Tag: insulin

You know you're a type 1 diabetic when

You Know You’re a Type 1 Diabetic When

Having Type 1 Diabetes is challenging yet it becomes part of our everyday routine. To the outside world what a type 1 diabetic deals with may seem unimaginable, but to those in the diabetes community we totally get it and can find humor in our everyday lives.

The Best of ‘You Know You’re a Type 1 Diabetic When’

1. You accidentally cut yourself and wonder if you can get enough blood to test your sugar.

2. Explaining to worried teenagers in the public restroom….”I am taking an insulin shot because I am a type 1 diabetic, I’m not a junkie”.

3. When you look at food and see numbers.

4. When your finger tips look like they need blackhead removal.

5. You have a drawer of candy for emergencies.

You know you're a type 1 diabetic when

7. When you’re scooping out the very last scoop of ice cream from the container and haven’t had time to bolus for it yet and your husband comes into the kitchen and wants some and you look at him innocently and say “oh, I’m sorry I just bolused for that”.

8. When you wake up with a test strip stuck to your face.

9. When someone tells you that cinnamon can fix all your problems.

10. You are up all night correcting or being forced fed when all you want to do is sleep.

11. When someone thinks you’re drunk but you are really just low.

12. When the butter compartment in your fridge is no longer used for butter.

Credit: Childrens Diabetes Foundation

13. When your outfit revolves around if it can hold your pump up or not.

14. One day your fasting can be a perfect 77 and the next day it’s 343.

15. When your handbag is the size of a suitcase to carry all your diabetes stuff around plus your ‘normal’ stuff.

16. When you have to pee like a race horse in a Kentucky derby.

17. When your mom, in front of everyone says, “baby, you are high!”

18. When you get up during the night going low, invade the goodies cupboard and turn into a complete savage then wake in the morning like you’ve been out drinking too much.

19. When you wanna punch someone in the face but turns out you just need a snack.

20. You have headaches and you think your sugar is really high but you realize its just a normal headache.

You know you're a type 1 diabetic when

22. You’re cramming gummy bears in your mouth while prepping dinner.

23. When you automatically know what your pump is telling you without looking because of the sound it’s making.

24. When you chew open the corner of a juice box for a 3 am crash after losing the straw.

25. Your wallet is empty.

26. When your zombie apocalypse plan involves looting a pharmacy, a cooler, and travel to a colder climate.

27. You are excited beyond words to see a sugar-free line of drinks from Monster Energy.

you know you're a type 1 diabetic when

29. When you tell people you have to shoot up to avoid getting high!

30. You’re excited that you’re blood sugar is low because you really have been wanting to eat. [Fill in the blank with your favorite cheat food].

31. When you get excited from receiving your medical supply shipment in the mail.

32. You pull a pump out of your bra at the dinner table.

33. When you are skilled at giving yourself a shot in a moving vehicle.

34. You buy all the holiday candy for your low “stash”.

35. When you’re the only person in the gym with candy and juice boxes.

36. When someone asks you for your phone number but you give them your blood sugar number.

you know you're a type 1 diabetic when

38. When insulin is LIFE.

39. When you blame being in a bad mood on your sugar being high.

40. Your worst and best subject is math.

41. When you have to eat before you go out to eat.

**Comment with your favorite ‘You Know You’re a Type 1 Diabetic When’


you know you're a type 1 diabetic when

Daily Thoughts Of a Person With Diabetes

Daily Thoughts Of a Person With Diabetes

My day to day life revolves around diabetes. As much as I like to tell myself that it doesn’t control my life, to a certain extent it does. I forget sometimes how often I think about my diabetes, from the moment I wake up to the moment I fall asleep it’s on my mind.

Here are some of my daily thoughts with diabetes:

Just waking up I check my blood sugar, it’s 163. Okay, how much insulin do I need to inject to bring it down slightly and to be able to eat breakfast?

Do I have enough insulin? How long until I run out? Am I due for a refill soon? How much will my insulin cost when I go to pick it up? Will I be able to afford this?

My CGM (continuous glucose monitor) is beeping a low alarm. How low is it? What should I eat or drink? How much should I eat or drink to bring it back up to a safe number?

