fbpx

Wearing a Diabetes Medical ID On-The-Go!

Medical ID Bracelets

Living life on-the-go can be fun and busy, however, doing so with a chronic illness requires a few extra steps and planning along the way.

 

Hi, my name is David and I have been living with Type 1 Diabetes for 10 years now. I was diagnosed at the age of 11 and let me tell you… I have been through a lot. In living with this disease, I have been able to experience so much and learn from my mistakes. In doing so, I have come to realize that as a diabetic, I am one of those who should wear a medical ID and why it’s important for all life’s experiences.

For years on end, I never wore a medical ID bracelet. I could never find a bracelet that I simply liked or wanted to wear daily. When I became a part of the Diabetic Online Community (DOC) back in 2014, I was exposed to several different people who shared the same struggle. I also saw a variety of amazing brands and companies who understand this struggle and have found ways to make ID bracelets, dog tags, necklaces, and more so much nicer and pleasing to the eye and the patient. I own several different medical ID bracelets, I think when one finds their style with Diabetes, it’s always nice to have options and create your own look, which is why owning multiple forms of emergency ID that go with different looks is a great idea!

I have mentioned several times on my Instagram, @type1livabetic, that when wearing my personalized Paracord bracelet from American Medical ID, I felt so very safe. I felt as though if anything Diabetes related could go wrong, I would be prepared. On my engraved bracelet, my name, condition, and emergency contact information were all located on a small piece of metal, attached to the Paracord bracelet. At a recent trip to Disneyland with a large group of people who also had Type 1 Diabetes that could vouch for me if there were to be an emergency, I still encountered times in which I was alone at the park (walking to and from my car, walking to meet the attendees, or simply stepping to the side to grab a snack), rest assured, I was confident with my Diabetes at the time.

So why is it so important to wear a form of medical alert jewelry for Diabetes? Well, not to get too dark or technical, however, the fact remains that we do have Type 1 Diabetes that does come with some symptoms and consequences. If our blood sugar drops significantly low, we could pass out and become unconscious or go into a coma. Same with high blood sugar, if we are severely high and go into DKA, we could in fact experience some symptoms that could limit our ability to function, which can prevent us from acting in the moment to get help. Say you were in public, alone, and you experienced one of these symptoms, if you were wearing a medical ID, someone nearby would mostly likely come to check for various hints or signs on you if something doesn’t look entirely right and search for an alert jewelry in particular sites on the body: wrists, around the neck, tattoos, etc.

In being diagnosed with any chronic disease and being told you have to take extra care of yourself can be a lot, however, allowing yourself some relief by wearing a form of ID can truly reduce a lot of the stress surrounded by various diseases. One should never leave the house without some form of ID as you never know when these emergencies could happen.

American Medical ID Healthy Packing List

The CDC includes having a form of medical identification such as alert bracelets, necklaces, or wallet cards as part of a healthy travel packing list.

I believe that some may also feel safe in knowing that they have a medical ID card in their wallet as well, for added peace of mind. One should also wear a form of ID at home, just in case. For those who live alone, I understand that it may feel as though you are not in need of wearing an ID at home as you will be alone, but that could just be the very tool that can keep you alive, say you have an emergency, it could be that neighbor walking by and seeing something isn’t right that could barge in and save your life and being able to identify you have a particular medical condition that needs attention.

We each have our own busy lives that takes up so much time and mental focus away from our health, which is why wearing medical alert jewelry can protect us as we are on the move, daily. School, work, the playground, a coffeeshop, wherever you may be, ID is necessary. No matter how old the patient is, whether a child, teen, adult, or elder, wearing a medical ID all the time can protect us from the dangers of our diseases and more.

