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Real Talk With Dave: Battling Blood Sugars

Over the last few weeks, I have been struggling with managing my blood sugars and I have been finding it to be very difficult and frustrating to find peace with my numbers. Having moments in your life where your Diabetes isn’t exactly where you would like it to be can have a negative effect on your blood sugars and make you realize just how much we need to push for a cure on T1D. We all have different lives that we live, making T1D somewhat of a big annoyance if one cannot handle their Diabetes effectively. Just know, it’s not your fault and time will pass where you overcome these bad moments with your numbers or whatever else T1D has to throw at you and good things will come, making you feel confident and empowered in handling your Diabetes the way you are used to.

            Every now and then, there comes a time in the lives of those living with T1D where changes come, such as numbers reacting a different way than they used to when you would eat or do something you always did, finding that you need to alter your doses or planning a bit, just to get the numbers back to the way they were.

Some may find that certain brands of Insulin don’t work the way they used to anymore, causing you to search for another brand that is just as effective as your previous Insulin before the change happened. These are just some examples that, like it or not, do happen with Diabetes, making life more stressful and overwhelming at times.

This past week, as I was driving to class, I noticed my Insulin pump site had ripped out while in the car. I had only 5 minutes to get to class and change my site out for a new one. You can only imagine the amount of stress and pressure that was on me at that time. I got to my school and parked, grabbed my emergency kit in my car, and changed my site out in about 2 minutes. Though I got to class just in time, my numbers were going sky high prior to the sight ripping out, even though I took my Insulin.

Then, on my break, I quickly checked my BG and found my blood sugar at 426 mg/dL.

My new site apparently hadn’t gone in properly and effectively, resulting in my numbers to go that high. I then tried just about anything to get some fresh insulin flowing inside of me as I still had another hour of class that afternoon. Unfortunately, my numbers continued going up pretty fast and halfway through that hour, I had to leave class early and rush home to get access to some fresh new Insulin and an all new site, which by then, my number had reached 490 mg/dL. I was alarmed, felt very sick, and was ultimately drained as I hadn’t been that high in a while.

Rest assured, all is well now, however, through that experience, I came to a point where I was feeling very unhappy with my numbers and how I was feeling most of the time, that I decided to make a change in my doses. Though I changed them, I have still been dealing with some high numbers here and there. These are the struggles we go through on a day to day basis that sometimes go unnoticed.

Diabetics are warriors that face these challenges regularly, but as we battle with our numbers and overall well being of T1D, we are here to make a difference and inspire others.

We are more than capable of turning Type One into Type None. Due to many days of feeling weak, sick, and unstable, it can be hard to enjoy life as we are in a constant battle with our numbers. It can be a constant struggle and challenge in one’s life, BUT as some like to say, we are blood sugar warriors. With constant support and encouragement from one another, as well as hard work and effort in our health, we are capable of change and well being. It just takes time (and lots of it), but at some point or another, things DO get better.

Enjoy the good times, learn from the bad, and strive to make a difference as a Diabetic as we patiently wait and push for a cure!

Live well,

Dave

A day in the life of a type-1 diabetic

It’s already been established that Diabetes is a disease that we, who have it, cannot run away from. We have to deal with it and we have to maintain control non-stop. There is no taking a break from it.

I am 24 and have been diabetic since I was 11. I have been alive with diabetes longer than without, and yet, in my head, the “normal” life is the one I had before.

I am currently treating my diabetes with insulin pump therapy (the pump is a little machine that never leaves me – it constantly injects tiny little doses, known as basal, as well as some extra insulin when needed, for meals for example, known as bolus). I use a blood glucose monitor called FreeStyle Libre, which tests my blood via a sensor on my upper arm. With this machine, I do not need to prick my fingers to draw blood (although I still often do, as the sensor readings are often less accurate than the finger-pricking ones, unfortunately), and I can check the trend of the last eight hours, which is very helpful to understand where I am going and prevent a high or a low.

My diabetes and I have a love/hate relationship. I “love” it because it taught me how to be strong, independent and proud. But I hate it because as much as it gave me strength, it gave me weakness too.

As much independence it gave, it brought me on my knees countless times, forcing me to seek support from my family. And no matter how proud I am of who I am today, it sometimes happens that I let my diabetes catch-up with me and I feel raw, deep shame. Shame for my own lack of control, or judgement, leading to a hypo or a hyper. Shame for my scars. Shame for my sensors adorning my body constantly.

