Until There Is a Cure: The Latest and Greatest in Diabetes Self-Care
By Gary Scheiner, MS, CDE
Copyright © 2013 Gary Scheiner, MS, CDE
Provided with permission from Spry Publishing LLC.
NOTE: Excerpts are provided on dLife.com for informational purposes only. The information contained within will not be updated by dLife and may be outdated. Please consult your doctor before acting on anything described here.
Excerpted from Until There is a Cure: The Latest and Greatest in Diabetes Self-Care
Improving your diabetes management is just that … doing better. Not perfect. Improvement requires the right attitude, education, and the ability to utilize the best tools and technologies the diabetes industry has to offer.
Exactly where does managing diabetes rank in your set of personal priorities? If your diabetes is not well controlled, how will it affect you at work? At school? At home? At the gym? In bed? Although nobody would expect you to place your diabetes self-care above the immediate well-being of your family, it should hold a prominent place in your life. So be prepared to invest some time, energy, and funds into your diabetes management.
Persistence is another valuable trait. Over the course of your life with diabetes, there are sure to be many setbacks. Out-of-range readings. Undesired lab results. Lows at inappropriate times. And possibly the development of complications. When these things happen, it helps to live your diabetes life one day at a time. You can't change the past, so don't worry about what you did (or didn't do) yesterday. And you certainly can't live tomorrow until tomorrow. Every day represents an opportunity for a fresh start.
The right mental approach also includes a degree of discipline, sticking to a plan even in the face of distraction and adversity. Maybe not all the time, but certainly most of the time. From my experience, people who are disciplined about things like keeping records, checking blood sugars, counting carbs, taking insulin before eating, and putting appropriate time frames between their meals and snacks (to avoid "grazing") tend to have better blood sugar control over the long term.
In terms of motivation, fear (of complications, for example) can be powerful, but it tends to be temporary. Long-term motivation stems from something personal that comes from within. Are you the type who is motivated by short-term challenges? Then play the numbers game and work on improving your control. Are you the type who will do things for others before you'll do them for yourself? If that's the case, serve as a role model for someone else or dedicate your diabetes self-care to someone special to you. Sometimes, motivation can come from a tangential goal, such as participating in an athletic event, having a baby, or simply being around long enough and healthy enough to dance at your grandkids' weddings. Whatever your motivation, latch onto it and use it to fuel your daily choices and activities.
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I was at boxing class the other day, and quite honestly I was taking my chances. I knew it. I had been low earlier in the day and used all of my emergency juice to treat that insulin reaction, leaving me at class (which is directly after work) with no juice whatsoever. No good. Of course, that day - the day I have no juice would be the exact day that diabetes picks to do its dirty work. Mid-class, I had a plummet. Just dropped to very low and but quick. I sat to test and...