My best diabetes hack

One thing I love to do is scour the Diabetes Online Community for diabetes hacks. The best way to deal with all the little and big things that happen when you live with diabetes.  Best place to inject, how to dose for pizza, top CGM insertion points, ideal hypo snacks and that’s just a small glimpse into the vast ocean of support that can be gleaned from others who’ve been riding the tiger. At first, a newbie on the scene, I didn’t have any tips or tricks to share. Eleven years on there are definitely some hacks I swear by. If I had to distill my diabetes management into the ‘best diabetes hack ever’ it would be ‘routine’.

Having a consistent routine in place from the moment I wake up means I can relax. I know that I’m going to have my morning long acting insulin at 6 am, my breakfast at 7 am, I’ll be practicing yoga around 8 am, lunch at 1 pm , walk at 4 pm, long acting shot at 6 pm and dinner at 7.30 pm. I think of this set routine as a framework. Anything that happens in between these times is spontaneous, creative and fluid. Having a non negotiable routine creates stability in my blood sugars, a sense of trust that things are taken care of.

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Living with diabetes can feel out of control. Having a routine puts me back in the drivers seat. I may not be able to tame the factors that affect blood sugar  but I can manage my time impeccably. Routine may be boring for some, for me it’s a balm.

Routine is not just about the timing of shots it’s about consistency of meals, same kinds of foods at each meal. Exercise, a twice daily yoga practice and afternoon walk. Rest, heading to bed before 10 pm and waking at sunrise. These routines are part of in Ayurveda what’s called Dinacharya and are the staples that each Ayurvedic constitution relies on to stay balanced.

As we head into the holiday season it can be daunting to maintain our routines. For me a routine takes the stress out. I’d rather spend my time enjoying special times with family and friends, than try to fit in. It’s taken me a while to get to this. I still need to explain to family and friends why I’ve eaten before the 3 pm Thanksgiving meal, or 11 am Christmas brunch.  Knowing that I’m going to stay in range keeps me sane. After over a decade with diabetes it can be so frustrating to have days and days of insulin resistance after eating and dosing at a time that doesn’t suit. Call me boring, fixed…whatever I don’t mind!

Routine is also what’s enabled me to write everyday here for Diabetes Awareness Month. At first it was quite a task and I wasn’t sure I could keep it up. Consistency has been the key. Sitting down everyday to share my inner world with diabetes has been both healing and cathartic.  Thank you to everyone who has stayed the course with me. Tomorrow is the last day so make sure to check out the final wrap up for what’s been an amazing month of connection, sharing, awareness and community.

See you tomorrow #NDAM #DiabetesAwarenessMonth

with great respect…

rachel

Take to the Skies

As I am just 24 hrs out from travelling again I thought I would share another post I wrote for Beyond Type 1. I am a well seasoned traveller, but geez travelling with all my gear sends me bananas. This time we will be away for 6 months, which means I am carrying 6 months worth of needles, CGM’s, insulin and test strips. So much stuff that my husband has to carry some in his suitcase and carryon as well. If you are curious to know my top travel hacks for travelling with diabetes keep reading.

“Stuff your eyes with wonder, live as if you’d drop dead in ten seconds. See the world. It’s more fantastic than any dream made or paid for in factories.” – Ray Bradbury

I live between three or more continents in one year, teach yoga internationally and I’m a Type 1 diabetic. This means I have to travel regardless of my health condition. Is it easy? No. Do I enjoy it anyway? Yes. Recently, I participated in a twitter chat to share people’s experiences around flying with diabetes. It gave me a chance to share some of my personal insights — how I use yoga to stay balanced and to inspire others to feel more confident about taking to the skies.

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I carry on me …

  • long and short-acting insulin in Frio wallets
  • two glucometers
  • needles
  • test strips
  • a letter from my doctor
  • ALL MY FOOD!

I also check ahead to make sure that the country I am flying to has access to the type of insulin I need and that I can get a hold of test strips. I google for everything. It’s probably obsessive, but I want to minimize my stress as much as possible.

