Diabetes and Travel

Solo Travel.

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I’m the kind of person who likes to make my way on foot when I travel. No tour buses or schedules that I need to stick to, telling me when or where I have to be.

I always like to choose somewhere central to stay, so that I’ll have everything within close proximity to me. Although after several visits to Sydney and Melbourne, I have taken a big step out of my comfort zone recently and braved public transport. I say braved, because my biggest fear is getting lost in frightfully massive cities.

In addition to my insulin, blood glucose meter and glucose tabs, my iPad and pocket wifi are essentially my lifeline for navigation. As well as multiple backup power packs, USB cables and my brown Billabong satchel to stash it all. Jacket pockets are also greatly appreciated.

But essentially, the rewards have far outweighed the risk. Meeting up with my diabetes friend Bec in Parramatta earlier this year after first connecting online, finding Cannoli in the ‘Little Italy’ of NSW, or seeing sights such as Glenelg beach in a South Australia, which I’m en route to as we speak.

Having never ventured outside of Australia, I wouldn’t exactly call myself a seasoned traveller. However, travel has definitely helped to liberate me from the daily grind of living with type 1 diabetes. Stepping out of my comfort zone gives me a rush of excitement. Taking in new sights and surroundings helps to remind me that there’s so more to life beyond managing diabetes. A stunning sight has the power to give me a very brief moment away from Diabetes.

Equally, I’m grateful that diabetes blogging has opened my world to new places, people and experiences.

This week is no exception, as I find myself in Adelaide a few days ahead of the rebranded Australiasian Diabetes Congress on Wednesday. DA – that’s Diabetes Australia, and not Dumbledore’s Army – have invited me along to the Congress as one of their consumer reporters. Better known as the ‘Peoples Voice’ team, we will be attending sessions and delivering a consumer voice out of a conference attended largely by industry. I’m super grateful to them for giving me this opportunity once again.

Until then, I’m happily enjoying a few days off in Adelaide.

Stay tuned.

Review: Yoga For Diabetes By Rachel Zinman

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I recently had the pleasure of reconnecting with fellow diabetes blogger, yoga instructor, friend, and now author Rachel Zinman in Sydney this May.

Rachel and I first connected back in 2015 during our first Diabetes Blog Week, and I’ve since ended up with a super fan that I can’t seem to get rid of! Despite the two of us having completely different backgrounds, Rachel is one of those people who is so easy to get along with. She is so warm, enthusiastic and really takes everything in around her.

Rachel has been a massive source of support, encouragement and inspiration in my blogging and advocacy efforts. She comes across exactly as I imagined her online, which I think is a true testament to her character.

I’ve been so inspired watching Rachel’s efforts in getting her book, Yoga for Diabetes: How to Manage Your Health With Yoga and Ayurveda, off the ground. After a successful crowdfunding campaign, Rachel eventually got the attention of a publisher and has since been putting her energy into a book tour across the US over the Summer.

Since returning to Australia earlier this year, Rachel has been touring the East Coast teaching Yoga and launching Yoga for Diabetes. After asking where the best place was for me to buy the book, Rachel produced one for me from the back seat of her car.

Rachel opens the book with her own story, talking about the long hours spent in New York learning about and teaching Yoga under a mentor. After experiencing the horror of 9/11, Rachel moved back home to Byron Bay, Australia with her young family. As a health conscious person, Rachel was in disbelief upon learning that a routine blood test showed a slightly elevated hba1c at the age of 42. With a slower onset of type 1 diabetes (LADA), Rachel spent many years trying to cure herself with natural remedies before finally accepting her diagnosis and taking insulin.

The book has definitely been written in the spirit of inspiring beginners like myself that Yoga could be for me. Rachel delves into the concept of Ayurveda, which is an ancient ‘science of life.’ She talks us through the three doshas – Vata, Pitta and Kapha – which are elements that combine in our bodies in varying amounts.

Exploring the characteristics of each of these three doshas was pivotal in connecting me to the concept of Yoga. I could really relate to qualities of a Vata Dosha such as being enthusiastic, full of ideas, unnecessarily overwhelmed and thin (I already hear that more than enough!). To a lesser degree, I could also relate to Pitta qualities such as being very focussed and hardworking, while also feeling occasional frustration and burnout.

Knowing what dosha, or combination of dosha you are, is pivotal in identifying the kind of Yoga practice best suited to you. There’s a questionnaire later in the book that will give you an answer, followed by many beautifully illustrated sequences customised to your Dosha.

The book moves onto the mind, as Rachel explains that Yoga can help us to become more aware of our thoughts and get us out of our habitual need to identify with them. Especially when it comes to the thoughts about our condition, Yoga can help us to feel content, relaxed and not thinking about diabetes for a moment.

