Getting comfortable with being uncomfortable

I started long acting Insulin in 2014 under pressure from both my endocrinologist and GP. Up until that point, I tried my hardest to avoid insulin because I saw it as the enemy. I can remember being on a 10-day trial of the Medtronic CGM to see what was happening with my levels and sitting in a room with other people who were also on the trial. The conversation turned to the number of shots we were on a day. The guy next to me was on three. Back then I thought I was pre-diabetic and considered myself lucky to be shot free. I didn’t realise that the source of my higher blood sugar levels was autoimmune or that I had LADA (Latent Autoimmune Diabetes in Adults) which is essentially type 1 diabetes.

Starting insulin was terrifying. I had no idea how my body would respond and didn’t believe my endo when he assured me that I’d have so much energy that I wouldn’t recognise myself. Now that I’m on a  regime of both basal and bolus insulin I feel embarrassed that I didn’t believe him. Insulin has given me back my joie de vivre and made me feel like a kid again.

In my last post I talked about the challenges of getting a minuscule dose into a syringe and the feeling of fear around getting the dose just right. Just a few weeks later I’ve learned that practice makes perfect and a bit of peer support goes a long way.

I no longer worry about whipping out my syringe at dinner and dialing up my dose after hanging out with my friend Sarah MacLeod from What Sarah Said.
IMG_1902She showed me how to inject in the back of my arm by scrunching it up against a chair and mentioned how important it is to normalize injecting in public. I had always felt a little shy about lifting up my shirt and perhaps disrupting conversation to inject. She mentioned it didn’t make sense to go to the restroom, “who wants to go to a dirty smelly bathroom right?” It’s much cleaner at the table. I’d always worried that the insulin would get everywhere, on the food or other people. So far so good except last night was a little awkward in the Italian restaurant. The waiters were clearing the table just as I was priming my syringe. I persisted and although I probably overbolused a smidgen a ½ glucose tab in the movie theatre sorted me out.

When diabuddy, Christel Oerum from Diabetes Strong and I caught up for a walk in Malibu we discussed the predictability of dosing.


When you know how your body responds to carbs, insulin and exercise its easy to see how much you’ll go up or down with a meal, a walk or a yoga practice. Like me, Christel, likes to take the guesswork out and counts every carb. She’s just written a really cool blog on how yoga impacts her blood sugars and her new Fit with Diabetes e-book is an essential read. More on her new book from me in an upcoming blog post.

I think my biggest challenge was to work out corrections (injecting insulin after a spike to keep blood glucose levels in range) It felt overwhelming and scary. What if I overcorrected, at what stage would I take a correction, and what if I wanted to eat, or exercise? To tackle this one, I had the support of Karen Rose Tank from Rose Health Coaching, she’s a certified health coach, yogini and type 1 diabetic and go-getter like me.


I did my first correction at her house. She shared with me that you can use a correction to get yourself back in range and it’s a matter of keeping an eye on your levels after the correction.

Gary Scheiner, my diabetes coach from the mySugr bundle, explained that a good way to determine how far one unit will lower your blood sugar is to take a correction and then fast for the 4-hour duration that the insulin is in your system. It was magic to watch my level of 173 mg/dl (9.6 mmol) come down to 128 mg/dl (7.1 mmol) in 4 hours.

Even cooler was to see how just 2 gms of a glucose tab would raise my level by 45 mg/dl. Big thanks to Mona Morstein from the Low Carb Diabetes Association and her new book Mastering Diabetes for giving me the info I needed to understand how to raise blood sugars safely. I was drinking apple juice to bring up my levels and could never figure out how much of a sip was 4 gms worth of carbs. I’ve learned that I only need half a glucose tab to stabilise my levels, no more eating the entire fridge at 11pm. It’s been neat to note that taking an injection at meals hasn’t impacted my daily yoga practice either. I can inject at breakfast, head to my mat an hour later and see little change in levels before and after practice.
IMG_2253All these milestones in the last two months have built my confidence and tackled my fears head-on.  It reminds me of the time my husband dared me to jump in the freezing ocean in South Africa. At first, I crossed my arms, shivered and refused to go in. Then, as I watched my husband dive under the waves I felt silly for being such a chicken. Slowly I waded in up to my ankles trying to get used to that numb icy cold feeling. Eventually, I dove in too and came up for air smiling from ear to ear shouting, “ That was awesome! and so refreshing!”

I can’t exactly say that living with diabetes is awesome or refreshing, but learning to ride the waves has a sweetness of its own.

with great respect…


Diabetes: A total head spin!

I love certainty. Knowing exactly what to expect in a situation keeps me calm. When I don’t know I try to guess… But living with diabetes is different. I can’t really make a guestimate when my life is at stake.