Before I was diagnosed, I felt free to go just about anywhere and since my diagnosis, I haven’t let diabetes stop me — I’ve just adapted. Being diagnosed as a LADA Type 1 eight years ago, my onset was slow. For the first six years, traveling meant making sure I had all my own food with me and only staying in places where I could cook for myself. When I did go out to eat I always called ahead. I was managing my levels by staying as low carb as possible and had quite a few food sensitivities, so sometimes eating out was a tough call. I always thought that when I went on insulin things would get tougher. I was wrong. Insulin has actually made traveling so much easier.

Instead of trying to use food and exercise to stay in range — nearly impossible when you’re stuck on a plane for 16 hours with airline food — I can cruise through the trip with my once-a-day shot of long acting insulin. I’m not on fast acting yet, so I can’t comment on what it’s like to fly and bolus. But I’m convinced that traveling with your own snacks, not only for hypos, but for your own sanity, absolutely helps you to feel better when you land.

Read the rest at Beyond Type 1...

See you tomorrow #NDAM #DiabetesAwarenessMonth

with great respect…

rachel

The Good News

I’m not one to write about the latest news on diabetes. It’s not because there aren’t amazing new technologies, cures and treatment protocols on the horizon. It’s just that I’d rather focus on what’s tangible and practical in my personal day to day management. When someone sends me a message with the latest ‘cinnamon’ cure I find myself ranting about the differences between type 1 and type 2 diabetes and how there is no cure for type 1. There are only useful management protocols that may or may not consistently work. A lot of my friends who were diagnosed years ago were told not to worry because a cure was coming in five years.  More than five years have come and gone and we are all still waiting.

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One of the biggest and scariest moments for me was realising that I had a life threatening, incurable disease. I was on the yoga mat in a pose when it dawned on me. I cannot adequately describe that moment. It was a mixture of shock, disbelief, denial and confusion. Coming to terms with that feeling and finding acceptance has been the core of my practice since.  I guess anyone when faced with any kind of diagnosis, or crisis goes through this. That’s why community and support are so needed.

What I am excited about in the diabetes space is how we can thrive with diabetes. There are some really cool organisations out there to tap into. As a regular contributor to Beyond Type 1 I am inspired by how they raised awareness through brilliant community building campaigns. It isn’t just about finding a cure, it’s about networking, inspiration and collaboration. Another powerful resource is Diabetes Daily. Daily updates and articles on all types of diabetes, recipes and research and a thriving community, I feel blessed to have so much information and support on tap.

In fact, today I received an email from the team at Diabetes Daily about a large study that identifies the habits of successful diabetes management. Compiled by the thrivable insights research panel the study looked at what habits those with optimal glycemic have in common? They surveyed 1,938 people and I’m pretty sure I was one of them.

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The survey analysis data demonstrated that those with type 1 and type 2 diabetes who have optimal glycemic control are significantly more likely to:

  • utilize low-carbohydrate diets
  • use insulin pumps
  • exercise regularly

Moreover, patients with type 1 diabetes were significantly more likely to:

  • use a continuous glucose monitor (CGM)
  • eat consistent meals daily
  • incorporate the protein content of their meal in calculating their insulin doses

The comprehensive data report was published on October 16, 2019 and can be found here: Habits of a Great A1c Survey Data Report. The lead researcher, Maria Muccioli, Ph.D, is also available for interviews about the findings. 

To me the best way to control my diabetes is a no brainer. I have heard many people in the diabetes space talk about diabetes as carb intolerance. It’s not that we shouldn’t include carbs its just how much. I find that about 100 carbs per day is my maximum. In my last blog on diet I talked about eating at the same time and roughly the same thing every day. I have also emphasised how important it is to have some way of seeing blood glucose data in real time. The more I know what foods do what, the easier it is to manage my levels . And you know how much I love exercise. Yoga for diabetes is the bomb!

That’s why I get all nerdy about these kind of studies. The more evidence we have of what enables us to live well with this condition, the more health care providers will come onboard. Believe it or not up until a year or two ago my doctor was still giving me a hard time for my dietary choices. Luckily education around this is shifting.

