Blood Sugar Trampoline

Irish Blog Awards Long list

Aaaageees ago you may remember that I ask for you to nominate this blog and the Thriveabetes blog for an Irish Blog Award. Well, guess what!!!!

We all made the long list!!! Both Thriveabetes and Blood Sugar Trampoline are in the Best Health & Wellbeing Blog category. And Blood Sugar Trampoline is also in the Best Blog Post category. I’m afraid I could not pick from all the amazing blog posts from all of you to nominate one for Thriveabetes.

So what’s next in this award process.

Well, now I have to wait and see if we make it onto the short list and the judging criteria for this is;

  • Is the blog regularly updated (at least once a month on average)? Yes
  • Does the design support or interfere with the reading experience? Yes & No, I think?
  • Is the blogger passionate about and knowledgeable about the subject? YES! YES!!!! and YES!
  • How easy is the blog to navigate? Uuumm yees?
  • Is the blog responsive to PC, mobile and tablet browsing? Yes

If we make the short list the next stage will be some of the dreaded Public Voting. And I suck at it!!!

“The shortlisted blogs will be opened up to a Public Vote so the more you promote your entry the better.
The Public Vote is worth 20% of the overall mark (the other 80% is decided by our judging panel). To help you out we will send you “vote now” buttons which you can use on your blog and social media.” from the Littlewoods Ireland Blog Awards webpage.

While awards don’t make the blog it would be nice to create more awareness of diabetes and the support available for people living with diabetes. You can never have enough awareness, and that is for sure.

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Things I’ve Learned about My Diabetes with a CGM

I have been using a Continuous Glucose Monitoring device (CGM) for six months and I feel that I have enough information now to share what I have learned about my diabetes management in those short months.

A couple of weeks ago I shared how I came to get my hands on this little golden nugget and you can read about that here.

So here it goes, in no particular order, what I have learned.

Rapid acting insulin is not that rapid at all!

If my blood sugar levels dare to go ⇑ and beyond, it could take up to 4 – 6 hours for the insulin to bring them back to normal. It is a major exercise in patience!!! And can lead to rage bolusing (i.e. getting extremely frustrated and bolusing more that reason dictates).

Before CGM, I would take a correction dose of insulin, go to bed, only to wake up in the morning to realise that it hadn’t lowered my levels as much as I had hoped and I had spent at least 8 hours with elevated blood glucoses levels.

Breakfast Blood Glucose

Hypo treatments don’t work fast either.

Glucose, even in its purest, most rapid form doesn’t work fast enough. This can lead to over treating but thankfully the CGM can help curb the overtreatment.

Angle of Arrow Interpretation ⇑⇒⇓⇖⇗⇘⇙

Interpreting what the angle of the arrow next to my blood glucose reading, means in terms of where my blood sugar levels are heading is not that easy but after a bit of trial and error can be achieved.

The alarms can be annoying.

The alarms! The alarms, in the beginning, were, can be annoying and did interrupt many nights of sleep. But they are there for a reason. And very good reasons at that.

The alarms are very useful learning tools.

I tried not to get frustrated with the alarms, especially the low glucose one, which I have set at 4.4mmols. This give me enough time to prevent an actual hypo and I’m still rational enough to decide how to deal with the impending train wreck.

Mostly I use the alarm as learning tool on how to adjust my insulin dose to avoid them. And it’s worked. Six months ago my high blood glucose alarm was set at 16.6 and now I’ve gradually brought that down to 13.3, it only very occasionally goes off (touch wood). They are especially helpful for dealing with days out of my routine and for food that I don’t have very often.

I’m self conscious about my gadgets and gizmos.

Since the weather warmed up I’ve been wearing short sleeves and my sensor, which is placed on my upper arm, attracts a bit of attention. This does make me think about wardrobe choices a bit more and if I really want to talk diabetes.

I sleep less.

This is both good and bad. Bad because I might be woken several times a night because of the alarms and good because I know that I will never have a hypo again without being aware of it. Sleeping through hypos was a huge concern of mine and the reassurance that my CGM gives me is invaluable.

Sometimes my CGM is not reliable.

