3 Things Diabetics Should Do Everyday

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3 things diabetics should do everydayLiving with diabetes gives us a massive list of things to do, more than is possible to keep up with sometimes, but if you do any 3 things living with diabetes (aside from taking insulin, checking your blood sugar before eating and calculating carbs) do these. They will save you more energy in the long run and contribute to a better sense of happiness and wellbeing.

Be Kind to Yourself

Before anything else, be kind to yourself. Don’t beat yourself up about unexpected (or even expected) highs or lows. This will only cause more stress which could ultimately lead to more unwanted numbers. Sometimes when I am harsh on myself I try to imagine how I would advise someone else if they were living in my shoes. For example, if my friend had diabetes and she felt bad / guilty about a hyper I would tell her how much of a great job she was doing and that acting like an organ in the body is not an easy task. I would also try to bring her focus to the last time she had a great blood sugar which would show her that it is possible. This is much better than calling her efforts poor. So, if I can treat someone else with such care and understanding, I should be treating myself with the same kindness. So should you. You do a fantastic job every single day.

Don’t try to guess, just check.

We’ve all been there… sitting down or doing something, and then along comes dry mouth, the shakes or a banging head ache; a feeling that is a clear indication that we are either high or low. We sit and question it for about 10 minutes, trying to guess what is happening before doing anything about it.

I’m guilty of it myself and want to stop it because it’s a waste of energy trying to analyse the symptoms when the meter can give me the answer. If we remove the deliberation as soon as symptoms becomes apparent we can move on quicker which helps us to think less about diabetes.

Workout

I don’t want to sound like a broken record because I know you probably hear this from your doctors (and everyone who thinks they know what diabetes is), but working out will help you with your management so much. It will be difficult at first, but once you get the hang of it you will find your way. You don’t have to go the gym if you hate the gym. Do something you love to do and you are more likely to stick to it.

Lots of people email me on a weekly basis talking about their fear of hypos and exercise. It seems to be a very common barrier amongst people living with diabetes who want to take part in exercise. Here is the advice I would offer them.

Rowena x

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T1D and Obsession with Numbers

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Are We Too Obssessed With Numbers?I’m writing this post because I think there is a strong link between T1D and obsession with numbers. I often see or hear people talking about blood sugar numbers or pounds in weight they have lost in relation to their mood in a very obsessive way. Share photographs of their perfect blood glucose level, captioning it with “look at this number, it’s going to be an amazing day”. Or even worse, and unrelated to diabetes, I see posts like “another 2lb off, I’m finally getting somewhere”.

Whilst it’s great to stay positive and celebrate small victories it makes me wonder if we are too obsessed with numbers? What do these people think about their day if they wake up with a bad number, either on the scale or on the meter. Does a bad number (out of range or not what they were expecting) mean that they are going to have a bad day? If the number on the scale hasn’t moved do they feel stuck like they are getting nowhere?

Before I was diabetic I was very driven by numbers with regards to weight management. I would be happy if I was lighter or thinner and therefore a smaller size in clothing. But, of course, if those numbers went the opposite way I was very unhappy. It was very obsessive, exhausting behavior and one I knew I could not continue and link to diabetes management.

https://youtu.be/smi7xnFhDM8

Although I sometimes go back to that place with my weight I try my best to not let my blood sugar dictate the level of my mood or how my day goes. Some days my blood sugar is great all day, some days it isn’t. If I wake up with a good blood sugar, great. If I don’t, I fix it and then move on. That’s it.

If I were to let any of those numbers dictate the direction of my day I would probably end up very miserable all the time. Sure, I aim for tight control on everything, but perfection is unattainable, especially in diabetes management. For instance, this morning, I woke up and my blood sugar was 10mmols. I have rehearsals, research, work and loads of other things to do. Do I really want to start my day in a shitty mood because my blood sugar is out of range? Or do I want to move on from it as quickly as possible?

I have the choice and I choose to move on. What do you think? Is there a link between T1D and obsession with numbers?

Let’s not let anything control our happiness apart from us. Everyone has a choice.

