3 Things I Learned From Giving up Alcohol for Lent

Unless you’re familiar with the Catholic faith, that title probably doesn’t make much sense to you. “Lent” is a period of time – the 40 days before Easter Sunday – in which Catholics traditionally practice penance, prayer, and almsgiving. In addition to avoiding the consumption of meat on Fridays during Lent, it’s also common for observers to give up something in order to focus more energy on acts of kindness and charity.

This year, I decided to give up alcohol.

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All of this, and more, was off limits throughout Lent.

I was inspired by my mom, who has eschewed alcohol during Lent for the last few years. I was a bit hesitant to take on the challenge; after all, I’m a young adult who enjoys going out and drinking every now and then. I wondered how it might affect my social life, and whether I’d experience any heckling or peer pressure from friends. But I was also open to the idea that forgoing alcohol during Lent could benefit me in some ways, so I felt ready to go forward with my plan.

Here’s what I learned from abstaining from alcohol for 40 days:

  1. My blood sugars were a little more predictable/easier to manage. One of my biggest issues with alcohol is that it’s hard to know just how many carbs are in one drink. Beer tends to be higher carb, whereas wine typically contains less. Hard liquor boasts even fewer carbs, but things get tricky when sugary mixers get added to the equation. So when I drink alcohol, I try to prepare myself for any possible scenario that could result from miscalculated carb intakes. But by giving up alcohol during Lent, I didn’t have this problem when I was dining out. I simply had to bolus for the food on my plate and enjoyed worrying less about what my blood sugar would be like later in the evening.
  2. Nobody gave me a tough time over my decision. This was a pleasant surprise, albeit one that I should’ve seen coming. After all, I’m not in college anymore. Peer pressure is practically non-existent in my life these days, and I’m thankful for its absence. If anything, my alcohol avoidance triggered discussions among my friends and colleagues, who generally seemed interested in the concept of giving something up for a length of time.
  3. It reminded me there are other (healthier!) ways to unwind that don’t involve drinking. Obviously, I knew that on a sub-conscious level. But I was automatically encouraged to explore alternative ways to relax after a long day at work. I definitely amped up the amount I exercised, and I probably ate a smidge more dark chocolate (okay, more than that) to reward myself throughout the week. And I didn’t become a shut-in on Friday and Saturday nights like I feared; rather, I participated in all my usual weekend activities, just sans alcohol. A huge plus to this was not having to worry about whacky blood sugars or who would be a designated driver – the safety element made the whole alcohol-avoidance thing much more appealing.

Does this mean that I’m going to avoid drinking alcohol forever now? No, because I still enjoy having a pint of beer, glass of wine, or specialty cocktail at my fancy. But I do feel more empowered to say “no” when I just don’t feel like drinking socially. I also feel good about cutting back on my alcohol intake overall and making a commitment to consciously deciding whether or not I want to drink. I think that my mind, body, and blood sugars will be better off.

How I Learned the Importance of Carb Counting

One recent evening, I was rummaging through the kitchen pantry and noticed a bag of “veggie stix” stashed away, waiting to get opened. The sight of the bag instantly brought back memories of a time I was blatantly irresponsible with my carb counting and insulin dosing…

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…It was my junior year of college. I had plans to meet with a friend for dinner at seven o’clock. While that’s a standard suppertime for many people, it was kind of late for me. So that explains why I decided to treat myself to a snack a couple hours before it was time to go, just to hold me until I had my meal. My snack of choice? A bag of veggie stix just like these were sitting in the kitchen of my on-campus apartment. I thought I’d help myself to a few, believing (naively) that I had enough self control to know when to stop shoveling them down my gullet. That’s right, instead of doing the right thing and counting out a bunch before stowing the bag away, I was blindly consuming handful after handful without dosing for a single stick.

I can’t even use the defense that these veggie stix are strangely addicting – they really are, they taste a little like those potato sticks that used to come in cans – because I knew what I was doing wasn’t good for me. I just didn’t care. I had munched my way through half of the bag when it dawned on me that it would probably be smart to stop myself from eating more. I rolled up the bag, returned to my room, and did some homework until it was time to meet with my gal pal.

Little did I know that my blood sugar was rising to potentially dangerous levels.

I didn’t find out how high I was – over 400 mg/dL – until I reached the sandwich shop and had a plate full of chicken pesto carb-y goodness waiting to be consumed. My face must’ve shown my shock, because my friend asked me if I was alright. I quickly explained to her my mistake, and took an extra large bolus to cover my food and correct my blood sugar. Once that was done, I somehow managed to stop panicking long enough to enjoy the dinner with my friend, even though I couldn’t eat a bite of mine until an hour or so after injecting my insulin.