When I personally reflect on how I feel about diabetes management and the resources we have available I feel lucky. When my great grandfather had diabetes, there was no insulin and no education around diabetes. He died of diabetes complications. Ironically my birthday falls on the month and day of his passing. A powerful reminder of how grateful I am to have the education, choices and support to live a long, healthy and happy life with diabetes. Thats the good news!

See you tomorrow #NDAM #DiabetesAwarenessMonth

with great respect…

rachel

Staying in range

I’m feeling motivated to get my levels back to where I want them. Not that their not in a good range, its just I know I can do better. At the beginning of the year I worked with the Diabetic Health Journal. It’s a great way to stay accountable, set goals and track patterns. When I was using it my Hba1c went from over 6% to 5.5%. For anyone living with diabetes that’s a perfect number, but really hard to maintain. As much as I know that time in range (keeping my levels between 4-8 mmol) is ideal, there have been a few too many peaks and troughs for my liking. So when I opened the journal and set my goal for the week, I thought I’d try some intermittent fasting.

Intermittent fasting is different to a regular fast. I’m still eating, just spacing out when I eat. The last two days I had my last meal at 7.30 pm and broke the fast with lunch at 1.00 pm. That’s 18 hours between meals. The idea with IF is that it increases insulin sensitivity. It means I assimilate the insulin I am injecting better and blood sugar levels are lower. When I’m really sensitive to insulin I can even reduce the amount of insulin I’m taking which means less low blood sugars events. It’s a win win.

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The only issue for me is I am a huge fan of my avocado and egg breakfast. Day 1 was easy because I distracted myself by going to yoga. Day 2 (today) was harder. I was pretty hungry from about 10.00 am onwards.  I also haven’t seen any concrete results yet. I.e lower levels and increased sensitivity. Patience Rachel Patience…

After I started taking insulin in 2014, I came across a book by Ginger Vieira called Your Diabetes Science Experiment. I read it from cover to cover and learned a lot about the variables that affect diabetes. I learned that even though there are  guidelines and formulas for managing diabetes, it’s not one size fits all. Flexibility and a willingness to experiment are key assets. I’ve been using my yoga practice for years as my personal laboratory to see what my body is capable of. Having diabetes has made things tricky. Sometimes I’m not sure what’s affecting what. Is the sequence or practice supporting what I am doing or is a day of higher or lower levels affecting my practice?

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I feel like I am drawing a giant question mark on a blackboard.

Not having all the answers is something I’ve grown accustomed to.  I was the child that had to be ‘right’ or else. I thrived on competition. That’s why having diabetes has been a bonus in my life. It’s taught me to stop comparing, be kinder to myself and take a gentle approach.  So even though I’ve set a goal for myself to get back to the numbers I feel healthiest at I’m also open to the possibility that where I’m at now is absolutely fine.

See you tomorrow #NDAM #DiabetesAwarenessMonth

with great respect…

rachel

What can you eat?

Nine days in to 30 days of writing for Diabetes Awareness Month and today’s topic is diet.  I can’t keep count of the number of times I’ve been asked, ” What can you eat?” It’s actually a loaded question because the answer from a person with diabetes would be, “what can’t I eat?” As long as we know how many carbs we are ingesting (everything from veggies to fat to protein breaks down into a carbohydrate in the system) we can eat whatever we like based on our insulin to carb ratio. I.e how much insulin is needed per carbohydrate. Do the math and presto every food is available.

But that doesn’t mean I choose to eat whatever I want.

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Since I was little I’ve been a fussy eater. I didn’t like green vegetables, any kind of meat,  or corn on the cob. I can remember being at the dinner table and slowly scooting portions of pork chop into a napkin when no one was looking and then excusing myself to hastily flush it down the toilet.

In my late teens I was put on a strict candida diet which meant no dairy, sugar, fruit or fermented foods. Not being a huge fan of animal foods I became a vegan.  My strict diet was hard to maintain during pregnancy so I reluctantly ate fish, chicken and eggs, but as soon as I could I went back to my vegetarian ways.

