Planning for Office Potlucks with T1D

Today is my office’s 10th annual holiday potluck! I’m looking forward to sampling a wide variety of dishes prepared by my coworkers. I know that it’ll be a carb heavy feast, though, so I’m going to have to do a little planning in order to prevent my blood sugar from spiraling out of control.

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I feel like I consume the amount of carbs that this gingerbread house contains on office potluck days (okay sort of exaggerating but that’s how it FEELS).

Honestly, my strategy for office potlucks is a little similar to what I do on other food-centric holidays: test often, extend boluses as needed, consume everything in moderation, and so forth. But there’s a few additional things I like to take into account when it comes to potlucks:

  1. Request labels for the food. I want to know precisely what’s in front of me. No, I don’t expect or want someone to write down every single ingredient they used to prepare a dish, but I do think it’s not too much to ask for the name of the dish. Labels are everything!
  2. Ask the cook if more explanation is needed. Case in point: At our last potluck, I tried noodle kugel without knowing what was in it. I mean, it’s obvious that NOODLES are a main ingredient, but pasta aside, I had no clue that sugar, cinnamon, and raisins were also used to make it. Needless to say, my blood sugar was sky high after sampling this (delicious) carb bomb, and I think I could’ve mitigated the situation if I’d only spoken up.
  3. Find someone to share the sweet stuff with (or save it for later). Chances are, I can find a coworker who’d gladly split a cookie with me so we save ourselves from the calories and carbs in a whole one. But if I truly can’t resist having a big piece of cake to myself, then there’s no problem in saving it for later – I never know when my next low blood sugar will strike!
  4. Load up on low carb options. Typically, I take as much as I want of the veggies, salads, cheeses, and meats that people contribute to the potluck spread. I know that if I fill up on lower carb items first, then I won’t overdo it as much on the heavier pastas, breads, and cakes.
  5. Be upfront with coworkers. My colleagues are very understanding when it comes to my diabetes, which is awesome in certain situations – like a potluck! But every now and then, I encounter someone who just doesn’t get my diabetes (even if I’ve tried to explain it to them). They’ll insist upon me eating whatever they’re offering to me, and take it personally if I turn them down. So I’ve decided that the best way to cope with this is to be totally honest with my coworkers and tell them why I can’t or don’t want to have what they are offering. So if Edgar* is begging me to try a slice of the chocolate torte he slaved over, I’ll straight-up tell him my reasons for skipping it (whether it’s due to high BG or simply being too full!). There’s a reason it’s said that honesty is the best policy, and this certainly applies in an office setting.

Either way, I look forward to this potluck every year and I won’t let my diabetes prevent me from enjoying it. Here’s to an afternoon filled with food and festivities!

*Edgar isn’t a real coworker. I just made him up for the purpose of this post. But I bet his hypothetical chocolate torte is amazing.

That Time I Lost my Dexcom, and a Cop Flirted with Me

I bet that title caught your attention, huh?

Not too long ago, I was fondly reminiscing about my college days. So many stories, so many of them related to diabetes in some manner. But this one that I’m about to share is one of the funniest, most cringe-worthy stories. Hopefully, you’ll be delighted by my awkward adventure:

It was the night of the “senior ball”. This was a dance held at the Mullins Center at the UMass Campus for graduating seniors. I was particularly excited to attend mine, because it presented me with an opportunity to see all of my college friends again. Technically speaking, I didn’t graduate with them – due to extra course credits and an overloaded schedule, I was able to graduate one semester earlier than the rest of my friends. This means I last hung out with the group in December; fast-forward to May, and it had been nearly five months since I last saw my crew.

So this meant we had to celebrate! As I got ready at my friend’s apartment, we caught up on each others’ lives and drank some wine. By the time we were ready for the grand ole ball, we were feeling more than ready to dance the night away.

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Drinking and diabetes: Things can get a little…dicey, when celebrating special occasions.

And we certainly did. We spent several hours that evening taking pictures, laughing with friends, snacking on appetizers and sipping more wine. And in the middle of it all, my Dexcom CGM somehow managed to vanish from my purse’s strap. I didn’t realize this until I needed to check my CGM to stay updated on my blood sugar, so I had no idea how much time had passed between then and when I lost the CGM.

What I do know for sure, though, is that I instantly panicked when I discovered it was gone. I rely heavily on my CGM when I’m at an event like this. It’s really useful for me to stay alert of how I’m trending, especially when I’m drinking alcohol. Typically, I know what to expect in terms of my blood sugar when I’m imbibing in different kinds of alcohol, but having my CGM handy makes me feel more secure.