But despite this hate, I try to live my life with my diabetes, not against it. I try to wear it as a badge of honour, even if my will sometimes falter. And then come the darkest times. No one is my friend and no one can understand. What a selfish way of seeing it… I have to snap out of it and remind myself that I am not a burden. We all have our battles to fight, it just so happens that mine is diabetes. But the support and love I get from my family and friends, I give back to them in their own battles (I hope so, at least).

Let me just give you an incentive of a normal day for me. I am about to write my Saturday as I lived it, but as some of you may not be familiar with some technical terms, here is a couple of numbers that might help you. When I talk about BG, I mean blood glucose or blood sugar. A low BG, or hypoglycaemia, is anything below 4.3mmol/L. Anything over 9mmol/L is a hyperglycaemia, or a high. As a diabetic, my blood glucose can go as low as 1.2mmol/L (personal lowest) and as high as 33mmol/L (again, not proud, but personal highest). When I talk about inject insulin, I write U, for units.

8am – I wake up, just minutes before my alarm. I usually like waking up before my alarm. It gives me a sense of pride – a proof that my subconscious knows my routine, that I don’t need a machine to help me wake up, that I have slept the right amount of time. But today I do not feel pride. I cannot see clearly, everything is blurry and my eyes do not adapt to the sunlight as they should. Even before feeling anything else, I know what that means: I woke up with low sugars. And true enough, when I test my sugars, the little monitor makes an unhappy sound. It blinks my number: 2.8mmol/L and it displays the pattern of my last 8 hours of sleep. I have been down for 2 hours. And I have not felt it until now. That is worrying. I’ll have to mention it to my endocrinologist during our next appointment. But I shrug it off.

The main focus right now is to treat the hypo. I reach for the candy beans I keep close to my bed, in case of emergency. While I wait for the sugar to reach my bloodstream, I mumble and grunt. This is no way to start a day. I feel weak, shaky, dizzy, my muscles ache, and I am irritable.

8;15am – Time for a check-up. But I am feeling somewhat better so I know I am going up. Beep-beep: 3.4mmol/L. Still low but I have to start moving. Work doesn’t wait. I gobble another couple  of beans and start to freshen up and dress up. I usually shower at night, because I am not a morning person and I know I’d hit the snooze button way past shower time. It works out fine today as I just lost 15 minutes lying in bed waiting to feel a tiny bit better, let alone, go into a shower where I could slip.

8:25am – It’s not been 15 minutes yet but I can’t wait. I hate running late. Beep-beep: 4.2mmol/L. That’s good enough. Like very often, I am not hungry in the morning, but this time I cannot skip breakfast. I take a slice of chocolate chip brioche out of the bag, quickly pour and drink a glass of orange juice, and leave the house, brioche in hand.

9:40am – I am at work, with time to spare. I did not miss my bus, nor my train, and it takes me only 12 min to arrive at work from the station. I ate my slice of brioche in the train, read a couple of chapters and even surfed my Facebook. I finally sit down at the back of the store, in which I work full-time. I have some 20 min to prepare for the day. I check my glucose again. I do not want to have a hypo in the middle of my shift, in front of my co-worker and customers, and I do not want to have a hyper either. I have not yet injected for the piece of brioche. I am not even sure I will need to. All depends on my sugars now. Hence the third check of the day. If I’m around 8 and it looks like I’m going high, I will need to have a bolus. But if not, then the brioche’s carbs will have helped me get out of the hypo. Beep-beep: 6.7mmol/L. Finally, a good number. Despite the bad beginning, I am now feeling relieved and ready to tackle my day.

10am – The doors are open, I let the customers in, and I note half-jokingly to myself that I should write about a day in a retail worker’s life too. We witness the weirdest things. That’d make a pretty funny article.

11:40am – I am so hungry. But I try and ignore my stomach, as well as my lovely co-worker who just brought some snacks from the store next door.

It’s ok to give in and have a snack, but if I do, I have to figure out how much carbs I’m ingesting, and really, who wants to do maths before stuffing honey- roasted cashews down one’s throat?

I’ll avoid the counter area until lunch time, meanwhile there’s plenty of stuff to do on the floor.