Just like any other piece of technology I have noticed that there are times where I should double check my CGM reading with a finger prick check. The times this most often happens is usually the first day of a new sensor and when my blood glucose levels are rising quickly or falling quickly. So I still do 7 finger prick tests a day.

My blood glucose levels are within their targets 65% of the time.

Finger prick blood glucose tests give you a snapshot of where your levels are at that point. The CGM tells you where your blood glucose levels are ALL of the time. It’s the difference between having a photo or seeing the whole movie/book. Now that I have a starting point I can try to increase that percentage and spend more time within a healthier blood glucose range. I also appreciate knowing that number is over 50%.

My CGM does influence my behaviour.

That little graph display does influence my behaviour around food and it also helps me stem the spike in my post meal blood glucose levels. It influences decisions about my treats, such as helping me determine should I choose a full bar of chocolate, just 2 squares of the good dark stuff or on warm sunny days the ice cream. My cgm really helps me spend more time within my blood glucose target range.

It has helped reduce my HbA1c!!!

Yes! I had my lab work done at the end of May and I have had the lowest HbA1c that I have had in four years and the time before that I maintained close to this level while I was pregnant with my first child 12 years ago. I have not been able to stabilize this level at any other time. I have been using an insulin pump for 6 years and hadn’t achieved a lower number. Insulin pumps should be available to those who want them and it should be very much about a personal choice. But CGM’s, in my opinion, are way more valuable a tool for managing diabetes and should be strongly encouraged. Even if it’s just for a couple of months. I know they are expensive but in the long run they would reduce the number of hospital admissions for both hyper and hypoglycemia.

 

All in all, I am never giving this device up! Knowing where my blood sugars are at any given time has been so reassuring and relieved so much anxiety.

On a promotional note, I attended a presentation by Thriveabetes 2016 keynote speaker, Gary Scheiner on “Making the Most of Your CGM” where I learned lots of useful information and he has published a book on it, “Practical CGM“. You can register for Thriveabetes 2016 here.

The Blood Sugar Train Wreck

This train wreck started with a decision to skip the spud at dinner, in my opinion. We were having Chicken Maryland and so there was enough carb on the breading to double my usual dinner carb count and I decided to forego the mash potato.new doc 86_1

This middle/2nd dip below the blue line in my photo opposite shows the low blood sugar after dinner.

I, mostly, eat low to moderate carbs to help maintain good blood glucose management. It’s a decision that I made for myself and I would never try to make it for anyone else.

Having said that, the real, real reason I skipped the spud was to have an ice cream. :-S It was a Saturday and I like to have a special treat on the weekends. Being a stay at home mum, it kind of lets me know there is something different between weekdays and the weekends.

I feel like I’m digging a bigger hole for myself here!

Anyway, here comes the second questionable decision. My blood sugars plummeted after dinner and I was so SICK TO DEATH of eating glucose tablets that I opted for chocolate and jellies instead. I know! I know! Not the smartest idea. (Another big hole) I can’t even use the fact that my hypo was affecting rational decision making because it didn’t.

Lots of jellies!

Ok, now the predictable happen. ↑↑ Yep, blood sugars doing the opposite of plummeting, which eventually lead to rage bolusing because insulin does NOT work as fast as I would like it too.

Next up, the rocket train down again. At this point, I took 5 glucose tablets, I usually only take 2-3, to make sure it was well and truly taken care of and that I would not wake up again before I was suppose to.

There is no lesson in this post. I’m just frustrated!!!

But I survived! I learned! And I shall not beat myself up over it:-)

My Day in Food

This week I’m  taking part in the 7th annual Diabetes Blog Week, which runs from 16th to 20th May. Founded by Karen at Bitter Sweet Diabetes.

My Day in Food – Wildcard

WARNING – this post will be boring!!!

I feel like I’m the only person with diabetes in the world who doesn’t cook. I hate cooking!!! It goes back to my childhood where as the eldest girl it was expected that I would cook and I do NOT like being told what to do. 

It was also enabled by my husband, who when we met was vegetarian – I was reared on meat, potato & veg. I also am not a big fan of the spud either – am I really Irish!?! Anyways, he insisted on cooking and I didn’t put up much of a fight. 

