The Diabetes Rollercoaster

I've probably heard the words 'diabetes' and 'rollercoaster' being used in the same sentence a hundred times, possibly more.Thinking about my own personal experience since I was diagnosed with diabetes, I'd probably agree with anyone who claimed diabetes was a rollercoaster. 

From the moment of diagnosis, adjusting to the body's requirements, right through to learning to live a 'normal' life, there is constantly a battle to beat the lows, and keep the high's going. Anyone who lives with diabetes deserves a medal, from this perspective. But why does diabetes come with the rollercoaster of feelings, as well?

Some days will be good days. Waking up with a decent blood sugar reading, being able to calculate the right medication. No high readings and no horrible hypos. What a great day these are.

But then some days will be bad days. For some reason or other, you might wake up with a high reading, or you might catch a mid-morning hypo. How inconvenient, I always think. Especially if you're stuck in a meeting and no end is in sight! Halfway through a meeting the other day, I was convinced I must have had a reading in the mid-teens - I was falling asleep, I felt grumpy and I couldn't concentrate. After the meeting finished, I checked my sugar levels and I was a perfect 7. Perhaps what I had felt were just the symptoms of an incredibly boring meeting, in that case!

There might be times when you can pinpoint why your meter tells you you're a certain level. You might have forgotten about that small glass of fruit juice at breakfast, or you may have not had the time to have a mid-morning snack. Remembering though, can bring you a solution.

However, what about the times that you can't work out why your sugar levels are particularly high or low? The lack of control may well leave you wanting to bang your head against the wall in frustration. It might make you want to rebel against your diabetes. 

Whatever it makes you feel, diabetes shouldn't make you feel like it is controlling you and your life. Sometimes, we could perhaps take our sugar level readings with a pinch of salt (not sugar), accept the reading and look at how to fix it. Of course, this is easier said than done.

Diabetes has no right to make you feel the way it sometimes makes us feel. So, once you've taken a correction dose, or had a hypo treatment, remind yourself how incredible you are for living with diabetes, and say hi to everyone else who is probably feeling the same way as you. You're not alone.

Feel free to drop a line if diabetes is getting you down. Bottling up how we feel can do more harm than good. 

Signing out, Louise

louisepeersupport@live.com 

The hassle of eating out

If you're anything like me, the suggestion that my friends and I go to a restaurant, to catch up, is often an event that I dread. I have two groups of friends; in one group there are fellow people with diabetes. In the other group, I am the only one with diabetes and no one else in the group has any experience of the condition. 

With the two groups, eating out is a very different experience. When I'm with my friends who have diabetes, we spend much of the evening discussing what we're going to eat, how many carbs are in our meals, what it'll do to our sugar levels, and how much insulin we're going to inject. A recent experience makes me laugh when I think back to it. The 3 of us always go to Nando's when we're together and we all generally order the same thing.

The last time we met, was no different. Having ordered our food, grabbed our drinks and picked up our cutlery, we all checked our blood sugar levels, so we could decide how much insulin we were each going to inject. My meter told me I was 6.8. Not bad, considering we were having a late lunch. My two friends simultaneously checked their levels. We must have looked a little odd, staring at our three meters. However, my two friends were also 6.8. What were the chances?! 

Even though our levels were the same, and we were eating very similar meals, we all injected different does of insulin. I need very little insulin, whereas one of my friends is particularly resistant to insulin, and so has to inject higher doses.

In comparison, eating out with my other friends, who don't have diabetes, is very different, and sometimes relatively more stressful. When I'm with my diabetes-friends, we tend to go to the same restaurant. If we do go to a new restaurant, we all have mobile apps, and are able to discuss the possible carb content of the meals. This way, we can all try to work out how much insulin we need to inject.

With my other friends, it is stressful and difficult for me, at times. No one likes to go to the same place every time, it's fun to discover new places. Before I was diagnosed with diabetes, and before I had IBS, I loved trying new foods. Unlike my sister who would probably stick to chicken nuggets and chips, if she could...

I have to admit, I do get anxious if I know I'm going out to eat with my friends, especially if I've never been there before. What am I going to eat that won't upset my stomach? What food can I eat that won't have masses of hidden sugars? Should I inject before my meal or after? What if we don't eat until late? So many things that my friends don't have to think about. It is sometimes frustrating that I'm the only one in my group who has to worry about these things.

