Category: Diabetes

No Water Or Food In The Dojo… Important Lesson Or Unnecessarily Harsh?

When I used to train in my home dojo, there was a hard and fast rule that carried all the way until the day Sensei closed the doors; no food or drink in the dojo. For the most part, this seems pretty reasonable. His rationale was that those two hours were his to teach, and taking the time to eat or drink detracted from that time. Further, the eating of food during a karate lesson shows disrespect for those who were sweating and putting in the effort while you sat at the back, wolfing down whatever you may have brought.

There were some exceptions to this rule, of course. My black belt test was an all-day affair, lasting nearly eight hours. It would be categorically inhumane to expect a person, especially someone with Type-1 Diabetes, to go an entire day without food. But for the majority and all regular classes, Sensei would limit the allowance of food or drink past the boundary of the dojo door. This included parents or spectators, who would often bring their coffees in. It wouldn’t be unusual for him to go ask parents to step out and finish their coffee elsewhere or get rid of it.

I never questioned the reasoning behind this rule until I got older and started teaching myself. After all, I had a bit of a carte blanche to step out and treat lows, if I had to. So I had more leeway than some of the other students. I never saw it as a benefit or an advantage; just another part of my condition that needed to be addressed. But in essence, Sensei held the belief that one needed to be able to control their needs for the short, two-hour period that we were in class. One could have a sip of water in anticipation of the class, even consume as much as they wanted after. But the discipline required for those two hours included abstaining from food or drink. It would be loosely comparable to being in the middle of a real fight, where you ask your opponent to pause for a moment so you can grab some water. Wouldn’t make much sense.

The other aspect is the sheer distraction it can cause students. And for this, I have a perfect example. Just a few short years ago, I was training in a dojo as a guest. I won’t disrespect this dojo by naming it; suffice it to say I haven’t trained there in a few years. We were having a weekend class with plenty of students present. We were in the second half of class when my nose detected something familiar. Off to the side, not ten feet from me, one of the students was standing there eating a fast-food burger from a paper bag. Having arrived late for class, he opted to finish up his meal in the dojo instead of skipping class. While I can admire the dedication, one does not gain much by standing there eating instead of training.

But the more important detail is the overall effect it had on the class. Within minutes, most students could smell the tempting aroma of fried meat and condiments. Almost as soon as I detected the smell, my stomach responded with a series of audible grumbles, indicating that if I valued my life, I would get us some of that! The effect was distracting and made it challenging to focus on the lesson while most of us now had to contend with an unexpected hunger pang. In my old dojo, Sensei would have definitely told this student to leave the dojo until he had finished his meal. Of course, Sensei also didn’t allow for late arrivals. If you couldn’t be on time, better not to show up. Come to the next class instead.

This raises the question that is the whole point I do this post: Should food or drink be permitted in the dojo? Certainly, and strictly from a discipline and traditional standpoint, the answer would be no. But in all reality, we live in a world of Starbucks soccer moms and people addicted to their coffees and snacks. The thought that a parent will sit for a couple of hours on a Saturday morning watching their child practice without their hot cup of java is practically ludicrous. But then, it also raises the question about the parent showing the same level of discipline and restraint as they hope to instil in their child through this training.

So what do you think? As personal health and wellbeing is pretty important these days, staying hydrated is quite important. This raises the same question about food or drink, once again. I would still be inclined to believe that one should be able to go a couple of hours without a sip. Plus, having water or food during a karate lesson can have detrimental effects. Burping, indigestion, water and/or food sloshing around your gut while you’re trying to train… It can cause quite a bit of discomfort and nausea, leading to inherent distractions all their own. My personal take would be to leave the food and drink for after the class. Especially since most classes these days only seem to be for an hour or so. Some traditions are best kept. Food, but not in the dojo, for thought… ☯️

Slow And Steady Wins My Race…

I may have written about this before. Who knows? At this point in my life, I can’t keep half my fuckin’ shit straight with planners and calendars, so I can’t say much. But I wanted to touch on a significant change in lifestyle that I’ve had over recent years that has played a pretty major role in my overall health and wellbeing. It’s something most people don’t recognize or acknowledge within themselves but I’ve been fortunate enough to grab onto it. I’m talking about slowing down…

To be clear, I don’t mean slow down while driving. I still exist in a perpetual state of heavy-footed goodness and I don’t envision that changing anytime soon. And light help you if you slow down in front of me WHILE I’m driving behind you. But I digress… No, I mean slowing down in the sense of approaching the daily grind on a much slower scale. For decades, I spent every morning where I would it the ground running and keep up the pressure and speed until my head hit the pillow at the end of the day.