When I was diagnosed with diabetes in 2008 I had already started eating foods that resonated with my constitution. Being a fire type, pitta in ayurveda, I avoided nightshades and spicy food and instead focussed on cooling foods with sweet, bitter and sour tones, pulses, avocados, whole grains, roasted veggie salads and gut healing protein smoothies. As my initial diagnosis wasn’t clear (they weren’t sure if it was type 2, type 1 or even diabetes) the only change I made to my diet was to eat low glycemic foods and to add fish, chicken and eggs back in.

At that stage I was eating linseed/soy bread, enjoying oats, quinoa, low carb fruits like blueberries and strawberries and lots of different kinds of veggies, soft cheeses like paneer and ricotta. I still dabbled in eating pasta and pizza as long as there was a good quantity of protein in the mix. I never ate packaged or processed food even if it was a ‘healthy’ packaged food. I’ve never been able to deal with fillers and preservatives.

Once my levels became unmanageable my doctor suggested I look at the ketogenic diet. That was in 2013. Keto was just getting popular and having tried everything else bar insulin, I enjoyed the strict discipline of dropping all carbs. At that stage my diet was mainly eggs, some fish and green veggies like chard, zucchini, broccoli, asparagus, fennel, cauliflower, avocado, ghee and the same soft cheeses. My doctor expressed concern that it was too narrow a corridor of foods. So did I, it seemed that blood sugar wasn’t my only issue with what I ate, I also had a lot of trouble digesting foods. Later I found out that the pancreas also helps with digestion and that sometimes it doesn’t work as well as it should in people living with diabetes. Eating the same foods over and over was actually making me sensitive to the only foods I could tolerate. A never ending cycle.

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Thank goodness I went on Insulin after a proper diagnosis in 2014. It has opened up my diet to include more foods again, even though I’ve stuck to a low carb vegetarian diet. It’s so much easier to cook the same meals at the same time each day, to take the same amount of insulin and know exactly how my body will respond. My friends wonder why I don’t get bored, or ask me if I feel like I’m missing out and my answer is always the same. Eating in a way that keeps me calm and balanced is more important and desirable than the headache of eating something that will later cause blood sugar issues or hinder my digestion.

Whether you live with diabetes or not diet is a very personal thing. The body needs nutritious food. It knows what works, how to process it and what to eliminate. All the intricacies of digestion and assimilation of food are out of our hands. It’s up to us to feed the body with nutrient dense foods.

Something I’ve learned to say to anyone who questions why I eat the way I do is this; “I eat to feel well so I can best serve others to feel well too.” 

And that’s that…

See you tomorrow

with great respect…

rachel

Rebalance your digestion with Ayurveda

Something I’ve struggled with since my diagnosis is digestion. In fact, before my diagnosis I was already sensitive to a variety of foods. No matter how many different kinds of treatments and doctors I saw nobody could actually tell me what was wrong. Once I knew that I had diabetes it all made sense. Higher blood sugars had contributed to yeast overgrowth and leaky gut. Luckily my knowledge of Ayurveda was a great starting point to rebalance and reboot my digestion. That’s why I am super excited to share with you a guest blog today by Nicole Young the founder of Three Harmony on how to recognise when your digestive system is dangerously compromised and how to rebalance it. Take it away Nicole

belly-3186730_640Proper digestion is key to a healthy life and maintaining a strong Agni (digestive fire) is essential. It is not only the way we digest food, but our emotions and thoughts as well, how we process stress, our lifestyle and environment. Ayurveda believes that the root cause of every imbalance and disease starts with improper digestion.

When the body is under stress, the soft tissues and channels are affected or constricted creating narrower passageways for the body to function normally and allow nutrients to become available to every part of the body. This creates blockages and Ama can build up in weaker areas. Over time this Ama could be a contributory factor to causing many serious illnesses.

The difference between Ama and toxins is that Ama is the undigested food residue and waste that forms a sticky sludge which is toxic and difficult to remove from the body, whereas toxins can be anything from the chemicals found in our food and environment to the stress responses in our body which can also create harmful chemical reactions.