So here’s what someone with diabetes, who does NOT cook, who would be me, eats on an average day. And it will be, as expected, very boring!

BreakfastMost mornings I go for the low calorie porridge. On weekends I go crazy and have 2 slices of wholemeal toast (dripping in butter😋😋😋) with two cups of tea. Can’t function without a cup of good old Irish tea.

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Mid Morning Snack; At least 2 cups of Coffee ☕☕ 

Lunch; Weekdays; Salad, protein, rye crackers for crunch! 😋😋😋😋 And a piece of fruit – whatever’s in season. On weekends; 2 egg omelette with whatever is in the fridge plus cheese, a slice of bread & a piece of fruit.

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Mid Afternoon Snack: Tea this time. ☕☕ at least

DinnerCould be anything! I am married to a wonderful man who DOES cook and is very, very good at it. In exchange I do LOTS of dishes – it’s actually in our pre-nup. This dinner is wholewheat spaghetti with a cooked from scratch tomato and a smoked sausage called cabanossi. And it was DE-licious!

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Dessert: Every evening I have a little something nice like Chocolate or ice cream. Plus a last round of Tea. I know, I know but there are worse things out there and I don’t have problems sleeping – so why not!

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And that’s it! Like I said, it’s not very interesting but it has minimum impact on my blood glucose levels and it’s what I like and what works for me. Find what works for you:-)

The Clinic Appointment Fantasy

I’m  taking part in the 7th annual Diabetes Blog Week, which runs from 16th to 20th May. Founded by Karen at Bitter Sweet Diabetes.

Today’s topic is The Healthcare Experience
Most people who live with a chronic illness end up with a lot of experience when it comes to dealing with health care. How would you improve or change your healthcare experience? What would you like to see happening during medical visits with your healthcare team? How about when dealing with your health insurance companies? What’s your Healthcare Wish List or Biggest Frustration? Today is the day to share it all!

I think I’m one of those few people who has changed my diabetes healthcare team more than the average person with diabetes. My current count is 7 clinics/endos. Is that a lot? It feels like a lot!

I could tell you all the things that have been said to me that made me walk from all those clinics/endos but that’s just too depressing. Instead I am going to focus on what my ideal clinic appointment would be like.

Over the years, I have collected a few requirements that I liked from each clinic/consultant to compile my “wish list” of how I would like my appointments to go. It goes something like this;

  1. Parking – you would think that when they built these giant hospitals, or even now that they are redeveloping them that they would build the multi storey car park first?!? I spent 40 minutes one day driving around until I got a space in a housing estate about ¼ mile away. IT’S A NIGHTMARE!!!
  2. The Waiting Room – I recognise that not waiting at all is a bit too much to ask, so wouldn’t it be nice if the waiting room was more sociable? I mean it’s a mini-support group right there. And what if there was tea and coffee available? I drive 1 hour to my clinic – I’d kill for a cuppa! There isn’t even a vending machine at most clinics I”ve gone too. Insomnia coffee
  3. The person who does the health checks should identify him/herself as what she is, as well as her name. Sometimes it’s a nurse, sometimes its a healthcare assistant – I would like to know.
  4. The doctor-in-training I see next, I would like them to listen more, I know I will probably never see you again but find out more about me and learn from me. Start a personal file on me in addition to my medical file.
  5. My endocrinologist – we will be seeing each other twice a year for a lot of years, so get to know me. My favourite consultant, who actually left me and not the other way around, always greeted me with a very firm handshake and a very hearty “How are you doing?” She actually meant it! And asked after my family. It was like being met with a hug.

Clinic visits are just so clinical. I spend so much time going through my team’s recommendations one by one, explaining why I don’t think they are going to work. I need to feel listened to. I would love to leave that building having met one or two new people in the waiting room, maybe even a friend, with a feeling of “I can do this” as I leave and have received a pat on the back NO MATTER WHAT!

NOTE: I also should point out that I am one of a minority who already has an insulin pump and a CGM. If I didn’t have either of those devices my list would MOST definitely include access to them. Some Irish diabetes clinics don’t even have insulin pump programmes or structured diabetes education and I am helping Diabetes Ireland advocate for these basic necessities.