Certainly as one begins to get older, one recognizes that there’s an inherent value in seeing the importance of slowing down. As a child, I used to become incensed whenever I would walk with my mother, because she would shuffle along at a slow gait that took twice and often three times the amount of time that normal walking should. She had no health issues or problems that caused this, she simply chose to go that slow. I would often try to coax her along, to which she would usually reply, “There’s no hurry and this is a fast as I’m going. So you can deal with or you can slow down with me.”

For decades, it drove me nuts because I always felt like I had to get the task done so I could move on to the next one as quickly as possible. I often lacked the vision that my mother had, where there was nowhere we NEEDED to be and we could take our time; something people very rarely see. By virtue of this, she would often be of the opinion that there was nowhere need to hurry, since the task would get done regardless. I never recognized the importance of this until the past few years.

As a law enforcement officer, I always had somewhere to be and someone’s wellbeing often depended on how quickly I would respond. Stands to reason. Even in the more administrative side of things, I was always rushing, in a harassed state, and striking the panic button when my tasks became many. No matter what job I held or what position it entailed, I would often be at work nearly an hour before my scheduled time, putting in extra work, rushing to get things done early and stressing myself beyond reason.

In recent years, I’ve changed gears. Now, when I wake up in the morning, I spend the first ten minutes sitting at my desk instead of rushing to shower, shave and dress. I start the morning with those first few sips of caffeine, take my meds (Diabetic bullshit) and check my news feeds. I usually touch on a few daily tasks in some of the games I play on my devices, since I can’t do this at work. Then, in the comfort of my jammies, I prepare my work bag and my lunch and start to move towards a hot shower and slowly get dressed, often while sharing “good mornings” with one and/or both of my sons, who usually don’t sleep in even if they’re perfectly positioned to do so.

Once ready, I make my way to my vehicle where I casually make my way towards the office. Music playing and sun shining, I focus on the songs and not on what work tasks may be waiting for me once I arrive. I think and look forward to the more pleasant aspects that I’ll experience towards the end of my day, including having dinner with my wife, playing with my children or just flat out relaxing at home. The difference is I walk into work with a sense of purpose but without being pent up with stress that hasn’t yet been justified or needed.

The results I’ve seen include less tress, more calm, less irritability towards my colleagues and staff and it contributes to lower overall blood pressure. Too many people spend their lives dealing with a state of hypertension due to job-related stress. While it’s important to have coping mechanism outside the job to deal with that stress, and I’m not talking drinking or smoking but things like meditation, relaxation exercises or even things like gardening or sitting out on a deck and watching nature, how you approach you day and address it go was a long way, as well. One should never have to “get through” or “face” their day. It’s far more important to experience the day, or live it. This will contribute to better overall health and much better outlook on life. Food for thought… ☯️

Monday, Bloody Monday…

I’ve often written ab out how Type-1 Diabetes affects just about everything in a person’s life. And this is true. But on occasion, it hits a particular level of annoying. This was the case with a particularly troublesome infusion set change that took place a little over a week ago. For those who aren’t familiar with insulin pump therapy, the infusion set and reservoir for an insulin pump needs to be changed out every three days. This is because after three days, insulin will start to crystallize within the tubing walls, causing an inaccurate delivery of insulin.

On this particular Monday, I noted that I only had about two or three units left in the reservoir. Usually, this means that I’ll need to change it up before I reach my next meal, since I won’t have enough to bolus for any carbs I may consume. I was walking towards my home office and had just finished a round of rather hot, sweaty yard work at home. The weather was summery as fuck and I was wearing khaki cargo shorts. I pulled the pump from my waistband and raised my shirt enough to access the infusion set. A quick twist of the infusion set disconnected it from the cannula injected into my abdomen.

Then, came the bloody part. The cannula is injected into the abdomen using an IV-style injection method. This means that the cannula sits over a surgical needle that injects into the abdomen. As I pull the needle out, the cannula stays in. Seems pretty simple, right? It usually is… The infusion set is then held in place by a significantly solid adhesive. This not only prevents the cannula from prematurely coming out of the abdomen but provides some water-proofing as well, for when I shower, swim, etc.

Ever use wax strips? Had a piece of packing tape, a sticker, anything, stuck to your flesh and pulled it off suddenly? It’s uncomfortable and irritates the skin at the best of times. It’s even worse for people with body hair that wasn’t MEANT to be waxed off! As I walked towards my desk, I gripped the cannula cover and pulled hard in order to peel the adhesive from my abdomen and free the cannula.

While it’s normally never comfortable to start with, I felt a searing sting, not unlike walking into an area with a number of wasps buzzing around. I felt skin stretch and hair tear away; once again, hair that wasn’t meant to be removed. I whimpered ever so slightly, aware that being any louder would likely alert my two young sons, who absolutely LOVE any excuse to expose daddy’s weaknesses. I continued to walk towards my desk to get fresh components to refill my pump and thought the worst was over.