Here are some signs and symptoms that you may notice when your digestion is not working properly:

  • feeling of tightness or discomfort in the abdomen
  • indigestion/pain in the stomach after eating
  • suffering from gas and bloating
  • abnormal bowel motion (diarrhoea and constipation etc.)
  • blood/mucus or undigested food in stool
  • haemorrhoids and anal bleeding
  • inflammation in the body
  • restless sleep, fatigue, general heaviness
  • headaches or migraines
  • skin conditions
  • thick coating on tongue

So what can done before this gets any worse and it becomes the possible cause of a more serious illness like an autoimmune disorder such as ulcerative colitis, rheumatoid arthritis or diabetes.

A one to three-day digestive reset is a good place to start – this is where you will eat a mono-diet of a food like Kitchari (dish made with rice, mung dal and spices) or a bone/vegetable broth to cleanse the bowel and allow the body to start to heal itself. After the specified number of days, you can slowly introduce foods that are easy to digest making sure to reduce pitta aggravating foods for a while, especially nightshades, spicy/hot/sweet/sugary foods etc. and increasing those that are cooling and calming in nature.

natalia-figueredo-350529-unsplashI personally have suffered from UC (ulcerative colitis) an IBD (inflammatory bowel disorder), but have been able to self-manage this IBD and self-heal naturally without having to take harmful pharmaceuticals for the rest of my life. A disease my gastroenterologist told me was incurable.

So after many years of suffering and not wanting to take any more drugs/products or try different health practitioners and diets/tests/treatments, I did my own extensive research.  You should be sure to check that what you are reading is in fact true as there is so much conflicting information on the internet from people who are not really qualified to give it. Question everything, even your doctor’s advice because they may not be of the belief that healing is possible, even when it is, and they may only be able to offer specific advice and related drugs/products that are in their area of expertise or beneficial to their practice. You may find that this is just not enough to heal the body, especially if you want to do it naturally, and that things will work for some people but not for others – genetics and location certainly play a part too.

This is what has generally worked for me:

  • dietary changes
  • specific herbs and foods such as:
    • stress and anti-inflammatory support – magnesium, ashwagandha, curcumin, chyavanprash, herbal teas etc.
    • gut healing remedies – bone/vegetable broth, aloe vera juice, coconut oil/water, kefir, probiotics, fermented vegetables, digestive enzymes, clay, psyllium husk, liquorice root etc.
  • keeping to a routine
  • extra sleep when my body is digestively challenged
  • practising regular yoga for digestion
  • practising meditation to keep my state of mind balanced

I have also found this book very useful in relation to better understanding the digestive system, various digestive disorders and more specific suggestions on how to recover from them – Restoring your Digestive Health by Drs Jordan Rubin and Joseph Brasco. It has become a great reference guide for me when I’m digestively challenged.

And once you’re starting to feel better, it’s really important to keep on strengthening your Agni – here are some Ayurvedic tips for good digestion:

  • eat at the correct times of the day
  • eat warm/cooked foods
  • avoid cold/raw food
  • avoid chilled drinks while eating
  • avoid incompatible food combinations
  • use fresh, seasonal, organic ingredients
  • eat slowly and chew your food properly
  • have a calm and balanced mind
  • bathe before eating

Ayurveda plays a huge part in self-healing and I would also say that local food and indigenous plants in your area are really important as well because the microbiome in your gut will be assisted during the healing process if you include these in your diet. After all, your body is a reflection of your natural local environment.

Hippocrates said “Let food be thy medicine and medicine be thy food

Nicole Young - Three Harmony

Nicole Young is the founder of Three Harmony, a Melbourne-based Ayurvedic consultant, Yoga teacher, writer and online educator.  She is deeply passionate about traditional medicine and self-healing with Ayurveda and Yoga.

www.threeharmony.com.au

 

A little goes a long way

Oatcakes it’s been a while. A long while, I don’t think I’ve even so much as looked at you since 2014. 2014 was when I read Dr. Bernstein’s Diabetes Solution, learned about the benefits of low carb eating, the law of small numbers and laid down my carb habit for what I hoped would be forever. So far, it’s worked well… but there have been some issues.

