5 Tips for People with Diabetes Who Live Alone

This was originally published on Hugging the Cactus on January 6, 2021. I’m sharing it again today because there seems to be a lot of stigma about people with diabetes who live alone. I wrote this post because I wanted to reassure other people who live with diabetes and who might be nervous about living alone. I was definitely scared when I moved out of my parents’ home for good, but I’ve learned lessons along the way that really helped me become comfortable with it and enjoy it more. Read on for my perspective…

For the first time in my entire life, I’m living alone. (Well, I have my puppy Violet to keep me company, but no other humans.)

The prospect of living by myself always freaked me out a little bit, mainly because of the fears I have about diabetes and the “what ifs”: What if my blood sugar goes too low and I can’t get help? What if I’m sick or spilling ketones and need someone to assist me? What if “something bad” (pick any bad scenario here that you can think of) happens, and because I live alone, I can’t take care of myself?

With these questions lurking in the back of my mind, I decided to do something about my worries. I moved into my new place a couple of months ago and since then, I’ve come up with some strategies on how to manage my concerns about living alone with diabetes that have provided both peace of mind and confidence in my ability to thrive in my new home.

Tip #1: Utilize the Dexcom Share feature. This is the best thing that I have done since moving out of my parents’ home. I had a conversation with them after a particularly frightening middle-of-the-night low, and we all agreed that it would be wise for me to invite my dad to follow my blood sugars using Dexcom Share. My favorite part about this arrangement is that my dad and I discussed what we were both comfortable with in terms of data sharing – we decided that it wasn’t necessary for him to view my blood sugar graph at all times, but that he should get alerted when I’m below 50 or above 400. It makes me feel so much safer knowing that he will know if and when those situations should happen, and that he will be able to help me (albeit, from a slight distance) if I can’t help myself.

Tip #2: Keep low snacks all over the place. I keep low snacks on every floor of my condo (the main floor, upstairs, and in my basement) and right next to my bed on my nightstand. It might seem like overkill to have juice boxes, gummy snacks, and glucose tablets all over the place, but the point of that is I never know when a bad low blood sugar will strike, and it’s much easier to walk a few steps to get a low treatment than to walk up or down a set of stairs. I’m able to treat lows very quickly using this method, and since my fear of low blood sugars is one of my biggest concerns about living alone, this helps me make sure that I can handle them efficiently when they occur.

A bonus tip: Get a dog! Violet helps me manage loneliness and has a (mostly) positive impact on my mental health (I say “mostly” because my pup can be naughty).

Tip #3: Stay organized. It might sound strange that staying organized is a big help when it comes to living alone with diabetes, but I’ve found that it ensures that I’m able to access any of my supplies within seconds, if needed. I don’t have to rifle through drawers or cabinets to find out how many pods I have left, I simply have to walk into my bedroom closet and look at my shelf to see. I also have all of my medical paperwork – receipts, prescriptions, health plan information, etc. – stashed away in a clearly labeled folder in the filing cabinet by my desk, which again makes my life much easier when I need to find particular documentation at a moment’s notice.

Tip #4: Have emergency contacts identified and readily available. Nobody likes to think about something bad happening…least of all me. But I give myself peace of mind by having emergency contacts labeled in my iPhone using the Medical ID feature. If I needed to call one of them, it would simply take the push of a button (and a quick swipe).

Tip #5: Seek support over social media. When in doubt, I’ve had great success turning to my different social media platforms and chatting with others about issues surrounding living alone. Whether I add a story to my IG profile or send out a tweet when I have blood sugar concerns, I know that the diabetes online community will respond with guidance and insight to help me through whatever issue I may be experiencing. There’s something extraordinarily comforting about knowing that even though I’m living alone, I’m never truly alone because of the support I have.

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My 23rd Diaversary

My 23rd “diaversary” (anniversary commemorating the date that I was diagnosed with diabetes) is tomorrow. Yes, that also happens to be Christmas Eve.

I was four years old when I was diagnosed with diabetes…so I don’t remember life without it. I’m not the type of person who gets overly emotional when sharing her diagnosis story because it’s just a foggy memory to me. So what is the significance of my diaversary to me?

It’s two-sided:

On the one hand, my diaversary is the day that my life changed forever, that I had something taken away from me, that I lost a “normal” childhood.

But on the other hand, it’s representative of the day that I was given something that gave me strength, independence, and courage unlike anything else in my life has ever given me.

I choose to focus on that latter part.

I’m not exactly grateful for diabetes itself, but I can’t deny that it has given me some very valuable things.

I don’t want to mourn the day that I was diagnosed with a chronic condition, I want to celebrate…and the fact that it coincides with Christmas Eve, a day that’s very special to me and so many others, is sort of beautifully poetic.

So rather than dwell on 23 years’ worth of insulin injections, fingerstick pokes, doctor appointments, and carb counting, I’m going to think about how all of those things have molded me into the person I am today: A person who has refused to let diabetes get in her way of the things she wants in life.

Memory Monday: The First Time I Self-Injected Insulin!

One Monday per month, I’ll take a trip down memory lane and reflect on how much my diabetes thoughts, feelings, and experiences have unfolded over the years. Today, I remember…

…the first time I self-injected insulin and how absolutely terrified the mere thought of doing so made me.