The Other Half of Diabetes

This week I’m  taking part in the 7th annual Diabetes Blog Week, which runs from 16th to 20th May. Founded by Karen at Bitter Sweet Diabetes.

Today’s topic is The Other Half of Diabetes and I asked my other half, Mr. Blood Sugar Trampoline, who goes by the name of Phil, if he wanted to write something. I’m so thrilled he accepted. And speechless because…. well read for yourself.

 

The short version:

I’ve learned that we cannot control my wife’s diabetes any more than we can control world hunger, but by taking a proactive role towards improving the healthcare environment and by supporting her empowerment, my anxiety over her health is not much different than my anxiety over my own health…and we’re stronger as a couple because of her diabetes. 

The longer version:

Next week, Gráinne and I celebrate our fifteenth anniversary of married life together.  It has been a richly rewarding journey so far, and I look forward to continuing the journey for many many more years to come.  I met her a few years previous, playing together on a softball team.  I can’t say as to when exactly I became aware she had type 1 diabetes; what I do remember is that as I began to learn her management regime, it seemed to my science-trained brain to be something fairly anachronistic…not that I really knew anything about medical best-practices for managing diabetes.

Back when I was 12 or so (in mid-80s USA), a boy in the grade behind me developed type 1 diabetes.  All the more we were told was that he was sick, he’s better, but he can’t eat any sugar.  “Here, try one of these diabetic candies!”  Yuck.  A decade later, I discovered a colleague had type 1 diabetes, she gave me a short primer that basically involved “testing blood sugar” and “injecting insulin.”  But I was otherwise ignorant.

It turns out, Gráinne didn’t really seem to know a whole lot more than me – she knew there was an HbA1C number, along with her periodic blood sugar measurements, that were supposed to be “good” but was quite difficult to hit.  And she knew that she needed to somehow adjust her insulin dose to her current blood sugar readings.  She certainly didn’t know much (if anything) about carb counting.  As to what causes diabetes, how it affects the body, how behaviour and diet interact…these were all things that she wasn’t learning from her doctor.

So I asked her “where can I learn more about this?” And I asked myself “how do we fix it?”

I suspect my reaction to diabetes is similar to PWD who are scientifically-minded and wanting to get on top of this thing…only I have the luxury of not having the terror that is “I am going to lose my vision and my limbs and die in childbirth.”  (I failed to mention that as part of my diabetes education, I had seen Steel Magnolias, which frankly could be an entirely separate blog post.)

Certainly, there are echoes of my thinking in how a college roommate (and fellow physics major) took on his wife’s type 1 diagnosis in her late 20’s.  “This is surely just a simple function of carbohydrate, metabolism, insulin, and time that results in a blood glucose reading of X…”

As I am sure many of you were shocked to find out, it turns out it’s not quite so simple.  Fats, the kinds of sugar (including alcohol), fibre, hormones (stress and otherwise), circadian rhythms, fatigue…and other variables like insulin that can go off, injection site, temperature.  OMG this thing is so damn FRUSTRATING.  And it’s not even my body it’s happening to.

About a year after getting married, we moved to Minneapolis for a few years of “getting to know my people.”  We took advantage of the healthcare system there – my former colleague gave us a brilliant referral to a team of diabetes care professionals who really helped Gráinne learn some better tools and techniques for managing her diabetes.  For me, the most important outcome of this was that Gráinne started to become empowered in her own management.

When we moved back to Ireland, it was as if we stepped back in time.  There was no medical team looking after body and soul…just arrogant doctors who got upset when you didn’t do everything you told them (eating the same food every day?  Seriously?).  It didn’t seem that Irish doctors really understood the fact that diabetes is not a simple equation.  She has changed doctors way more frequently than is the norm in Ireland, seeking to find a fit as good as what she found in Minneapolis.

We can choose to see ineffective institutions as the enemy, playing the part of “victim.”  The doctors are to blame, they’re being paid the big bucks and are experts, they don’t know what they’re doing, they’re hurting me more than helping me.  OR, we can choose to believe in the humanity of the individuals within these institutions and work to allow that to be expressed; the problem may be less with the individuals and more with the environment in which we all find ourselves.