Oh, how wrong I was… As I was filling a fresh reservoir with insulin, I felt an odd dampness every time I leaned forward. Not one to usually wet myself, I looked down and saw a grapefruit-sized blood stain across the front of my shorts. I also noticed a trail of quarter-sized droplets of fresh blood on the basement floor, starting roughly where I had pulled the cannula patch out. Looking like something out of a shitty horror “B” movie, there was blood everywhere.

I quickly stemmed the bleeding at its source and proceeded to install a fresh infusion set so that I could restore insulin delivery. I made my way upstairs, only to be greeted by my wife and both my kids in the kitchen. They looked at me with a horrified look. My wife asked what happened. The boys were just fascinated. After quickly explaining what took place, the boys ran downstairs, enthralled by the prospect of spilled blood. Little psychos.

They came back up giggling, with the oldest saying “Wow, dad… It looks like you murdered someone in the basement!” This prompted a tirade of “Daddy murdered someone, Daddy murdered someone” from the youngest. I had to calmly explain how perhaps we didn’t want to be yelling that Daddy murdered someone. But they were having way too much fun. I spent the next thirty minutes cleaning up my floor and spot treating my shorts before the blood could set.

Pulling out any of my pump equipment will rarely cause such a level of bleeding. But once in a while, the stars align JUST right for there to be a gushing comparable to an arterial spray! This was just such an occasion. Just one more aspect of type-1 Diabetes that causes extra work and issues. What is one to do? Luckily, everything my pump does to keep me alive and healthy far outweighs any occasional, negative aspect that rears its ugly head. ☯️

Slow and Steady Wins the Race…

You know, there was a time, not so many years ago, that I was like a wind up car with an infinitely long wind up spring. I swear that by my early twenties, I almost felt superhuman. I would wake up in the morning and hit the ground running. Besides work, which in my early twenties was as a McDonald’s manager, you know, when they actually worked fast, worked hard and got your order right the first time, I had karate classes three or four times a week, jogging workouts, cycling workouts and my body existed in it’s final years before a drop of alcohol touched it. I had energy, I had speed and much like the Flash, I felt as though I could run forever.

Bear in mind that this was during the years following the period of my life with rampant, uncontrolled blood sugars. I often wonder about how much faster and efficient I would be if I had been on pump therapy back then. Friends, colleagues and fellow karate practitioners had a hard time keeping up with me. It was amazing. It was majestic. And as I write this, I’m realizing how braggy it sounds. But it’s accurate. But as with all things in life, everything eventually changes. This includes one’s ability to keep running indefinitely. And that where today’s post comes in. Because eventually, time catches up. And this causes the sense of urgency to dry up.

Up until recent years and especially during my years as a police officer, speed and being on the ball was exceptionally important. If the phone rang before dawn, I had to be out of bed, geared up and out the door within minutes. Considering someone’s life may be in jeopardy, that much was obvious. Even during my new career, I always had the habit of getting up at the ass crack of dawn, getting to work an hour early and still attending multiple karate classes. Hell, in 2020, I logged over 1,000 kilometres in cycling and jogging.

Considering time, age and all other factors, I’ve changed my perspective significantly. My work allows me a flexibility of time. As a result, my days no longer start in a blur of rushing and urgency. I still wake up to an alarm but I get started slowly. I take my time, go through my shave and shower routine, slowly sip and enjoy the first caffeine of the day and proceed to prep my breakfast smoothie and lunch to bring to the office. More often than not, I’ll even hop on the ol’ iPad and get through some dailies for the games I have. Sometimes, I’ll pop in to the corner convenience store to check my lotto tickets (Yes, I get those! Don’t judge!) and grab a coffee.

The difference that this approach has made is noticeable. I start my day far more relaxed, which means I feel less harassed by the needs of the day. I’m in a significantly better mood, which means I can deal wth people far better. I run with the clock instead of trying to run ahead of it. Blood pressure is lower, attitude is calmer and my overall disposition has improved ten-fold. All of this has also had a positive impact on my blood sugars and Diabetes symptoms. Are there still times when I’ll need to rush? Of course! Life would never allow otherwise. But in the meantime, I can take satisfaction in knowing that between the rare, occasional deadline or emergency, I no longer have to walk to the beat of a different drum. Instead, I get to be the one who controls the beat. ☯️

Remembering to Appreciate…

Sometimes it’s easy to take things for granted. Even when they’re essentially life saving or life maintaining. I was diagnosed with type-1 Diabetes when I was 4 years old. That means I’ve been managing and living with this condition for over 40 years! I’d say time flies when you’re having fun but very little of it has been fun. I remember as a child, all of my Diabetes therapy was tedious, annoying and usually got in my way. Kids are usually busy and have things to do, so having to stop several times a day to test my blood or treat a low was annoying to me.