So that’s why I freaked out. How the hell was I supposed to find my CGM in the Mullins Center? For context: It’s an arena that can hold almost 10,000 people. There weren’t quite that many attending the ball, but there were enough bodies in there to guarantee that searching for my CGM wouldn’t be easy.

I admit it, I was a little tipsy, so that definitely didn’t help in the situation.

After telling my friends what happened, and a brief group effort to search for my CGM, I knew I needed more manpower. So I found a police officer and told him what was going on. Once he found out I was a diabetic, he sat me down in a chair – he must’ve been afraid I’d pass out or something – and he assured me that we’d locate it by the end of the night. He struck up conversation with me while we waited for news from the other officers who were on the case. I had nothing else to do, so I gamely chatted with him.

I have no idea how much time passed. It could’ve been 20 minutes or 2 hours, but in a matter of time, my CGM was found. I jumped for joy when it was returned to me, cradling it in my arms. Meanwhile, the police officer seemed kind of bummed. He took something out of his pocket – a card – circling a number on it before handing it to me. “That’s my number,” he said, “just in case you need me again.”

I took it, nonplussed, and thanked him for his assistance. He nodded, and watched as I walked away to rejoin my friends. We all walked home and passed out soon after, exhausted from the fun but chaotic night.

The next morning, I woke up and rummaged through my purse to get my meter and CGM so I could do my first BG check of the day. As I looked through, I found a card in my bag – the cop’s card. I chuckled out loud, explained what happened to my friends, who laughed riotously as I relayed my interaction with him the night before.

“Molly, face it – you got hit on by a cop while you nearly had a medical crisis.”

Yup. True story.

It’s the Holiday Season!!!

Only 21 more days until Christmas! I’m so excited that the most wonderful time of year is here. To celebrate, I’ve changed the header on my site to…

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…this dorky T1D dancing lady (me)!!!

It was like kismet when I saw this sweater in the store a few days ago. It’s a cactus that lights up and has the phrase “hug me” on it. How could I not buy it?! Hence, I decked myself out with the sweater and danced gleefully with my OmniPod PDM in hand to bring some Christmas cheer to my type 1 diabetes blog, Hugging the Cactus.

I want to take a moment to say how special HtC is to me. Truly, the first two months I’ve spent putting this blog together and writing new material have brought me, in the spirit of the season, joy. It makes me so happy to share with readers, near and far, who take time out of their days to click through my posts. I’ve learned quite a bit from the DOC in the years that I’ve spent blogging, and I know that I will continue to do so!

Besides the holidays this month, I’ve got a major milestone coming up: 20 years with type 1 diabetes as of December 24th. What do you think I should do to mark the occasion?

Again, thank you for reading my blog. I have some big plans in the works for it in 2018, so stay tuned! And if you want to make sure that you don’t miss any of my new posts, please feel free to subscribe – the widget to subscribe is located on the right-hand side menu on the homepage here.

Christmas time is here!!!

10 Tips for T1Ds Celebrating Thanksgiving

Happy Thanksgiving!!!

A holiday that promotes gratitude and eating…what’s not to love? As much as I enjoy Thanksgiving, though, I can’t quite say that my diabetes feels the same about it. Fortunately, I’ve developed a bit of a game plan as to how to handle diabetes when Turkey Day comes rolling around – here are my top 10 tips for making the most of a Thanksgiving feast with diabetes!

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A tree of thanks I made many Thanksgivings ago – note my gratitude for Lindt chocolate, specifically.

10) Don’t skip breakfast on Thanksgiving morning. This helps me avoid over-eating when Thanksgiving dinner is served later in the day. Breakfast doesn’t have to be a huge thing, maybe just a bowl of oatmeal or a piece of fresh fruit – anything that will sate me for a few hours.

9) Volunteer to prepare a couple of dishes. If I’m going somewhere for the feast, I like to know what my host needs me to bring. If I have creative control over the dish, I prefer to make it something that I know won’t be too hard on my blood sugars, such as a side of veggies or a sugar-free dessert.

8) Familiarize yourself with what’s being served prior to sitting down for the meal. Before my family sits down to eat, I like to know what exactly we’re being served so I can plan accordingly. I can usually get away with strolling around the kitchen to get an idea, but sometimes the chef (my aunts or my mom) kick me out while they finish cooking dinner!

