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I've been somewhat ambivalent about today's rally surrounding the United Nations Summit on Non-Communicable Diseases. The libertarian "party line" is that the United Nations does little more than abrogate nation-states' sovereignty and forcibly redistribute income from the wealthier nations to the less-wealthy, dampening incentives for innovation and destroying private charity efforts which would otherwise improve the lives of those in need. On the other hand, the prospect of spending time with friends I seldom see in-person is an opportunity not to be missed.

 

It's a dilemma I'd been wrestling with for a couple of months, and friendship was winning over politics. However, neither friendship nor politics had the choice to decide.

 

The deciding factor was money.

 

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Do you consider yourself to be selfish? That's the topic I've been pondering over today and for many years since becoming diabetic. Sometimes I can't help but feel like because of diabetes I am forced to think of myself, or my diabetic needs, before the needs of others. Maybe selfishness is a characteristic that is inherited in people who develop life threatening illnesses or diseases. Perhaps because we live with the constant reminder of the thin line between life and death, we are more in tune to our needs.

Is it true that selfishness and diabetes go hand in hand?

What do you think? Have you, like me, thought about this before? Do you think of yourself as a selfish person?
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Some days, my diabetes control is like a sleek, hot-pink BMX. It takes me for smooth, yet daring rides and lets me, in the words of Napoleon Dynamite "take it off some sweet jumps."
What's great is having several of those days in a row - as I've had lately. Only two or three bloodsugars out of range - and even those were mere blips - a 62, a 159... Nothing outrageous. That's when I start to get comfortable. I settle in for the ride, enjoy the air on those jumps. (READ MORE)

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A man is not dead until he is forgotten. -- African proverb

 

Saturday night, the vice-president of our Friends of Faire group delivered a well-worded "toast to the immortal memory", in which he named Robert Burns "the Bard of Scotland"  in the way that Shakespeare is "the Bard of England" (not to mention most of the rest of the English-speaking world!). As our festivities were dedicated to a member who had recently and unexpectedly died, her life was also celebrated in this toast, and her passing, mourned.

 

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As people with diabetes, we are tasked by our medical teams with conducting our lives in a manner such as to minimize or mitigate the destructive effects of our medical condition. A lot of press is given to the concepts of "patient compliance" and "patient adherence" -- enough to raise the blood pressures of many of us past the levels covered by our antihypertensive, renal-protective pharmaceuticals. The idea of being "a diabetic in control" (or "out of control") has also been known to raise the hackles of a number of the T1s among us, whose blood glucose levels vary with the tempo and dynamic (but none of the grace) of a Mahler symphony.

 

Like the four movements of a symphony, or the members of a string quartet, the cornerstones of diabetes self-care are:

 

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In the life of a diabetic, blood draws are fairly common. I can remember being a little girl in my pediatric endo's office waiting for the inevitable butterfly needle after the appointment. My mom and I claimed that the nurses in the hospital were always rougher than the ones in my normal physician's office. It seemed like those quarterly blood draws hurt more and more every time.

 

But I was always used to them. Needles never have been my problem. Maybe it's because before I even begin to remember things, I can remember diabetes. Needles and those blood draws are so common to me that I know no other way. But even though I'm not scared of needles or opposed to the routine draw, I still hate the way it all happens now.

 

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Despite the fact that temperatures here in the Valley of the Sun (or as my brother likes to call it The Actual Sun) continue to hover around 100 degrees, it's technically fall, which means that flu season is upon us.

 

I don't think I ever got a flu shot prior to getting diabetes. I was healthy for the most part and likely didn't understand what the flu really is. And even four years into the disease, last fall was the first time I got the shot since being diagnosed.

 

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The scheduling nurse from the Mayo Clinic called today and said the doctors have agreed to see me. And get this: I have an appointment in two weeks. Yep, two weeks! They're not squeezing me in, they're not making exceptions. I have a regular appointment.

 

So, I'm sort of stuck between really excited and fairly skeptical. I've made it pretty clear that I have high expectations for my endocrinologist. So on one hand I feel like the Mayo Clinic is the best of the best and my expectations will be met and on the other hand I feel like these people are still doctors in one of the largest cities in the country and likely see a ton of patients and why will they treat me any differently than Dr. S did?

 

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