I didn’t understand or realize how important those steps were as a child. Or how very fortunate I was that there was even a therapy that could allow me to live with my condition. Not everyone is so lucky. These days, I’m often blown away by how far I’ve come, considering many if not most people with my condition tend to deteriorate after a few decades and often end up with organ failure, amputations and blindness. Granted, a lot of my good fortune comes from the effort I’ve put into my self care. This includes proper nutrition and fitness habits, the latter of which I admit I haven’t done so well with in recent months.

I saw a post a few days ago about the first use of insulin on patients, which occurred in January of 1922 in Toronto. I’ve often written about things like the fact I wouldn’t survive a zombie apocalypse because once I’d run out of insulin, it would be game over. Ten days is the basic standard, without any insulin therapy. Once you’ve reached that point, you generally slip into a coma and die shortly thereafter. But reading about how Frederick Banting visited a coma ward and injected a young, comatose patient who awoke about a day later and whose blood sugars started to regulate, reminded me of just how fortunate I am indeed.

Considering that until the 1920’s, Type-1 Diabetes was effectively a death sentence for children, it was a discovery that changed the world. It was made all the better with the fact that they sold the patent for a dollar so that the whole world would have access to insulin. I can’t imagine how things would be different if they took the monetary approach and sought to get rich off their discovery instead. In a series of unlikely events that took place decades before I was born, my health and longevity was secured by individuals I’ve never met and will never get to thank.

That’s why I consider it so important to be grateful for the options I have. If I had lived in the early 1900’s, I likely would have died. So on the days where it feels like a pain in the ass to test my blood, take medication or change up a glucose sensor, I remind myself that while it would be far better for my life if I was Diabetic at all, these things are keeping me alive and healthy. And it’s impossible to put a price on that. Food for thought… ☯️

The Most Unlikely Discrimination…

Among some of the worst conditions are the ones that are invisible to the naked eye. The best example is the scenario where someone parks in a handicap spot without any visible, physical handicaps. Despite the driver having a registered handicap placard on their windshield, you’ll always get that one asshole who decides to stick their nose in and try to convince this person they should be packed there. Despite that issue, the person in question may have some underlying condition that the complainer simply doesn’t see. But I may be digressing just a little bit here…

The point is, Type-1 Diabetes is very much or of those conditions. Although there will usually be nothing visible on the surface, there can be a tumultuous storm of symptoms and issues under the surface that simply isn’t visible to anyone watching. True, there are a lot of long-standing, inappropriate jokes about Diabetes, such as an obese person MUST be Diabetic or eating a candy bar will cause it, but on the whole, having Type-1 Diabetes isn’t something you will SEE. But it’s always there and it always creates obstacles.

For the most part, I’ve always operated on the basis of full disclosure. This is especially true with family, friends and employers. After all, the last thing I want someone to do if a Diabetes-related incident occurs, is have someone do something that could harm me or exacerbate the issue further. For example, the most important thing I tell everyone in all circumstances is, if I have a Diabetic incident near them, it’ll always fall under one of two categories. Either I’m conscious, in which case I’ll either treat myself or ask for your help and instruct you on what to do, or I’m unconscious, in which case you shouldn’t try to treat me and should simply call 911 and get medical assistance.

Some people have always claimed that when in doubt, feed the person orange juice or some other fast-acting carb because, even if the issue is high blood sugar, it’s easier for medical staff to bring it down and could potentially save you IF if a low blood sugar incident. Not only is this grossly inaccurate, but if I’ve lost consciousness due to high blood sugar, it’s a guarantee that it’s high enough that anything you fee me may kill. No thank you. I’ll roll that dice all day long. Bearing in mind, this is my preference. Like any other condition, the person who has it should be the one instructing others on what they’d prefer.

That being said, there are certain discriminations that apply to people with Diabetes that others likely aren’t aware of. They range from the simplest and smallest of things to some reasonably life-altering statements and decisions. ON the former, a good example would be someone who brings sweet treats into the office to share with everyone. But when you come around to see what’s there, you get the sympathetic look, followed by “oh, I suppose you shouldn’t be eating these…” as they pull the items out of your reach. That’s pretty presumptuous at the best of times. Practically-speaking, someone with Diabetes isn’t inherently restricted from eating any given foods, so long as they bolus properly for it. That’s the whole point of insulin.