12:05pm – That’s it? Not even 30min have passed since I realised I was hungry… Today I will be the second one to go on break… With the breaks starting at 12:30pm and lasting 45 min, I’ll have mine at 1:15pm. Nope. I can’t wait that long. I disappear for a minute and go in the staff break-room. I reach into my bag and take my diabetes pouch out. I take the monitor to my arm and wait for the expected “beep-beep”. But not this time. This time it’s a “Beep-beep-beep” that’s ringing… It’s an alarm to remind me to change my sensor in 3 days. Great… Another $90 to cough up… I press ok, and the screen displays my glucose. 9.1mmol/L. I look into my Calorie King App to estimate the intake of carbs. [Serving size: 10 whole nuts – Total Carbs: 6g / serving]. Let’s assume I’ll eat about a hand-full, seems to me that’s about 25 nuts, makes 25g of carbs. I enter my blood glucose and my carbs intake in my pump and it does the rest of the work for me. It’s injecting 2.65U. 1.45U for the carbs and 1.2U to correct my BG, according to my own personal settings. Bless the genius minds of the scientists and medical engineers who have concocted this little gem of a machine. I press ok and feel the insulin being pushed under my skin in my belly. I hurry back on the floor. I don’t want the girls to think I’m giving myself a break at the back. That took about 5 min and even though they never complain or even seem to notice my little disappearances, I try minimising them as much as possible because I feel it’s unfair for them. I am back, and can now enjoy those hard-earned cashews.

1:15pm – My co-worker has come back from her break and it is now my turn. I hurry to the break- room, wave my machine to my arm, check the number (7.3mmol/L – perfect), take my wallet and go buy a nice, warm lunch in the food court. I opt on the spicy pumpkin soup with toast that’s smelling so good from their counter. When I bring my own lunch, that I cooked myself, I know the estimate number of carbs. Or when I buy ready-to-eat meals (yes, I do eat those too, I am not perfect), I just need to look at the nutrition info label. But today, I ask the girl who serves me if she knows what the carbs count is. She stares at me with blank eyes, then shrugs. A couple of years ago, I would feel the urge to explain my odd question. But now, I don’t care what she thinks. I take my phone out and look the information up onto the same App as before. 1 cup of soup is 16g of carbs. The soup is a big portion, I’d say 2 cups, that makes 32g. 1 slice of white bread (is my bread white or wheat? Does that make a difference? I wave it off, if there is a difference, surely it won’t be a big one) is 10g of carbs. That makes a meal of 42g of carbs. Again, I enter all this information into my pump and I’m all set. I sit down at a table and starts eating my lunch, while enjoying my book. After I am done with my meal, I set off to the break-room and look at the remaining time for my break. About 15 minutes. Good. I can relax and continue reading.

1:56pm – My break is almost over, I want to check my blood again. Yes, I know, again.

Normally when I started a day with a hypo, you can be sure a hyper will follow, as a bouncing effect.

This morning it hasn’t happened, so I’m cautious. And, you see, I am weary of hypos and hypers, especially in the workplace. I don’t know if it is just me, but I want to prove that my diabetes does not affect my abilities, and so I am very vigilant. And also, it is not really pleasant to experience. Beep-beep: 8.7mmol/L. Nothing wrong going on here. I am ready to head back to work.

4pm – The store has been quite busy for the past few hours. Late Father’s Day shoppers is my guess. While most of the time, the customers are happy to wander in the aisles, browsing, today, we do not even have time to ask them if they need assistance, they go straight to us, with a very specific book in mind. A book that we then have to find out the location of, if it is even in stock. As soon as I am done with one customer, another jumps in. I have been thirsty, so I fetch my bottle, and even though I would like to check my blood again, I hear a bell at the counter, which means I am needed there. I hurry back, sipping my water while making my way to the front of the store. My sugars will have to wait.

6:12pm – It is closing time. Finally. The girls and I are exhausted. The customers sometimes seem like leeches. They are in hurry, very demanding and feel entitled to pristine customer service, and the want it now. The day has been long and draining. I close up the store and head off to the station. I have a dinner with friends outside of town and I don’t want to be the last one arriving. While walking, I reach for my monitor and check my glucose:14.6mmol/L. Uh-oh… that piece of bread did seem quite large and it was soaking in butter… Plus the stress of the day, I guess. But all that is guess-work. So uncertain. In defeat, I enter my blood glucose level into my pump and it tells me to inject, which I do.

The train ride is about an hour, I will have gone down by then, hopefully.