Rowena x

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Nocturnal Hypoglycemia

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Nocturnal HypoglycemiaNight time lows, known as nocturnal hypoglycemia, have been happening to me a lot recently. Again! I’m not sure if it has to do with the change in my training or if diabetes is just being its unpredictable self. After a reflection on my goals and progress I have start incorporating more HIIT cardio into my training and slightly less weight lifting. I was lifting fairly heavy and that was great for the power in my body, however, my cardiovascular stamina was suffering so I wanted to switch it up a bit. Also, this is a really positive thing for the body as it gets bored and adapts to the same style of exercise. Give it a go if you want a little boost in your fitness. If you run, try swimming or something.

Back to the hypos. The other night I woke up with a blood sugar of 1.5mmols which is the lowest I’ve ever been. Due to repetitive symptoms such as sweating (think “just got out of shower” look), foggy headaches and rebound highs I think this has been happening a lot. When hypos occur during sleep you may not wake up to the symptoms so your body responds by releasing glucose from the liver in order to bring blood sugar levels back up. However, although this may seem like a good thing and that you don’t have to worry about night time lows, it should not be relied upon because of the rebound highs that come as a result of it.

https://www.youtube.com/watch?v=HoyOqMWdUPw

Although I have basal tested and thought I had it all figured out I clearly haven’t. I increased carb insulin ratio and reduced basal and it still happens. I’m usually asleep before 11pm each night and I think it the hours between 11-3am that I haven’t got sorted out. I have noticed that if I catch the hypo and treat it with the appropriate amount of carbs I usually wake up with a great blood sugar. But if I sleep the whole night through I wake up with a hyper. Hopefully the CGM in June will give me the opportunity to fix this.

Do you experience night time hypos? How long did it take you to fix them?

Rowena x

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Hypo Anxiety Before Performance

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Hypo Anxiety Before PerformanceThe more I perform, the more I realize that I have a bit of anxiety towards hypos. I never really fear them any other time, even if I am exercising an insane amount or doing back to back dance classes. Mainly because I know I can just stop and check if I have to whereas when it comes to performance, I don’t have that option. Whilst other dancers are going over their steps I am usually doing a mathematical equation about carbs, insulin and the time of day it is and how that might affect my insulin sensitivity. The positive thing about this is that I don’t actually get nervous about the performance.

Overtime I have found a specific set of rules that work for me. The type of work I do can last anywhere from 4 minutes to 1 hour, or more depending on the project but this would be rare. If I am doing 5 minute set I will be happy if my level is around 7mmols, if I am doing any longer than 5 minutes I would prefer to be at 9mmols and no lower.

https://youtu.be/CVyXEWYLl9k

Here’s how it went on Sunday…

When I first arrived at the venue after walking for 35 minute (I used this as part of my warm up) I checked and it was 3.2mmols. Not a good start, but I drank some Lucozade and got on with it. I then had a small apple and banana of around 25 carbs which brought my level up to 8mmols. This was around 15 minutes before show time and at this point I wasn’t wearing my pump and had no insulin on board. I did some more stretching and warming up, went on stage, came off and it was 7.2mmols. I felt like an insulin master because there was no major high. Usually the adrenaline sends my blood sugar sky rocketing.

I will be performing the same piece in a week or so I will see how that goes in comparison to the one above.

Hypo Anxiety Before PerformanceThe bizarre thing is, from talking about it beforehand I think I actually worried a little bit more than usual so maybe it’s not best for me to talk about diabetes worst case scenarios before I go on stage. I specifically remember that I was thinking about low blood sugar during performance which has made me feel like I didn’t give my best, like I could’ve done better. It happens.

Are there any situations in which you have a fear of hypos? You can add a comment below or email me at [email protected]

Rowena x

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The Gains Are Coming

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The Gains Are ComingFinally, I can flex my arms and see some definition in my muscles. I know this might sounds like its coming from a place of vanity, but it’s not. I have always admired really toned arms on women (think Madonna) and I wanted some for myself.  After years of trying and getting nowhere near where I wanted to be, mostly due to inconsistent and weird dieting habits, I finally understand my body enough to see some progress. I don’t want to put it all down to eating all of the right things, but I would say that is where 80% of the progress has come from. The other 20% is down to specific upper body training including weight lifting and pole dancing.