On the heavier side, it can even be someone that would affect a chosen career or path in life. For example, I originally applied to the police force all the way back in 1998. If I had successfully gotten in, I would have a twenty seven year career under my belt. Instead, I was denied at the outset because I checked off a box on the application that asked if I had Diabetes. realistically, it isn’t something I could have hidden or lied about and if I’d been willing to do so, I would have had no business carrying a badge. But there’s no denying that it dealt a serious blow to my self-confidence and self-worth that took effort and years to recover from. The sad part is that I had better physical health and a greater fitness regime than many of the other applicants I joined that night.

It wouldn’t be until 2007 that I would discover that the condition in question had been lifted and my application would be accepted. I chose to apply, ready to face whatever challenges would be laid before me. The part I wasn’t prepared for, was the extended application process that would follow, that contained increased medical testing and examinations. While I can understand the Force’s need to ensure the “I’s” are dotted and the “T’s” are crossed, it took me twice as long to be accepted as any other applicant. I persevered and got in, but my time as an academy cadet was marred with little jabs as well. Between being labeled as sub-par in physical benchmarks, often due to low blood sugar or other illnesses and being denied food in classrooms due to the “rules,” even when I was having lows, they certainly weren’t ready to deal with the prospect of accepting Diabetic candidates.

I’ve often faced that same issue with several employers, where the need to stop and step away for a few moments to treat a low or test blood sugars have been met with responses that it’s against the rules or “if you can’t do the job” statements. It’s never been that I can’t do the job, but sometimes five minutes of compassion can allow an employee to flourish and become one of your most-valued as opposed to feel ignored as though they’re being discriminated against. I’m blessed in that my current employer has a deep understanding of such things. While the working world has improved its duty to accommodate when someone has such difficulties, there’s still a long ways to go.

While I wouldn’t expect certain jobs to accommodate certain disabilities, for example, I would expect someone with no tongue to be a food taster, having an underlying condition or chronic illness doesn’t automatically render one incapable of doing a particular job. There are things you can do to protect yourself and ensure you put yourself in the best situation possible. Open honesty about your condition is always the best policy. While employers aren’t inherently allowed to ask you specifics about health conditions, I’ve never understood why people want to keep such details to themselves. I much prefer open transparency. Not only does it keep everyone on the same page, it could also potentially save your life, if the people around you know what the issue may be.

Another important aspect is open communication from both sides. When applying for jobs, be sure to ask what accommodations can be made for your specific condition. This plays into the previous paragraph. While you may not HAVE to provide specifics about your condition, giving a potential employer some high-level information can help them be honest and forthcoming about what accommodations may be available, as well. For example, asking “what accommodation can you make if I need to step away from my till for ten minutes in the event of low blood sugar?” Could mean the difference between finding a positive place for you to hang your hat or moving on to the next potential career option.

All of this information is based on the premise that little of what’s happening is intentional. If you find yourself in the midst of a situation where you feel someone may be straight up discriminating against BECAUSE of a medical condition, you may have bigger problems to address. But that’s for another post. For now, suffice it to say that there’s plenty you can do to protect yourself. Even though you shouldn’t HAVE to. But such is the world we live in. A little effort can go a long way and sometimes you just gotta pick your battles. Just always ensure you’re fighting on your side. Food for thought… ☯️

Slow And Steady Wins The Race…

There is always plenty I can write about Diabetes care and even more so about how involved and complicated it can get to properly maintain one’s health and blood sugar levels. In fact, in over 5 years of blogging on the topic, I’ve never run out of subject matter to discuss (minus some occasional repetition). That’s pretty impressive, if I do say so myself. And I guess I am saying so. Might sound like bragging but it’s not; it’s merely intended to show just how complicated a condition Type-1 Diabetes actually is. Quite a change in what my parents believed in the 1980’s, which basically just included “don’t eat sugar” and take your one-a-day insulin injection.

I often wonder how differently my health would have progressed, had I known about things like carb counting, proper bolusing and an actual understanding of the different types of insulin and how they function within the body. I often get a lot of questions about what some of the hardest aspects of having Diabetes are and how I deal with them. Certainly there are quite a few. And I’ve written about most of them. But in recent years, I’ve come to recognize that one of the hardest aspects of having Type-1 Diabetes is not, in and of itself, a symptom but rather, something I need to DO. The hardest part of being Diabetic is being patient. Yes, you read that right; patience is one of the hardest parts of dealing with anything Diabetes-related.

Let me explain. In my youth, when I would have low blood sugar, I would eat until I felt better. While this makes sense in concept, if I’m starting to feel better, it likely means my blood sugars have already reached a normal level and I’ve likely eaten beyond what was required. The result is that my blood sugar would skyrocket, requiring further insulin to bring it down to normal. This kind of rollercoaster blood sugars can be detrimental on one’s overall health and proper balancing of a1c’s. Nowadays, I actually measure my blood sugar to determine whether it’s low, rather than depend on a general feeling as I would have when I was younger. Given that getting older involves its own generalized pain, that only makes sense.