The breathing and meditation exercises illustrated in the following two chapters gave me a good idea of what Rachel was talking about in regard to the mind. Getting on the ground and practicing some of the breathing exercises left me feeling really relaxed, focussing purely on things like feeling breath moving from my chest to my belly.

So what can Yoga offer those of us living with diabetes? In Rachel’s own words:

“A simple break from the intensity of all that the body throws at us.”

“Practices, lifestyle changes and systems of thought that enable me to face this condition each and every day with a positive outlook.”

“A great friend and companion that will hold your hand through all of the ups and downs that you are bound to experience.”

Over the course of this year, self care has become a pretty big priority for me to avoid burning out (more on that soon). Knowing absolutely nothing about Yoga, I guess I was most intrigued as to whether this book might help me to find a bit more mindfulness in my life. While I don’t think I’ll become a devoted yogi like Rachel, I have found another awesome self care tool to help put my mind at ease, particularly during these short Winter days when I don’t get outdoors as often as I’d like.

Yoga for Diabetes: How to Manage Your Health With Yoga and Ayurveda is now available on Amazon.

You can also follow Rachel’s book touring adventures on Facebook, Instagram and her blog.

Diabetes Blogging 101.

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When I started writing here three and a half years ago, it was honestly more of a creative outlet to flex my Marketing and PR muscles. Diabetes sounded like something that I should write about, but I never, ever imagined that actual people with diabetes would be reading my blog.

Today, I think it’s fair to say that my blog has become a lot more than just a blog. I may or may not be classified as a diabetes social media junkie, an oversharer, a freelance writer, speaker, committee member, social networker, an advocate, a diabetes PR service or even a sellout to big pharma!

The diabetes community, both online and offline, has been invaluable to me. I am in a place with my own diabetes that I never imagined possible. I honestly owe it to every single individual that I’ve ever connected with, and every single piece of information I’ve ever been given. I wouldn’t trade being a part of the diabetes community for anything in the world (except maybe, a working pancreas…)

But at the same time, I get the impression that blogs are sometimes seen as merely something ‘nice’ to do. Or that a blogger is often pictured sitting in the comfort of their own home on a Monday morning, typing out a fresh post and then going about their leisurely day.

Blogging is a fairly big investment in the subject area you’re writing about and the cause you’re advocating for. Keeping on top of all of the news, developments, tools and technologies forms a pretty big part of my life. And hey, it also keeps me pretty motivated in wanting to better manage my own diabetes. I do not have a technical or scientific background. Yet as I hear myself talking enthusiastically to others, I realise just how much I have immersed myself into a very technical and scientific world.

There’s a pretty big investment of my own time. Whether it be writing my blog, taking part in advocacy work, responding to e-mails, networking or embarking on diabetes travel, it’s all done in my own time. Evenings. Weekends. Sometimes out of my hard earned annual leave. Often at relatively short notice for the responsibilities and full time job I’m leaving behind that pays for the pancreas that doesn’t work properly.

There’s also a pretty big responsibility in advocacy. When companies choose to speak to people with diabetes, I believe that’s a good thing. While some might see it as accepting tokens from ‘big pharma,’ I see it as a responsibility to tell them what’s important to people with diabetes. While trying to be mindful of my privilege.

I’d also be lying if I said that I didn’t feel a sense of obligation to the community that has given me so much. I know full well that I am a highly privileged person, and that I don’t represent all people with diabetes out there in the world. A mere four years ago, I was in a relatively isolated place with diabetes. I guess a big part of my ‘why’ is to help other people to discover the power of peer support and being engaged in the diabetes world.

For me, the biggest reward that has come from diabetes blogging is all of the amazing people I have met. My tribe of people who have diabetes feel like somewhat of a close knit family. I often arrive home after some amazing conversations with a cup that is overflowing and a newfound motivation.

Diabetes has made my world a lot smaller, and being part of this community always makes me feel that I am a part of something much, much bigger.

One of the occasional perks of diabetes travel…

Red Light.

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I glance at the watch on my wrist. I know that it will only take me a minute, but it’s 4 o’clock and I really want to get out of here already.

I make the trek outside, where my car is conveniently parked in its usual spot at the end closest to the centre door. It’s a longer walk in the morning, when I have to come in through the back entrance, but completely worth it at the end of the day.

I hop inside my car, and place my belongings on the vacant seat beside me. I know that it will only take me a minute, but I really just want to start making my way home where afternoon coffee is calling my name.

I place my keys in the ignition, lock my doors and wind down my windows. I reverse out of my spot and make my way out of the carpark, cutting through some of the quieter residential areas in order to avoid the pile up of traffic on my way out of the centre. I make one final right, which takes me back out onto the main road and in a far better position traffic wise.

Finally, I have what I’ve been waiting for as I begin to apply my brakes, slide my gears back into neutral and cars begin to bank up in front of me. A red light.