Although it sucked to go through this, I’m kind of glad that it happened because I learned a major lesson from it: ALWAYS count my carbs. It doesn’t matter if I WANT to be lazy or pretend that my diabetes doesn’t exist, I HAVE to hold myself accountable. It may be mentally draining and a bit of a nuisance, but it’s my own health here. It’s up to me, and me alone, to manage it.

And by the way, I did just help myself to the above bag of veggie stix. I had exactly 24 pieces, which equals exactly 5.4 grams of carbohydrates – a much smaller amount than what I ate that one night five years ago.

How to Change an OmniPod

I decided to do something a little different and take video of how to change an OmniPod. Rest assured, though, that it does not take 22 seconds – it’s more like a seven-minute process.

Some things you’ll notice about my process:

  1. I fill my syringe with insulin and set it aside before deactivating my old pod. This simply means that I wear the old pod a little bit longer so there’s less of an interruption in time that I go without insulin.
  2. I use a pen to smack bubbles out of the syringe. Air bubbles will inevitably develop when drawing insulin out of a vial, so I find that gently hitting the sides of the syringe with a pen is the most effective way to get rid of the pesky air pockets.
  3. I prep my site with an alcohol swab, followed by a skin-tac wipe. The alcohol merely cleans the site, whereas the skin-tac makes the pod adhere to my skin better and longer.
  4. The new pod activates best when it is adjacent to my PDM. I always place my new pod to the right of my PDM. This helps the PDM register the new pod.
  5. It doesn’t actually hurt when I rip off an old pod. Not sure if you detected my dramatic facial expressing, but I was just yukking it up for the camera. It truly doesn’t hurt, especially if you just remove it in one swift motion.

So that’s it, the full process boiled down into 22 measly seconds. I admit that I kind of had fun making this video, even though the sight of myself sans make-up is semi-horrifying. But give me a break, I was on my way to a Pilates class! And let’s be real, diabetes isn’t always glamorous.

Easter Basket Dos and Don’ts for People with Diabetes

Please don’t judge me for what I’m about to say…

…Even though I’m an adult, I still get Easter baskets. I know, I’m a bit spoiled.

The contents of said Easter baskets have varied over the years. But the ever-thoughtful Easter bunny has always been conscientious of the goodies he places within it, given my diabetes. After all, diabetes doesn’t mean I can’t enjoy Easter treats, both of the sugary and sugar-free variety.

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One of my favorite Easter baskets received as an adult contained a stuffed animal, two bottles of wine, a book of crossword puzzles, and Easter chocolates.

Whether a kid or an adult, here’s some ideas for an Easter basket that any T1D in your life will appreciate:

For kids:
Coloring books, markers/crayons/colored pencils, stickers, comic books, movies, frisbees, outdoor/warm weather toys, nail polish, puzzles, mini games, stuffed animals…

For adults:
Lottery tickets, gift cards, coffee, wine/beer (one of the best finds in an Easter basket, TBH), gum, other small snacks, books…

Truly, depending on who the basket is for, there’s a ton of possibilities as to what can fill it.

My thoughts on candy:
I’m the only person I know who doesn’t completely loathe sugar-free chocolates. Obviously, I prefer actual chocolate – because, you know, that’s what tastes good. But I don’t exactly love all the carbs in it. I find that snacking on sugar-free chocolates (as long as the quantity is small) satisfies a sweets craving well enough. But I also think that real treats, like Reese’s peanut butter eggs (my weakness) or Cadbury eggs (pure confectionary delight) are okay. After all, Easter is only once a year. And with carb counts widely available these days, it’s easy to know exactly how many you’re consuming.

Plus…who doesn’t love a good candy sale the day after a holiday? Talk about a great low blood sugar stash!

On another note…Happy Easter, Happy Passover, and Happy Spring to you!!!

Testing for Accuracy, in Addition to Blood Glucose

Blood glucose meters serve the sole purpose of checking current levels of glucose in the blood. Pretty self-explanatory, right? And it’s equally obvious that it’s crucial for all meters to generate accurate results so PWD can make the right treatment decisions based on those numbers.

Unfortunately, though, accuracy isn’t always what I get.

The other day, I was running low before bedtime. I corrected with an organic rice crispy treat (honestly, it was a million times better than the brand name kind). I waited nearly an hour for my blood sugar to come up. When my CGM wasn’t showing any progress, I tested: I was 47. It’s rare for me to be that low, so I tested again. 52. I believed it, especially since I was experiencing several hypoglycemic symptoms.