But when I find that my blood sugars are low, I take a finite amount of fast-acting carbs that are appropriate to bringing my blood sugar levels up to normal. Where the patience comes in, is the need to sit and wait while that finite amount of carbs does its job. This is particularly difficult when your blood sugar is low and you have to sit there and experience the symptoms of it for what will likely be twenty to thirty minutes. Let me walk you through it. I’m talking nausea, stomach cramps, disorientation, restless limbs, excessive and profuse sweating, blurred vision, loss of fine motor skill and a partridge in a fuckin’ pear tree. And that’s just to name a few. Don’t even get me started on how I feel if I get a low in tandem with anything else, like a cold or flu.

This required patience doesn’t just apply to lows. Sometimes recognizing that if I’m sitting a bit high, it may take a while, hours even, for my levels to come down smoothly. A sudden drop is never a good thing, even if you were high to start with. It can be extremely taxing on the system. The amount of fatigue I feel when I’m high and have to bring my blood down is substantial. If I don’t do it slowly and surely, it can sometimes put me down for the night. And when you live with two small sons who don’t grasp the concept of ever being quiet, getting the rest one needs to properly recover can be difficult.

That’s why it’s important to take one’s time with anything needed when it comes to Diabetes. Nothing can really be done quickly and even if there’s some that could, the after effects can be just as bad or worse than the symptom itself. It can be tough to wait something out, especially if it causes discomfort. But patience is key. After all, slow and steady wins the race. Especially where Diabetes is concerned. Food for thought… ☯️

What Pain Gives Gain?

I don’t think I have to explain how absolutely EVERYTHING affects a Type-1 Diabetic’s health. Blood sugar levels, blood pressure levels and other health factors are often affected by things like stress, physical activity, diet and alcohol consumption and even one’s state of mind. It can sometimes become a challenge for someone to maintain proper controls when something completely out of one’s control can affect everything. Like weather. If I do thirty minutes of heavy exercise in the comfort of my basement, no problem. If I do thirty minutes of work outside in cold, winter weather, my blood drops like fuckin’ stone in a clear lake. So given that everything affects blood sugar levels, what about pain? Could pain affect one’s blood sugars?

We should start the conversation by defining exactly what I mean by pain. Simply put, pain in today’s context is defined as the signal your body sends to your brain when trauma is caused to the body. And by trauma, I don’t mean the typical, modern definition that means having experienced something bad, although that could be included. trauma refers to the damage and/or blunt force exercised against tissue, causing damage. This can include cuts, abrasions, bruising, blunt force, burns and exposure to extreme cold. All of these things will trigger a signal from nerves to the brain, telling it that something bad is happening and that one should remove themselves from the situation. This is why people will automatically pull away from open flame or grip their arm if they suffer a cut, etc. Most of it is reflex and even those who train themselves to “fight through the pain” will have some difficulty in ignoring or overcoming the sensation.

So, how does pain play into blood sugars? I should start by clarifying that the idea started from a conversation I had with my ophthalmologist. During a recent appointment to get eye injections, (my eyes are doing great by the way. Thanks for asking!) I asked my doctor what the level would be, on a scale from 1 to 10, for me to receive the needles in my eyes without the numbing drops. He confirmed that it would likely be an 8 or 9. While he made it clear that he had never tried it or had it done on any of his patients, he working off his knowledge of pain and how it’s received by the body. He explained it would certainly be painful enough for a person to be unable to do it without the numbing drops. I was fascinated.

When I returned to my room, I realized that my blood sugar levels and increased. Not to a significant, uncontrollable level but enough to be noticeable. And it got me to ponder the question on how pain affects the blood sugars. In essence, pain is a stressor. And stressors DO affect blood sugars. While people don’t define stress quite in this way but pain causes stress and stress increases blood sugar levels. According to an article posted by the Mayo Clinic, “Physical or emotional stress triggers the release of hormones that can cause high blood sugar levels.” While the article is short and doesn’t specifically address physical pain, if we acknowledge that pain is a stressor and stressors will cause the release of hormones that will elevate blood sugars, the math does itself.

So this is mostly information and not so much a specific thing, but if you notice your blood sugar levels are running rampant and you can’t quite explain why, you may want to look at the stressors in your life, including pain. The pain that results from my eye injections is certainly something that will has an effect. Any other pain you may be suffering will also have an effect. While it may be difficult to gauge and treat your blood sugar levels based on this, it’s an important factor when considering your overall blood sugar management. Food for thought… ☯️

Expectations vs Reality

There are a lot of things that happen behind the scenes for someone with Type-1 Diabetes that the average person isn’t aware of. Much like seeing someone park in a handicap spot but yet walk with simple ease, an illness or disability isn’t always obvious to the naked eye. But without standing too high on my soapbox, my point is that there are a number of things that people tend to take for granted that almost seem like a rare treat to someone with Type-1 Diabetes. In this post, I’m going to examine the top ones that are important to me.

