Yoga with Goats (and T1D)

It seems like a new fitness trend is “going viral” every week: between aerial silks, SoulCycle, and at-home fitness mirrors (in which a real trainer appears in your mirror and you get to watch yourself while they talk you through the workout – whoa FUTURISTIC right?), there is a plethora of ways to get physical that don’t involve standard, boring weights or treadmills.

I recently had the opportunity to try one of the most random, and possibly cutest, fitness craze…goat yoga. Yep. Yoga, but with goats.

69602409_10157635237561823_7234210886364168192_n
All downward dogs should be called downward goats when doing a goat yoga class.

It’s exactly what it sounds like. You move through a series of yoga poses, but there just happens to be adorable baby goats roaming around the class. They aren’t shy about making their presence known, either. When they aren’t bleating or searching for goat treats under your yoga mat, they’re actually JUMPING ON TOP OF YOU. It doesn’t matter if you’re in a tabletop pose (see my photo, above), downward dog, child’s pose…they’ll find a way to climb on you and turn you into their personal jungle gym.

It was a little disconcerting at first, and it was damn difficult to focus on flowing through yoga poses because you didn’t know if or when a goat would hop on your back or accidentally brush up against you with its horns.

And it was virtually IMPOSSIBLE when my blood sugar went low halfway through the class.

I knew that I was starting to feel off after I completed a short series of bird-dog crunches. I felt oddly exhausted after doing five on each side, so I went to go check my CGM data on my phone when I realized I didn’t have access to any, because I’d just inserted a new sensor that morning and the warm-up period wouldn’t be complete until the end of the goat yoga class.

Great timing on that one, Molly.

I decided to give it a few minutes before I took any corrective measures. So I just sat there, watching people struggle to get bendy with goats running amok. It was really pretty funny, but my sense of humor was shot, thanks to my low blood sugar.

I’m a little embarrassed to admit that the goat factor also prevented me from correcting my low right away, but…well, those things were germy. They’re farm animals, of course they will be messy and smelly. But they were literally peeing and pooping on our yoga mats, and precariously closely to our clothes/bodies. Forget feeling like I needed to sanitize my mat when the class was over – I felt like I needed to power wash MYSELF, at max intensity, just so I could feel totally clean again. So the prospect of checking my blood sugar in the middle of everything seemed absolutely unsanitary and virtually impossible.

But…like, I had to suck it up. After all, I didn’t want to do that thing that goats do, which is faint. Except they do it in a semi-cute way, and because they’re born with a condition that causes muscles to seize up when they’re startled. And there was no way I was about to faint due to a stinkin’ low blood sugar in front of a bunch of strangers and goats.

So I forced myself to navigate to the clean, protected patch of land that my backpack was perched on, dodging poop balls on the way over, and immediately grabbed my hand sanitizer so I could cleanse myself before reaching into my backpack and consuming a small box of yogurt-covered raisins. I still felt gross about it, but I did the right thing and took care of myself.

And I’m happy to report that by the end of the class, my blood sugar was on an upswing and not one goat had peed or pooed directly on me. Sweet success!

 

Advertisements

How I’m Changing My Reaction to High and Low Blood Sugars

I’m doing a total system reboot…of myself.

I want to change how I react to high and low blood sugars.

Why?

Well, I think that it’s about time for me to address my intense fear of low blood sugars, but I also feel that I need to reconsider how I define high blood sugar. I’ve been sick and tired of dealing with constant highs, sprinkled with a few lows, so all of that together has motivated me to come up with a plan.

My plan is two-fold:

Step 1) Change the low and high thresholds on my CGM from 80-180 to 75-160.

Step 2) Pay closer attention to my body’s cues when my blood sugar is low.

how i'm changing my reaction to low and high blood sugars
It won’t be easy to change how I react to low/high blood sugars, but I think it’s necessary.

The first step was extremely easy to follow. I modified the settings on the Dexcom app on my phone so I’m only alerted when my blood sugar goes above 160 and below 75. I’m hearing my Dexcom alarms more often as a result, but I’m also responding to these alarms more frequently, meaning that I spend less time overall above/below my goal blood sugars. It requires a little more work and patience, especially since I experienced a lot of stress and a cold in the weeks since I’ve made the change (stress + sickness = shitty high blood sugars), but I know that it will be worth the effort.

The second step is slightly trickier. I’m the kind of person who starts treating a low blood sugar early – I’m talking as “low” as 90. And that’s not low. Unless I have several units of insulin onboard or I’m about to do a moderate intensity workout, there’s no need for me to eat anything when my blood sugar is 90. But it’s easier said than done, because I actually do start to feel low blood sugar symptoms at 90 (not all the time, but definitely a chunk of it).