 

Live well,

David

Real Talk with Dave: Trusting Your Gut

When first diagnosed with Type 1 Diabetes, we are told how we will feel. Doctors and nurses come in and tell us what we may experience when we are faced with a low or a high blood sugar, but that’s about it. Mind you most of these medical professionals are NOT Diabetic, which means that they don’t truly know what Diabetes “feels” like. Not only are we not able to fully know what symptoms of T1D feel like until we experience them on our own, but we are never actually mentally prepared for how life is going to feel like from now on, from the good times, to the not so good moments. How we know how Diabetes is exactly like is by simply living with it and experiencing all the possible situations on our own time.

For example, in the hospital, a doctor would typically educate you on low and high symptoms (shakiness, headache, fast heartbeat, etc.), but that doctor doesn’t actually know what it genuinely feels like. When we are faced with our first low blood sugar as a Type 1 Diabetic, it can be a real shocker in the sense that we are not expecting it to feel the way it actually does.

I can remember my very first low when I was essentially “on my own”. I had just gone back to school (6th grade) two weeks after being diagnosed and hadn’t fully understood how important carbohydrates were when on Insulin. I went to lunch that day and didn’t like the bread on the sandwich I was eating, so I decided to not eat the bread and eat the protein inside the sandwich instead, as I thought I was being healthy. Of course, shortly after lunch and having not eaten the carbs I took Insulin for, I had a very bad low. The sweats, shaking, and fast heart beat were so prominent in that low of mine and I needed a friend to walk me to the nurse’s office, where I was given some apple juice to quickly bring my sugar levels back up. Scary, I know, but that was necessary as I then learned why this happened and how to prevent it from happening again.

Trusting your gut is key in living with T1D. You may have just checked your blood sugar minutes before and had a good number. Minutes later, you feel a bit funny but don’t think you could have gone low (or high) in such a short amount of time, but then, you do. You listen to your gut and trust your feelings and, you guessed it, a low. Had you not trusted your own gut, you could have been in for a really bad experience. This can happen in a variety of different situations as a Type 1 Diabetic. You can feel low symptoms when you are actually just fine. You can feel as though your blood sugar is high, when actually, you’re low. Knowing your body and how you feel when certain situations arise can be the thing that saves your life.

Nowadays, we have Continuous Glucose Monitors (CGMs) that tell us what our blood sugars are and where they’re headed, which can give us peace of mind as we go about our day, but can also create anxiety as we can see when we may be going severely low or high at a bad time (work, school, meetings, etc.). Though we can see our blood sugar readings being updated every few minutes, we should not rely on the level of accuracy 100% of the time. Often times, the readings on our CGMs can be way off. That is why we must trust our gut and know our bodies. Every now and then, I may find my CGM readings to be about 100 points off of what my actual blood sugar is, which is extremely dangerous. That just comes to show, always be the one in control of your body and your feelings. You can only depend on yourself to determine how you are truly feeling, and when you do, there is a level of peace in knowing that you were able to catch a bad Diabetic feeling before it caused an emergency.

 So always remember, YOU are in control of how you feel. Not your CGM, not your Doctor, but you.

Live well,

 

Dave

Real Talk with Dave: It’s a Spooky Time for Spooky Blood Sugars!

It’s finally fall and most people are especially excited that October is here, which means Halloween time is present! Everywhere you go, there are Halloween themed decorations and pumpkin spice latte creations, making everyone excited for the holidays and the exciting festivities that come with them. Many people get into the spirit of Halloween, the costumes, the candy, and the fun times with friends, however, being a Type 1 Diabetic comes with just a few extra things to plan and prepare for.

I think it’s safe to say that us Diabetics work hard each day, so the one night where candy is the star of the show, I believe it is okay to enjoy some Halloween treats in moderation.

Planning ahead is key as you begin to make arrangements for Halloween.