Some of my up body training includes pull ups, dumbbell curls, shoulder press, pushups, lat pull down, bent over row, tricep dips and a few more. Plus, the pole training. Pole training really challenges upper body strength. Before I did my first class I couldn’t even do a chin up so I highly recommend it if you want to gain some upper body strength. It has its other benefits too.

My next physical goals is to work on getting those six pack abs. Every time I have tried this before I have just ended up looking skinny with protruding hip bones and ribs. However, because I have been building muscles and reverse dieting I am hopeful that once I cut some fat I will have some decent abs to reveal. I mean, they do say that abs are made in the kitchen. It’s a work in progress and we will soon see.

The Gains Are ComingThis week I have been nursing a bit of a shoulder injury which means I have been attempting to take it easy, but taking lots of pain killers instead. I’m totally guilty of never resting and I am working on getting better at taking days off. I find that any type of injury, even if it is small, aggravates my blood sugar. Saying that, my blood sugar, aside from the recent night time lows, has been really good this week. My seven day average was 6.7mmols which is within the non-diabetic range. I’ll take it!

How have your blood sugars been this week? Are you working out regularly?

Rowena x

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Diabetes Before Social Media

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Diabetes Before Social MediaThe other day I was thinking about what living with diabetes would be like if I didn’t write this blog or have my instagram and other social media pages. I was diagnosed with Type 1 Diabetes in 2014 so I was lucky enough to have instant access to social media to find out more about diabetes from people who are living with it. That was how I was inspired to create my own page which I use as an outlet and as a place to share my journey. I never share anything about diabetes on my personal social media pages you see, mainly because I use them to promote myself as a performer, but mostly because I don’t want to people to associate illness with me. Far too many people have uneducated opinions of diabetes and I don’t think I am ready to fight off those comments – yet! However, the majority of people who follow this blog are diabetic so they (you) understand. How did you connect with other diabetics before the internet? Was there a group you could attend? What happened?

On another topic, my training this week has consisted of 2 hours of weight lifting for legs and back, 5 hours of pole dancing, 3 hours of yoga and 1 hour of kettlebell training. I also do unintentional cardio (walking) in work which adds another 3 hours. I might keep my training similar for the next couple of weeks, aside from rehearsals, as I feel that my body is responding well to it. By reducing weight training by 1 session I can lift myself easier and I seem to be healing quicker from the muscle soreness. No complaints with diabetes this week apart from a few lows. My 7 day average has been 6.5mmols so I am really pleased with that, my mind definitely feels a little bit clearer for it. I suppose the increased basal rate at certain parts of the day has really helped. Especially the morning one. I feel that waking up with a good blood sugar really sets me up for a better day, I don’t have that foggy hungover feeling to brush off.

Diabetes Before Social MediaFor the past 4 weeks I have been maintaining my calories and my weight so insulin has been pretty similar each day. I am so happy that I have finally found my personal maintenance level where I finally feel satisfied and healthy. It has taken such a long time, and although I am not completely content with my current body fat levels, I am pleased with how my attitude has adapted for the sake of my health. Whenever I have thought about dropping my calories again, because that’s bound to happen, I think of how far I have come with my strength. I know that if I drop my calories significantly I will lose some of those strength gains which is definitely not in line with my goals. It’s funny because a few blog posts ago I was eating much less and considering dropping the calories then. I’m so glad that I didn’t and that I carried on.

Hope you have had a nice week. Let me know what you have been up to? Have your blood sugars been good?

Rowena x

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Check out my book Diabetes and Healthy, Active Living which is now on sale at Amazon where you can purchase it for only $2.99. It’s packed with useful information for weight loss, muscle gain, maintenance, macronutrients, reverse dieting and how to prevent binge eating. Get your copy today and let me know what you think.

Health Problems Trigger Action

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Health Problems Trigger ActionRecently I have heard a lot about how sudden health problems can trigger people to take action in their lives and how it can really motivate change. A lady in work had a minor stroke in which the doctor put down to stress and a sedentary lifestyle. This experience obviously frightened her, so after coming home from hospital she began eating a healthy diet and has started exercising more, she even asked me for advice on a training split. Shortly after hearing about this I was watching the London Real interview with Cara Santana and she said that her near death experience is what forced her to finally stop using drugs and alcohol. This made me think about how many of us take our health for granted.