So, in addition to shaping Gráinne’s personal environment, we set out to improve the environment for everybody in Ireland.  We did this by getting involved with Diabetes Ireland (then called the Diabetes Federation of Ireland).  You learn a lot when you get out of a “selfish” mode of working – perspective builds empathy.  Community is empowering – there is great power in numbers. When these numbers are singing in concert while they’re rowing in one direction, bureaucratic and institutional inertia can shift.

As a person I love deeply, I of course worry about Gráinne’s physical health.  Her diabetes doesn’t weigh on my mind anywhere near as much as it does on hers, but it’s there.  Hypos scare me too (and selfishly, I’m glad Gráinne found that a CGM suits her…nighttime hypos she slept through are scary on a whole other level).

But being totally honest here, the thing I worry far more than her physical health is her mental health.  If Gráinne is stressed, that stress will invariably become my stress, and our family’s stress.  If this stress were chronic, life would be pretty damn miserable for all of us.  Chronic health conditions can wear you out.  Ask anybody with Lyme disease, MS, Crohn’s, HIV, chronic migraines, or frankly any other chronic condition.  But in some ways, type 1 diabetes is different.

 Type 1 asks its patients to undertake medical decisions multiple times per day, without consulting a medical professional, using nothing more than education and wits.  If you make the wrong decision you could end up in a coma or dead.  Or, if you make less-wrong decisions but do that a lot over time, you could end up blind or limbless.  And then there’s the possibility of making the “right” decisions (i.e. one the medical professional would suggest), all of this bad stuff could happen to you anyhow.

What can I do to keep her head healthy?  I try to make sure she knows she’s supported, and I try to “nudge” her in the direction she’s looking but hesitating to head.  (As her confidence has built, there’s been much less nudging.)  Sure there are down times, frustrating times.  She sometimes needs to vent, I can do nothing but sit there and listen, and give her a hug.

But that’s not “diabetes life,” that’s “life life.”  It just so happens we have this extra topic of stress and frustration that most other married couples don’t have.  But we also have this extra source from which to build strength.

 When we said our marriage vows fifteen years ago, we already knew some of the “sickness” part.  We’ve been incredibly fortunate to be able to leverage that sickness into a source of strength and bonding.  If I could cure her diabetes, I would in an instant…but in some strange way I don’t think I could imagine life without it.

 

Phil & I don’t really talk about diabetes much, I suppose after 15+ years of being together there are somethings that you don’t have to say but sometimes we might forget. Thank you Phil and here’s to another fun-filled 15 years.

Phil, with some other woman :-) helping out at Thriveabetes 2015
Phil, with some other woman 🙂 helping out at Thriveabetes 2015

Diabetes Summit & Future Health Summit Dublin

I am extremely honoured to have been selected as a patient speaker at the upcoming Diabetes Summit which is part of the Future Health Summit on Friday 27th May. The Future Health Summit runs over two days, May 26th and 27th, in Dublin’s Citywest Convention Centre.

The Future Health Summit is actually a series of 15 separate summits covering areas such as mental health, medtech, oncology, wellbeing at work, clinical leadership, diabetes, ehealth, and homecare.

The Summit director David Neville expects 1,500 delegates to attend. There are seven patient forums, more than 100 speakers, over 120 exhibitors, and 15 separate summits being run. He also says “The conference is focused on how we care, what we eat and how we live”.

I will be participating in the Diabetes Summit, which is chaired by the Clinical lead of the National Clinical Programme for Diabetes and Consultant Endocrinologist, Dr. Ronan Canavan and co-chaired by Dr. Anna Clarke, Health Promotion and Research Manager with the Diabetes Ireland.

My fellow panel will include;

Future Health Summit Diabetes agendaDr Neil Black, Endocrinology & Diabetes Physician, and Lead Clinician, Electronic Care Record Implementation in Northern Ireland.

Prof Philip Home-Professor of Diabetes Medicine, Newcastle University. Former Chairman of the International Diabetes Federation (Europe). In 2009 he was Programme Chair for the IDF World Diabetes Congress in Montreal.

Professor Gerald Tomkin – Director of the Diabetes Institute of Ireland at Beacon & Endocrinologist, former president of the Irish Endocrine Society, the Irish Hyperlipidaemia assoc.s. Former Chairman, and now President of the Diabetes Federation of Ireland.

