and contain about 11 grams of carbohydrates, which is perfect for not-so-bad lows that just need a little boost.

3. Glucose tablets (or gummies). They’re the old standby for a good reason: They were specifically made for treatment of low blood sugars, and they’re also extremely quick and easy to consume whenever, wherever (cue Shakira and her hips that don’t lie).

4. Frosting. So bad for you, but so good to eat by the spoonful when dealing with low lows. I don’t often have frosting on hand, but if I have some leftover from baking, I’ll throw it in the fridge and try to forget that it exists until I need it for a low blood sugar.

5. Orange juice (or a juice box). I feel like juice was a signature treatment for lows in my childhood: Since small children often drink juice boxes, it made a lot of sense. But back when I was working in an office full-time (sigh), I had a couple of juice boxes stashed away in my desk drawer because I got a kick out of feeling like a little kid with her juice boxes while sitting her grown-ass adult woman’s work cubicle (yes, I know I’m kind of weird. Embrace it.)

My Top 10 Low Blood Sugar Treatments
These are a few of my favorite things! (drastic shift from Shakira voice to Julie-Andrews-from-The-Sound-of-Music voice)

6. Starbursts. In college, I met a fellow type 1 in my social psychology lecture hall who swore by carrying starbursts for low blood sugars. She explained that four of them had the exact same amount of carbs as four glucose tablets, but they were far superior in taste because, well, starbursts are candy. I’ve kept this in mind over the years and its come in handy: More than once, I’ve been in a situation where I’ve had to get carbs fast but didn’t have glucose tablets on me, so I bought a sleeve of starburst to treat oncoming lows. They work well and they’re especially delicious when using the pink or the orange starbursts (not the yellow or red…fight me on it).

7. Skittles. What I love about using Skittles for low blood sugars is the 1:1 rule. One Skittle has one carbohydrate, so it’s extremely easy to figure out how many will bring up blood sugar, depending on how low the low is. 10 works well for when I’m in the 70s, whereas I might have 15 when I’m in the 60s. All bets are off when I fall below 60, though, and I’ll settle for a large, uncounted handful – maybe the whole dang bag – instead.

8. A piece of fruit. Ooooh, a genuinely healthy option on this list! The horror! But it’s a fact that fruit works just as well as any piece of candy or sugary treat for bringing up a low. I’m not talking about a single blueberry or strawberry, though: I’m talking either an apple or a banana – something that has some genuine carb content to it in a single serving.

9. A couple handfuls of cereal. This is a riskier choice because the lack of restraint I have around cereal when I’m low, but who else can relate to waking up at 2 A.M. to treat a low and being too tired to measure something out, so out comes the cereal box and handful after handful of Lucky Charms or Cookie Crisp are consumed in a very short span of time?! There’s no questioning cereal’s efficacy in a hypoglycemic situation, but when it comes to controlling the amount eaten…well, that’s a hard thing for me to do.

10. Fruit snacks/gushers. Embarrassing story from my childhood: Remember those commercials in which kids who ate gushers had their heads turn into giant pieces of fruit? Well…I was convinced that eating gushers would lead me to the same fate, so I avoided them until one day I finally realized it was just a stupid commercial (albeit with very freaky graphics) and it was totally safe to consume gushers. And thank goodness, because they’re delicious and great for lows! So are fruit snacks of just about any variety, though I’ve had the most luck with Mott’s and Welch’s fruit snacks.

Do you have any low blood sugar treatments that I didn’t mention here but should consider trying? Drop a comment to let me know what it is and why it’s your favorite!

Do We Take Medical Technology for Granted?

Before I dive into this post, I want to make it abundantly clear that I don’t know the answer to this question. I’m not judging how anyone reacted during the recent Dexcom G6 outage, nor am I stating that there was a “right” or a “wrong” way to handle the situation. I merely think it’s important to ask ourselves questions like this when things don’t go according to plan with diabetes care/management.

Alright, now that I’ve got THAT out of the way…

Capture
Many variations of this graphic have floated around the Internet in the days since the outage. I am not mocking anyone by posting it here; rather, I am using it as an example of ways in which we cope with diabetes difficulties. This example, to me, is an attempt at using humor to deal.

For the last several days, the DOC has been in a bit of a panic. And when I say “bit” I mean “a helluva lot”. That’s because the day after Thanksgiving, Dexcom Follow stopped working. This means that parents/caretakers who rely on the technology to monitor their child’s/loved one’s blood sugar levels were left in the dark. It sparked confusion, outrage, and downright fear, all of which only seemed to intensify over the weekend and into this week when the problem was only partially solved for most users.

Rather than coming together to support one another, the DOC swiftly divided into two camps: The first consisted of individuals who sought to gently remind others that this technology is still pretty new. It hasn’t even been around for two decades. That meant that for many years before then, people with diabetes were doing things the “old school” way, and getting by just fine. Doesn’t this mean that we should all be able to make it through unexpected technology blackouts, knowing that we have our blood sugar meters to fall back on?

The second camp was in a greater fury over the issue. This camp relied on the Dexcom G6 system because those within it simply didn’t know a life without the continuous glucose monitoring technology. For them, the outage was a bit like asking them to Google something without access to the Internet – it’s pretty much impossible, unless you’ve got an Encyclopedia handy. Oh, and it’s MUCH higher stakes, because people who don’t recognize symptoms of low or high blood sugar need this technology to work in order to stay on top of fluctuating blood sugar levels. Let’s not even get into how much is PAID for this expensive piece of medical equipment…one would argue that the high cost of supplies means that the technology should work at all times, no matter what.

