The humble test strip

Something that bears the brunt of many jokes in the diabetes community is the test strip. If you haven’t a clue what that is. No worries, I’ll explain.

The test strip is a very small yet essential item for anyone living with diabetes. In order to keep blood glucose levels in check you have to take regular measurements with a blood sugar measuring device called a glucometer.  Even if I wear a CGM (continuous blood glucose monitor) which measures blood sugar through an implanted device, I still need to calibrate my CGM or double check that the reading I’m getting is accurate. Especially in an emergency. Nothing worse than getting a false reading on my CGM and treating it with either insulin or glucose and then having either a low or high. Sound complicated? Not even the half of it.

Anyway I digress…

The test strip is inserted into the Glucometer, I prick my finger with a lancing device, place a minute amount of blood on the test strip and within 5 seconds I see the reading on a screen. Then I take the test strip out and supposedly dispose of it. The big question is where? One lone strip usually lands in the side pocket of my meter case, eventually 1 becomes 50 or 100 and before I know it little tiny test strips covered in droplets of red blood are literally falling out of my meter every time I open it. Too lazy to throw them in the rubbish I put them back in the side pocket only for them to fall out again the next time I go to test my blood sugar.


Stray test strips end up in car seat crevices, on the floor, in the bed, in the toilet, on the pavement, in my hair. I’ve even found a test strip in my soup. Yuk!

Getting the test strip out of the little round container in the middle of the night in the dark is also a total drag. It’s bad enough having to get up to test my blood sugar but then when I waste a strip putting it in upside down and back to front… total headache! Plus if I don’t get enough blood on the strip the machine tells me I have to test again. That’s another waste of a strip.

Strips are made of plastic and as far as I know non recyclable. In fact most of what we  use to manage diabetes is non recyclable. Talk about feeling guilty every time I test or inject. I just wish someone could invent a recyclable paper, bamboo or hemp test strip. In fact why not invent insulin pens, needle cases, devices out of hemp plastic or some other compostable equivalent. Anyone want to start a movement ?

The test strip is also a conversation piece. ” What’s that? My aunt has diabetes. How many times do you test? Does it hurt?”

The test strip is certainly not something to be undervalued or ignored. Before the test strip made its appearance on the world stage, the only way to know what your blood sugar reading was was to use a special solution mixed with urine then boiled to get a rough sense of the levels. Eventually  a urine test strip was used and by the 80’s there were home test kits like the one pictured below, but it took 5 minutes to get a reading.

Screen Shot 2019-11-08 at 5.13.53 PMThink about it, before the invention of insulin and diabetes technology we didn’t know what we had. how to manage it or even how to stay alive. The humble test strip for all its foibles, annoyances and character flaws is an absolute life saver.

I for one will never leave home without it!

See you tomorrow for #NDAM #DiabetesAwarenessMonth

With great respect…

rachel

P.S. Check out the amazing Miss Diabetes and her latest cartoon about how to test your blood sugar here

Sailing unchartered waters

Today I’d like to share for Diabetes Awareness Month, a bit more about how diabetes affects the nervous system and why yoga is so beneficial.

Imagine…you’ve lost a ton of weight, been super thirsty, you can’t stop peeing and your exhausted. You know somethings wrong but you can’t quite put your finger on it. Then BOOM you are in the hospital hooked up to drips and on the fastest learning curve of your life. Your family and friends can’t believe it and neither can you. Or if you’re like me, you find out from your GP that your blood sugar is not in range as it should be and it looks suspiciously like diabetes. Whether you have a sudden diagnosis, or gradual diagnosis, the shock to the nervous system is the same.

Your life as you knew it is gone. Without any prior skills to rely on you have to navigate dangerous medication (too much or too little could put you in a coma or kill you), change your diet and exercise habits and possibly even rethink your vocation. From the moment you wake up till the moment you go to sleep and even through the night, vigilance is key. Diabetes technology has definitely reduced the burden but it isn’t a cure.

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Every single day the body is in hyperdrive at some point or other. It’s especially notable when it comes to low and high blood sugars. As I’ve experienced since my horrible hypo less than a week ago and my rebound high which keeps on keeping on, being in range and giving my nervous system the chance to rest and regroup has been just that little bit more out of reach.

Autonomic nervous system dysregulation (spending more time in the fight or flight reflex and not being able to calm down and rest and digest) can be the cause of more erratic blood sugars. So taming the beast is always the first order of business. I.e lots of breath work, restorative yoga and other nervous system balancing modalities.