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My unicorn bg quickly turned into A Situation.

I chugged a glass of orange juice and plopped down on the couch to wait for signs of improvement. Before long, I was freezing cold – a sure sign I was coming up, because I had been sweating 20 minutes prior. But I didn’t feel comfortable going to bed yet. I wanted to see if my CGM would show an up arrow. When it finally did, I made my way upstairs to brush my teeth and wash my face. In the middle of my routine, though, I decided to glance at my CGM again – and saw the dreaded ??? screen.

I decided then that the Dexcom should be out of commission, a.k.a. not trusted at all, for the remainder of the evening.

I ripped it out and inserted a fresh one, not really caring that it would wake me up in two hours to be calibrated. I would need to set at least two alarms for the middle of the night, anyways, if I decided to go to bed disconnected from my Dex. So it just made sense.

Once that was done, I tested again. I was pretty tired at this point and really didn’t want to have to eat something else, so I did it as quickly as I could. In my haste, I jostled my meter just so – enough that I saw the test strip, already marked with my blood, move slightly as it brushed against my PDM and was placed next to it.

113 mg/dL flashed upon the screen. Normally, I’d be thrilled! But I furrowed my brow. Something just felt…off about that reading. So I tested again.

206.

What?!

I tested a third time – 203. Okay, something was definitely wrong. Either that 113 was wrong (likely) or my meter had just produced two wildly inaccurate blood sugars in a row (less likely).

This is one of the many times that it’s convenient to live with another PWD. I asked my mom if I could borrow her test kit and see what result it generated. Seconds later…a twin 203 popped up on the screen, reassuring me that the 113 was a fluke on my meter.

Relief with the reality and irritation with the technology washed over me simultaneously as I went to correct the high with a bolus. I was glad I wasn’t heading down again, but irked that my meter had failed me. True, it was a bit of human error there, but aren’t we at a point in technological advancements where this sort of thing just shouldn’t happen? I put my life into the “hands” of my meter, Dexcom, and OmniPod. They should produce results that are undoubtedly accurate.

I guess we aren’t quite there yet.

TypeOneNation, Boston: A Wicked Fun Family Reunion

St. Patrick’s Day is a favorite holiday of mine because I enjoy celebrating my Irish heritage. Almost every year, I eat a traditional boiled dinner, listen to Irish music, and wear an excessive amount of green.

This year, though, was a little different. In addition to all of the above, I attended the TypeOneNation summit in Boston. The event was organized by JDRF and just about 900 people with diabetes attended, along with their families and caregivers.

There’s nothing like being in Boston on St. Paddy’s day, even if it is for an event that has nothing to do with the holiday’s shenanigans. The spirit of the day made it slightly less painful to wake up at the crack of dawn in order to catch an early morning commuter rail into the city. As I sipped an Irish cream iced coffee from Honey Dew (absolutely delicious) on the ride, I got myself pumped up for what would surely be a fun day.

Once we arrived at the Back Bay station, I was one frigid (and mercifully short) walk away from the event space: the Boston Marriott Copley hotel. I went straight to the registration table so I could receive a name tag and itinerary, then made a beeline for the vendor hall. You can never have too much free diabetes swag, am I right?

Within the hall, I recognized many familiar faces and happily made the rounds to chat with some of my T1D friends in attendance. I couldn’t help but feel like I was at a family reunion of sorts as I reconnected with people who I don’t get to see often enough.

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I was pumped to see some friends I’ve made through the CDN at the summit!

Before long, the events of the day got into full swing as the keynote speaker, Nicole Johnson, addressed the crowd. Nicole won the Miss America pageant in 1999 soon after she received her diabetes diagnosis. She’s done many incredible things since earning that accolade, and she delivered an inspiring speech about living life with diabetes to the fullest. As she spoke, I looked around the room and noticed all the little kids who were there. It warmed my heart to see how they received Nicole’s words. Many of them looked at her in absolute awe. It was obvious that they thought she was pretty great, and I bet that having diabetes in common with her helped them to feel just as cool. Nicole is definitely a wonderful role model!

The rest of the day went by much too quickly as I went to two different talks offered at the summit. One was about going to college with diabetes, and the other was about sex and drugs – the “taboo” diabetes topics. Even though I’ve already experienced what it’s like to go off to college with diabetes, I wanted to go to this talk because it was given by my friends from the CDN. I also wanted to meet the parents and children at the session because I was curious to learn about their concerns. As someone who went to a very similar talk seven (?!) years ago, I felt that I could potentially offer reassurance to these families, especially since the whole college experience was so recent for me. And it turned out that the woman seated next to me was an anxious mom who seemed receptive to the words of encouragement I spoke to her at the end of the panel. While I believe that the session could’ve lasted many more hours (everyone was so engaged in the conversation), I think that the session acted as a good launching point into future discussions for many families who are going to make this transition soon.