I get it, Diabetes is not fun, it can be scary and have it’s ups and downs, however, it shouldn’t stop you from celebrating a fun holiday! For example, most Diabetics try and avoid unnecessary sugar throughout their day and watch out for things that can complicate their lives in terms of their blood sugar levels, BUT, if you plan on walking from door to door on the night of Halloween, you will be getting in some exercise, which may potentially drop your blood glucose levels, so go ahead and enjoy a piece of candy or two (and some insulin, of course). Don’t over do it though, because you don’t want to come back home that night or shorten your trick-or-treat experience due to severe high sugar levels and a stomach ache. That’s why, in moderation, eating a few pieces of candy throughout the night and finishing the rest of it over the course of the next few days is a better alternative in managing your numbers. Halloween is a fun-filled holiday where people go out dressed as their favorite characters and hang out with friends, eating candy all night, and T1D should not limit that, just be responsible in your choices as you decide how much candy to eat and when.

As you go from door to door, it wouldn’t hurt to have a backpack or purse with you that has all your emergency medical supplies, your blood glucometer, and some extra insulin, because you never know what could happen and not being at home with access to these supplies can be dangerous, so always prepare for the worst, just like you would at school, work, or on a vacation. Also, make sure you are walking with a group of people who know of your Diabetes and limitations, as in certain situations, them knowing can potentially save your life, say if you were to go severely low or high that night.

Always surround yourself with a trusted group or people (or at least one person) who is willing to help you out in any way possible if needed.

As for carb counting and sugar contents, most Halloween candies are familiar and of common brand names, so just be sure to check the nutrition facts on the back of the wrapper or do a quick google search on your phone for nutrition facts on the candy of your choice, this way, you can effectively and safely give yourself the right dose of Insulin needed for what you choose to eat!

In terms of costumes (that’s right, I’m discussing costumes), if you are unsure of where you may place your Insulin pump or carry your Continuous Glucose Monitor (CGM) if your costume is a little out of the ordinary and has no waistline or belt clip, you can always wear a strap, band, or garter underneath your costume, which provides a place to clip and secure your devices, and don’t be afraid to show off that beautiful site of yours! You can even decorate your sites for the occasion or to match your costume if you’d like!

            So don’t stress the holidays, take part in all the activities your heart desires (within reason, of course), and enjoy this life you were given! T1D has nothing on you.

Enjoy some Halloween candy responsibly, because yes, even Diabetics CAN eat candy! With smart choices and planning ahead, you can do the holidays, life, and just about anything you would have done had you not had T1D!

Live well,

Dave

Bittersweet Chocolate Cake

Still thinking about what to contribute to tomorrow’s Thanksgiving feast? We’ve got you covered with Le Colonial‘s Bittersweet Chocolate Cake. This is the perfect amount of sweet at the end of a filling, savory meal. Just make sure you leave some space! ‘Tis the season to indulge (a little) after all.
We’ve got a week left of National Diabetes Awareness Month- which means you still have time to drop by both Le Colonial and Brasserie Ruhlmann to check out our curated and healthy prix-fixe menu, perfect for when you’re tired of cooking and over of all of the Thanksgiving leftovers.
unspecified-1
Bittersweet Chocolate Cake
INGREDIENTS:
  • 6 tablespoons stick butter or margarine
  • 4 ounces dark chocolate (61%)
  • 1/3 cup fat-free milk
  • 1/3 cup sugar-free apricot preserves or apricot spreadable fruit
  • 2 teaspoons instant coffee crystals
  • 1 egg yolk
  • 1 teaspoon vanilla
  • 1-1/2 cups Equal Spoonful or Granulated*
  • 3 egg whites
  • 1/8 teaspoon cream of tartar
  • 1/4 cup all-purpose flour
  • 1/8 teaspoon salt
  • 2 oz of Frangelico liqueur * May substitute 36 packets Equal sweetener
INSTRUCTIONS:
  1. For Torte, heat 6 tablespoons butter, 4 ounces dark chocolate, milk, preserves and coffee crystals in small saucepan, whisking frequently until chocolate is almost melted.
  2. Remove pan from heat; continue whisking until chocolate is melted and mixture is smooth.
  3. Whisk in egg yolk and vanilla.
  4. Add Equal and Frangelico, whisking until smooth.
  5. Lightly grease bottom of an 8-inch round cake pan and line with parchment or waxed paper.
  6. Beat egg whites and cream of tartar to stiff peaks in large bowl.
  7. Fold chocolate mixture into egg whites; fold in combined flour and salt.
  8. Pour cake batter into pan.
  9. Bake in preheated 350 F oven 20 to 25 minutes or until wooden pick inserted in center comes out clean. Do not over bake.
  10. Carefully loosen side of cake from pan with small sharp knife, which will keep cake from cracking as it cools.
  11. Cool cake completely in pan on wire rack. Cover and refrigerate 1 to 2 hours or until chilled.
  12. Remove cake from pan and place on serving plate.
  13. Garnish top of cake with dollop of crème fraiche, fresh raspberries and fresh mint, if desired.
  14. Cut cake into wedges.