I want to go out to lunch this afternoon. How many test strips should I bring? Do I have enough insulin in my insulin pump or should I change it prior? What if my blood sugar drops too low or goes high? Do I have enough snacks? Prepare. Prepare. Prepare.

I’m eating dinner. How will this meal affect my blood sugar? Did I bolus? Will the insulin I gave myself prior be sufficient enough? What if I miscalculated? Will I need to correct?

Credit: Type 1 Diabetes Memes

I’m out of the house. My blood is low and I’m not feeling well. Do I tell everyone around me? Where can I sit down and take care of my diabetes? Why are people staring at me?

My blood sugar is high. Why is it high? I did everything that I normally do but my blood sugar won’t come down. Why do I feel so sick? Should I test my ketones? Should I go to the ER? Could it be DKA? Why is diabetes so frustrating?

Just put a new insulin pump site on. Is it on correctly? Why is my blood sugar rising? Could the cannula be bent? Should I take it off and put on a new one? I would hate to have to waste a site if it’s fine.

It’s midnight and my blood sugar is low. What should I eat? How long before my sugar rises? I hope it comes up soon because I’m tired. What if it doesn’t rise and I fall back asleep?

I’m working out and my blood sugar is dropping. Should I stop my workout? Should I eat something and continue working out? Should I disable my insulin pump?

My blood sugar trends have been wacky lately. Should I change my basal rates? What if I’m just combating hormones or sickness? Should I bolus more for my meals? What adjustment is needed without going too high or low throughout the day?

Packing for a trip. How much insulin should I bring? How will I keep my insulin refrigerated? How many infusion sites, sensors, lancets, and test strips should I pack?

Diabetes is demanding and it requires constant attention.

Trying to mimic a pancreas is no easy feat. Everyday I make choices for my health, and those choices have a huge impact on my life. Going over my daily thoughts I have just proves how much work I put into my diabetes, and my life everyday.


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This Disease Is a Catch 22 - Pay The Price Or Pay With My Life

This Disease Is a Catch-22: Pay The Price Or Pay With My Life

This Disease Is a Catch-22: Pay The Price Or Pay With My Life

By: Kayla Bushue

 

Almost 15 years ago I was diagnosed with type 1 diabetes – an autoimmune, incurable disease.

I’ve been pretty lucky thus far. I didn’t take care of myself early on or really anytime; except for during my pregnancy and the time I’ve had my insulin pump. But I did some number crunching tonight just for funsies.

Per month BEFORE insurance the cost to keep me on planet earth is $1,353.37. That’s for insulin, infusion sets, and test strips alone not including hospital stays due to DKA. Now insurance foots a lot of that bill which I’m thankful for.

Credit: Kathy Austin

But why when I live in one of the top countries in the world does it cost me $16,240.44 per year to stay ALIVE???

I understand there are places that don’t have access to the healthcare that I have. Don’t get me wrong I’m grateful I have access to insulin, my pump, and test strips that keep me here everyday. I also understand the older I get the more complications I will have due to this terrifying and one day terminal disease.

But here is my perspective.

I pay a hefty chunk of change to keep myself thriving, OR I skimp by on the bare minimums and deal with the complications. This disease is a catch 22 – pay the price or pay with my life.

Credit: Kathy Austin

Something about having a disease like this doesn’t seem right. I either pay for my medicine or I don’t and deal with the death sentence. I just don’t get it.

In February my approximate cost over the last 15 years is $243,606.60. It’d be nice to have 2017 Aston Martin Vanquish in my driveway; rather than that almost quarter of a million going to keeping me alive.

Here is where you can learn more about the cost of type 1 diabetes, how to get involved, and how to help protect our rights for affordable healthcare.



 

Perfection Does Not Exist In a Life With Diabetes

Perfection Does Not Exist With Diabetes –

Perfection Does Not Exist With Diabetes –

By: Christina Blackmon

15 years ago my life changed forever when I was told I had Type 1 diabetes.

I didn’t even know what diabetes was. I think I thought it meant you can’t eat sugar anymore. Little did I know that when I turned 20 years old my pancreas unexplainably stopped working properly and that would mean that my entire life would now depend on a hormone called insulin being injected into my body for the rest of my life.