I wolfed down a quick lunch – I loved seeing the food labeled with carb counts – before heading to the next session. I chose it because, c’mon, a title like “Sex, Drugs, and Rock n’ Roll” can get anyone’s attention. Plus, I feel very strongly that the touchier diabetes topics SHOULD be talked about more often. They can be scary to approach, but it’s important to know what to expect in certain situations in which diabetes can play a major role. I had to duck out of this one a bit early to catch the commuter rail back home, but they were delving into some pretty juicy stuff when I got up to leave. I give major credit to all of the panelists in that one – it can’t be easy to talk about highly personal intimate matters in a room filled with strangers!

Although my time at the summit was truncated, I’m so glad that I took the time to go to it. It’s no secret that I enjoy talking with other people with diabetes. Hearing their stories and sharing experiences makes diabetes feel less isolating. And I’m thrilled that I finally got to meet a few people I knew from the DOC but had yet to see in person!

Diabetes conferences, meet-ups, summits…they’re the types of family reunions you actually get excited about and want to attend.

Favorite Things Friday: Zero-Carb Beverages (Beyond Water!)

Water is crucial to life. Half of the human body is water, nearly three-quarters of Earth is water, and it’s recommended to drink half a gallon of water per day. Clearly, there’s no disputing its benefits. Especially when it’s a naturally zero-carb beverage – a benefit to people with diabetes, who must keep careful track of the amount of carbs consumed in a day. That’s why it’s usually easier for a PWD to stick with diet or sugar-free drinks as opposed to alternatives.

But let’s face it, water can get boring. Sometimes, a drink with flavor is the only way to quench a thirst. So I decided to assemble a list of my favorite simultaneously diet/low-carb, tasty, and refreshing drinks that I enjoy and are a notch above ole H20:

  • Diet Cranberry Juice. Ocean Spray makes a classic flavor as well as a variety of blends – my favorite is cranberry lime. It runs at about 2 grams of carbohydrate for 8 ounces, so to curb this, I typically pour 2-3 ounces and fill the rest of my glass with water.
  • Unsweetened Vanilla Almond Milk. A few years ago, I started drinking almond milk with my cereal instead of traditional dairy milk, and I haven’t looked back. It’s both a low-carb and low-calorie alternative that satisfies just as much as other milks.
  • Seltzer water. Look beyond plain old lemon seltzer water – there’s a whole world of flavors out there! Polar beverages makes a seemingly endless array of seltzers. They even had a unicorn variety over the summer that tasted like cotton candy and rainbows. I love experimenting and trying new flavors frequently, which helps assure that I don’t get tired of seltzers.
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My favorite “magical” seltzer water.
  • Sparkling water. This tends to pack a bit more of a punch in terms of flavor than seltzer water. I’ve found a bunch of great-tasting bottles at the supermarket, from coconut pineapple to açai blueberry.
  • Bai drinks. Sometimes, I take a break from the carbonation and stock up on bottles of these antioxidant fusion drinks. They’re made with erithytrol, which is a kind of sugar that has no affect on blood glucose levels. They’re seriously tasty and come in several tropical flavors that make you feel like you’re lounging on a beach. Plus, their advertisers get bonus points because they used a favorite N*Sync song as part of their marketing.
  • Drink packets. There’s about a million different kinds of drink packets, drops, and mixes out there. Just about all of them clock in at zero carbs, and few to no calories. It can be fun to try all the mixes out there to find out which ones taste the best.
  • Tea. A great alternative hot drink and another beverage with tons of flavors out there. I drink tea black, and most do not have carbohydrates, so it’s another “freebie” drink option that hydrates as well as warms me up.

Do you have any favorite zero-carb or diet drinks that I didn’t mention on this list?

On the Road to Recovery

I shared the story of how I broke a bone in my arm last month. I was pretty down in the dumps about it, so I’m particularly pleased to say today that I am 90% healed from the injury!

I know I’m lucky: My healing time was relatively quick. I spent just over four weeks in a cast. Others can spend six or more weeks trapped in layers of medical gauze and tape. I had my cast removed one month and four days after the accident happened, and my orthopedist advised me to wear a brace for another week to ten days as my arm got used to mobility again.

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Naturally, I decked out the brace with stickers. Peep the cactus.