If you’re like me, you can see that both of these groups have perfectly valid points. I’ve had diabetes long enough that I didn’t even use – and didn’t see the point in using – continuous glucose monitoring or insulin pumps until a few years ago. I took care of my diabetes the old fashioned way growing up: doing fingerstick checks multiple times per day, treating low blood sugars with 15 carbs then waiting 15 minutes, checking blood sugar levels about an hour after injecting insulin to make sure highs were coming down the way they should. This way of handling diabetes worked for me for a long, long time…throughout elementary, middle, and high school, right up to college.

Then I got a continuous glucose monitor (I believe it was the Dexcom G4) just before starting my freshman year of college. And I haven’t really been without a CGM device since then. It’s changed my life and helped me navigate adulthood with diabetes. Whenever I do experience periods of the technology not working the way it should, it’s infuriating because I feel like it’s not worth throwing away buckets of cash on it in those periods of inconsistency and inaccuracy.

But here’s what I’m wondering, as a result of this Great Dexcom G6 Outage of 2019…do we take this technology for granted?

Do we truly appreciate the times that it works the way it should?

Do we expect too much from something that, technologically speaking, still has a long way to go in terms of working perfectly?

Do we rely too heavily on continuous glucose monitors to provide us peace of mind when, in reality, they simply provide us with real-time updates of our blood sugar levels (i.e., it’s a stream of data)?

I don’t have answers to these questions. I can reflect on my own answers to them; furthermore, I can ponder how and why the DOC gets so divisive in these times where we should try to come together, listen to (and learn from) differing perspectives, and figure out what we can do to best support one another during trying times.

 

Who Inspires Me from the DOC

It’s November 22nd which means that it’s Day 22 of the Happy Diabetic Challenge! Today is called #FollowFriday and we’re encouraged to share who inspires us from the diabetes community. Rather than capture the dozens upon dozens of names in a blog post (because truly, there’s practically an endless list of people who inspire me in the DOC), I’m going to write about what I think makes someone in the DOC inspiring…

I’ve lost track of how many years I’ve been involved with the diabetes online community (DOC).

It’s somewhere between five and eight. Regardless of what the true number is, I can tell you this: I’ve “met” and interacted with countless people who’ve shared their stories with me. Each story is unique and marked by different struggles and victories, but the common theme is diabetes.

But what else do these storytellers share that make them so inspiring to me?

Happy Independence Day!
Chances are that if you’re reading this post…you’ve inspired me in some way. Thank you.

Here are three qualities of people with diabetes who inspire me:

  1. Vulnerability. I’ve come to value this more than just about any other trait when it comes to talking about diabetes in an online space. Nothing makes a person more relatable (or more human) than when they speak uninhibited and honestly. In a social media world where everyone is so concerned with capturing and filtering the “perfect” photo with the “flawless” caption to go with it, I find that it’s the stories that are raw and obviously imperfect that pack more of a punch. It’s important to stay grounded, and those who aren’t afraid to share their tribulations as much as they share their successes are truly inspiring to me.

2. Kindness. The Internet can be harsh and judgmental. (Okay, that’s a total understatement). It’s brutal out here in cyberspace, and unfortunately, the DOC isn’t immune to all brands of savagery. In the past, I’ve seen disputes erupt because of hateful comments made about all aspects of life with diabetes. So when I notice thoughtful, supportive, and downright nice comments between perfect strangers in an online space, it restores a bit of my faith in humanity. Those who take the time to send a tweet to another PWD in need or who use their presence online to do some good don’t go unnoticed by me, and I applaud each and every single person who does their best to reduce the negativity in the diabetes online community.

3. Willingness to listen and learn from differing perspectives. Those of us who live with diabetes can be wildly, passionately opinionated. Pumps! No, MDI! Carbs! No, keto diet! Your diabetes is just like mine! No, it’s not! – Those are just a few examples. While some may be quick to judge others for dealing with diabetes in a way that is different or just plain “wrong” to them, I’m far more impressed by those who remain open to having conversations and learning from those who disagree. After all, what matters most is that a person finds what works best for them. It shouldn’t matter that it’s different from what I or anyone else might do. So I really admire those who are able to put aside differences and focus on learning and growing from others.

Thank you to each and every single person out there in the diabetes online community who possesses one or all of these qualities. This means you’ve inspired me in some way, and I am incredibly grateful for you and your willingness to share part of yourself with strangers online. Keep doing what you’re doing and I can guarantee that you’ll continue to inspire many more people.

Why You Should Get a Flu Shot (If You Haven’t Gotten One Already)

I’m not a medical professional by any stretch of the imagination. But I am a highly opinionated person who happens to have a chronic illness and who feels strongly about vaccinations such as the flu shot.

So with that in mind, let me say that I truly believe it’s of the utmost importance that you get your flu shot this fall.

Whether you have diabetes or someone you know and love has diabetes, you need to help protect yourself (and your loved one) by getting your flu shot. Why? Because it’s common knowledge that people with diabetes simply have weaker immune systems. I’ve made it a practice, along with many other people with diabetes, to keep up-to-date on this vaccination annually because I know how easy it is to get it – and actually, I was excited to get it done this year because my best friend since childhood administered it to me herself. I’ve never had so much fun getting a shot before!

Why You Should Get a Flu Shot (If You Haven't Gotten One Already)

Yes, I know, not everyone is as fortunate as me to have a best friend who will stick you in the arm to help protect you during this year’s flu season. But it doesn’t matter who gives it to you, just get it done.

It doesn’t matter if you’re afraid of needles (besides, they have nasal flu vaccines).

It doesn’t matter if you have a “great immune system” and “never get sick”.

It doesn’t matter if you don’t think you have time to go and get it done, because really, if you have time to read this post then you definitely can hit up your local pharmacy for a quickie shot.

I’ll get off my soapbox for now, because I’m sure you’ve stopped reading this post now in order to figure out when and where you can get yours! 😉