ENJOY!

Panna Cotta

This delicious Panna Cotta recipe comes from our collaboration with Brasserie Ruhlmann for National Diabetes Awareness Month. Try making it for your friends and family this holiday season!

Don’t forget you still have time to enjoy our curated prix-fixe menus at both Brasserie Ruhlmann and Le Colonial until November 30th! Part of the proceeds will go towards raising awareness of how it is to live with diabetes and how to prevent the disease.

unnamed

Panna Cotta (Serves 6)

INGREDIENTS:
  • ¾ cup milk
  • 1 vanilla bean, split
  • 1/3 cup + 2 tablespoons sugar
  • 1 cup + 2 tablespoons heavy cream
  • 1 cup + 2 tablespoons
  • Vermont Butter & Cheese
  • Crème fraiche
  • ¼ cup + 2 tablespoons buttermilk
  • 3 gelatin sheets
INSTRUCTIONS:
  1. In a small saucepan set over medium-high heat brings the milk, scraped vanilla bean and sugar to a boil.
  2. Remove from heat and add the gelatin sheets, buttermilk and the heavy cream.
  3. Using a fine sieve strain mixture into a clean mixing bowl.
  4. Carefully fold in the crème fraiche into the milk and sugar mixture.
  5. Pour into six 4-ounce ramekins and refrigerate for a minimum of 4 hours before serving.
TO SERVE:
Served cold, top the Panna Cotta with fresh seasonal fruit
ENJOY!

Perfect Appetizer Platter

img_3944Fall is here and with that come countless Sundays watching football and hosting friends.  What do you do when it becomes too cold to grill outside?  Instead of ordering carb-heavy pizza or sugary chicken wings, try this delicious, protein-rich and diabetic friendly appetizer platter!  It is inspired by ingredients that are common in Sweden that remind us of home.  It will not cause any blood sugar spikes, but is not only good for diabetics, but for anyone trying to maintain a well-balanced and healthy diet.

The hard-boiled eggs, smoked salmon, ham, and fish roe are excellent sources of protein, avocados have great health benefits as well, and are jam-packed with healthy fats, while tomatoes are rich with beneficial nutrients, antioxidants, and vitamins.

All you need is the following:

  • Hard-boiled eggs sliced in halves
  • Avocados sliced lengthwise into bite-sized pieces
  • Smoked salmon pieces rolled and secured with toothpicks
  • Prosciutto or ham rolled and secured with toothpicks
  • Fish roe
  • Tomatoes sliced in quarters
  • Lemon
  • Parsley

Place the ingredients on your favorite serving platter, drizzle with lemon, and finish off with some parsley.  Serve with some whole wheat crackers and voila!

This recipe is easy to prepare and requires no actual cooking, apart from boiling a few eggs ?

The Power of Human Resilience: Quelqu’un m’a dit

I just listened to a song by Carla Bruni and it triggered many feelings that have nothing to do with the woman singing, the music, or the lyrics.

It triggered feelings of nostalgia for a time period of my life when things seemed to just get worse by the week, while I for the first time in my life, experienced the beautiful spring and summer time in Stockholm with no tennis matches, exams or business meetings.

