A Rough Patch

I’ve been going through a bit of a rough patch with my diabetes lately.

I’ve been using an insulin pump for six weeks now. I am loving it, and I do genuinely feel a greater sense of control compared to what I did on Multiple Daily Injections. I feel that I am putting far more effort into my diabetes than I did towards the end of my reign on injections, which is a good thing. I feel motivated to put that effort in, because that effort does produce both results and less stress.

Yet at the same time, the insulin pump has been one of the greatest challenges I have faced in the course of managing my diabetes. There are an endless number of variables I can program for with the pump. Fine tuning the pump settings has taken a great deal of time and incredible patience. With a job that entails physical activity, this workload is essentially doubled. As I’ve somewhat come round full circle in fine tuning my pump settings, I am finding that my basal insulin requirements need to be lowered further. I’m needing to go round the clock again with basal testing (urgh).

The occlusion I wrote about yesterday was the last straw. It set off a rollercoaster of emotions. Sadness, failure, anger and frustration. I’ve been snappy. I’ve been quiet. I felt very tempted to rip out the pump and take a break last weekend. The words fucking diabetes have often been on my breath. I’ve even wished my diabetes away, something I can honestly say rarely happens. Opting out of renovation work last weekend was a tough, but necessary call so that I could have some time alone.

My diabetes educator recently reminded me that sometimes we need to take a step back from diabetes. Not literally, of course. I guess more like trying to put it to the back of my mind, and bringing some of the non diabetes stuff to the forefront.

For me, a big part of dealing with this burnout has been taking a step away from social media. I’ve really just needed a break from reading and engaging myself in the the constant conversations about diabetes online. I’ve pulled out a book, and started reading again. I even finished it. (If you know me, you will know how much of an achievement this is). I made dinner on Thursday night. I’ve focussed my attention finding some different stuff to snack on. I’ve also been ducking out into the Winter sun when it makes an appearance, too.

At the moment I’m just trying to look at my diabetes day by day, and trying not to set unrealistic expectations in fine tuning my insulin pump. I’ve put a plan in place to move past that occlusion. I’m giving the centre of my stomach an indefinite break from insulin pump sites. I visited my doctor last week, and am subsequently applying bruise cream to the centre of my stomach to hopefully heal some of that scar tissue. I’m placing my pump sites on the outer edges of my stomach, and drawing dots in permanent marker to track my rotations. I’m also checking my pump sites when I get dressed each day for signs of bruising and bleeding.

This week, the bruises are finally starting to fade. And with it, I feel like some of that burnout cloud is beginning to clear, too.

In and Around the DOC of Late

I’m going through a bit of a rough patch with my diabetes at the moment. I haven’t felt like writing too specifically about pump or blood glucose tethering issues, and I’m taking a bit of a back seat on social media. But that’s not to say that there hasn’t been a lot going on in the good ol’ DOC.

One thing that I am reminded of during this rough patch, is that I have excellent tools available to me in order to manage. I’m wearing a Libre sensor on my arm, which gives me the convenience of scanning as often as I need to. I have a $9,000 insulin pump attached to me, which allows me to set temporary basal rates to settle stubborn glucose levels, or conveniently bolus from the comfort of the couch. I also have plenty of spare insulin, glucose meters, skittles and test strips in reserve.

Not everyone in the world does.

T1International is currently running an appeal to provide insulin, syringes and glucose monitoring supplies to an estimated 2,000 Syrians who are in dire need. Just under $20 Australian dollars will provide a month’s supply of insulin, which I easily spent at Woolies yesterday alone. You can read more about the appeal here, and make a donation here.

If you’ve read a diabetes blog recently, there’s a good chance that you’ll see a comment from Rick at RADiabetes. Rick invests a lot of his time each week into reading the mass of diabetes blogs in our community, and curating the blog page at TuDiabetes which you should definitely check out here.

There’s a new diabetes forum/app from Beyond Type 1 for people to connect, share and inspire each other to not only live, but thrive with type 1 diabetes. I must admit I’m not too keen on another password to remember, but I am definitely feeling tempted to sign up after a peek at some of the forum activity from new and familiar faces. Check it out here!

There’s a new book which aims to help children better understand diabetes self care and the use of equipment. Diabetes veteran Yerachmiel Altman from New York began photographing stuffed animals taking shots, doing finger stick tests and using an insulin pump as a way to help a family dealing with a newly diagnosed six year old son. You can buy the book, I Can Help Take Care of Me here.

Helpline Live is a free service offered by the team of experts at Diabetes Queensland. If you’re a part of the Twitterverse, you can tweet a question under the hashtag #HelplineLive, and the team from Diabetes Queensland will get back to you with an answer. They’re live every Tuesday morning from 9-10am, but will answer your questions outside of those hours, too!

You might have heard of Jayne Lehmann before, but she is relatively new to me. Jayne is a self employed diabetes educator from South Australia who is actively connecting and learning from people with diabetes on social media. Her latest blog post explores the implications of the upcoming NDSS changes, which you can read here, and be sure to follow her on Twitter here.

Yesterday was officially the shortest day of the year, meaning we are well and truly in the depths of Winter. I’m reminded of this freezing yet glorious afternoon at Lake Burley Griffin in Canberra last July. Take me back!


Hope you’re keeping warm, and that your Wednesday is filled with stable glucose levels.