Are we surviving or thriving?

I spent some time with a women’s group this past weekend and something very important came up: thriving comes from the positive while surviving comes from the negative. I thought about that a little bit at the time and then I wrote it down, because it made some sense to me.

As diabetes educators, we teach “survival skills” to people who are new to diabetes. These are basically the things someone needs to do to get by outside of the hospital or clinic (check blood glucose levels, take medication, detect and treat low blood glucose). Once that initial time period is over, though, we focus on lifestyle changes and goals that help people thrive for a lifetime. This is not getting by, but getting something out of the situation.

Then I had to ask myself – do I survive or thrive on a typical day? In other words, do I come from a place of negative or positive? I often find it interesting (in a strange sort of way) that I can be so positive about one thing and yet negative about another. I would like to think of myself as an “owner” not a “victim.” And thinking in terms of surviving or thriving is another way to look at it. Once again, no matter how we slice it, positive attitude comes out on top.

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Memory and Diabetes

the-power-of-the-memory-molecule_1Many of us with diabetes worry about the long-term effects of low blood glucose (hypoglyemia) on our brain cells. There is evidence that severe lows can have an effect on the brain. But what about repeated mild or moderate lows? So far those don’t seem to be a problem.

So if I can’t blame my poor memory on low blood glucose over the past 38 years, what’s my problem? I used to have an amazing memory, and I can still pull up random information from years ago, or obscure details, or useless facts. But ask me what we talked about five minutes ago, and forget it! I realize that it’s partially due to having too much going on (I like to call it “Mom Brain”). I have a friend who explains it as our brains sorting out what’s important and getting rid of the rest, because we only have so much space for years and years worth of information.

And then today I read about how hyperglycemia (high blood glucose) might cause memory loss. What? Once again, further support for “closing the gap” and keeping blood glucose levels within our targets.

I’ve probably written about memory and diabetes before, but I can’t remember.

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veggies for kids

VegetablesIsn’t this a fun idea? A ‘tasting game’ for kids – to introduce them to veggies and help them develop a taste for them. I think I missed that boat as far as my kids are concerned.

Last night I prepared yet another creative vegetable dish (this time fancy, roasted broccoli). No go. As they each, in turn, spit it out, made grotesque faces and sounds, I said, “Ok, go to the frig and find a vegetable you’ll eat.”

I think this ‘tasting game’ idea might work for younger kids. I even told my daughter about it: “I read an article that says you can develop a taste for veggies if you try them ten times.” Her response, “Mom, you’ve been giving me broccoli for ten years.”

Ugh. But I will keep trying. I have found a handful of veggie recipes that are pretty good. And one tricky thing is that when I tell them to go to the frig and find a veggie, they are eating vegetables. My son has added raw peppers to his (very short) list of acceptable vegetables and my daughter has added raw spinach to hers. That’s progress, right?

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Another Happy Blood Glucose

117 at 1 pm

 

I had a conversation with a gentleman whose blood glucose was 117 this morning. I got very excited, because this number has huge significance for me, and I decided to share the explanation right here. Bear with me as I re-post this one from February of 2011, because 117 truly never gets old.

 

The Quest for 117

I have a long history with the Clara Barton Camp for Girls with Diabetes. Those of us who attended as campers or staff call each other “Barton Girls” and we have many great memories and some inside jokes. One joke is about the number “117.″ Back in the 80s, a staff member from the boys camp (Elliott P. Joslin Camp for Boys with Diabetes) was interviewed by a reporter. She had him check his blood glucose on camera and it came out 117, to which she replied, “Fantastic!” For the past 20-something years any one who has a blood glucose of 117 gets a rousing round of “Fantastic!” from anyone who understands. The great thing is that it really never gets old.

The other day I was driving with my daughter and I saw a vehicle with a license plate that simply said “117″. I just about flipped out. My daughter, believe it or not, had a camera with her and tried to take a picture at the stop light, but it didn’t come out. I lost the car when I turned to go to the grocery store. When we came out of the store I decided to go looking for the car. Crazy, but true. And would you believe I saw it again, going in the opposite direction on a nearby street. I watched it turn in my rear-view mirror, and then proceeded to turn around and try to find it.

Although I never did find the car, it got me thinking about people with diabetes and the quest for 117, in other words, “happy” blood glucose levels. We can work really hard at it and sometimes get the results we’re after, while other times we don’t. How often do we just give up? I know there have been times when I have just said, “forget it”, but luckily, I get myself back on track at some point (usually the next morning). It’s easy to want to throw in the towel when things (blood glucose levels) are not going the way you want them to. With diabetes it’s critical that we don’t beat ourselves up when this happens. We need to stay calm and focused and remind ourselves that we are good people and we can start again tomorrow.

Don’t give up on your quest for 117. And remember that no matter what your number, you are truly fantastic!

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diabetes, habits, and food

mentioned a few weeks ago that I read it takes 66 days to form a new habit. I have now been eating fewer carbs (I like to call it a “limited carb” plan rather than a “low carb” plan) for a little over 60 days (here’s where I wrote about the beginnings of this journey). I don’t want to jinx anything, but I feel like I am forming a new habit. This article discusses how the foods we reach for when we are stressed are more based on habit than cravings – I can relate!

The carbs I’ve been cutting back on are things like bread/rolls, crackers, pasta. I still eat fruit and starchy vegetables. And instead of replacing those carbs with protein or fat, I’m very conscious of eating more vegetables. I have found that I don’t need as much food as I was eating; I don’t crave carbs like I used to; and yes, I believe that much of the time I was eating carb out of habit. Breaking the carb habit is not easy, but for me it’s been worth it. I was able to take off some extra pounds that seemed to be creeping on, and I’m using less insulin.