Without those insulin injections I would die.

Little did I know that for the rest of my life I would be completely dependent upon this hormone. I also had no idea that my days thereafter would consist of being measured 8-10 times per day by a number. A number I get from pricking myself. Knowing that important number so that I can mathematically calculate how much insulin to inject to maintain good blood glucose range based on a formula that changes hourly without notice.

I also had no idea how unpredictable and unreliable my body would be and that there would be factors outside my control that dictated what my blood glucose levels would be despite eating and calculating “correctly”.

That my blood glucose would go up and down like a roller coaster ride and effect every fiber of my being. That sometimes I would want to crawl out of my own skin to escape the pain I was enduring. That I would go from being completely calm and rational to completely angry and irritable. That my pain would be invisible to others because it’s all happening internally without notice to anyone else.

There is no exact science or prescription to manage diabetes and everyday is a guessing game. Knowledge became my power and I studied and researched everything I could about this unforgivable disease. I found that it’s high maintenance and takes no breaks or vacations.

But I also found some tools that would help me. Tools like an insulin pump and continuous glucose monitor that could help me manage every second, every minute, every hour of every day for the rest of my life.

There is no cure for type 1 diabetes. I will always be dependent upon insulin.

Even with my tools – just like every piece of technology they fail me. But despite this disease I have 2 beautiful healthy kids and one on the way and no diabetic complications. Some days I feel so strong like I can do anything then others I lack the motivation to keep going.

But I never give up. I keep fighting and will keep fighting till there’s no fight left in me.

I don’t ever see any other option. I’m very thankful for the tools I have to manage this disease with everything I have and love when I can encourage or inspire other diabetics to do the same.

People ask me all the time is your diabetes controlled and I just want to laugh…what does that even mean??!! I just always say it’s not perfect and will never be. I don’t try to maintain perfection because diabetes means having bad days. I try to have more good than bad days and not focus on perfection.

Perfection does not exist in a life with diabetes.



 

The cost of diabetes

Diabetes Blog Week: How The Cost Of Diabetes Impacts Care

How The Cost Of Diabetes Impacts Care

Diabetes Blog Week (Day 2): Insulin and other diabetes medications and supplies can be costly.  Here in the US, insurance status and age (as in Medicare eligibility) can impact both the cost and coverage.  So today, let’s discuss how cost impacts our diabetes care. Do you have advice to share? For those outside the US, is cost a concern? Are there other factors such as accessibility or education that cause barriers to your diabetes care?

This is a topic that I have personally dealt with first hand. The cost of diabetes DOES impact our care.

When I was 19 years old-

I was no longer living with my parents. I was dropped from insurance and was pretty thrown to the wolves (as you would say). I worked a minimum wage job and wasn’t provided benefits. The money I did make went to rent, food, and the insulin that I could afford.

The status quo is that “diabetes is manageable”. I would agree, but only when you have the supplies needed to manage.

 

I only got by—but I wasn’t thriving. I used short acting insulin as my 24/hr insulin by just syringe (which is heavily risky). I then had to re-use syringes until it became painful to use them. I couldn’t afford test strips and would maybe check my blood sugar once or twice a day. Seeing a doctor was completely out of the question at the time.

I applied for Medicaid and Medicare due to income and disability. But was later denied because I didn’t fit into the criteria. I was devastated and felt helpless. I eventually found the patient assistance programs through the pharmaceutical companies that provided the insulin that I use.

Years later-

I do have insurance and I do have the cool gadgets and necessities. I can’t even begin to tell you how much having access to healthcare coverage means to me. Having what I need in order to live a full functioning life.

I’m still trying to catch up in life from the years that I was suffering. I believe it does take a toll on an individual or family financially/emotionally/ and it affects the ability to prepare for the future.

With diabetes it’s all about trying to survive from one day to the next—and cost should not be an issue.

Would You Kill Me For a Tax Cut?

Would You Kill Me For a Tax Cut?

By: Ashlyn Mills

Blog: A Trail Of Test Strips

Before I get into the meat of this issue, I want you to imagine something…

You are 19 years old and a sophomore in college with your whole life ahead of you. Suddenly, you begin feeling ill. You are thirsty all of the time, you feel lethargic and can barely make it through 5 hours of classes without a nap in your car, something is not right and you know it. You finally go to the doctor after you’ve lost 10 pounds and the doctor tells you that you have Type 1 Diabetes (T1D).