I am speaking from experience here, too. Before I was diabetic I had very little perception of how I valued my health before. I mean, I ate a fairly good diet and I exercised, but like most young people these days, I used to drink and smoke a lot. This was definitely more so when I was younger, but when I was diagnosed I stopped smoking completely and I now I rarely drink alcohol. Maybe once every couple of months, for special occasions or if I’m on holiday.

https://youtu.be/hQ7_h6iu5mU

I suppose the reasons for not drinking as often is because I feel like I have to cherish those moments of health and feeling good. Living with diabetes you never know when blood sugar is going to play the high or low game which will make me feel like shit, both mentally and physically.

When people say that you should find the good in everything, I think that this is why I can find the one good thing about diabetes. It makes me very aware of my health and I work harder every single day to achieve the feeling of health. I think people living with diabetes really have to look long and hard at what is effecting them. Blood glucose elevation due to stress, overeating, undereating, over exercising etc. There is a lot to think about.

It’s sad that for some people it’s too late. They have seen minor warning signs over and over again. If you’re reading this and you mistreat yourself, please think about one thing you could change today that would give you the opportunity to live a healthier life for longer. Don’t wait for a diagnosis or a near death experience to give you a kick up the bum.

On a more positive note, exciting news! My book Diabetes and Healthy, Active Living is now on sale at Amazon where you can purchase it for only $2.99. It’s packed with useful information for weight loss, muscle gain, maintenance, macronutrients, reverse dieting and how to prevent binge eating. Get your copy today and let me know what you think.

Rowena x

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New Pump and Repeating “Diabetics Can Eat Chocolate”

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New Pump and Repeating “Diabetics Can Eat Chocolate”I got a new pump from Animas because my previous one had a crack near the battery compartment. Since posting the photo of it on my Instagram page, a few people said the same thing happened to them so I’m guessing that this must be a recurring fault that Animas is working on. If this has happened to you, call Animas and see if they can replace it because it can affect the way your pump functions. The lady on the phone was very helpful and I had my new pump the next day. I even chose a new color; pink.

Along with a new pump comes the setup where I copied all settings from my other pump, but somehow I managed to leave one of the basal times unlisted which meant I was receiving no basal for a few hours. I fixed it as soon as I noticed, but my BG did go a little higher.

Another thing I failed to do was to active the Insulin on Board (IOB) feature. I noticed it when I wanted to take a bolus using the ezcarb function. I was scratching my head at first, but I eventually found it in Advanced Settings – Set up 8 – Insulin on Board – On. Seems pretty obvious now I come to think of it. I wondered why this isn’t already activated as a preset, but then I suppose the people who are new to the pump, who have been on injections for a while, may have a specific way of working it out for themselves and don’t actually want it on.

https://www.youtube.com/watch?v=fDMvrzDLoC4

Changing the topic, Easter had just passed and although I had a nice time I’m glad it is over with because of the connections that people make with chocolate and diabetes. I’m sure I’m not the only one who has heard the question “are you sure you can eat that?” this Easter. In one week, on 4 different occasions, I was asked if I could eat something with me being diabetic. Grr. Two of these people know quite well I can eat that, but it’s as though they just can’t hear me when I confirm that I can eat whatever I want providing I take insulin for it.

I mean, I really don’t expect people to know the ins and outs of this disease, because before I was diabetic I didn’t know either, but what would be nice is if they just listened to me the first time and left it at that. Besides, on one of these occasions I was eating a small Easter egg worth only 50 carbs. That’s less carbs than I have in my dinner or my post workout meals.

Hope everyone has had a nice Easter, and if you had time off from work or school I hope you enjoyed some rest and relaxation.

Rowena x

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Annual Diabetes Check and HBA1C

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Annual Checkup and HBA1CLast week I had my annual checkup at the Diabetes Centre and I must admit that I felt a bit nervous because I knew that my HBA1C will have gone up. I’m a perfectionist and always get a bit anxious when I know I could’ve done a better job. I mean, I’m absolutely fine with the management of blood glucose during the day so I should give myself some credit, but those night time basal settings are difficult to figure out when I just switch my alarm off and go back to sleep. Must. Keep. Trying.