A Naked Shower
I should probably clarify that I’m naked for every shower that I take. This isn’t a high school changing room; I don’t shower in my clothes. That’s a story for another day. But what I mean is, having the ability to take a shower without needing to protect infusion sites or adhesive pads. Generally speaking, my insulin pump’s infusion sets are changed out every three days. This is because after three days, insulin begins to crystallize on the plastic based tubing and parts of the infusion set. This can result in an inaccurate delivery of insulin.

My continuous glucose monitor sensor gets changed out once a week. This is mainly because the interstitial fluid and the wound heals up enough that reading becomes difficult. In any event, with one of my cyborg parts replaced every three days and the other replaced every seven days, it’s usually an interesting challenge showering, since some of the adhesive patches will dry up and peel after a hot shower. The result is I usually have to maneuver and cover the injections sites and their coverings so that they get wet as little as possible. You ever try taking a normal shower while trying to keep any one area of your body dry? Not so easy…

Once in a while, an opportunity comes up where both insertions are due for replacement around roughly the same time. On those rare occasions, I get to take a nice, hot shower without any concern about protecting anything on the abdomen. I can effectively shower withy abandon, which one wouldn’t think is a big deal but when you can never do it, having the chance to just let the hot water wash over without concern is a definite treat that the average person takes for granted.

A Decent Night’s Sleep
First and foremost, I need to point out that proper sleep is always an issue for someone with Type-1 Diabetes, whether you wear a pump or not. Between fluctuating blood sugars, fluctuating blood pressure, circulatory issues that cause your arms and legs to go numb and restless as you sleep… The list goes on. Tack on my PTSD and the frequent repetitive nightmares and you’ve got a recipe for shitty nights. I have, on occasion, had the opportunity of sleep well throughout an entire night but these instances have almost always included some exterior assistance, like melatonin or a few fingers of whiskey.

Wearing an insulin pump presents its own unique set of challenges during sleep. While I always make a point to wear shorts or pyjama pants that have pockets, the pump will often slide out of the pocket during the night as I roll over. What’s worse is if I end up on TOP of the pump. This can be uncomfortable and even painful, especially if I roll over and the pump ends up in my tender bits. Y’all know what I’m referring to. Trying to remain perfectly still during sleep is effectively impossible, which means that under all circumstances, my pump will contribute to waking me up repeatedly throughout the night. So if you’re someone who gets a full night’s sleep, don’t take it for granted.

Eating With Abandon
Before the concept of pump technology and carb counting were brought to my attention, one of my favourite things was eating at a Chinese buffet. I’m one of those fuckers who loves the concept of the fried foods and flavoured sauces and dips that one can only enjoy through Asian cuisine. Nowadays, being mindful not only of what I eat but in what amounts can be challenging at best. Even when I read food labels and calculate based on the amount of carbohydrates they indicate, I hit some obstacles with lows, highs and miscalculations.

Eating out at a restaurant is usually the most challenging, because asking a server how grams of carbohydrates are in the meal you’re planning to order can be troublesome. While restaurant staff are generally expected to have some knowledge about the meals they serve, one must be realistic in just how deep that knowledge goes. It’s different if you’re having something defined, like a fast food burger, where you can usually check their website and get comprehensive nutritional information. But then when you incorporate something loose, like fries, rice or mashed potatoes, calculating the proper amount of carbohydrates and delivering the right amount of insulin is tough. What’s even tougher is if you estimate, then you can’t finish what you’ve bloused for.

Buffets are now an absolute waste of money for me, considering I can’t eat with abandon and have to moderate my portions and calculate insulin delivery. Even protein-based dishes are packed with carbohydrates at Asian buffets, considering everything is usually battered. While pumpkin therapy allows me to live easier with my meal choices (eating a slice of cake in my teens would have been completely out of the question), having the ability to eat whatever one wants whenever one wants without worrying about the consequences is definitively something any non-Diabetic shouldn’t take for granted.