The doctor tells you that T1D is an autoimmune condition that has no cure and teaches you what you must do to keep yourself alive. After learning about carb counting, insulin injections, blood sugar testing, and life threatening high and low blood sugar, you’re sent to the pharmacy to pick up your life saving tools.

For the next 3 months supply, you are given 900 blood glucose test strips, 900 lancets, a blood glucose meter, 6 insulin pens, 50 ketone test strips, and 540 needles to use for insulin injections. All of these supplies would have been upwards of $5,000 without good insurance coverage and even with insurance, your first trip to the pharmacy cost you $400.

Now that I’ve painted a picture for you, let me put a face to this story. This is me, Ashlyn, and this is what a pre-existing condition looks like. The story above is my story. 

As you probably know, yesterday the House of Representatives made the decision to repeal and replace the Affordable Care Act, also known as Obama Care. Obama Care has been a major topic of debate for Americans over recent years. With the ACA, many American’s saw their insurance premiums skyrocket, which made the Affordable Care Act not so affordable.

With the ACA did come some positives such as protection for those with pre-existing conditions and the ability for an adult under the age of 27 to stay on their parents’ health insurance. At the beginning of his campaign, President Trump began pushing the issue of the ACA and saying that should he be elected, it would be one of the first things on his agenda. President Trump also insured that with this repeal, he would protect those with pre-existing conditions. Yesterday, however, the House voted against protecting those with pre-existing conditions.

If you aren’t someone with a pre-existing condition or don’t have a child with one, you probably don’t understand how serious this is. Let me tell you what this could do to people like me.
Insurance companies will be able to decide if they want to cover me or not. I will have to search high and low for an insurance company who will cover me and when I finally find one, they will charge me 3x what they charge the average patient because they know I will be a guaranteed expense.

I will then be paying $3000+ per month just for insurance premiums, which will make many of my daily meds and technologies unaffordable. I may have to limit how many test strips I can afford, which will then limit how many times per day I can test my blood sugar. The less I am able to test my blood sugar, the greater my risk for life threatening high and low blood sugars and long-term complications due to poorly managed diabetes. Meanwhile, some celebrate because they got a tax cut. But those who celebrate don’t know that their tax cut could kill me or the other millions of American’s like me living with a pre-existing condition.

Would YOU kill ME for a tax-cut?

 It all boils down to this, republican or democrat, it is important for you to understand how much this decision could impact me if the senate votes yes in the next few weeks. PLEASE, do your research and contact your senator to let them know that this is NOT okay. I am actually registered republican, but that does not mean I have to stand for this and neither do you. While I believe some MAJOR changes need to be made with our current healthcare system (the ACA) in the US, I do not believe that changes need to be made at the expense of people who have no control of the cards they were dealt. Life with diseases like T1D is hard enough as it is, please don’t make it any harder on us.

TAX CUT

Please contact your senator, my life depends on it.

-Ashlyn 

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What Diabetes Really Is: (Spoiler) It's Not a Unicorn Frappuccino

What Diabetes Really Is: (Spoiler) It’s Not a Unicorn Frappuccino

What Diabetes Really Is: (Spoiler) It’s Not a Unicorn Frappuccino

Diabetes…

How do I describe diabetes?

Or what is it like to live with it?

When you look on the internet it’s defined as mostly sugary foods, cake, BigMac’s, soda, and a Unicorn Frappuccino from Starbucks. A Unicorn Frappuccino is loaded with sugar, but it WILL NOT cause diabetes.

There are two types of diabetes:

Type 1 Diabetes– where the immune system attacks the insulin producing cells in the pancreas. And Type 2 Diabetes– where the body doesn’t use insulin properly and can sometimes be controlled with diet and exercise. But genetics can also play into Type 2, where it had nothing to do with one’s lifestyle. But I digress…

It’s funny right?

Sometimes I question whether I’m too sensitive about it. Whether it’s not that big of a deal. Right?! You have to laugh to get through life.