7:20pm – I’ve arrived and first thing I do after kissing hello to my friends and offering my help, is to check again: 10.2mmol/L. Gowing down, good. If it hadn’t, then I would have had to check my insulin line, maybe even change it… Not what you want to do during a friend’s dinner party. I enjoy the appetizers, wine and conversation, keeping track of what I put in my mouth. I will need to remember everything for the meal bolus, when the rest of the guests have arrived and the food done cooking. I play with their son, a 4-year-old bundle of joy. As we play, he notices my line, and tries tugging on it. “What’s that?” I try and explain to him that I am sick and this is my medication. He looks at me, dubious. “No you’re not!” Again, I try to explain that I am sick inside of my tummy, and I show him where the line goes in. I want him to know that there is nothing to fear about me. Kids are very observant and they are smarter than we give them credit for. If I explain to him, He will get it, even if not in details. But if I try to hide my tummy, and change the subject, he will remember. Very delicately, I let him touch the pump and the cannula site. And then I let him wave my monitor to my arm to test my blood. “I am your doctor!” He exclaims happily. The incident is past. The mum is proud of her son’s reaction. I am proud of mine.

9pm – I start feeling weak… The food has just been taken out of the oven. We are a bunch of Europeans and Brazilians, we eat late. Which would have been fine, if I had not assumed they would want to eat early to accommodate their boy’s schedule. But I did, and I pressed OK for the bolus to correct my previous hyper. I wanted to take a proactive approach and think ahead, but it backfired on me. Now, I test my blood: 3.4 mmol/L. I have to drink sugar and water, while my friend looks on, worried and apologetic. I don’t want her to feel bad, so I smile and try as best as I can to reassure her. “I’m Ok” I mouth to her from across the table. I know that the next few moments are going to be critical, if I want to avoid doing what I call the yoyo effect, which is bouncing up and down (my blood sugars, not actually me) for the next, I don’t know… 12 hours? So I refill on sugar, and start eating my meal hoping it’ll make my glucose steadily go up, until it is safe for me to inject for the meal. The meal itself is pretty lean. Probably about 40g all in all, counting the puff pastry crust, the gravy and side of pasta. But after 10 minutes, I am still feeling tired. I check my sugars and they are actually getting lower 3.0mmol/L. That’s when I get frustrated and worried. Why can’t I enjoy a nice dinner with friends?

I almost want to just let myself stay on high next time. Wouldn’t that be easier? I don’t really feel the high until it is too high…

But deep down, I know that is a very dangerous road, and I do not want to venture down it ever again. I drink my sugary water. I know I look pale and I am very quiet, and my eye socket are grey and I look like a ghost of myself only a few minutes ago. But I do not want to deal with the stares right now. I ignore the stares. After a few more minutes, I feel better. Even if my body hasn’t moved from that chair, it feels like I am sitting down at the table after vanishing somewhere. I join the conversation again, laugh at jokes (weakly at first but then with my usual gusto), and happily sip my wine. All is forgotten. All is good.

12:30pm – Most of the guests have gone home. My brother has had some wine too and doesn’t want to drive home. He will be sleeping over. I try to decide if I should too. I don’t drive and I usually don’t mind the train… But it is Saturday night and I don’t want to spend an hour to get home, in a train smelling of alcohol and sweat. Our friends have a spare bedroom for me too, so I decide I’ll sleep over too, even if I was craving my own bed tonight. Tonight, was not a wild night but I did have some wine and the alcohol does bring my sugars down. So, guess what, I test myself again. Beep-beep: 11.3mmol/L. That is probably the after-effect of my dinner hypo. I decide not to inject, because I fear to go down again because of the wine. I’m hoping by tomorrow, I’ll have come down by myself (and of course thanks to my pump injecting my basal overnight). I am tired and a bit frustrated too. I don’t want to spend one more minute of my night thinking about my diabetes. Obviously, I make mistakes whether I over-think it or not. I keep my bag close to the bed. In there I have my phone, my monitor and a pack of candy beans – in case of an unwelcome overnight hypo. It’s sleep time now. We will see. Tomorrow is another day…

http://mydiabadasslife.simplesite.com/

Late Night with Hypoglycemia

Have you ever found yourself in this situation? It’s late; you’re either studying hard for an exam or working up to the last minute on an important assignment. You’ve quickly burned through the midnight oil, filled with anxiety of the impending deadline, and all of the sudden your blood sugar is plummeting! As if you didn’t have enough to worry about, now you have to take precious time (that you can’t really afford to waste) to correct this pressing issue.