In April 2007 I was on a business trip to the us while I was living in Sweden working in venture capital. I stopped by my parents house in Westport Connecticut on my way back to Stockholm but did not feel well. My feet were strangely swollen and when I arrived to the airport in New Jersey, I could not fit into my shoes. I had a terrible flight back to Europe and when I got to my apt in Stockholm I realized something was very wrong. My blood sugar was unmeasurable (indicated HIGH) despite having given myself insulin in a timely manner.

Back home I realized the insulin pen I had been using had not been dosing properly but had broken and thus no insulin had been injected for the past 24 hours or more.

I was now so tired and weak that I simply dosed myself with a new pen, put a bottle of water next to my bed and dosed off. When I woke up my sugar had become measurable but at the highest level of the machine I was using. As a doctor and a long term patient with type 1 diabetes I understood that I had been in keto acidosis and very close to going into coma.

The following morning I went to work but my state was still very weakened and I was in cold sweat all morning- so bad that I went to see my doctor acutely, who took my labs.

My hemoglobin was 6, meaning I was severely anemic and I was immediately ordered a blood transfusion which was administered by a childhood friend who was a nurse in the hematology department and she was the first one who noticed my blood pressure was 220/180!

The doctors were very concerned and immediately ordered a whole range of tests, from bone marrow biopsies to complex blood cell analysis since they thought I may have cancer of my blood.

My parents back in the US were very concerned and the next thing I knew, my mother was on a plane to Sweden to help me, which made me livid since I wanted no help and definitely not for my mother to move in with me. I could not stop her despite yelling on the phone and telling my father he didn’t care about me anyway (!).

It was my mother who pointed out the fact that my feet may be swollen due to my kidneys, not some disease of my blood. She asked me to test my urine with these urine sticks all diabetics are supposed to have at home, measuring glucose, ketones and importantly protein. Low and behold, the protein in my urine was at the highest measurable level and my mother and I went to the emergency room that evening.

At the ER my blood pressure was still 220/180 and the more exact measurement of my urine was showing macro proteinuria meaning the amount of protein leaking out through my kidneys were significant indicating severe kidney damage.

Now two weeks of exams as an in patient followed and after every single possible expert had had his or her say, a very wise older doctor said “you have kidney damage from poorly controlled diabetes, nothing more complex than that”.
After this diagnosis I was put on multiple drugs to halt and possibly reverse the nephropathy and told to manage my sugar very aggressively. My blood pressure was still elevated and my electrolytes poorly regulated and I was leaking protein through my kidneys.

For the first time over the 18 years since my diagnosis of type 1 diabetes I was affected by the disease in a severe and very concerning way. I went back to work after my stay in the hospital but a week later, when trying to read the paper in the morning, my vision was so blurred I called my retinal specialist for an appointment to examine my eyes. Kidney damage and eye disease often go hand in hand as complications of diabetes and I was very worried when I sat in the waiting room that same afternoon.

I was diagnosed with macula edema and severe, proliferative diabetic retinopathy that needed aggressive laser treatment to save my vision.
Now followed a period of laser treatments several times a week, on both eyes, each time rendering me blind for a few hours afterwards. My sister who lives in Barcelona came to see me, and came with me to one session and I could hear her crying when I was sitting in the chair while being “shot in the eye” with the laser gun.

My friends were concerned and my partners at the fund were worried. I kept going to work and even those times after the laser I would come back to the office in an almost pathetic way of trying to seem normal.
Before this period of physical decline, no one except my family knew I was diabetic, so it was naturally a shock for many to see me this way.

I continued with the blood transfusions regularly, tried to keep diligent blood sugar control although my sugars kept being volatile and treated my high blood pressure with the highest doses of multiple drugs to lower it. My whole system was disturbed and I was very nervous and stressed which did not help my recovery. I was told that I was a “walking stroke risk”, due to my blood pressure and was asked to avoid strenuous exercise and to try to “slow down”.

