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"What's the best diabetes advice you've ever been given," Kerri asked the other day.

 

As a health writer, one of the perks of my job is that I get to talk to experts. One of the questions I often ask is, "What is the best advice you'd give someone with diabetes?"

 

And of all the interviews I have done, I think the best response came from Linda Dale, RN, CDE, Clinical Nurse Specialist in the Outpatient Diabetes Eduction Program at the University of Michigan Comprehensive Diabetes Center. The article was about testing your blood sugar.

 

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Before you read any further, I want you to know that this is not a terribly uplifting post. And I won't fault you if you decide to stop reading now.
One of the worst parts of having diabetes, for me, is how vulnerable it makes me feel. In the past, I've expressed my fears related to this disease on this blog and my personal blog. I am not a person that lets fear deter me. I push on, I make my way in spite of the fact that I sometimes feel overwhelmed by the possibility of disaster that life presents.
But, you know, life with diabetes presents a whole other set of disastrous possibilities. (READ MORE)

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Last week, a rabbi I follow on Twitter mentioned that she was beginning to work on her sermons for the Jewish High Holy Days. A bit off-the-cuff, I threw out the topic of "G-d forgiveness, versus self-forgiveness, versus forgiving one's fellow man". While the first of these sits squarely within the framework of religion, the other two often sit at the same table as the many theories of diabetes management. Especially where caregivers, and type 2 diabetes, are concerned.

 

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There's an old adage that says success is "one part inspiration, nine parts perspiration". We tend to see only the first part -- the results, the glitzy façade. Except at the finish line of a race -- whether that be marathon, triathlon, bicycle race, or horse race -- all hints of the perspiration (or let's face it, sweat) are carefully hidden.

 

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Each year, thousands of healthy babies are born to women with diabetes. This wasn't always the case. In the dark days before insulin, women with diabetes usually didn't live long enough to think about starting a family. Even in the 1980s, childbirth was risky for diabetic women and their children, with birth defects and stillbirths commonplace.
Thank God things are better today. Years of research shows that it's not only possible to have a healthy baby with diabetes, it's actually probable. Today we know that good prenatal care combined with tight blood sugar control lowers the risk for diabetic pregnancies. In fact, if you can maintain normal or close to normal blood sugar control, the odds of having a healthy baby and pregnancy match that of a non-diabetic woman. (READ MORE)

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My view of diabetes changes with the tides it seems. Sometimes I look at it as a lifestyle that I must adopt to stay healthy. Sometimes I look at it as a challenge in which I can take on and beat. Other times I look at it as a curse.
Right now, I look at my diabetes as a battle. A battle that I don't want to fight. Not now.
The problem is all of the fighting will never stop. We just fight and fight and there is no winning. No matter how much I stay in control or how much exercise I do, I will still have diabetes. My a1c can be the same as someone without diabetes but my battle will continue. (READ MORE)

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I was 17 years old when I was diagnosed with diabetes. My breakfast at the time consisted of a donut and a soda. I usually skipped lunch or just grabbed some chips and another soda. Dinner was whatever fast food my friends and I could afford which pretty much meant anywhere with a dollar menu of some sort.
Diabetes threw a major wrench in my teenage life. It was my senior year and I was drum major of our marching band and now this! My life was crazy enough. How could I handle this?
I did what so many people do, I ignored it. I should say that I did not completely ignore my diabetes. The "D" does not really let us type 1's do that for too long. I always took my insulin and stayed away from sugar but that was about it. I rarely checked my blood glucose level. (READ MORE)

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The first week in August marked the start of the 2010 run of the New York Renaissance Faire, an event in which the most popular exhibitions involve aiming long, pointy objects at impossibly small, circular targets. Whether it's an 8-foot-long lance hooking a three-inch-diameter ring, or a 26" arrow aimed at a bull's eye 100 yards away, or a sword or spear looking to unhinge a 1/2"-diameter ring of chain-mail armour, these are impressive displays of marksmanship and control -- kind of like trying to keep one's blood glucose levels between the mythical "102" and "104" (mg/dl) of glucometer-packaging displays, regardless of what one eats and when. (READ MORE)

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I called an emergency meeting with my endo last week. For the first time in my pregnancy, my blood sugar was out of my control. My fasting numbers, which I prided myself in keeping at the low end of the healthy range, suddenly shot above range and my post-meal readings were so erratic I actually threw out an insulin pen, convinced it was defective.
On MDI for the duration of my pregnancy, I did what I was told to do-upped my insulin-carb ratio, cut back on carbs, reviewed my food journal. I even checked to see if I'd consumed a bag of chocolate truffles in my sleep.
Clearly, I encountered the dreaded insulin resistance that plagues most type 2s and hits hard during the second half of pregnancy. I'd never had this problem before. Frantic, I posted on all my diabetes sites, begging for advice. The answer: Exercise more. (READ MORE)

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Diabetes management is really getting under my skin lately. I'm just so exhausted with it all. I never can seem to find a balance. I take one step forward then seem to take three hundred steps backwards. I know that it's all perspective and my control isn't bad, but it just feels like all the work I do has no payoff. But do I need to keep in mind that the pay-off may be 40 or 50 years from now?

 

If that's the case, I'm not so sure I want to make it. It isn't that I'm burnt out (and gee, don't think I'm suicidal). I'm just stuck between a rock and a hard place right now. Sadly, it seems like I've been stuck there for quite some time.

 

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