7) Don’t feel pressured to try everything. It all looks and smells so good, but I have to remind myself to use some restraint when piling my plate with Thanksgiving food. I’ll add staples like turkey and green beans (both of which are low-carb!) and take smaller portions of the heavy things, such as stuffing and potatoes.

6) If it’s necessary, extend my bolus. This all depends on what my blood sugar is before the meal, but sometimes, I’ll extend it in order to prevent lows or highs post-feast.

5) Check my blood sugar often. I’m not afraid to check my blood sugar as often as I need to throughout the Thanksgiving feast. I’d rather have an idea of where my blood sugar is headed than leave it to chance and guess incorrectly.

4) Go for a walk or organize another outdoor activity. The weather doesn’t always cooperate with this idea, but I’ve found that dragging my cousins on a 20-minute walk after eating helps my blood sugar and provides us all a chance to hang out while our uncles take control of the TV and our aunts chitchat over cups of coffee.

3) Wait a bit before having seconds or starting on desserts. I try to indulge a bit on the sweets at Thanksgiving, but I know that it never works out for me if I help myself to desserts too soon after consuming the main course. So I avoid the temptation by staying busy after eating dinner – my mom and aunts always appreciate an extra set of hands to assist with clean up!

2) Look up carb counts if I’m struggling to come up with them on my own. Sometimes, I can’t quite determine how many carbs are in a serving of pumpkin pie – I’ll guess too low and end up high, as a result! But I know that there are tons of carb counting resources at the tip of my fingers, thanks to my smartphone. I rely on the MyFitnessPal app and the handy Thanksgiving carb chart from Beyond Type 1 to help me come up with complex counts.

1) Remember what the holiday’s all about: being thankful! Enjoy the day and time with loved ones! Whether you’re part of a large family like mine, a small one, or choose to spend the day with friends or a partner, just relish it for what you want it to be.

A Shout Out to my Endocrinologist

For the first two weeks of Diabetes Awareness Month, I’m responding to prompts provided by Beyond Type 1 on Twitter (and I’ll post a couple longer responses here). Today’s prompt encourages us to give a shout out to a healthcare provider who has made a difference in our lives. I’m not disclosing the name of my endo for privacy purposes, but that doesn’t diminish the amount of gratitude I have for her.

Dear Endocrinologist,

Thank you.

Thank you for always listening to me during our appointments.

Thank you for making me feel heard and never laughing at the problems I brought up that I thought were stupid or embarrassing.

Thank you for never making me feel bad about my A1c.

Thank you for reminding me that my A1c is just a number, and I’m worth more than what that value represents.

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Waiting for my endocrinologist at a recent appointment

Thank you for motivating me to take better care of myself after every appointment I have with you.

Thank you for being patient with me.

Thank you for inspiring me to try new technology, and not judging me when I used to express my fears about abandoning the known for the unknown.

Thank you for asking me questions, in an effort to make sure you fully understood my thoughts and feelings about my health.

Thank you for being you.

Sincerely,

Molly

 

Hypoglycemia Strikes Again

I rolled over onto my stomach and groggily opened my eyes. I checked the time – 1:30 A.M. I felt beads of sweat form on my forehead and back. I kicked my blankets off my body just as I heard my CGM vibrate: five urgent, successive buzzes, a grating sound. I knew what it meant without looking at the screen. My blood sugar was low, and I had to do something about it.

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Low blood sugar is never fun, but especially when it happens in the middle of the night.

Blindly, I groped around in the dark, my arm hanging off my bed as I searched the floor for my purse. Once I located it, I rummaged through the inside, looking for a miniature box of raisins that I knew would boost my blood glucose up. I found them and ate them quickly, sitting upright in bed. As I chewed, I registered the sensation that occurs once in a blue moon with these middle-of-the-night lows…

…Raging hunger.

It’s that feeling that you have when your blood sugar gets below a certain point.

That feeling of utter starvation.

That feeling that deprives you of good common sense.

That feeling that forces you to get out of bed, even though the rational part of your mind just wants you to go back to sleep.

Damn it. I’ve succumbed to it, again.

It’s not like this happens every time I have a low at ungodly hours of the morning. In fact, it probably only happens to me four or five times throughout the year. Maybe because I fight against it so hard, since I know that it’ll lead to nothing but high blood sugar and regret.

These thoughts cross my mind, but it’s fleeting. I make my way down the stairs, pausing to grab my bathrobe to keep me warm (the sweating will stop soon and it will be replaced by nonstop chills). Hey, at least I have enough logic at this moment in time to remember the BATHROBE of all things!!!