Studying for my medical licensing boards was really the first time I found myself in these situations with enough frequency to finally recognize this problem. After two years in school of specific, contained body systems learning, all of the sudden I was being tested on what appeared to be every bit of science I had learned over the years in both my graduate and undergraduate studies combined. So every night in the days leading up to my exam, I found myself studying with an intensity I had never experienced before, and over a longer duration of time. My blood sugars certainly reflected this change. It seemed that without fail, I would be studying late in to the night with an even blood glucose trend, until I would feel abnormally exhausted or have a splitting headache. I would check my blood sugar, and find that I was low seemingly out of nowhere!

So why did this keep happening?

Diabetics are often in tune with the idea of making adjustments for physical activities and exercise, but how often do we account for all the mental activities an exercises going on between our ears?

Suddenly, the need for the phrase “Brain Food” is better contextualized when we remember our brains are our most energy-demanding organs, using up to one-half of all the free sugar energy available in the body2. Just as we think about fueling our muscles for different types exercise, we need to similarly fuel our minds differently when we need high-powered brain output for longer time periods than usual.

Our abilities to problem-solve, recall, and learn new information are closely related to our blood glucose levels.

Anyone with Diabetes can attest to the cloudy, impaired thinking that comes with high blood sugars, as well as the anxious, jittery feelings that come with low ones.

As it would turn out, the science behind our brain function tells a more concerning story. When there is not an adequate amount of glucose available to the brain, communication between neurons break down and the proper signaling through neurotransmitters are not sent. Without that communication, your total cognitive function falls and you can no longer remember concepts you committed to memory or solve problems you would normally figure out.

Diving further, studies have used Magnetic Resonance Imaging (MRI) to see specifically the areas of the brain where neuronal firing is impacted by hypoglycemia, and three specific deficiencies were found1,3:

  • Autonomic Activation: the part of the nervous system responsible for control of the bodily functions not consciously directed, such as breathing, the heartbeat, and digestive processes
  • Hypothalamic Function: which controls body temperature, hunger, personality, thirst, fatigue and circadian rhythms
  • Cortical Function: The ability to control body movements, feel sensations, as well as responding to reaction time.

So it’s easy to say that we aren’t ourselves when these effects take place, and the effects of our low blood sugars greatly impact our ability to function when just at a moderately low blood glucose level. There’s of course the risk of coma if it ever were to drop to a level too severe.

On the other side, stuffing our faces with too many carbs and becoming hyperglycemic is, of course, not the answer either.

Excess glucose consumption by our brains can lead to their own memory and cognitive deficiencies.

High blood glucose levels can actually lead to brain atrophy, or shrinking, over a long period of time. As for the blood vessels supplying nutrients to the brain? They can become atherosclerotic, or thickened to where blood flow is severely restricted.

So how can we avoid these horrible outcomes, but still stay up late and get our work done?

It starts with thinking of our brains as we do the muscles in our body. We need our blood sugars to maintain a level high enough to not drop into dangerous zones but not so high as to lead to cloudy and impaired thinking.

As with anything specific to diabetes and your body’s reaction, you should speak with your physician before making any drastic changes to your regimen, but what we hope to offer you here is a few helpful tips to consider:

Lower Basals: Pump users should experiment with slightly lower basal rates for long nights of study or work. For me, lowering my basal settings by about 15-20% for the duration of my extended study time past 11 PM has been especially helpful in avoiding nighttime lows when I am working late.

Snack Smart: “Brain Food” is a necessity to staying awake and focused on the tasks ahead. The dangers arise when you indulge on high carb or glucose concentrated foods. If you snack like I do, it’s not so much one meal and nothing in between, but rather a slow sampling of a variety of foods over a period of time. Continually bolusing insulin over and over again will lead to insulin-stacking, where a lot of insulin will seemingly hit your body all at once and cause your blood sugar levels to plummet at a time much later than you anticipated. Try high-protein and natural fatty foods, which will slow release and lessen your need for high bolus amounts at one time.

Remember Caffeine: When you’re staying up late, you’re often looking for energy from a source coming from a cup, can, or otherwise. Remember that caffeine not only affects your ability to stay awake, but also significantly increases your body’s metabolism. Ordinarily, your body’s metabolism is low at night, so be wary of how your body’s normal glucose ranges may be affected by the shift in inner processing brought to you courtesy of all the caffeine you intake in order to stay awake.

Diabetes complicates social activities, exercise, recreation, and just about every aspect of our lives. Working late into the night is just another aspect for which we need to account. But, same as all other things, with a little forethought, we can avoid the nasty complications that come with uncontrolled blood glucoses that may stand in the way of all that we set out to accomplish.