Yes, the broken bone was a total bummer. It slowed me down, messed up my exercise regimen (and my diet), and made me moody. But the experience may have been the kick I needed to get back on track with my overall health and take the best possible care of myself.

So the road to recovery looks promising. Now, I’m just looking forward to getting clearance to hit the boxing gym again and get reacquainted with my fitness.

Managing Diabetes When Sick

The inevitable finally happened: I caught a cold. It really didn’t surprise me, because 1) it’s cold season and 2) I’ve been running around like a mad woman the past couple weeks and missing out on sleep.

Though it was expected, it certainly wasn’t welcome. I can’t stand being limited with my activity levels, and it’s been tough enough to get by recently due to my broken arm. Alas, I spent about three full days doing nothing but sleeping and binge watching Gilmore Girls as I nursed myself back to health.

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My best friend during my cold? This box of tissues.

During this time, I was extra concerned about my blood sugar levels. They tend to be better when I’m active, so I was worried about how they would fare when I was moving so little.

I admit that I probably did the wrong thing by not eating much during this time. It seemed like I needed to pump myself up with a heftier dose of insulin any time I was eating a meal, likely to compensate for the lack of movement. Even so, I seemed to spike a little too much for my liking after meals. So I really cut back on food. In hindsight, it wasn’t my best move, because even when I did eat it was not healthy (few fruits/veggies, mostly breads and fats).

But I do give myself credit for staying hydrated – a crucial step in getting better. I drank so much water, Powerade, and tea that I felt like I was constantly taking trips to the bathroom. It was worth it, though, because it’s easy to become dehydrated when sick and make a bad situation worse.

Also, I think I made the right move by taking some sick time from work. The day I woke up with a tingly throat, I thought I could soldier on and work a full day, but it became clear the moment I sat down at my desk and couldn’t focus that it would be best to just go home. I took a sick day the following day and was able to work from home the day after that, so I’m grateful that I have a flexible and understanding employer who knows that health is a priority over everything else.

As much as I loathed being mostly confined to my room for 72 hours, it was the smart call. It reminded me how important it is to listen to my body and to not push it when I’m not feeling 100%. There’s no shame in self-care.

Behind the Scenes: Shooting a T1D Marketing Campaign

Last week, I had the exciting opportunity to participate in a T1D marketing campaign! I won’t say too much about the brand or product itself, because I don’t want to share more than I’m allowed, but I WILL say that there is some very cool stuff in the works for the diabetes community – and that’s a total understatement.

And I also wanted to share what it was like to be on a production set like that! I arrived in Atlanta late on Thursday night, woke up early on Friday, and got myself ready to head over to the shoot for 11 A.M. From there, it was a long blur of a day. I was whisked from wardrobe to hair/makeup to a holding room to one room filled with wicked bright lights and dozens of people to another room with a plain backdrop and just a few people to another room that’s best described as a closet. Actually, that latter room was where I did an audio-only interview, and I felt just like Harry Potter in the fourth book when he was being interviewed by Rita Skeeter in a broom cupboard. Except I wasn’t being grilled by a nosy reporter like he was; on the contrary, my interviewer couldn’t have been friendlier.

This whole process took about seven hours – that’s a pretty long while to be going around from room to room and having to be on my feet for varying lengths of time. But it was so exciting that I didn’t mind one bit.

But I DID mind my blood sugars; at least, as much as I could when I wasn’t having my makeup touched up or staring into a camera, responding to questions. I had no clue how it would fare after several hours on location and minimal physical activity. I was also worried about the food/drink situation: Would I have access to ample snacks and beverages?

Fortunately, that was a total non-issue. The production company had numerous snacks and bottled water in nearly every room on set, on top of a hot lunch. Around one o’clock in the afternoon (five hours after I ate breakfast), I helped myself to a serving of salmon, squash, and green beans. I was impressed with the quality and healthiness of the food, and even more pleased to discover that among the diet drinks was unsweetened iced tea and sparkling water. Score!

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Not perfect, but manageable and steady. A win in my book.

This food kept me fueled all throughout the afternoon on set, and I enjoyed steady blood sugars for the duration of the shoot. Rather than stressing about my blood sugar, I was focusing on posing for photos and answering prompts from producers. It really, truly was a one-of-a-kind experience. I feel so lucky to have been invited to partake in this campaign, and even luckier to have met a diverse and welcoming group of individuals (T1D and non-T1D) along the way.

On top of all that, I proved to myself that I CAN do “crazy” and unique things like this without my diabetes getting in the way. It’s more proof that diabetes will never stop me from living a full and extraordinary life.