Finally, a wise friend of mine made me take serious time off. It was now the middle of June, and I asked to be off for the summer, which in Sweden is a time when people take between 4-6 weeks of holiday anyway. I tried to learn how to play golf, spent time with friends, ate healthy and watched an incredible amount of movies and caught up on TV shows. My future was uncertain but a plan was beginning to take shape in that I knew I had to get more directly involved in articulating the voice of patients and fighting for the acceptance of patients “at the table of decision-making” going forward.

It is now 9 years later, a new kidney, new pancreas and a pacemaker have been transplanted and implanted into my body, but I am back in shape and I am running a company, Lyfebulb, that intends to connect, inspire and impact people living with chronic disease.

I do not have to take insulin any longer thanks to the pancreas, and my blood pressure is stabilized and my new kidney manages well to take care of electrolytes and hemoglobin levels.

I will never forget that spring of 2007, but I have tried to avoid thinking about it since it was probably the worst time of my life to date. Thanks to my parents, sisters, my friends and colleagues and of course the doctors and nurses who treated me, I am alive and prospering. I hope no one ever has to go through what I went through that year, but memories from that time are beginning to trigger feelings of nostalgia instead of despair and I take that as a positive and a sign of human survival instincts.

What to Pack as a Diabetic

blog_travel_checklist-1

Maybe you’re planning a trip soon and would love a travel checklist for diabetes?

(I made you a travel checklist for diabetes below, make sure to check it out!)

What is necessary to bring along on a long trip with diabetes?

Sometimes I feel like diabetes just has its own luggage to bring along, physically as well as emotionally.

The emotional luggage we’ll have to discuss another time, because this time I want to talk about the physical luggage Diabetes brings along. Especially when traveling.

As if packing for a trip isn’t stressful enough (“what shoes should I bring?”, “does this dress go with that jacket?”, “what make up should I bring?” and “WILL IT ALL FIT IN MY BAG?!” – you get the point…), as an added bonus, you also have to haul around on all the stuff that you need for diabetes to keep in line.

I always bring all my supplies in my carry on bag when I fly. That way it’s harder to lose it, and the insulin stays at the right temperature throughout my trip.

The size of said carry-on bag has changed, though, in favor of trying to save my shoulder from falling off from carrying all the heavy stuff. Now I bring along a small, cabin sized wheelie bag where I have all my supplies, from insulin, to pumps, to test strips, to hypo treatment.

I also deposit a few things in my traveling buddy’s, usually my husband’s, bag. At least that way, if I lose my carry on, I’m not completely stranded in terms of diabetes. He has an extra blood sugar meter and test strips, and insulin with emergency-syringes. And glucose tabs. One can never have enough of those.

While I make sure to bring along most things on my travel checklist for diabetes, I don’t always bring everything.

Like ketone sticks, for example. I don’t usually bring those, unless I’m traveling somewhere really remote with no pharmacy within the next hour or so of driving. I figure that I can buy them pretty much anywhere I go.

On the other hand, insulin and BG test strips can get really darn expensive, not to mention inaccessible without a prescription, unless you prepare properly and take enough with you for your whole trip. “Enough” here means way too much, by the way. You never know what might happen, so it’s better to be prepared for most things that may happen.

Food

And, pretty please, get organized and bring your own snacks. Food on the road is generally beyond terrible, and like that you know you can at least eat something. I bring things like nuts and dried meat and other cutleryless foods on the plane, whilst in a car or on the train you can get a little more creative. This time around I’m going to make low carb pancakes and wrap them up in foil to bring along on my long flight, as I know from experience that food on flights is never good.

Another note regarding food, please don’t get fooled by the “need” to snack, which is most commonly masking the fact that you’re bored out of your brain.

Water

Traveling by plane is like sitting in the middle of the desert, although maybe not quite as warm. It’s dehydrating like nobody’s business! Being hydrated can really be one of the keys to better diabetes management, so please do us both a favor and DRINK A LOT OF WATER! (and skip the booze up in the air, but that one is evident, right?)

Security

Getting through airport security can be a lot easier than it’s made up to be. This is of course assuming that you don’t meet an a-hole security agent.

