Tick, tock, tick, tock.

Every one of us with diabetes hears that clock ticking away.

Glucose, insulin, ketones, tests.
The endless cycle never rests.
Fail once to heed the daily strife
And that day you may lose your life.

Alarmists are everywhere. Family, friends, strangers, all with the best of intentions. (READ MORE)

Three topics that come up on any diabetes blog or forum, as certain as death and taxes, are blood glucose levels, hemoglobin A1c levels, and guilt. The usual dialog goes like this:

"No matter what I do, I can't get my blood glucose levels to stay within 'normal' non-diabetic levels. This is going to really screw up my A1c, which means more medications, getting yelled at by my doctor and my spouse and my family, not being safe to get pregnant, and all the 'Diabetes Police' coming down on me. If only I had avoided that one jelly donut three weeks ago...!"

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While diabetes may affect the way we celebrate our holidays, those holidays should never be about diabetes. Holidays are about family, about G-d, about freedom, about love... not about chronic diseases and disease management.

That being said, I sometimes find the holidays give me greater insight into my diabetes, and ways to deal with it. While changes in diet (rarely good for my numbers!) are certainly a component of most of my religious and family holiday celebrations, when I am "properly introspective" -- that is to say, doing the sort of "soul searching" that one is supposed to do when approaching these holidays -- I find many ways to put myself "at peace" with this condition, and to turn it from a negative into a positive. I believe some Christians refer to this as "giving it up to G-d (or Jesus)"...

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One underlying theme of diabetes blogs and complaints is the difference of our daily routines from those of people who have never known a blood glucose test, never chosen foods based on specific ingredients or an organization's endorsement, never had to dress in a manner different from those around them, and never had to follow a ritual not of the mainstream. Yet we see, meet with, and talk to people who do this on a daily basis, who could never think of not doing this (or who would never consider it)... who do not have diabetes, nor are they housemates of people with diabetes. (READ MORE)

One of my scariest trips ever on bicycle was a seven-mile jaunt home from Watertown, Massachusetts to Cambridge in the middle of winter, after dark, on a three-speed commuter with no lights, on a stretch of road which had no street lights but a moderate amount of high-speed traffic. My fingers were freezing despite the warm gloves, and as much (or as little) ambient light as there was from the other side of the river, I found the lights of cars behind me to be a helpful aid as they approached -- but a bane as they passed, leaving me temporarily blinded by their relative brilliance.

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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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