Dr Richard Lee Kin-Specialist Periodontist. He is founder of the Mint Clinic in Adelaide Rd., Dublin 2, dealing exclusively with the management and treatment of gum disease in adults and children .

And of course, me, Grainne Flynn-Patient Speaker.

With a panel discussion with all speakers chaired by Dr Eva Orsmond and Prof. Donal O’Shea.  No intro explanation needed for either of those. There is more information on the schedule.

 

Patient Workshops

There are also patient workshops taking place on Friday 27th May, one in particular of interest is the “Living with Diabetes- Personal Empowerment, Information, Choice and Ownership”. Speakers for this workshop include;

11.15 am  – “Living Well with Diabetes, A Personal Experience  – 10 Keys Tips”. Kate Gajewska who is a health psychologist, lives with type 1 diabetes and is a scholar in Population Health & Health Service Research – SPHeRE Programme

12.00     “Making Best Use of Your Professional Diabetes Review”  Prof. Seamus Sreenan, Consultant Endocrinologist at Connolly Hospital and Medical Director of Diabetes Ireland.

Professor Seamus Sreenan will advise individuals to better prepare for their hospital appointments and maximise the benefit of that appointment for the person with diabetes.  Professor  Sreenan is Clinical Director, 3U Partnership, Consultant Endocrinologist at Connolly Hospital and Medical Director of Diabetes Ireland.

Both presentations will be followed by a question and answer session.

 

When you book this event, your ticket gives you access to the open talks at the Summit  (tickets priced at €539). Admission to the workshop is €10 registration fee for members, or €40 to include 2016 membership of Diabetes Ireland. To register call  Diabetes Ireland on  1850 909 909.

Now I have to take care of a “Procrastination Monkey” by rounding up the “Panic Monster”. This very entertaining video will explain more:-)

The Sneaky Low

I hate when the hypo just comes out of nowhere and hits you hard!

It a very rare occasion that I have a hypo around lunch time. But yesterday, totally unexpected and without hardly any warning a 2.6 mmol/l (46.8 mg/dl) knocked me for 6.

I had been working upstairs doing light household chores. I decided to take a break and make some lunch because my CGM alarmed telling me that my blood sugars were 4.3 mmol/l (77.4 mg/dl) and I felt a bit on the shaky side but not much.

I threw a lunch together and sat down to check, dose & eat. WHAT!!! 2.6!!!!!! Then I realised not only was I actually shaking but I was sweating profusely. I decided to hold off on my lunch, which was low carb and protein – not a good start to treating a hypo, and I quickly chewed 3 glucose tablets.

I stepped away from my lunch to allow the glucose to kick in without obstruction from protein. I can’t believe I was that rational!!! Then again, I couldn’t figure out what I should do with my insulin dose – I should obviously reduce it a little. But should I include the glucose tablets in my carb count.

Fifteen minutes later I was still shaky but I think my brain was pulling itself together again. I checked my blood sugars again and I was 3.9 mmol/l (70.2 mg/dl), the food was sitting there waiting for me. I decided to put it out of its misery.

I took my reduced insulin dose at this point. It seemed like the right thing to do to avoid the low blood sugar rebound. I knew that the sweating had stopped because I got the chills but the shakes were still there and didn’t quite go away for about 30 minutes.

I did have to top the carbs up twice over the next two hours to keep my blood sugars in the safe zone which was another unusual circumstance for me.

The lesson learned today is to not to try to sneak household chores in before lunch! And always use diabetes lessons to avoid household chores 😀

Exercise is Changing Diabetes

Changing DiabetesI can take or leave cycling…. Actually, if you take one look at me you can tell that I just about tick that box for exercise. ▖✓

However, this video came up several times in my twitter and facebook feed and on the 3rd time seeing it I thought maybe there is something in that that I should see and hear.

The answer is YES there was! It’s a 7 minute video filmed by the BBC and I feel, that it is a must see for all people with diabetes. Believe it or not there are still health care professionals in Ireland telling newly diagnosed people to give up exercise, especially competitive sports with their diabetes! 