The biggest one being my ongoing food intolerances which includes reacting to seeds and nuts. Cutting them out of my diet has meant less flow in the plumbing department and it’s starting to bum me out. (literally!)

Over the last three days I’ve been reintroducing oats into my diet. Day one I took ¼ of an oatcake, which made me a mucous ball. It didn’t deter me though. Day 2 I had ½ a cracker and my blood sugar pretty well stayed stable. Day 3 I lashed out and had a whole 4.7 carb of a cracker with my egg and avocado brekky, took the same amount of Insulin as always (1 unit) and watched my blood sugar go up up and away.

I did crack open a fresh pen, could it be that? Not sure…because yesterday I had too much insulin and went low.

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I also made a post into the DOC to get advice and someone suggested I try switching up the timing of my bolus. Someone else said I should eat fat with fat and carbs with carbs to get the dose right.

To be honest I am actually terrified to add more carbs into my diet because I am still working out how to manage my lows. At the same time my goal for this year is to be able to eat a broader range of foods and to be relaxed around food. I’d like to feel comfortable eating out, eating in… whatever.

It’s been super interesting to observe my attitude change towards my blood sugar levels since I’ve nailed my A1c goal. I used to see a spike and be like, “oh well, try again next time” I had a no sweat attitude because I didn’t realise how important it was for my health to have better time in range. But now after nearly 6 months of flat lines and what I perceive to be excellent control a few days of peaks and troughs has me completely agitated and freaked.

Not a good look for someone who is touting the mind calming benefits of yoga. If I can’t maintain my cool during a breakout experiment with an oat cracker well what the F…k?What Sarah Said BlogDiayogi Sarah Macleod, shared in her latest Instagram post that non-judgement, one of the attitudes we can adopt through our yoga practice, is about stopping ourselves from labelling a blood sugar level as ‘good’ or ‘bad’. In other words, practice with the attitude of going for the best outcome while letting go of the end result.

Not so easy for a type A like myself!

As a few days have gone by since I started writing this post I ended up invoking the principle of flexibility from my yoga practice to help me work up to adding foods into my diet.

When I go into a yoga pose and feel challenged and inflexible I initially hold back from forcing myself in the pose. I watch my breath and wait. After about a minute I can feel all my muscles soften, then I can creep deeper into the pose. A little bit of movement actually takes me a long way.

So even though I was keen to get going with oats, I’ve stopped taken a breath and adopted a wait and see attitude. Oh and I added psyllium husks into my diet instead ( a great low carb option) and wouldn’t you know… a little goes a long way….

with great respect….

rachel

Rachel Portraits 2015-40

dialling up the dose

I’m getting braver when it comes to taking fast-acting Insulin. My insulin to carb ratio has been 1:30 for the last year but that seems to be shifting. Either that or I’ve upped my carbs enough to need more. After nearly 6 years of nothing but greens, I’ve added butternut pumpkin, carrots, apples, and the occasional sweet potato.

My whole life I’ve been told that I need to eat sweet foods to stay balanced. Before my diagnosis, warm veggie root stew was my staple. The first 6 years post diagnosis I managed to keep my levels in range with a low carb diet. The first thing to go was bread, then pulses and eventually all grains. I got really good at making bread with sesame seed or almond flour until I overdid all the seed and nut flours too, ending up with even more tummy issues. Before I tried insulin, I had a very narrow corridor of foods that I could tolerate.

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Starting Insulin has made things easier but being sensitive I haven’t been able to leap back into pancakes even when they are made with low carb ingredients. It seems my body wants simplicity when it comes to food. So, in spite of my desire to go wild, eat whatever and cover I’ve been building back my gut flora and adding foods in and out in cycles to see if I can tolerate them. Some things have worked, like butternut pumpkin and carrots while other things like cabbage, kale and brussel sprouts haven’t.