In my 30 years of living with diabetes, having traveled to many different parts of the world (although I have MUCH left to see and visit!), I’ve been stopped exactly twice at security. Once for my test stripes (what, you didn’t mind the syringe full of potentially very deadly stuff in my bag? Ok, then.) And once because my pump set the alarm off. In both cases it was easy to explain, and I didn’t even have to show my medical certificate. Security agents see so many diabetes supplies on a daily basis; they’re barely phased by them anymore. At least within Europe.

Now, I’ve heard that US TSA agents can be a little trickier to handle. For example, they have no problem jeopardizing your super expensive medical equipment and tell you to go through the full body scanner wearing your insulin pump, for example. I would insist on the pat down, not risking any breakages or malfunctions. This of course means that it might take a little longer for you to get through, but it’s worth it, and as long as you know about it, you can plan for it.

The bottom line is, as long as you’re nice and cooperative (enough) to them, they’ll usually treat you with the same respect.

Anyway, let’s check out the goodie in this blog post, my Travel Checklist for Diabetes.

These are the absolute essentials that you need to bring with you (or at least consider bringing with you). If you think “I’ve never needed that before”, you should probably take it along anyway, as traveling can make your body do some funky stuff.

Travel checklist

  • Enough insulin to cover the days you’re gone (this should be a no brainer!) Make sure you bring both basal and bolus insulin, even if you’re using an insulin pump. You just never know…
  • Blood glucose meter & enough test strips, extra batteries (it might even be good to bring an extra BG meter.)
  • CGM sensors
  • Keto sticks (As I said, I don’t always bring them)
  • Glucose tabs (or whatever you use to treat a hypo)  (Bring too much of this, you never know what your body think of your new location.)
  • (See above)
  • Glucagon Kit (most airlines don’t have these on board their planes. Better be safe than sorry!)
  • Alcohol wipes (these are great, not just for setting infusion sets and cleaning fingers, but also for wiping surfaces like tables, handles or cutlery that seems unclean.)
  • Other prescription medication and supplements you may be taking (easy one to forget, trust me. I’ve done it before.)
  • If you’re going somewhere really warm (lucky you!), bring something like the FRIO bag to keep your insulin in. (http://www.frioinsulincoolingcase.com)
  • Medical Certificate (This can save you at security checks!)
  • Diabetes ID (If you’re found unconscious somewhere, I’m sure you’d prefer that the EMTs knows what you’ve got.)
  • If you’re going somewhere remote, bring a glucagon set. (Again, you never know.)
  • Your BG diary, if you use one. (Otherwise there’s some great apps for that, for example www.glucosebuddy.com or mysugr.com)
  • Address and telephone number of your doctor’s office.

If you are on injections, also bring:

  • Insulin pens, plus back ups
  • Pen needles

If you’re on a pump, also bring:

  • Your pump, as well as possibly getting a back-up pump. (This can be ordered from your pump manufacturer.)
  • Batteries/Power adapter
  • Cartridges (if your pump uses those)
  • Infusion sets, or just enough of patch pumps
  • Syringes/pen for emergencies
  • Basal insulin for emergencies

If you’re planning a pumpcation (vacation without your pump):

  • Your action plan, that you’ve talked to your med-team about
  • Pens and needles
  • Basal and bolus insulin

It’s better to take too much than too little!

I’ve made a pretty print out of this list that you can print out and tick off the boxes as you put the items into your bag.

This blog was originally published on Hanna’s website at http://hannaboethius.com/2015/05/travel-checklist-for-diabetes/.

Breakfast for a former diabetic who still eats low carb meals

avocado-toast

  • Boil water – make tea, and add milk
  • Pour water in glass, add vitamin c effervescent tablet
  • Toast one slice of multigrain bread
  • Mash up 1/2 avocado (ripe) and add some sea salt
  • Smear avocado on toast
  • Divide toast in two triangles
  • Slice one hard boiled egg and place slices on avocado toast
  • Season with sea salt and add olive oil on top

Enjoy!