After my first rapid-acting insulin injection a few weeks ago, I had a total meltdown, my blood sugar skyrocketed and I had to make several trips to the loo. It reminded me of one of those dares your friend gives you when you’re a kid like; I dare you to take off all your clothes and run around in the snow or, I dare you to tongue kiss Danny Marsden. You want to do it, but you’re also terrified. What if you freeze your butt off or end up swallowing his tongue!

There were definitely things to be paranoid about. Not getting the dose right, reacting to the insulin, the insulin not working, injecting into a muscle and crashing my blood sugars. Not to mention that the sheer mechanics of getting the shot ready were a nightmare.


I had no idea you had to prime a syringe, that a ½ unit is a tiny tiny amount so tiny you can hardly see the plunger moving when you push it in and that pulling insulin out of a pen without all the proper handling techniques can make your syringe fly across the room.

It became obvious quite quickly that listening to my CDE tell me what to do and doing it were two different things. In the beginning, there was a lot of insulin wastage. Something I don’t like doing as I am very aware of the cost of this life-saving medication. As those of us living with diabetes know, insulin does not grow on trees!

After two days of trial and error and wondering if it was ever going to work, it did. My postprandial blood sugar coasted up a mere 10 mg/dl and then 2 hours later coasted right back down.  I couldn’t believe it. Working with long-acting insulin to cover meals meant I always went up between 40 to 50 mg/dl after every meal… I’d gotten so used to the spike I didn’t see it as an issue. Even though logically I know it’s those spikes that give me a higher A1c.


Success didn’t last long, just because it worked perfectly once didn’t mean it worked like that again. The day after my very successful bolus I wrestled with lows. urgh.. the frustration… now I had to wait for my blood sugar to come up again to try bolusing with a meal. I even lowered my long acting to see if that was the issue and then WHAM…the next day blood sugars were too high.

Count carbs, prime needle, take the shot, monitor blood sugar, treat a low, check blood sugar, take a correction OMG! It’s a total head spin.

I am in awe of every single person living with diabetes. I am stunned by how inaccurate the treatment methodology is. No wonder we need diabetes coaches, peer support, better and better technology’s and smarter insulin and did I mention YOGA!

with great respect from the trenches…




I’m Possible

What I love most about the Diabetes Online Community is the beauty that flourishes through sharing our stories. Today I wanted to share a guest post by Doris Hobbs the founder of Rich in Love. Doris reached out to me just after my crowdfunding campaign and shared her story with me. Type 1 diabetes runs in her close family. Her courage in accepting her eventual diagnosis and how she met it with glamour and determination is the subject of her blog. In her guest post, she shares how attitude and mindset help her to manage her disease with grace. Take it away Doris!

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I was diagnosed with diabetes at 33, I would have never imagined that just 3 years later I’d see this auto-immune disease as a gift rather than a curse.

10 months before my diagnosis I lived in uncrated fear, unwilling to admit I could be a diabetic. With each passing month, my life slipped from underneath me. I began to lose weight rapidly, a feeling of fatigue followed each action, endless thirst and blurred vision with momentary blindness; I was fighting to stay alive and ironically knew the solution and chose to ignore it.

The night I was hospitalized I was near death later discovering my A1C was 11.2%. If I hadn’t sought medical attention I would have eventually slipped into a coma during the night. While the doctor shared my laboratory results, I clearly remember staring at the cold white walls of the emergency room, a number of IV’s stationary in my veins and saying to myself with determination, “I will find a cure, this is not my ending”. From that moment, I’ve gone on an empowering life journey as a type 1 diabetic seeking a cure.  For what others say is impossible I see as possible as I know I’m possible.

Diabetes has allowed me to view the world I want to create, not the world I currently live in.

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I am proud to share I currently have an A1C of 5.9% pre-diabetic, with the goal of 5.6% in the next year ahead (approx. 6/2018). How did I reach this astonishing result? Through the daily practice of leading a health-conscious mindset that is fed by a BE-DO-HAVE Paradigm Shift, in addition to clean eating, the knowledge of our bodies biochemistry and a daily fitness routine.

When I was diagnosed I didn’t want to wear a pump or go on an impractical diet plan, instead, my desire was to create a new lifestyle, something of substance which in return would only enrich my life positively.

Have you ever wondered what was on the other side of life for you? It’s quite simple to know because, what you want, wants you. We forget that our actions, daily behavior, and spoken words carry enormous weight in creating our reality.

“Death and life are in the power of the tongue,” King Solomon once said. Whether we realize it or not, we are shaping our future by the words we use every day.

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Change is inevitable. Nothing stays still. Life is in constant motion shifting you through positivity and setbacks, but if you take a closer look at those hardships you’ll find a hint of glamour, I did with the mindset to not allow my diagnosis to define my existence.  Now, with a footing in what my true purpose in life is I awake each morning with gratitude for another day to inspire others with glamour, a story, authenticity, and an unbinding courage to never give up despite what my day or diabetes may bring.