It’s been frustrating and disheartening at times, knowing that in choosing to ignore my diabetes I damaged my digestion.

My husband, who has very simple needs when it comes to food always shares that the body needs food, it doesn’t need a particular type of food. It’s only me, the one eating the food that has a desire for something special.

Food is a language and I’ve become conditioned into that language developing a taste for the foods I like. In reality, food is sustenance.

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Part of what the deeper teachings of yoga have brought to me is a way to be with my condition with compassion. The other day we walked into a health food store with rows and rows of delicious things. Things I know my body will react to if I eat them. Rather than get despondent or feel angry I felt a quiet acceptance. Reminding myself that I had 42 years of eating whatever I wanted. If I needed to avoid those foods so I have a more relaxed tummy so be it.

In the words of the Rolling Stones, “You can’t always get what you want.”

As my journey into my 11th year with diabetes continues I am still coming to terms with this condition. I’ve shared before on the blog that my endo wants me to get to the point where managing my diabetes is so ordinary that it’s as easy as brushing my teeth and that I no longer panic about changing the amounts of insulin I need, that I trust my body and its ability to work with the medication.

I agree that I need to have a healthy attitude towards insulin, but I also feel I need to stay alert, check my blood sugar regularly and be sensitive to the timing of doses, exercise, and changes in my routine. I like to think of my life with diabetes as an adventure but at the same time have a good back up plan. For me, that’s the winning combo.

with great respect…

rachel

P.S I’d love to know your winning combo…comment below. It’s beautiful to learn and grow together.

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Thanks-Giving

I haven’t celebrated Thanksgiving since 2003. I was 37, living in NYC, raising two children, working as a group and private yoga instructor, teaching teachers and doing everything I could to make ends meet. I remember gathering around the table with my family that Thanksgiving and feeling exhausted and vulnerable. I was allergic to just about everything, including the cat and I was embarrassed that I was picking at my food.

As we went around the table to express our gratitude I muttered something about being grateful for family and friends. I meant it at the time, but looking back my words were hollow. I didn’t know that I was already in the throws of diabetes, or that in a matter of years my whole life would be turned upside down.

Rachy-26Coming home for Thanksgiving nearly 14 years later I’m nostalgic for my childhood. Days where I heaped cranberries on Turkey and ate four slices of pumpkin pie.

Of course, I can enjoy Thanksgiving food with all the trimmings but it’s taken me days to get my levels back to normal after weeks of flying and book launch events and I’d rather celebrate the spirit of Thanksgiving in another way…

With a focus on thankfulness

In my daily life, I devote time each day to focus on what I am grateful and thankful for. It’s usually something I do at the end of my morning meditation. When my mind is quiet and my breath is still I think of all the good things that are happening in my life.

Lifestyle. Beautiful girl during yoga exerciseWhen I eat a meal I think about the magic of the seed, the person that planted the seed, the person that plowed the field and watered the plant, the one who harvested the fruit or vegetable, the driver who drove that vegetable to the grocery store, the person who stocked the shelf, the checkout person, the person who made the car so I could drive there in the first place. I think about my mother who taught me to cook and set the table. I even think about the people that made the table, the placemats, the pots and the cutlery.

From seed to table and in between a chain of people helped me to eat my dinner.

To me, Thanksgiving is so much more than gratitude it’s acknowledging how the whole of creation has facilitated that moment where the enjoyer and enjoyment are one.

Wishing each and every one of you a joyous Thanksgiving!

With great respect…

rachel

Do your best, get feedback and begin again

“Again! Let’s take it from D.” The young conductor was standing in front of a world class orchestra and a world famous conductor, my Dad and about to cast the first downbeat.

Young conductors know that this is the only way to improve. They do their best, get feedback and begin again. Watching the class and listening to my Dad’s comments it hit me; he has worked hard like this his whole life.

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When I was little, my dad was often hunched over a score at the piano making pencil markings, or waving his arms around with headphones on. I knew that we were supposed to be quiet and patient while Dad was studying, but I never quite ‘got’ why. I attended a dizzying amount of concerts and rehearsals as a kid and it all seemed so effortless.