SO, as you can see, there are many things that the average, every day person takes for granted that Type-1 Diabetics are dealing with behind the scenes. And this isn’t an all-inclusive list. People rarely see those aspects and simply assume that as long as we avoid sugar and take our insulin, the ship stays on course. Nothing could be farther from the truth. So if you have the ability to sleep properly, shower with abandon and relax and eat at your leisure, take the time to recognize how blessed you are. While I will always acknowledge that things could be much worse for me, all the little things y’all take for granted are often the things that any other person yearns for. Food for thought… ☯️

The UnSeen Symptoms…

These days, we hear a lot of folks talk about invisible injuries or handicaps. While this can refer to a number of different things, it generally refers to instances where someone may be suffering from something that has no outward appearance or that the average person won’t notice. This can include but is not limited to things like PTSD, certain mental health conditions but even certain physical ailments that, while invisible on the outside, can cause great discomfort, pain and inconvenience to the sufferer.

While I wouldn’t necessarily consider Type-1 Diabetes to be an invisible condition, I could see how the average person might believe it to be so. When one considers that, all jokes about obesity meaning one has Diabetes aside, a person would not be able to tell simply by looking at me that I have Diabetes. Of course, if someone is astute enough to spot my insulin pump, it might be a different story. But my focus in today’s post is to consider some of the invisible “symptoms” or Diabetes, even the ones that often smack you in the face but you may not KNOW they’re a symptom.

I should point out that this list is mine and what I’ve noticed over the decades. I’m sure there’s more others could provide, but this is just to give you a bit of idea about three of the main issues that others could potentially attribute to something else. Here we go…

Mood Swings/Temper
Blood sugar fluctuations can also cause changes in one’s emotional state and temperament. For the most part, if my blood sugars rise, I’ll become a cranky, cantankerous asshole. Not to be confused with my everyday crankiness, these moods swings are essentially unavoidable and I have no control over them. While they don’t really happen so much these days, they used to happen quite frequently in my younger years, before I was on pump therapy and before I knew better. I’ll admit I had some ex-girlfriends who may or may not have walked away fully convinced I was just being a dick. In reality, it was blood sugar control that was needed.

This can also occur with extreme low blood sugar. I remember (or rather I was told) about an incident when I was in high school. Somehow, my blood sugars got away on me and I suffered a low. By the time the bell rang and I walked down to get in line for lunch, I was no longer in control of any fine motor function. Oddly enough, my mother had shown up to bring me lunch money and I apparently started yelling at her and told her to get out for the school. It wasn’t until I had eaten and my blood sugar started to level out that one of my friends told me what had happened.

I have no memory of it, at all. The lesson here is that if your fiend or loved one has Type-1 Diabetes and they seem off, emotionally, it’s important to consider they may have fluctuating blood sugars. Or they may just be a dick. I don’t know your friends. Moving on.

Bad Breath
There’s nothing worse than talking to someone who has bad breath. For someone with Diabetes, it can come along naturally or honestly, as this is yet again something that is usually immediately out of our control. There are a couple of reasons that someone with Diabetes will experience bad breath. The main one is that high blood sugars can lead to excess glucose in the saliva, which increases the bacteria in your mouth. As bacteria grow and propagate, it increases the amount of plaque you have, which can lead to bad breath. The bacterial life cycle itself can also cause bad breath.

If a Diabetic person’s breath smells a bit on the fruity side, it could be a sign of uncontrolled blood sugars and ketoacidosis, which is a condition where on’e blood becomes acidic as a result of extreme high blood sugars. In cases you’re not catching the theme here, the majority of these issues are caused by high blood sugars. But in this case, proper teeth brushing, coupled with regular dental visits are critical to maintaining that plaque level and cleanliness. This should be paired with proper monitoring and control of one’s blood sugars.

Fatigue/Apathy
I’ve lost count of how many times in my life I’ve had people call me lazy because my body was physically tired and I had no ability to push myself forward. I’ve had times in school where I was accused of falling asleep in class or people who considered me rude or lazy for refusing to do things or come out because I was tired. Once again, this can be easily attributed to blood sugars being out of whack. Having high blood sugars will make you seem lethargic or apathetic on its own.

Having an extreme low that you’ve treated will make you exhausted once your blood sugars level out because your body was struggling while you were low. You end up exhausted and it isn’t unusual after I’ve treated a low for me to need a short nap to allow my body to recover. To an unknowing person, partner or friend, it could just look like you’re sleeping your day away or are just lazy. I had this one friend back in New Brunswick who had the damndest habit of showing up at my home unannounced to hang out. If I were sleeping, he’d insist on waking me up and getting me out of bed. Boy lucky he didn’t get himself killed. Waking me is a bit like poking a bear. Possible but not advisable.

In the end, the prevention/mitigation of all of these symptoms includes proper blood sugar control, proper diet and proper self-care in general. Sounds easy enough on its face but it very rarely is. And it’s very easy for people to mistake a Diabetic symptom for something else. While not everyone is comfortable discussing their condition with others, the key is solid and open communication so that the people in your life understand. Food for thought… ☯️