So I’m hoping that this is where step one will come in handy. I’ll use my new low threshold on my CGM to reorient my body’s recognition of low blood sugars. I’m also going to work on not panicking when I start to feel low…because I think that’s the real root of my problems. In the last several years, I’ve developed – for no apparent reason – a serious low blood sugar phobia. I do everything I can to avoid them at all costs, and that’s probably contributing to my recurring high blood sugars. And that is definitely not good.

I’m over living my life on a blood sugar roller coaster…so I’m looking forward to smoother sailing with this plan of mine. Updates to come, for sure.

 

 

3 Things That Make Low Blood Sugars Tolerable

Okay, to be TOTALLY honest, low blood sugars aren’t – and won’t ever be – fun. Nine times out of ten, they can be inconvenient, upsetting, and even scary (depending on how low it is). But like most things associated with diabetes, I try to look at the bright side every now and then to remind myself that it could be worse. So even though I don’t welcome low blood sugars in just about any circumstance, I decided to look at them, and their less-than-pleasant side effects, from another perspective. Hence, this three-item list that explains what makes low blood sugars slightly more tolerable to me.

8

  1. The sweat.
    I detest sweating. I don’t care if sweat is the result of a good workout or a day spent at the beach – it’s gross either way. And it’s definitely not an attractive low blood sugar symptom. But…on the other side…I tend to sweat a LOT when my blood sugar is low and it makes me feel like I’ve just had an excellent workout without any effort or exertion on my part. So I guess it’s kinda like gleaning the health benefits that you’d get from sitting in a sauna for a bit? IDK…it’s a bit convoluted but just agree with me on this one.
  2. The excuses.
    I’ve made it a personal mission to try to avoid using my diabetes as a scapegoat. There are times, though, that it really does prevent me from doing something in a timely manner/when I’m asked. For example, if I’m experiencing a low blood sugar at work and a colleague comes by to talk to me and ask me for something, I do find it’s best to let them know that I can’t attend to it right away because of the blood sugar. Nine times out of ten, people understand, and they let me treat it accordingly. And it gives me time to just relax and deal with it, taking the stress away from a situation by simply being honest about it (so I guess it isn’t really an excuse, but sometimes I feel a little guilty about using a low as an out on something. Low guilt is real, people!).
  3. The cake. (Or really any food when you’re low. Because it all tastes delicious. But nothing is quite as satisfying as cake.)
    I think the inspiration for this blog post came when I was enjoying a big, fat slice of cake in order to bring my blood sugar back up. My goodness, some foods just taste beyond amazing when I’m using them to treat a low. The sweeter it is, the more satisfying it is to both my taste buds and blood sugar levels. And anyone who has experienced a low blood sugar before (people with and without diabetes) can attest to the fact that food is simply a million times better when it’s being consumed at a time that your body is URGENTLY telling you to feed it.

Alright…now that I’m looking back at these three things, I’m kind of laughing at myself. Because I can TRY to make low blood sugars a more positive thing, but let’s be real, they still kind of suck. But I guess there’s no harm in trying to be upbeat about them.

 

 

Sugar and T1D: Friends, Not Foes

For someone who doesn’t eat sugar…. you sure do know how to bake….damn those were good

My coworker sent this to me via instant message as a way of thanking me for the cupcakes I’d brought into the office that morning. Before 11 A.M., a dozen and a half or so “butterbeer” flavored cupcakes I’d created were devoured by my coworkers, who gave rave reviews on their taste, much to the delight of this wannabe pastry chef.

This particular message of praise, though, made me simultaneously smile and cringe: It was that comment, again. The one about sugar and not being able to eat it.

Everyone in my office knows that I have type 1 diabetes. And because I make it my mission to spread awareness of how to react in certain situations that a T1D might encounter, most people I work with know that in cases of low blood sugar, fast-acting carbohydrates (i.e., sugar) are essential as they’re the fastest way to fix a low.

Calais University
Sugar saves my life from time to time…and no, that’s not an exaggeration.

But every now and then, I’m reminded that no, people don’t always remember what you tell them about diabetes. It goes to show that there’s always room for more advocacy…which is why I write about diabetes and won’t stop talking about it to those who want to know more.

As a result, I’m constantly telling people that I can and do eat sugar; in fact, it saves my life from time to time. Maybe that’s the subconscious reason why I love baking cupcakes, cookies, and more: For a girl who relies on sugar sometimes, I sure do know that a baked good every now and then is what helps me stay alive.

T1D and Grocery Store Paralysis

Yellow roses, gallon-sized Ziploc bags, and iced tea. That was all I need at the grocery store. Three items. I should’ve been in and out in five minutes flat, but diabetes had other plans.