It’s only now as an adult, living with diabetes, that I get it. What appears normal to others is actually a well thought out micromanaged existence designed to give the appearance of effortlessness.  If you knew that a conductor stopped the orchestra multiple times to correct a tempo, adjust the volume, or ask for more emotion, I wonder how you might listen to the final performance.

Knowing what goes on behind the scenes with my Dad makes me more sensitive and compassionate. These guys have worked their butts off. I also understand that making music is a true labor of love. Musicians use their bodies, their arms, legs, lips and voices to produce sound and hours of practice and effort takes its toll. Necks get sore, lips wear out, elbows get strained. But the orchestra keeps on going. The music survives and we the audience are entertained. It’s all worth it in the end.

DAD CONDUCTING

As someone who definitely micromanages their diabetes, I can relate. I’m not taking injections for meals yet, but I’m definitely on the verge. And I’m busy learning from my peers. I have to admit not only do I spend hours on my yoga mat, but an equal amount of hours reading articles on diabetes, chatting in facebook and twitter groups and staying abreast of the latest management strategies. Ideally I’d love to sit in on a master class with some of the greats.

Then last week it happened. I caught up with Hanna Boethius, a coach, writer and speaker who has lived with type 1 Diabetes for over 30 years. She offers motivational and inspiring ways to bring about change in diabetes management and has a profound understanding of how nutrition and lifestyle choices can balance diabetes.

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The first thing Hanna said to me, when I shared how often I check my blood sugar, was to remember that long acting insulin just slowly trickles through hour after hour. Without fast acting on board, I won’t suddenly drop low. If it hasn’t done it over the last 18 months, it’s not going to suddenly start now. With a gentle smile she suggested I trust my body more and give my fingers a rest.

We also discussed food and low carb diets. We both agreed that it has helped us immensely. But we also agreed it’s not for everyone. After nearly an hour and a half of sharing our insights on food and yoga in diabetes management, Hanna suggested we offer up our conversation as a webinar/google  hangout. We’d already planned a workshop in Zurich on how food and yoga can control diabetes, but thought it would be even better to spread our ‘masterclass’ to the worldwide DOC ( diabetes online community)

Hanna truly lives what she shares, which became even mores obvious when I headed over to her gorgeous and welcoming home on Lake Zurich for our webinar. She complained a little at the size of her kitchen, as it was too small for the amount of food they love to prepare at home, but we agreed that having a beautiful place makes up for it. She also shared with me later, as she walked me back to the train, that living in Switzerland has its perks when it comes to insurance. “I can have the sorts of medicines and equipment as I want and need it.”  I admit I’m envious. In Australia so many things aren’t covered (like CGM’s) and I would definitely have more confidence with my management if I knew I could afford to.

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Riding home after our webinar, reflecting on what I had learned from Hanna I thought again about my Dad and his mastery. When he steps out on stage and seamlessly conducts, the orchestra becomes one. One sound, One voice.

The word Yoga, as I described it in our webinar, also means oneness, wholeness. Understanding that the body is not separate from creation. Rather we are inseparably part of creation. And we can’t get out of creation either. Even if you get in a spaceship and head to Jupiter you’re still in creation.

With chronic illness we often isolate ourselves or feel like we’ve done something wrong. But the truth is there is no such thing as imperfection in creation. There’s just variations on a theme. In music those variations are celebrated, played with and teased out.

That’s how I work with my diabetes management as well.  In an upcycle (where my levels are stable) I think about what’s working and try and repeat that. In a downcycle (where my levels are more erratic) I can come back to what worked before or try something different to start again.

I can’t stress enough that no matter where you are on your journey with diabetes it’s important to reach out, be creative and keep exploring.  It’s something I learned from Dad when I was quite young and something I’m deeply grateful for today…

If you’d like to learn more about how food and yoga can help you control your diabetes check out our webinar below and if you want  to watch my awesome Dad go here

We’d love to hear what you think! Leave a comment below or send me a message and if you’d like a free copy of the first chapter of my new book click here