I turn the light on in the kitchen, blinking rapidly to clear the sleep from my eyes. And then I raid the cabinets.

Fistfuls of Smart Food popcorn are devoured one minute, and in the next, I’m swallowing spoonfuls of crunchy peanut butter (my dear, delicious vice). I take a pinch of Parmesan from the fridge and a tiny tower of Toasteds crackers to complete my smorgasbord. I wash it all down with sparkling water and remove myself from the kitchen before I can do any more damage.

I don’t know what’s more sad – the fact that I gave in to these carnal hunger pangs even though I knew my blood sugar would be fine after having the raisins, or that my snacking was absurdly out of control for 1:30 in the morning. Truly, the knowledge that I must’ve consumed close to 400 calories – roughly how much I eat at lunchtime each day – was disgusting to me.

I could blame it on my lack of self-control. I could blame it on the early morning hours and my sleepy state. I could blame it on the peanut butter for being so addicting.

But instead of beating myself up for a snack attack in the witching hours, I’ll just accept it happened and blame it on the hypoglycemia for striking me when I was vulnerable. It happened, it’s over, it’s time to move on and try harder next time.

 

Welcome to my Blog!

I couldn’t be more excited to start this new – and mildly daunting – venture in blogging. While I’m no stranger to sharing my diabetes story with others online, it’s a bit more intimidating to craft my own blog and show a more personal side of myself.

In fact, if you had told me 10 years ago that I would be a diabetes blogger who’s connected with T1Ds all across the country, I would have looked at you like you were absolutely insane. I was already accustomed to a life with diabetes in my teenage years, but that didn’t mean I was willing to talk about it. I shunned the notion of attending diabetes camp or meeting other peers with T1D. I figured that the only other T1Ds I needed in my life were my mom and my aunt – their support was enough for me.

This point of view changed, though, just before I started my freshman year at college. Suddenly, I was all too aware of the fact that I’d be forced to take full responsibility of my diabetes care and management for the first time in my life. College meant a true taste of independence, and with that came accountability for my health. This realization made me accept that perhaps I should welcome some additional support into my life.

That’s when the College Diabetes Network entered the picture. A quick search online brought me to this incredible nonprofit. After learning that a chapter existed at my school, I made it my goal to give it a try and go to a meeting. Little did I know that over the course of the next three years, I would become the president of this chapter and register it as a student organization on campus.

Hi. That’s me, attending my first CDN Retreat and basking in the endless amounts of diet coke available there.

My involvement with the CDN has provided me with many opportunities. I’ve attended conferences and gained internship experiences due to my connection to the CDN. I’ve met dozens of people like me all across the country – individuals looking for peer support as we navigate the tricky world of diabetes, college, the real world, and young adulthood. Hearing stories both similar to and different from my own never fails to make an impact on me, and the inspiration I draw from others gives me the courage to make my voice heard within and outside the diabetes community.

In fact, my openness over sharing my diabetes resulted in my blog’s title: Hugging the Cactus. Anyone who knows me knows that I wear an OmniPod insulin pump and a Dexcom CGM. As I rotate sites around my body, this means that I sometimes wear them in plain sight. On a particular evening, I was wearing one on the back of each arm. I had made a trip to the restroom at a restaurant and was walking back to my table when a not-so-shy waiter asked me, politely, “What are those things on your arms?”

“Oh, it’s my insulin pump and my glucose monitor. I have type one diabetes and these help me manage it,” I explained, in a patient tone.

“Oh, I’m sorry – that’s terrible,” the waiter replied. Remorse appeared in his expression.

“Please don’t apologize,” I said to him, reassuringly. “I’ve had diabetes most of my life. I accept it and I’m grateful for these devices. They make it much easier to take care of myself.”

“That’s pretty cool, you know,” he said, his face changing. He smiled at me. “It’s like your hugging the cactus. Accepting the bad for what it is and embracing it.”

I remember flashing him a giant smile and laughing as I said, “I like that. That’s exactly what it is.” He wished me a good evening, which I reciprocated, before parting ways. I cemented the phrase “hugging the cactus” into my memory that night, because it sums up my perspective on life with diabetes perfectly.

And this is why I’m here: to share my stories with others, as well as to hear your stories. It’s my humble hope to positively impact the life of someone who deals with diabetes, directly or indirectly. Whether we share the same feelings or completely different ones regarding diabetes, I think it’s wonderful to be part of the diabetes community and share in the strength, knowledge, and sense of belonging found within it.