Try and remember that each day; you become what you think of most. Rather than registering difficult thoughts, look around you and make note of what you appreciate most in life. There is hidden treasure filled with fortune if you do.

Since my diagnosis I’ve brought a message of positivity through worldwide media exposure for several prestigious diabetes organizations: Beyond Type 1, JDRF, American Diabetes Association, Diabetes Alive, and T1D Exposed. I’ve also been featured on Hawaii News Now, 101.7 KKIQ, 92.1 KKDV, Healtheo360, Diabetes Connections, East Bay Times, Diabetes Power show, T1D Exposed Nude Calendar Advocacy Project, Bay Area Focus, and Diabetes Late Nite for my advocate efforts.

At the end, exploring your health and evaluating the areas that are in need of change will enable you to develop constructive behavior. By being proactive you are bringing freedom and new meaning to not only your life but to those who cross your path.

Live in love, find your inner peace and abundance will follow.

KKDV Beyond Type 1 PSA

A San Francisco based Luxury Liaison, Doris Hobbs bridges the world of MEDIA with unmistakable elegance through both written Storytelling & Visual Imagery. Known as the Creative Visionary of Rich in Love, an accomplished Media Maven and Fashion Doyenne she has partnered with some of today’s Leading Publications and Television Networks. Named by Diablo Magazine as “Best of the East Bay”, featured in the San Francisco Chronicle, InStyle Magazine, Hawaii News Now, CBS13/CW31 and KPIX-TV CBS television networks. Doris continues to breathe new life into her sought-after glamour persona & profitable branding campaigns while maintaining a voice as a Diabetes Awareness Advocate.

Twitter: doris_hobbs
IG: richinlovefashion
FB: doris.hobbs

New intentions for a new year

With just one day to go until New Year’s Eve every letter in my inbox and blog post is about reflecting on what’s been and looking to what’s ahead. It’s hard not to get caught up in the frenzy and to think I need to make resolutions too. If I could make a resolution that would eliminate diabetes from my life believe me I would. But sadly I can only manage my relationship to the disease which doesn’t have a sense of endings nor new beginnings.

I’ve decided to start my new year in a different way. A couple of days ago I signed up for the Mysugr bundle with the intention of getting support for adding fast-acting Insulin at meal times. I’ve been injecting Basal insulin for the last 3 years and my yoga practice combined with a low carb diet, daily walks, meditation and breathing have kept my levels in range.


Now I want better control. My CDE suggested I start with a ½ unit of Apidra with my meals, but even with her instructions, I’ve been holding off because, to be honest, I AM FREAKING OUT! Just like I did when I started insulin therapy. It’s been an emotional rollercoaster working up the courage to take this next step. I’m learning that no matter the challenge, it doesn’t work to run in the other direction. Especially when my health and well-being are at stake.

Luckily peer support and diabetes technology can help to bridge the gap.

As soon as I signed up for the Mysugr bundle, which includes an accu-chek guide meter and unlimited test strips delivered to my door, my diabetes coach Gary Scheiner said “Hi” via the app. I was able to chat with him and get advice on when to dose according to my uploaded data within minutes. How cool is that!

I bought Gary’s book Think Like a Pancreas when I started Insulin in 2014. In fact, I took his book with me for my 8- month trip to South Africa and read it from cover to cover. I never thought I’d get his personal support in helping me to manage my health. But then I never thought I’d meet half the people who inspire me every day to live well with this condition. In my experience, the diabetes community is welcoming in a way that has gone beyond any other community I’ve been involved in (including the Yoga community.) It’s brought me to tears and opened my heart and had me in awe every single day.

It’s also why I want to spread awareness.


This whole holiday season has been about that for me. Bringing my family into the reality of what its like for me to live with Type 1. Showing my Dad my snacks for lows, having my 11-year-old niece help me work out the carb count for my lunch or talking with my mom about why people with diabetes can tend to live in isolation. Awareness definitely breeds compassion and support.

As the holidays come to a close and I prepare for 2018 there is one resolution I’d like to share. It’s the tradition of practicing the Sankalpa meditation. Sankalpa means “ setting an intention” rather than being something we resolve to do, it’s something that arises from the ground of our being. Intentions for me in the past have been single words like love, support, authorship, openness. Whatever the intention I let it percolate until I feel its birth in me. It could be a week, a month or a year later.  Rather than worrying about when my intention will fruit I enjoy the adventure along the way.

 “You are the beginning of the journey, you are the journey itself and you are the destination.” John Weddepohl

Wishing each and every one of you a love filled, joy-filled healthy New Year.