When I got to my appointment at 1:30pm I was called straight away by the nurse who took my weight, height and blood pressure. She also did a HBA1C test where I received the results straight away. Usually I have to wait a week or so. Anyway, my HBA1C was 7.1% (equivalent to an average blood glucose of around 9.1mmols) which isn’t a disaster, but it is higher than my previous ones which were around 5%. She also said my blood pressure was on the higher side, which has never happened before so I’m not sure why that was. Maybe it’s because I was stressing about not being perfect.

I went back to the waiting room where I would wait for the doctor to call me. During this very brief time, instead of playing on my phone which is what I usually do in waiting rooms, I was looking around at the people who were sitting in twos and wondering which one of them was diabetic. Do you ever do that?

My doctor called me, I said hello to him and the student who was there to observe and we went on to discuss my current HBA1C, weight gain and overall diabetes management with regards to my active lifestyle. I explained that for the past 9 months or so I have been consistently lifting heavy weights, so I was definitely expecting weight gain and I was right. He said its fine as long as I continue to increase my insulin. Whilst my weight has gone up, the good news is that my waist and hip measurements have stayed the same so this suggests that I am gaining in the right place; muscle. I’m definitely not denying that there is fat gain though, but I have a goal in mind and I will easily shred that off once I’m happier with my strength.

Next, we went on to look at options that would help with my unexplained highs in the night and I was given the opportunity to trial a continuous glucose monitor (CGM) that comes with 4 sensors and would therefore last for around 2 months. In order to use a CGM I will have to do a 2 hour course at the beginning of June. This is really good news as I will be able to gather more accurate information about how my training effects my BG. Also, I can finally adjust my basal rate needs during that time of the month and when I occasionally go high on my rest day. For now, though, he suggests a 30% increase of basal on my rest day and a 20% reduction on the time during my period.

Overall I think I need to relax a bit more and ask for help when I need it. I have a tendency to try to figure out everything for myself, but if I would just lift the phone up or write an email to reach out to a doctor when I am struggling I may be able to figure things out a bit easier. Do you ever get nervous before your 6 month, or annual appointment? Do you find it difficult to reach out for help when it comes to diabetes management?

Rowena x

p.s. I forgot to mention my new pink pump. My blue one had a crack in the battery compartment so Animas sent me a new one in case of water damage.

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2 Years of Living with Type 1 Diabetes

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https://www.youtube.com/watch?v=HOnv7fu4qio

It’s been 2 years of living with Type 1 Diabetes and in comparison to how I felt after the first year, I can honestly say that some things have changed. As a result of exercising daily, sometimes several times per day, I feel like I’ve cracked the exercise vs insulin code and I can deal with the physical aspects of a hyper or hypo because my body is used to working through tiredness and exhaustion.

However, I am yet to master my mind and how it responds to a high or a low because I find myself feeling depressed or anxious for no apparent reason. At the time I find it really hard to link it to my blood sugar. This is something I didn’t notice so much in the first year, but I can definitely notice it now. It’s strange because it makes me question myself emotionally. Like I ask myself “am I upset because I’m high or am I upset because I am upset?” Things like that.

On a more positive note though, even though I am fighting for health every single day, I feel stronger than I have ever felt in my life. So I suppose I have to say that I’m grateful that diabetes has made me pay so much attention to my body and my mind which I will continue to work on every single day. For me, my priority in life is to feel good because I know that anything that I am working for is not worth having unless I have my health.

Monday was my birthday and I had a great time celebrating with those infinity macros. On my birthday eve I had a few glasses of champagne and a bit of Grey Gooses and then on my actual birthday I went for a nice Italian meal with some family and I went to the cinema to watch a funny film called “How to Be Single”. I ate loads of treats including ice cream, chocolates and nuts which I had to take a load of insulin for. I did go a bit higher than I had expected but because I was checking regularly I managed to get it back down quickly.

Today I am back to training and working. I think the day off always does me a bit of good because I always feel more productive after a full day off of work and training.

What did you find easiest or most difficult to adjust to over the years in comparison to the first year? How do you manage moods if you have any that are related to blood sugar?

Rowena x

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