Since I’ve never really minded needles that much, you’d think that self-injecting would be a cinch for me. That couldn’t be further from the truth, at least for the first few times that I had to do it.

It goes back to one endocrinologist appointment when I was nine, maybe ten years old. My doctor and my parents were talking about how I was reaching an age where I should start to take on a little bit more responsibility in terms of my diabetes care. I don’t remember whether my endo or my parents suggested it, but one of the two parties said that a good starting place would be to start giving myself my own insulin.

Initially, I protested. I hated the idea. But I warmed up to it when my parents reassured me that they would check the syringe for me before I stuck it into my skin. At this point in time, I’d practiced drawing up my own insulin dosages. I’d pass the syringe along to my mother or father for the actual injection. So I had the first step in the process down pat, and it only made sense for me to put two and two together and do it all independently.

Since I was hemming and hawing over the prospect, though, my endo had the brilliant idea to practice on my father with a saline injection right then and there, given that he was willing for me to do it. As he rolled up his sleeve, I grinned wickedly (I was annoyed with him for some trivial reason that day) and waited while my doctor prepared the saline injection. As she brought it over, I panicked a little, and I must’ve asked two or three times whether it was actually safe for me to do this. Because even if I was irritated with him, for whatever stupid thing it was, I didn’t actually want to hurt him.

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Once I was adequately assured that the injection would be harmless, I took the syringe into my hand, took a deep breath, and stuck it into my dad’s arm. I remember pushing down on the plunger slowly, and my dad sitting in the chair, totally composed and un-bothered by the sensation. When I took the needle out of his arm, I exhaled loudly, not realizing that I had been holding my breath the whole time. What can I say, it was a nerve-wracking feeling. It’s not every day that you learn how to inject yourself, or someone else for that matter, with a syringe.

Over the course of the next week or two, I practiced my new skill on oranges supplied to me courtesy of my parents. With each practice injection, my confidence grew and I realized that it wasn’t that scary. I would press the orange against my leg or my arm, pinch at its peel, and give it an injection of salt water – super quick, super easy.

In no time at all, I felt brave enough to give myself my first self-injection. Just like I did with my dad in the doctor’s office, I breathed deeply before plunging it into my leg, exhaling only when I was done. And I felt the satisfaction of having done it on my own, which was sweeter than I thought it would be.

Working up the courage to self-inject is just one example of many experiences I’ve had with diabetes and being afraid to try something new. Whether it was trying a CGM for the first time or transitioning to a pump, each new thing I introduced to my diabetes care and management routine scared the hell out of me at first. But just like I proved to myself that self-injecting was nothing to be afraid of, I’ve shown myself time and time again that new things for diabetes aren’t always so bad.

Why I’m Thankful I DIDN’T Attend Diabetes Camp as a Kid

Growing up, the notion of diabetes camp was gently nudged into my brain each Spring. My endocrinologist and my parents would ask me, “Do you want to give it a try this year?” and my annual response, unfailingly, was “NO!”

To this day, I still don’t really know why I was so against diabetes camp. Part of the reason may be because I was a bit of a nervous Nelly growing up (okay, okay, I still am) and didn’t like the thought of sleepaway camp: It meant being away from home for an extended period of time, which made me feel nothing but anxious.

But my best guess as to why I didn’t want to go is that I felt that camp wouldn’t benefit me in any way. Both my mom and my aunt have type one diabetes, so they were (and still are) my go-to sources whenever any sort of diabetes issue crops up for me. I didn’t see how meeting kids my own age with diabetes would help me; after all, I thought I had everything I needed in my mom and aunt.

Things changed drastically for me when I started college and made the transition to caring for my diabetes independently. I got wind of a diabetes student organization on my campus and was interested in attending a meeting. That was it for me: for the next three years, I was very involved with this organization (the College Diabetes Network), eventually becoming the President of my school’s chapter and continuing to this day to volunteer for them whenever I can.

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I wasn’t ready for any kind of diabetes camp as a kid…but it’s a different story now that I’m an adult.

My involvement with the CDN has resulted in me meeting countless other T1Ds my own age, and it’s been amazing. I love sharing stories and learning from them. And as it turns out, most of these individuals went to diabetes camp when they were young and loved it. In many cases, diabetes camp is where they thrived and met some of their closest friends. They learned a lot about caring for their own diabetes and became more independent with diabetes management at a younger age.

But even after hearing the rave reviews about diabetes camp…I’m still thankful that I didn’t go to it when I was a kid.

Why? Because I think that a person’s journey with their own diabetes is highly personal. Like insulin-to-carb ratios or multiple daily injections versus insulin pumps, diabetes is often a disease about choices and responsibility. As an individual with diabetes, I hate being told how to handle my condition by someone who thinks they understand it better than me. I’m the one person in this world who understands MY diabetes better than anyone else. I know my body and I know what diabetes treatments and decisions are best. And for those few years of my life, I thought it was best for me to not go to camp. It was out of my comfort zone, and I refused to be coerced into going.

Perhaps in the back of my mind, I knew I’d have an opportunity later in life to connect with people my age who have diabetes. And I’m so thankful that I did because it came at a time in which I felt ready and was more accepting of my diabetes overall.

So there are no regrets for me when it comes to my choice to not attend diabetes camp. You could say that my decision to stay at home during those summers made me a happy camper…

Sorry, not sorry for the bad pun.