I get it. The memes are humorous to those who don’t know anything about it. Ignorance is bliss. But is the disease humorous? Is it really? I mean I wish I could laugh it off.

But I face this monster everyday. And it is a monster. It’s not funny. It’s not a joke.

When I was diagnosed

My mom didn’t know the signs of diabetes. No one in my family had diabetes. I had symptoms similar to the flu: fatigue, thirst, weight loss. Little did I know that my pancreas stopped producing insulin. I was slowly dying and by the grace of god I managed to get diagnosed just in time. I now needed insulin injected into my body for the rest of my life in order to sustain life. It’s easily misdiagnosed and many die because so many people including doctors are misinformed about this disease.

I was 12 years old! No, nothing I ate caused this. My mom cried and blamed herself thinking she caused this. The stigma is that diabetes is self induced. That if you live a healthy, active lifestyle you’ll never get diabetes. THAT’S FALSE. I was diagnosed at 12 with type 1 diabetes and my life changed forever. It wasn’t funny then and it’s not funny now.

I grew up hiding my diabetes.

Kids at school would make fun of me. I didn’t want to be different. “Oh did you get diabetes from eating too much sugar?” “I heard if you eat a balanced diet you can cure it.” I’ve pretty much heard everything you can think of. People have laughed in my face about my own disease. But nobody knows what happens behind closed doors. They think it’s a “food” disease. Well that insulin I need to stay alive, also can potentially kill me. It’s a 24/hr job to stay alive.

Unless you personally experience diabetes and it’s many affects you just won’t get it. I understand that. There’s been many times where I’ve gone unconscious from a low blood sugar, I’ve had a seizure, I’ve been hunched over in pain from DKA (where my body wasn’t receiving enough insulin). I would do anything to cure this disease. To get rid of this monster. To not have this disease inflicted on anyone, not have the fear of losing limbs or damaging organs, and not have the fear of suddenly dying.

This all seems harsh and dramatic.

But unfortunately it is.

Yes, life is tough. But so is diabetes.

I don’t let this disease define me.

But I sure won’t let others define my disease as something it’s not.


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Diabetes Won't Stop Me From Living

Diabetes Won’t Stop Me From Living

Diabetes Won’t Stop Me From Living

By: Nickie Eckes

I have type one diabetes. I was diagnosed back in February of 1990, at 5 years old, because my body decided it wanted to wage war upon itself and destroy the beta cells in my pancreas.

I remember going to the hospital, and I remember being terrified and having no idea why all these doctors were “torturing” me. I just wanted to go home with my mom, dad, and brother. They said my blood sugar was over 1000 and I had to stay.

The weeks that followed in the hospital were not fun. I had gotten used to getting up and playing and running on stop. Now I was being told I had to live on a strict schedule, only able to eat a certain amount of food at certain times, along with a shot of insulin to ensure that my blood glucose levels were maintained.

They also informed my parents of a place called Camp Sioux, a camp for kids living with diabetes to go and have a “regular” camp experience, but also learn about diabetes. I loved going and it made me feel not alone because everyone was diabetic, and I made some lifelong friends. The type that understands me when I just need “a minute” or “a snack” and understand all those diabetic jokes that make my stomach hurt from laughter.

I’ve dealt with the highs and the lows of this disease now for over 27 years. I’ve handled people telling me if only I would take better care of myself, I wouldn’t be this sick. I did nothing wrong to get this illness, it’s an autoimmune condition. My body can’t make the hormone insulin, which is what is needed for the simple sugars you get from food to enter your cells for energy.

I have to calculate everything I do in a day, from what I eat, to how much I’m going to be moving, along with stress levels and illness (such as common cold or the flu) just to ensure that my blood glucose level stays within a good range and I don’t pass out due to a low blood sugar, or go so high that I get diabetic ketoacidosis (meaning your body is producing a thing called ketones and those can make you very sick). And what works one day may not work the same the next day.

I had the years of rebellion and not caring what my numbers were. I did the whole I’m gonna die young anyway so who cares. And then I decided, I wasn’t going to let this disease keep me down. My friend calls diabetes livebetes because he says “it won’t stop me from living!”