To try to give myself a break, and try to enjoy my meal at a restaurant, I like to know where I'm going, beforehand. That way, I can look online at the restaurant's menu and try to weight out my options. I've also given the restaurant a call on occasion to see if they cater for gluten free. Luckily, most places do put their menus online, and this saves me a lot of time and worrying. Other things that I can do, include using my phone. Some restaurants have their own mobile apps, which contains their menu, and even some nutritional information. 

My favourite apps are for the Harvester, Nando's and Giraffe. I've even heard a rumour that Pizza Express and Dominoes also have useful apps. I'll certainly have to look into that...Another option is 'MyFitnessPal'. Although it is generally for tracking fitness and diet, it has a very comprehensive database of foods, both home made and restaurant brands. For each listing, full nutritional information is available. This has helped me out particularly when I've been to Indian restaurants. 

I'm not trying to make you all hungry from boasting about all these restaurants. Eating out when you have diabetes is always a challenge. It makes me nervous, it makes many other people nervous, too. However, that doesn't mean that we have to miss out. If you are worried about what you're going to be eat, you could look at the healthy options. These will generally be lower in fat, sugar and salt. You could also ask the restaurant staff for more information about specific meals. 

The greatest tip we can offer to people with diabetes, is to be prepared. Knowing what you're going to eat, takes away a major worry that many people have when eating out. Also making sure you know what your sugar levels are, will help you. If you are eating late, or the restaurant is busy, you may find your sugar levels drop. Having some quick-acting carbs (dextrose tablets, orange juice for example) will save you from a hypo in the restaurant.

If you do need any tips on the best foods to eat, what to avoid, or want to know if you're on the right line, when it comes to restaurant foods, please do feel free to comment, or drop a line at louisepeersupport@live.com. 

Brand new year, brand new you?

The beginning of another year is always filled with promises – no more junk food, lots more trips to the gym, lose tons of weight, travel the world. The list of typical new years resolutions, is endless.

How about we stop for a minute, and think about what we really want from 2014. Do we really want to exhuast ourselves at the gym 7 days a week? Do we really want to cut all ties with the things that we love? The answer is probably no. And the good news is, there's no need to.

When it comes to diabetes, taking care of one's self, is really important. People with diabetes are more likely to come across complications in old age, if they don't care of themselves, today.

However, there is a difference between taking care of one's self, and overworking the body. Working out 7 days a week, and having no form of enjoyment, will most likely lead to exhuastion, tiredness, and a desire to stop everything, all together.

The important thing in looking after yourself, both your diabetes and your general health & fitness, is learning to find a balance. You don't have to be a gym buff. The Department of Health recommends 150 minutes of exercise a week. This is less than 3 hours a week. What's even better, is that this doesn't mean 3 hours in the gym. You might be surprised at what counts as exercise...

How many times have you taken the lift, instead of walking? Try to take the stairs once in a while, perhaps. Or how about taking a nice stroll to meet friends for a coffee?

Try cycling. Find a local park, and enjoy the breeze, as you cycle your way to fitness.

Even those mundane tasks around the house that need doing – vaccuuming, DIY, gardening.

You might want to get family and friends involved. It is a lot easier to keep at something, if you have a reason to keep going.

Building up your activity gradually, makes it easier to stay active. You might even discover you quite enjoy a particular activity!

Diabetes is a very unpredictable condition. That doesn't mean that it should control us or stop us from doing things. If you are worried about doing a certain form of exercise, because of how your diabetes might be affected, it might be worth talking to your Diabetes Nurse or Consultant. There are a lot of people with diabetes, who also regularly blog about they sports they take part in.

More importantly though, listen to your body. No one expects you to be running marathons next week, or climbing mountains next month! Take it one step at a time, remember to check your sugar levels before the activity, during if possible, and after. You are more likely to have a hypo up to 24 hours after exercise, so it is perhaps wise to monitor your levels the next day. If you feel low during the activity, stop and treat the hypo.

Useful Resources
Diabetes UK – Getting Active and Staying Active
Diabetes UK – Blogs from various people with diabetes, who take part in sports