It was the morning of my cousin’s bridal shower and as one of her bridesmaids, I was running amok, getting myself ready and prepping like crazy for the party. As a result, it was the kind of morning that left me little time to consider my diabetes and how it might be affected by the day’s events.

I Volunteer To Drink!.png
It’s strange to feel such panic and confusion in a grocery store, of all places.

So I didn’t really think twice about having a bagel for breakfast. Normally, I avoid bagels because eating one tends to make my blood sugars run a little high several hours after consuming it. But a bagel was a quick and easy breakfast on such a busy morning. After devouring the cinnamon bagel smothered in cream cheese (hey, if I was going to indulge on a carb-heavy breakfast, I wasn’t about to skimp out on the spread for it), I got a phone call from my aunt, who asked me to run to the grocery store before I made my way over to her house for final bridal shower set-up.

She gave me a very short, very manageable list of three items to get at the store, so I was certain that it would be fast trip. Once I was showered, dressed, and finished with my make-up and jewelry, I loaded up my car with various decor for the party and headed to the grocery store. I parked in a spot far away from other cars so I could pull out of the parking lot easily, and hoofed it into the store.

I’d just loaded my basket with 18 yellow roses (the only 18 yellow roses in the store, in fact), when my CGM started blaring my low alarm from within my backpack. I was surprised – I figured there was no possible way that I’d go low because of the bagel.

And that’s when what I’ll call “T1D paralysis” hit me.

I froze. I couldn’t remember which aisle I might find plastic Ziploc bags in, let alone that I should grab some glucose tablets from my backpack to correct the low. It sounds ridiculous, but truly, I felt paralyzed and panicked as the alarm went off again, this time more urgently as my blood sugar was tumbling down faster than I could’ve predicted.

By some miracle, I did eventually snap out of it (after what felt like 3 hours but was probably only about 5 minutes). Shaking, I found the plastic bags I needed and zoomed over to an express checkout lane, babbling nonsensically to the cashier as he rang me up. I booked it to the car, cursing myself for parking so far away, and collapsed into the driver’s seat. It was only then that I remembered I needed something for my blood sugar, so I fished a box of raisins out from my purse and wolfed them down.

I sighed as I sat there in the car, waiting for my blood sugar to come back up. Three items at the grocery store was all I needed. But what I wound up with in addition to them was a scary feeling of helplessness – completely and utterly immobilized in a setting in which I was the only one I could rely on to help myself – that freaked me out. I don’t know whether it was the abnormally carb-y breakfast or the stress of party preparations, or some combination of the two, but I do know that this sensation isn’t something I want to encounter again any time soon.

 

 

Fearful and Falling in Target

What do they pump into the air at Target? Is it Afrezza or something? Because that seems like the only logical explanation for the phenomenon that seems to occur to most other fellow T1Ds when we step into a Target store.

Low blood sugars tend to happen at Target. Also known as “Target lows”, they can occur at any Target, big or small, no matter how long or short the shopping trip.

I experienced one last week. And it was severely exacerbated by the fact that I was visiting one in my new city for the first time by myself.

You are a rare gem.
Damn you, Target, for making my blood sugar go low during basically nine out of ten visits.

As you can see from my CGM screenshot, my blood sugar was definitely not low – not even close to it. I was in the mid-250s by the time I headed to the store, which is absolutely NOT where I like to be. But I didn’t take a correction bolus or even raise my basal insulin temporarily, because I guess I just had that feeling about my Target trip. I didn’t bother checking my CGM again after I parked, figuring that I’d do my best to make it a quick trip with minimal purchases.

Forty minutes (I’d been aiming for 20) after I’d stepped into the store and one semi-full cart (oops) later, I started feeling panicky and gasp-y. I told myself no, no, no, I wasn’t going low, I was just maybe reacting strangely to the scent of all the cleansers in the aisle I was occupying. I could deny it all I want, but in the back of my mind, I knew that I needed to pull my cart over, dig through my backpack, and locate my CGM so I could at least be informed of what my blood sugar was doing.

fullsizeoutput_d6b
Honestly, Target and all other retailers should just make glucose tablets free to any shoppers who are having a low moment.

So I did just that. Upon checking my Dexcom app and seeing that down arrow, I practically started hyperventilating. That’s when the following series of thoughts flew through my mind:

Okay, just get to the checkout…

Ugh, why is there only one open?! Guess you’ll have to self-checkout on low brain. Great…

OMG, Molly, you know you can only scan one item at a time…go faster!

You are NOT going to go down in this Target. Not today!!!

By some miracle, I successfully purchased my items and booked it to my car. Once I loaded everything inside, I suspended my insulin and shoved three glucose tablets into my mouth at once, chewing them so fast and furious that it probably deserved its own movie by the same name…(oh, but that’s taken *tee-hee*).