 

Research has made many amazing developments since then, so much now that newly diagnosed people are being told that not much in their lives has to change; they just need to know where their numbers are and how much insulin flow take for those different numbers. We can even program those numbers into a pump and have it do the dosing for us (although not completely without thought from us).

We now have faster acting insulins that instead of having to wait 30 minutes after taking them to even start eating, we now only have to wait 5 minutes. We have what is called a Continuous Glucose Monitoring system (or CGM for short) that can tell us our levels every five minutes, which helps a lot given it can predict a high or a low before they occur, and we can correct the issue before it becomes an issue.

In fact this year, with any luck, I will get to obtain the new diabetes pump, with the first ever closed loop system on it! Both my doctor (who is also diabetic) and I are rather excited for this and are not so patiently waiting. There’s still always planning and calculating everything. It helps, but it’s not a cure. All of these advancements sound amazing and are fantastic, but it’s still a heavy load to carry.

Diabetes Won’t Stop Me From Living

I will keep fighting. I am strong. I hope to one day be able to say “I used to have diabetes.” And because of all this, I remind myself while I may have diabetes, it does NOT have me.


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WHAT A HIGH BLOOD SUGAR FEELS LIKE

What a High Blood Sugar Feels Like

What a High Blood Sugar Feels Like

Photo Credit: Xavier Sotomayor


The high blood sugars are what gets me. A high blood sugar is a blood glucose above 140 mg/dL. For me, the symptoms I experience with severe hyperglycemia don’t emerge until well over 250-300 mg/dL.  The lows, while urgent and intensely serious are felt differently. I don’t like to compare the two evils but the highs can be just as debilitating and it leaves me feeling depleted.

It’s so hard to describe this pain that can’t be seen. I look fine on the outside but inside my body is fighting for energy and I’m suffering from the adverse effects.

In these moments all I want to do is cry but I have no tears. I can’t quench my thirst no matter how much water I drink. My whole body aches and I’m staring at the clock waiting for the insulin I’ve given myself to be absorbed; giving my body the relief and nourishment that I desperately need.

When my blood sugar is high I despise diabetes the most. When it’s high the minutes and possibly hours it takes for my blood sugar to come down is agonizing. I sit uncomfortably, restless, back and forth to the bathroom checking for ketones and blaming myself. When I know that with diabetes anything is possible. It’s absolutely torturous for anyone to have to go through this.

My heads pounding, I’m irritable and utterly exhausted. I feel like I’m being crushed by tons of weight. It feels like syrup is running through my veins. I can’t move. I can’t think. I can’t function properly. I feel useless. These are the moments that I beg and plead to just get back to where I was before the high blood sugar. I become grateful for the bad days that weren’t as bad as this.

The high blood sugar could have been caused by a pump malfunction, hormones, stress, illness, wrong dosage, or any number of different things. The fact that things I can’t control can cause this is startling and frustrating. All I can do is try my hardest and hope for the best. But sometimes my best doesn’t cut it.

Once my blood sugar does start to lower I feel like I’m taking in a breath of fresh air. There really isn’t a better feeling than knowing I’m going to feel better soon. That these symptoms are going to diminish and I’ll start to feel myself again. My mood starts to shift and the brain fog slowly goes away. The exhaustion lingers for the rest of the day, but thankfully I’m much better.

I feel conquering despite my defeats because even at my weakest points I still fight these unfathomable challenges. These battles are never seen nor felt by anyone besides those who battle diabetes. One that I’ll have to fight more than once.


DKA is a serious life-threatening medical condition caused by high glucose levels. This blog content is not medical advice. If you have questions concerning your health please seek attention from a medical professional. 


 

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Pregnancy Week 15 with Type 1 Diabetes - Perfectionism vs. Sanity

Pregnancy Week 15 with Type 1 Diabetes – Perfectionism vs. Sanity

Pregnancy Week 15 with Type 1 Diabetes- Perfectionism vs. Sanity

By: Grace Wall

Follow: Type 1 Pace Blog

There have been studies that show girls and women with type 1 diabetes have a stronger chance of developing an eating disorder. Type 1 diabetics are constantly counting and measuring food, and measuring their level of success at managing diabetes (which is impossible to get right all the time) multiple times a day through a number on their blood glucose meter. Constant cognizance of being evaluated and judged on how vigilant we are with food, with exercise and with diabetes management is not always best.