Diabetic Divaa

My names Alishia Mancinelli. I am a Type 1 diabetic. I have had this chronic disease since the age of 4. I’ve been living with this for 23 years, I’ll be 28 in August. September of 1992 was when I was diagnosed and ever since then life was a much more challenging experience but I been getting through it.

I am an older sister of 7 and unfortunately I was the only one who was given this disease. During school I still did things children did but I couldn’t eat my candy after trick or treating, or beg my parents for a dollar to get ice cream from the ice cream man. So it took some getting used to as a child and eventually was easier. Once my teenage years hit was when life started to become a little more difficult. I started drinking and then getting sick to the point where I would wind up in the hospital. I would go through times where if I didn’t take my insulin and thought that if I ignored my diabetes it would miraculously go away, well that didn’t help either. So I struggled with this vicious cycle of hospital visits, family fighting and me being extremely unhealthy. This went on for a few years and finally I moved in with my Father, where I was given the comfort in checking my sugar levels every time before meals or if I was sick more frequently. From there I had then visited doctors more often and improved my health tremendously! My A1c was a 14.1 and within the past 3 years of proper control I’m now at a 7.1. Still work for improvement but it’s nothing like what it used to be like. With insurance issues being on a CGM is something my father and I plan to pay out of pocket for, but will get me a little bit closer to improving my glucose control. The money is and will be worth it.

I am on an insulin pump and it helps me because when I get the urge to binge on junk food I have a little leniency. However, there are a few things that we struggle to overcome but we don’t back down, I am a diabetic who doesn’t know when her sugars are low because my body doesn’t react to them properly. So what happens is I get mood swings or start to act funny, my boyfriend is attached to my hip he has to calm me down and check my sugar. He is always on the ball with catching my lows but there are times when it gets too late and I start seizing and an ambulance needs to be called. This is called unaware hypoglycemia. It’s very scary because when it happens and I am unaware of it, and I wake up in the trauma room or just in a hospital bed with no memory of what happened.

Then there’s the opposite I get with high sugars. As soon as my sugar level hits anything over 300 my body feels it and I again get moody and I’m nauseous, but I’m alert and aware of everything going on, I’m just in pain and discomfort. With every step of the way I can say without my boyfriend I don’t think I would have as much of a push. He makes it like there’s nothing wrong with me and what I go through is nothing out of the ordinary. He has learned over the few years of being together what it is to treat a diabetic in any way! He is a full time college student and full time Doctor. We have our difficult times with my diabetes and it causes us to fight, but we know we love each other so we get past it and yes it’s scary but I have an amazing support team which includes not only my boyfriend, father, but my doctors as well.

Although the years of not taking care of myself to caring for myself now upset me, I take my feelings and turn them into strength. I use that strength to keep myself going and wanting to make myself better. My future involves nothing more than to become an amazing wife and awesome mother! With that being my future I will not let this diabetes get what’s best of me and live the future I see myself living!

I have an Instagram account and follow diabetics and put things about diabetes on there; I can be found on Instagram @diabeticdivaa

A Perfect Snack Plate for a Diabetic

hannacl

This is a snack plate for two, filled with cold cuts, fresh vegetables, cheese and home made guacamole.  These foods have minimal to little impact on my blood sugar.  They are also delicious and filling.  With the summer officially upon us, this is a great alternative to many non-diabetic friendly BBQ foods!

Hanna is a coach, writer and speaker, who loves diabetes topics that are off of the beaten track. She’s passionate to find motivational and inspiring ways to bring about a change in diabetes management.

Over the years, Hanna has coached numerous people, including herself. She has a profound understanding of how things like nutrition and lifestyle choices can balance diabetes.

Hanna is an expert in pinpointing what each individual needs in order to thrive with and despite diabetes. She has over 30 years of first hand experience with type 1 diabetes, as well as that of her many clients.

http://hannaboethius.com/

 

Interests - Select all that apply