Normally, I would wait for my blood sugar to come back up before even thinking about driving home…but this wasn’t exactly a normal situation. I was on my one-hour lunch break from work, and I was rapidly approaching the 59-minute mark. The rational part of my brain (the way, way, super-far-back part) knew that I would be okay after about 15 minutes or so, but I was just so stressed about being alone in a strange city and wanted nothing more than to return to the safety of my apartment, pronto.

Of course, I had no idea how to actually get home – I needed my GPS to get to and from Target, and I’m sure I’ll need it to get basically anywhere for the foreseeable future – so I plugged my address into my phone’s GPS app.

And yet I STILL managed to take a wrong turn or three as I anxiously drove back to the apartment.

Less than 15 minutes later, I was parked and my shopping bags and I were inside my apartment. And that’s when I fell apart, feeling stupid for letting the low happen and getting lost on the way home…and feeling extra dumb for crying so hard about it.

Yeah, methinks that I’ll be running a temporary basal reduction the next time I plan a Target trip. I don’t want to be fearful and falling again any time soon.

 

Should I Have Called 911?

Unintentionally, I set a personal record the other day. I experienced my lowest low blood sugar – 34 mg/dL. I was alone. And it was terrifying.

Around 1 A.M., I woke up to my CGM buzzing and alerting me to what I presumed was a mild low blood sugar. I definitely felt like I was low, so I quickly ate three glucose tablets without checking and confirming my low on my blood glucose meter. And soon after that, things got really weird.

I tossed and turned for 15 minutes as I tried to fall back asleep. But I just couldn’t get comfortable. To make matters worse, a bizarre, numb sensation invaded my left arm. As I became more and more aware of it, my breathing started to run a bit ragged – almost like I was having a panic attack. Between the breathing and the numbness, I knew something was very wrong.

Should i have called 911_
What would you have done in this situation?

So I bolted upright in bed and grabbed my meter and kit to do a blood sugar check. And that’s when the number 34 popped up on the screen. I swore out loud, and almost immediately began sweating profusely. As beads formed around my hairline and streams trickled down my back, I reached for my bottle of glucose tablets as well as my phone. I ate three more tablets – wondering why the three I’d eaten 15 or so minutes ago seemed to have no affect – and contemplated dialing 911. After all, I was completely alone and there was no telling whether I’d pass out or need assistance from someone. In that moment in time, I craved talking to someone, anyone, who might be able to stay on the phone with me while I waited for my blood sugar to come back up.

Like a complete idiot, though, I decided not to call 911 and instead took to Twitter…*insert face palm here*. I know what you’re thinking, why the eff did I do that? Two reasons: 1) I wasn’t exactly thinking clearly and 2) I knew that someone, somewhere, within my diabetes online community would be awake and possibly willing to talk to me.

Thank goodness my intuition was right…my sweet friend, Heather, who I had the pleasure of meeting IRL five years ago, responded to my tweet a few minutes after I posted it. She offered to call, but by this point in time, I had made it downstairs and into the kitchen just fine and was helping myself to a cupcake I’d baked earlier in the day (oh, how convenient my passion for baking can be…sometimes). I exchanged a few tweets with her back and forth, and before I knew it, 45 minutes passed from the onset of my scary low blood sugar symptoms. I ambled back upstairs to my bed and checked my blood sugar before getting settled back into it. I was surprised to see I was only 72; after all, I’d consumed about 50 grams of carbohydrates in the last hour, and for me, that’s a lot! Most of my meals don’t even contain that many carbs!

Bemused and exhausted, I slumped against my bed frame and distracted myself by scrolling aimlessly through social media channels. My body and my mind craved rest. Much to the relief of both, I was able to get it before long, once I got confirmation from my CGM and my meter that I was finally above the 100 mark. I knew that I’d likely go up much higher (and I certainly did, waking up at 289 the next morning), but at the time, I just didn’t care. All that mattered was that I was going to be okay.

I’ve been reflecting on the incident on and off the last few days. I’m trying to process what happened and how it happened – was it my new Metformin that triggered it? Was it stress that I had experienced earlier in the day manifesting itself? I drank one beer before I went to bed, could that have done it? Did I take too much insulin before bed, even though I was certain I hadn’t? Lord knows that it could’ve been any combination of those factors, or none of them…but I can tell you this: I haven’t taken Metformin since it happened out of fear. I’ll talk to my endocrinologist soon and revisit my dosing plan with her. I can also tell you that, even as I continue to process the entire ordeal, I’m feeling so lucky that I was lucid enough to take proper care of myself. I know there are many other T1Ds who can’t say the same and have experienced much more awful low blood sugar incidents, so I’m simply counting my blessings right now.

What would you have done, had you been in my shoes? Would you have called 911, a family member, a friend? Would you have waited it out?