I think it was around the time I was diagnosed that I developed perfectionist tendencies and the need to control any situation. I was ten years-old and diabetes honestly didn’t seem like a big deal to me. Adults were always telling me new things I had to do: you need to brush your teeth, you need to set the table, you need to go to summer running camp, you need to come home when the streetlights come on, and now you need to check your blood sugars and take insulin through a syringe. It didn’t phase me.

That is, until I saw when my blood sugars were out of range, worry would appear on my parents faces. When my blood sugars were good, they would proudly pat me on the back. I saw what grief I caused them when my blood sugars were out of range and I made it my goal to get as close to range as I could.

But how could I? I didn’t have the technology we have now. It took my meter 45 seconds to register a blood sugar! I began to feel lots of shame when my parents would look at my sugar log and ask about different patterns. They were only concerned and I took it as something I had done wrong. But I did nothing wrong. I did not cause my diabetes. As an adult, nineteen years later, that sentence feels cathartic to type.

Fast forward to present day. I am in my 15th week of pregnancy with my first child and I have never tried so hard to manage my diabetes. In the beginning every time my blood sugar would go over 140 I would feel guilty, but I have learned to use the reading as a tool that indicates I need to adjust my insulin needs for tomorrow. I have found it helpful to take a walk when my blood sugar is high and have already given insulin to correct it. It speeds up the absorption rate, and my dog doesn’t mind all the extra walks he’s getting!

I did have one scary day last week where I was 240 for 4 hours and I could not figure out why. The day before I had spoke with my High Risk OB/GYN about some high blood sugars which he believed just meant the placenta was doing it’s job and (here’s the fun part) starting to work against me by creating insulin resistance.

But this particular high event was not coming down with insulin or walking. I was freaking out to say the least and feeling more guilty I was hurting the baby with each passing minute. Of course it was a busy work day too so that did not help. I had a pounding headache, had to go to the bathroom close to every 5 minutes and felt nauseous.

Finally I realized my insulin pump infusion site had disconnected. Not fallen out, just unhooked the quarter of a turn it took for me to get none of the insulin I had been pumping the last few hours. I immediately reconnected and bolused for 7 units. I felt more guilty for being so stupid. In my 17 years of using an insulin pump, I hadn’t had this happen once. I have had my site completely rip out, but this was inexcusable in my perfectionist book.

As I began to reframe the situation, my guilt and anxiety tapered. I rarely wear my site on my stomach, which is where it was at the time, and as my stomach has gotten larger with a growing baby the last few weeks, it has created a variable I have not encountered before. I am getting used to my new body and I may have accidentally bumped my site.

I have also been wearing maternity pants and the waistband on those are great for growing bellies, bad for holding up pumps. Going to the bathroom throughout the day creates multiple opportunities while pulling down and pulling up those pants, where I could have knocked something loose.

The guilt of that high day registered through the roof for me. I remember feeling so defeated. However, I also recognize that I am only human and I am doing my absolute best for this baby. I think it’s truly impossible for me to try any harder (I have given up chips and salsa, pizza, diet Coke and beer for God’s sake!), and that is why I am letting it go. My husband calls it “clearing the mechanism” and it’s what we do when we come home and need to just forget about what happened at work that day. I am “clearing the mechanism” on this hyperglycemic episode and starting fresh tomorrow.

My team of High Risk OB/GYN’s have told me that I don’t need to see my regular OB/GYN any more. I ignored that and have kept seeing her. I like her – A LOT. She helped me through my first and second miscarriages and always has great things to say. She is a realist, which I appreciate.

On my last visit with her she told me I’m doing a great job with the pregnancy, the diabetes, running while pregnant, and everything and told me I need to stress less and start enjoying the pregnancy, because it’s going to be over before I know it.

I will continue to be diligent with my blood sugars but she’s right, I plan to start enjoying the pregnancy more. I plan to be value my sanity over my guilt and stop being so hard on myself. I’ve lasted almost 19 years with diabetes and if this baby is anything like it’s parents, it’s a fighter and it will be healthy and happy.


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