With great respect…


Sweetness, beauty, and love

Today I offer you a guest post from my friend Sarah Tomlinson. Sarah and I met when I was planning the NYC leg of my book launch. We discovered that we both had a passion for yoga, yantras and all the wonderful tools that promote health and wellbeing. Sarah also lives with Type 1 Diabetes. I asked her to share how she has come to terms with her diagnosis and how she supports others to live well through working with the power and beauty of yantras.

Take it away Sarah!


Venus is the planet of love, it is also known as the planet of Art and Beauty. Being an astrological ayurvedic counselor I am very much involved with the significance of the planets. I have been living with type one diabetes since I was 21years old. It struck in the middle of many years of healthy eating and yoga and meditation.

Type one is an interesting auto-immune disorder and the stress reduction technique I craved with this diagnosis was to do with soothing my emotions. I had the physical practices in place, as a longtime yogini and mindful nutritionist but I longed for something that would soothe my emotional unrest and allow me to, for a while, forget about the physical body. Could I be transported into a spiritual practice that was not focused on the physical body?

A few years later I met a renaissance man, his name was Harish Johari, not only was he at the forefront of bringing Eastern teachings of mysticism to the West, he also brought the knowledge of sacred geometric shapes, known as Yantras to us. Once I discovered that drawing and coloring these was a form of prayer I was hooked.

He gave me twenty-four Yantras to work with. Each one induces a calm yet specific vibration within the viewer. As I studied these, embracing each one fully, I started to notice that as my Yantra practice deepened, my blood sugar levels became more stable. By not focusing all of the time on the physical aspect of well-being I filled up my well of emotions, which had become somewhat of a destitute wasteland and regained some mental and emotional balance.


Venus is the planet of sweetness. The sweet taste is associated with Venus. I wonder if there is something here, love, sweetness, beauty, and Art. Something that I felt was lacking when I became diabetic, and maybe even was the source of my imbalance when I developed this condition, was becoming fulfilled with this Venusian practice of creating Yantras.

And this spectacular practice draws me in daily. I draw, I color, for maybe 10 minutes and maybe two hours, each day. It is the time when I find the bliss of the present moment, I get to focus on me, the real me, the me that is happy, soothed and contented. From this place, I can move out into my day with grace. I am more in tune with the beauty and positive things around me.

I teach Yantra Painting to bring this practice to others and to continue to learn about the qualities each of the twenty-four Yantras has. This is an incredible practice that comes from the ancient tantrics, the mystics from northern India, and yet it has helpful implications for today.

Last year I created the book “Coloring Yantras” to teach more people than I can reach in my workshops, about the healing power of the twenty-four Yantras, their meaning, and benefit, and to invite people to pick up a colored pencil or pen and start to color.

Try it, maybe it will fill you up with sweetness, beauty, and love too.


Sarah Tomlinson is an internationally acclaimed Yantrika (Yantra teacher and practitioner), yoga teacher and artist, with renowned fans across the globe including Elena Brower and Sharon Gannon, co-founder of Jivamukti Yoga. Sarah worked extensively with her mentor Harish Johari in India, he initiated her into the spiritual practice of painting Yantras. She leads retreats and Yantra workshops around the world and enjoys lots of time by the ocean with her husband and two young boys.

You can find out more about Sarah @  and order her books here


Dear Diabetes

You came like a thief in the night and stole away so much of who I thought I was but I’m not angry at you. I know it’s not your fault. Living in one in 11 people your role is complex. You attack unknowingly. You can be swift or drag out over years.
You do not discriminate. you don’t care about age, sex or race. You don’t care about the season or the time of day. You are like a fire that burns, a storm or a ground-shaking quake. You take life and yet you also engender life like no other.
When you came to me you were like a silent slow creeper, slowly choking my life giving beta cells. You were so quiet for years I didn’t even know you were there. You hid deep in my belly so I mistook you for something else. It was easy to imagine I could fix you.
It took me so long to realize you were there it could have been too late. I let you wear away my nerves and eat away at my digestion… luckily your slow insipid presence was caught in time. And even though I kicked and screamed and tried to run and hide you forced me to face you head on. Tears streaming and wind on my face.
I’ve learned to lean into you, to ride you like a wild horse, to let you buck and throw but to never let go. Diabetes you are ugly, unpredictable and terrifying. Yet there is a tenderness to living with you. A faith I’ve learned to keep. A delicate balance which has engendered sensitivity, compassion, and care. A moment by moment gratitude for each breath and heartbeat.
A standing on edges of cliffs, without needing to jump or fear the precipice. A strength beyond capability. A grounded being of courage.
Diabetes you have allowed me to know courage, friendship, camaraderie and devoted surrender.
#DearDiabetes You have given me one more day.


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…