For me, though, the most important thing is that I’m making my own choices about what I’m eating, I feel good, and my blood glucose is easier to manage. By easier to manage, I mean that I am not doing as much “checking and correcting” as I did before. Choosing to eat fewer carbs has helped me “close the gap” a little. I admit that where the workload has increased is in finding lower carb options when I eat out and preparing vegetables!! But I think it’s worth it, and I’m hopeful this is a habit that will stick!

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Napping with Diabetes

LGK_october_A_eReport_800My husband just forwarded this to me in an e-mail. He wanted to rub it in because I’m not a napper and I give him a hard time for taking naps. Now he has some ammunition, because this little blurb says that naps are better than coffee: 20 minutes improves alertness, 30 to 60 minutes may boost memory and improve decision-making skills, and 60 to 90 minutes may help people solve creative problems. I can just see him gloating in his office right now (or maybe he’s napping)!

The truth is I’ve never been a napper: once I’m up, I’m up. My son is the same way. But I acknowledge that many people enjoy naps. Here’s the article about the benefits of napping, that provided the information in this poster.

I have written before about the importance of sleep, and how lack of sleep or poor sleep can interfere with blood glucose levels and health in general. To recap, though, not getting good or enough sleep can lead to higher blood glucose levels; lack of energy for managing diabetes; lower immune system (more risk for colds, infections, etc.); and even heart disease.

I like to get all my sleep at night – and I’m pretty serious about getting 7 to 8 hours every night. But for those who don’t get enough sleep at night (for whatever reason), napping is a good way to boost the amount of sleep.

If you are a napper, I have some questions: When do you nap? How long do you nap? How many days per week do you nap?

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Carbohydrate counting – the upside

medium_carbs

Many people use carbohydrate counting (“carb counting”) as a meal planning approach to managing diabetes. Carb counting came out of a huge study that was conducted in the 80s and early 90s called the Diabetes Control and Complications Trial (DCCT). In fact, the results of the DCCT were published in 1993, so I’m considering 2013 carb counting’s 20th anniversary! Prior to carb counting, people with diabetes who managed with insulin, took a certain amount of insulin, and ate a certain amount of food at certain times, every day.

The nice thing about carb counting is that it freed people up to decide what they were planning to eat, and then take insulin accordingly. Fortunately, new and faster-acting types of insulin became available shortly after carbohydrate counting was introduced. So now we can take the right amount of meal time insulin for the amount of carbohydrate we’re eating. This works because carbohydrate is the type of nutrient that has the biggest effect on blood glucose.

When we eat carbohydrate foods (starches, grains, fruit, milk) they start to break down immediately. They cause the blood glucose level to rise about 20 or so minutes after we start eating. With the newer, rapid-acting insulins, carbohydrate’s effect on the blood glucose is peaking about the same time the insulin is working its hardest. This combination leads to better management of blood glucose levels.

Paying attention to the timing of insulin injections, or fine-tuning insulin doses with an insulin pump, can help those with diabetes respond even better to the carbohydrates they eat. The bottom line is that carbohydrate counting gives us freedom to choose our foods and when we eat them.

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Almonds and Diabetes

almondsI was literally just about to go to the kitchen and have a handful of almonds, when I came across this article. What timing! I have found that six or eight almonds is the perfect snack to tide me over to the next meal. And it looks like the research agrees!

When I was in New York City last week, I stayed with some friends who eat almonds on a regular basis. They buy raw almonds in bulk and roast them. I have to admit that I have not been a fan of plain, roasted almonds in the past. But these were terrific! Either my tastes have evolved, or these were special almonds.

Here are the instructions for roasting your own almonds:

Arrange raw almonds on a baking sheet. Place in oven at 200 degrees F for 4 to 6 hours. Cool. Enjoy!

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Diabetes, attitude, and life expectancy

imagesWhile I realize there are many more factors involved, I believe that attitude plays a role in life expectancy. There is some research to back this up, and hopefully more will come around.

This article reports that life expectancy is now longer for people with type 1 diabetes than it’s been in the past. I think this is wonderful news! I was diagnosed in 1975, which the article reports is when people with type 1 were expected to live 27 years less than those without. No one told me that, thank goodness! I remember learning at some point that people with type 1 lived 15 years less than those without, but I never took that seriously. In fact, I used to joke with my husband, who is five years older than me, that there would only be five years’ difference between our deaths: men die five years earlier than women, he’s five years older, and I have type 1 diabetes (complicated math, I know).

But that was a joke and I honestly have no intention of dying early because of diabetes. I truly believe my attitude will determine that. But I guess we’ll have to wait and see.

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Live longer with diabetes

If anyone needed more support for taking care of themselves, lowering A1C, and interacting with other people…here it is!

A study showed that people with type 1 diabetes die younger when they have a higher hemoglobin A1C and when they are less social. I think it is safe to say that this would be true for people with type 2 diabetes as well. I have no research to back that up (yet), but it just makes sense.

You can be social with anyone, but if you are particularly drawn to other people who have diabetes, just google “diabetes social networks” and an entire universe (the Diabetes Online Community or DOC) of social will be open to you. Positive attitude can contribute to longer life, and as long as you are socializing with people who make you feel positive, it makes sense that there would be a connection.

So have fun, get healthy and live longer!

 

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