The Adventure Of Low Blood Sugar

Those of us who have diabetes may get a lot of finger-wagging from medical professionals, family members, and even friends about high blood sugar. And it's absolutely true that if we're not managing our condition, if we're eating more than we should, forgetting to take our medication, or eating the wrong things, our blood glucose will be high and our risk of developing complications -- like blindness or strokes or heart attacks or neuropathy (which can cause us to lose an arm or a leg) -- are greatly increased. So I take this really seriously and try very hard to keep my numbers down where they belong.

But since 2008, when I was first diagnosed, I've had a number of adventures with low blood sugar, which can come on fast, is sometimes no fun to deal with, and can be dangerous itself. Low blood sugar can occur if we get busy and forget or don't take time to eat. It can occur if we accidentally take more medication (especially insulin) than we need. And it can occur if we exercise even moderately for a half hour or more. And those are just a few of the examples.

More Good Stuff I've Learned From Managing Diabetes

If you're one of my regular readers, you know that I often write about ways my diabetic condition has actually helped me. It got me down to a healthier (and cuter) weight. It kind of semi-forces me to exercise, which I would definitely not do if I wasn't diabetic. And it has introduced me to some delicious foods I probably would never have even tried if I was still gorging on fried everything and washing it all down with big gulps of sweet tea.

But there are more subtle ways learning how to manage diabetes has served me well and today's post is going to feature a couple of them.

Oh, SNAP!

Some of you might be surprised to learn that a woman who teaches college full-time at the age of 70 spent a decade on food stamps earlier in her life. And I make no apology for it. I got my first job at 13, worked in high school, and started paying income tax while I was still an adolescent. Not to mention sales tax and all of the other taxes and fees I've paid through the years to support our system that so often doesn't support us.

For my first five years on food stamps, I had two small children, no child support, and no college degree. That was before Bill Clinton ushered in the policies that forced women into jobs that could not begin to keep their kids from going hungry. So I could receive assistance for five years, during which time it helped my kids and me to eat. Not well, but regularly.

It's Complicated...

Since writing Your Life Isn't Over ~ It May Have Just Begun!, I will pretty much talk to anybody about diabetes management any time anywhere. I don't claim to be an "expert." I'm no kind of medical professional. And there are lots of folks who have been managing diabetes quite successfully for far longer than I have.

But I have learned a few things through the years since I was diagnosed in February of 2008. And the process of spending an entire summer wading through my memories and writing it all down helped me to organize what I've learned into areas I think are the most obvious (like weight loss) or easiest to implement (like taking the stairs instead of the elevator) or even more crucial to saving one's life (like not giving up as if there is no hope when your life isn't over ~ it may have just begun).

Cuba Bound

There was a time in my life -- sometimes it feels like a million years ago and sometimes it feels like yesterday -- when I would make a decision and run with it into a fire. Nothing could stop me or even necessarily slow me down.

It wasn't that I thought I was always right. It was that I didn't think period. Each day was a millennium and I was the sun at the middle of it all. It made for some rough going on occasion. But I wasn't looking back. I was going to live forever. Or die young. And neither gave me great pause.

Am I Blue?

Last week, I wrote about how anxiety interfaces with my diabetes. Then, this morning, while I was thumbing through a magazine for people newly diagnosed with our condition, I noticed a bit of news. Apparently, a new study has found that people with diabetes are disproportionately likely to suffer with both depression and heart attacks. The connection between diabetes and these other two issues is not new news. What came out in the study, however, is that the three separate conditions are a trinity of trouble. So addressing any of them addresses all three. And ignoring any of them ups the likelihood of their making us sicker -- and maybe even killing us -- no matter what our lives are otherwise like.

On Managing My Anxiety To Manage My Diabetes

Most people that know me, especially those that have known me for a while, will tell you that I'm wrapped a little tight. Always have been. Even as a toddler, I was a perfectionist. And being a perfectionist will amp up that anxiety level at a moment's notice over things other folks wouldn't even notice.

It's not as though I haven't worked on it over the years. And whether or not my efforts were always 100% conscious, I have made progress. The first time I was made aware that my emotional responses had improved was when my daughter (then ten or so) left a quarter size ink spot on my favorite peach-colored spread and I just said, "Well, it's only a blanket." She couldn't believe it.

But that was some time ago and I still get more anxious than most. Sometimes out of nowhere. Sometimes when it causes real problems. And sometimes when I'm doing my damnedest not to.

The Ooops! Factor

I've recently decided to make a shift in the direction of becoming a vegetarian. I've decided not to buy any more meat (not even a can of tuna!) until I finish eating what I already have in my kitchen -- which should be gone in a few weeks, at most. And at the rate I'm moving, I half expect I'll be over the urge to buy meat by then.

I'm reading labels even more intensely than ever. Many of my meals and snacks are vegetarian now, including this morning's breakfast: a peanut butter and banana sandwich on whole wheat toast with two dried dates on the side (one of my personal favorites). I've located my copy of The Complete Idiot's Guide to Being Vegetarian (bought more than a decade ago). I've started scanning my diabetic cookbooks for vegetarian recipes. And I'm scouting Amazon for new cookbooks in case I feel the need.

But while I'm delighted to keep you posted about my progress on this exciting new journey, that's not the point of today's post. Though it's how I came up with the idea.

When Routines Get Broken

I'm a creature of habit, as many of us are. My life tends towards forming itself into routines and at my age, with the freedom of being a person who lives alone, those routines are not often interrupted. This works well for managing my diabetes.

My body typically wakes without an alarm at 6 a.m. after going to bed as a rule between 10 and 11 at night. As soon as I'm up, I do some stretches, make my bed, and check my blood glucose level. Then, I bring in the paper, fix my breakfast, take my insulin, eat while I read the daily news, and hit the computer for the first time of the day. Some mornings, I have to be out and about early and I often have to be in front of a classroom by 9:30, but even when I don't, the routine generally holds.

If At First You Don't Succeed ~ Try, Try Again

This time last year, I had about 7 years of managing diabetes under my belt. I had gotten over the panic of adding insulin to the mix 6 months before. My daughter had come for our annual holiday visit. And I was enjoying myself.

I had no idea that in the year to come, I would write an entire book on managing diabetes (Your Life Isn't Over ~ It May Have Just Begun!), learn a mind-bending number of things related to the process of marketing said book, and generate and spend $2500 to publish and put it out there -- only to discover that's not all it takes to make it a household word. That's a lot to jam into one year on top of a full-time job, a healthy handful of other demanding projects, and the not-so-minor matter of managing my own diabetes on a daily basis. It's not like I can push it to the bottom of the list till I get around to it.

Problem-solving 101

Not long after my diagnosis in 2008, when I told my Diabetes Educator how I had dealt with a particular issue that week, she beamed at me brightly and said, "See there? You're already doing a great job of problem-solving!" For a minute, I felt like a four-year-old learning to tie her shoe. But I'd never heard the term before, so I asked her what it meant related to my new condition.

"Well, you know," she explained patiently. "A lot of different situations can come up on any given day when you have diabetes and you won't always have somebody right there to help you figure it out. So it's important for you to learn how to identify and respond to things yourself when you can. Problem-solving is the process of deciding how to address a particular situation to resolve it and maybe keep it from happening again."