I only have a minute, but I know I can do it.

I dive into my bag, pull out my travel case and grab my meter, strips and lancing device. I quickly pop open the cap on my test strip vial and slide out a fresh strip, sticking it into my blood glucose meter. I prick my finger with the lancing device, and squeeze my fingertip. A little drop of blood appears on my fingertip, but I know its not enough. I squeeze again, harder, like I’m holding on tightly for dear life.

Part of me knows I don’t have enough blood, but the other hasty part of my brain watching the traffic light tells me I can do this. I bring the meter closer to my fingertip, and let the blood slide onto the end of the test strip.

A shrill BEEEEEEP! Sounds from my meter as a strip fill error appears on the screen. My absolute pet hate when it comes to living with diabetes.

I furiously rip out the useless test strip, pop open the cap on my vial of strips and slide out a new one. I stick it onto the end of my meter, shove my lancing device right up against the tip of my finger and prick again. This time, blood flows more freely. Satisfied, the test strip laps it up and decides to give me a blood glucose reading.

I quickly wipe the excess blood on my fingertip against the side of the test strip as the light changes to green and traffic begins to move. I fling everything on the passenger seat beside me, which I’ll clean up during the next red light.

The YpsoPump Launch Event

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My first week with the YpsoPump saw me in holiday eat-and-bolus-without-really-thinking-too-much-about-diabetes mode. Not to mention that it was my return to insulin pumping following a month long break. Week two saw me back at home with one of the worst Winter colds I’ve had in years and some of the craziest insulin resistance I’ve seen. It’s now week three and I’m just beginning to return to some sense of normality with the ‘betes.

Safe to say, I feel as though I’ve already been through a lot with this pump in the short time we’ve known each other. I really am enjoying the YpsoPump for its sleekness and light weight nature, and you can also check out my Instagram stories for more insight here. I’ll have some more to share here soon, I just don’t think I can fairly review a pump without using it for a good few weeks.

I had never even heard of the YpsoPump prior to searching the TGA website earlier this year in desperation for any signs of new insulin pump choices following the demise of Animas. I then noticed fellow blogger Ashley of Bittersweet Diagnosis had been trialling the YpsoPump, indicating that an Australian launch was on the horizon. A bit later on, I was fortunate enough to receive my own invitation to a launch event held in Sydney three weeks ago.

We were introduced to a Swiss company called Ypsomed (pronounced “Ipsomed”). As a manufacturer of tailor made insulin injection pens and autoinjectors, the company vision is to make self care simpler and easier. We were told that the company had a long, successful history of insulin pumps in the world, dating back to 1985. The YpsoPump had been designed to fill the gap in a market filled with complex, medical looking devices.

Ypsomed’s portfolio of diabetes products fall under the company’s Mylife Diabetescare brand. Encouragingly, their portfolio extended to people on Multiple Daily Injections and structured blood glucose monitoring. Products included clickfine needles, lancets, injection pens and a new Unio Neva blood glucose monitor using a custom brand of test strips. Not to mention that YpsoPump’s companion ‘Mylife’ smartphone app would also be useful to people not on a pump (it’s a free download from your App or Google Play store).

We were shown a roadmap of future upgrades to the YpsoPump system. This included the addition of the Unio Neva blood glucose meter that would send blood glucose readings to the Mylife smartphone app via Bluetooth. Ypsomed are also in discussions with manufacturers to add CGM integration into the pump. The YpsoPump will eventually be able to be controlled remotely via the smartphone app, but this looks to be at least 12-18 months away.

Ypsomed is also manufacturer of the wildly popular Omnipod tubeless insulin pump, which received TGA approval some time ago but has not yet managed to surface. The NDSS funds insulin pump consumables here in Australia, while private health insurers fund the actual device. Ypsomed have not been able to find a way to fit the funding model here in Australia due to the disposable nature of the Omnipod.

In response, we were told that a smaller ‘YpsoPod’ is currently in development with an expected 2021/22 completion. One half is disposable while one half is durable, meaning that this pump would fit the funding model in Australia.

Everything sounded really encouraging, with Ypsomed assuring us that they are here to stay and committed to the Australian market. This includes a dedicated Australian based customer service team. I’m also looking forward to catching up with a member of the Ypsomed team visiting Perth this week.

At the end of the day, more choice for people with diabetes is always a good thing. A massive thank you to Ypsomed Australia for having people with diabetes there.

Disclosures: Ypsomed Australia covered my travel and accommodation expenses to attend the launch event in Sydney. I was fed and watered across the duration of the event. I also received a YpsoPump and consumables to take home and trial. There was no expectation that I would blog about Ypsomed or the YpsoPump. My opinions and my time, including the annual leave I took from work to attend, are my own.