So Think Ahead, Work Hard, and Carry On!


References:

  1. Cryer, Philip E. “Hypoglycemia, Functional Brain Failure, and Brain Death.”Journal of Clinical Investigation117.4 (2007): 868–870. PMC. Web. 14 May 2017.
  2. Edwards, Scott. “Sugar on the Brain”. On the Brain: The Harvard Mahoney Neuroscience Institute Letter. Havard school of Medicine. http://neuro.hms.harvard.edu/harvard-mahoney-neuroscience-institute/brain-newsletter/and-brain-series/sugar-and-brain. 2017

3. Rosenthal, J. Miranda; Amiel, Stephanie A.; Yágüez, Lidia; Bullmore, Edward; Hopkins, David; Evans, Mark; Pernet, Andrew; Reid, Helen; Giampietro, Vincent; Andrew, Chris M.; Suckling, John; Simmons, Andrew; Williams, Stephen C.R.; Diabetes. American Diabetes Association, 2001 Jul; 50(7): 1618-1626. https://doi.org/10.2337/diabetes.50.7.1618

“Going Low” An Athlete’s Perspective

It’s the reason you keep juice in the refrigerator, a Gatorade in your gym bag, and candy in your girlfriend’s purse. “Going low” can be described as that strange, empty feeling pitted in the center of your core that leaves you anxious, irritable, and even worse, sweaty.

‘Hypoglycemia’ is simply defined as the condition in which your concentration of blood glucose is lower than normal. For most diabetics, we start to experience symptoms somewhere in the 70’s or lower (mg/dl). While this condition can be experienced for a multitude of reasons, every diabetic is well aware that they are especially at risk during exercise.

For athletes, the fear is not so much worrying about the hazards of going too low. We all know the consequences: if left untreated, low blood sugars can lead to seizures or coma. But while it may sound illogical, incomprehensible, and fairly reckless to non-athletes, these serious dangers associated with our blood sugar dipping too low are not usually our main concerns.

The diabetic athlete just hates being told “No.” It is the desire to avoid sitting out of an activity that usually motivates us to stay above normal blood glucose ranges.

We don’t want to have to stop exercising.

We don’t want to sit out of practice.

And we certainly don’t want to distance ourselves any further from our friends and teammates.

The diabetic take on FOMO (“Fear of Missing Out”) creates an unintended consequence: diabetic athletes often overcompensate with high blood sugars.

In the ultimate case of shortsightedness, we sometimes take the immediate benefits while disregarding long term detriments we tax onto our bodies. I know for sure that if I trend a little higher than I should, I may not feel awesome, but I certainly won’t have to sit out. It was this careless thinking that led to me walking around with an A1C pushing double digits for a stretch in my high school football days. My brash justification for carrying sky-high blood sugar levels was that my team couldn’t possibly afford to have me sitting out for any extended period of time. I completely ignored any long-term effects I was causing myself, let alone the extremely clouded judgment and sensation of nausea I experienced when I was on the field.

Thankfully, I eventually saw the error in my ways. While maintaining a blood sugar level in the 200’s did indeed keep from me from going too low, I was sluggish, disoriented, and often a liability to my teammates. I came to realize that playing sports at a blood sugar level only slightly above my normal resting range actually provided me with more energy and allowed me to perform at my full potential. Meticulous preparation and consistent glucose level testing in order to remain in the proper range instantly became preferable to dumping high amounts of sugar into my body before game time and simply hoping for the best.

As diabetics, we have to resist the temptation of immediate security and trust ourselves to find solutions more beneficial to our bodies in the long run. I challenge each one of us to continue to explore the blood glucose levels in which we feel comfortable exercising. Obviously it is imperative that you exercise extreme caution, as there will undoubtedly be challenges along the way in the form of going too low. But in my experience, it was when I truly challenged the lower end of my higher “exercise BG range” that I overcame a lot of my fears about “going low” and ultimately flourished. I found a new range where I experienced a ton of energy, a clear mind, and a higher conditioning level. While you definitely want to exercise at a blood glucose level above your normal, resting level, the key is to find a level that’s not too high.

Through Lyfebulb, consulting with your doctors, and your own safe experimentation, you have the ability to work out and keep up with (or surpass) the insulin producing, non-diabetic athletes in the world. All it takes is patience, persistence, and dedication to the cause.

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