These amazing people are changing the public’s perception of diabetes all over the world. It’s so powerful to hear about how much time and effort they put into their diabetes management and still make strides competitively. Team Novo Nordisk is the only all diabetes pro cycling team on the planet.

Phil Southerland, founding member of the professional cycling Team Type 1 speaks about how in a time where children with type 1 were not encouraged to exercise his mother saw something positive in his numbers when he did.

Our very own Stephen Clancy from Limerick is a member of this diabetes cycling team that is planning to compete in the 2021 Tour de France. His voice is featured in the introduction to the NovoNordisk promotional video. Stephen was aged 19, and on the path to a successfully career in pro-cycling , when he was diagnosed with type 1 diabetes. He was told to give it up!

Stephen Clancy

Thankfully, sometimes it pays off to not listen to your medical team. Please share this video and encourage our children with diabetes to not give up on their dreams because of diabetes and to inspire others.

A Day of Diabetes – A Good Day!

I wrote this post on Saturday 10th January because it was such a good day and worth recording. Don’t worry though I will balance it with A Day of Diabetes – A Not-So-Good Day! And be assured that I do have many of those too:-D It’s also written before I got hooked up to my continuous glucose monitoring system.

The alarm went off at 8:28am, I feel well rested but still want another snooze. My husband’s alarm went off at 8:30am and I was afraid that I would actually fall back to sleep so I rolled out of bed. I use the term rolled because that is actually what I do. I roll over and off the edge of the bed – it’s very effective!

I went downstairs, said good morning to my already fed and dressed daughter on her laptop. I filled the kettle to make tea and she had already made it! How lucky am I? ;-D I popped two slices of wholemeal slice pan into the toaster. While waiting for the toast I did my first blood glucose test of the day. 7.3mmol/l (131.4 mg/dl), what a nice way to start the day. I gave myself insulin to cover the toast and 3 mugs of tea with skimmed milk.

Not my mug! But it's the size required for my morning cuppa.
Not my mug! But it’s the size required for my morning cuppa.

 After breakfast, it’s time to drop the family off to Coderdojo and for me to get the weeks grocery shopping done.

What seemed like a short time later, my insulin pump vibrates to remind me that it’s been 2 hours since I took my breakfast bolus and that it’s time to check my blood sugars again. 4.4 mmol/l (79.2 mg/dl), a bit on the low side because there is still active insulin in my body so I ate half a granola bar to keep my levels up until lunch and went about collecting the family from Coderdojo and home.

After all the groceries have been put away and both children had been fed, it was time for my own lunch. I decided to have a two egg omelette with smoked salmon and cheese, one slice of wholemeal slice pan again and two perfectly ripe kiwis. While my omelette was cooking I tested my blood glucose and it was 5.2 mmols/l (93.6 mg/dl).

I’m having such a good day. It feels so nice to have good numbers and no crisis hypos getting in the way.

By mid afternoon, I decided that all major household tasks were done for the day and I was going to have about three cups of coffee, read the newspaper and some internet articles. My insulin pump had perfect timing; it vibrated to remind me to test again before I made it to the comfy chair. My blood glucose test revealed 6.0 mmols/l (108 mg/dl). You should have seen my happy face!

Roll on the coffee and two small McVities chocolate biscuits. I know I shouldn’t have them. So I’ve estimated that they work out to be 15 grams and I bolus 1.15 units of insulin. I wonder to myself if the biscuits are more like 20 grams but I decide that the next blood glucose test will reveal it.

Dinner at 7pm and my blood glucose is 7.8 mmols/l (140.4 mg/dl). It’s sooooo nice for the things to go right for a change.

The two hour post meal check revealed a 5.8 mmols (104.4 mg/dl) – this is a normal reading for someone without diabetes but for me it’s a bit too low for an after meal and with active insulin still in my body I give it a snack to work on. What can I have for a snack? Ohh I haven’t had a packet of crisps in months, double ohhh, Salt and vinegar. Sold! So 14g of carbs and a lot of fat later my blood glucose dream comes back to reality with an 11.2 mmols (201.6 mg/dl) result.

Well, it wasn’t going to last forever, was it? But when the good days come they should be celebrated. httpsc1.staticflickr.com3289110094390044_aff1fd98a4.jpg

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