One of the quickest and most specific tools I use is full complete breathing. This calms and soothes, enhances digestion, massages all the abdominal organs and gives the mind a focus out of its habitual tendency to identify with conscious stressful thoughts. When we have an extreme low or high it’s is not necessarily something we tap into consciously, having a quick fix on hand that can be done anywhere, is invaluable.

Just like I used the Ujayii breath to calm me down during my low, full complete breath can be practiced at any time. It’s even helpful when you’re not in a stressed state . It can be done lying down or sitting in a chair. You can even spend some time with your hand on your belly while standing if you can’t get into the other positions. The more tools we have to bring our nervous system back to balance the easier it is to navigate future challenges and teach the body to do what it’s designed to do, relax.

Below is a short video where I share the practice. Give it a try and let me know how it feels.

See you tomorrow

with great respect…

rachel

The perfect injection

I was one of the lucky ones, or so I thought. When I was diagnosed with unusual blood sugar levels in 2008 I was told by my doctor that we would take a wait and see attitude. Waiting meant me measuring my blood sugar levels with a glucometer twice a day and having quarterly blood tests to see if there was either a reversal to normal levels or an escalation. Seeing was about hoping that I could reverse the symptoms through diet and exercise.

Looking back I’m not to sure how this ‘wait and see’ approach made me lucky. ‘Waiting’ meant I could go into further denial and ‘seeing’ took me into untold distress. When my doctor finally made the call  to start insulin therapy after acknowledging that what I had was a late onset form of Type 1 diabetes, I cried for two weeks straight. Not because I was worried or fearful (which by the way I was, no one wants to be dependent on medication for the rest of their life) but because I was relieved. Relieved that I had a diagnosis that made sense and that I would have control of my health again.

Up until that point taking insulin was my biggest fear. How would I travel having to carry meds with me everywhere, what if I reacted to the chemicals in the insulin, what if it didn’t work.? My doctor assured me that I would feel a whole lot better once I started injecting. He was right. It took 6 months for my levels to return to ‘normal’. Insulin doesn’t cure diabetes, or solve the problem, but it does alleviate the issue of not being able to assimilate food . When the body doesn’t produce an essential hormone you have to get it in there somehow.

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One of the first things I learned from my diabetes educator was to rotate injection sites. The reason being if I constantly inject in the same place that area starts to form scar tissue making it harder to absorb the insulin. Also the injection site changes the rate of absorption. I started by injecting in the fat layer on my belly, then after meeting friends who lived with diabetes I learned to inject in the fat tissue on the sides and lower back. Recently I’ve started injecting in the top part of my bum. I still haven’t worked up the courage to try my upper outer arms or outer thighs, but I’m getting there.

The hardest thing to remember is where I last injected so I switch sides. Left side of my belly in the morning and right side in the evening. Basically I feel like a pincushion covered in bruises. I like to think of them as a battle scars, a fight well won. Those bumps and bruises show me I’m still alive. I don’t begrudge taking insulin one bit. Taking insulin is a privilege. Before the discovery of insulin, diabetes was a death sentence.

What I’d really like to see out there in terms of help in rotating sites is some kind of way to make sure I’m injecting in a different spot each time. I’ve seen an idea for a temporary tattoos for kids  and there’s a grid you can use, plus apps and charts. But to be honest all these options hasn’t solved the issue.  One of the best options I’ve seen is placing a teeny tiny temporary flower tattoo after injecting, so eventually your whole belly looks like a garden. Sounds fun right?

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In spite of the daily dilemma I have around injecting, life goes on. Initially, I felt nervous and awkward, and unsure as to whether it would work at all. It was my doctor who reassured me, “you know in a little while you’ll forget you even struggled with this part of it. It’ll be as automatic as driving a car.”

And you know what? As much as injecting can be a literal pain in the ass, he was right. As I dial up the dose and inject that sucker I know everything is going to be okay.

see you tomorrow

with great respect…

rachel

I have diabetes, so what

Today ‘diabetes’ was the big topic of conversation amongst everyone I spent time with. I love how friends are curious about how I manage my daily life with this condition. I enjoy clarifying the differences between type 1 and type 2 diabetes, why we take insulin or sugar and the ins and outs of daily management. There are many diabetes myths out there, like people with diabetes can’t have sugar, or we take insulin for every situation, whether low or high, or that our diets caused our diabetes.

Diabetes is so much more complex and mysterious than that. It’s a bit like trying to put a square peg in a round hole. What I deal with in my iteration of diabetes is different to every other person with diabetes. That’s what makes it both frustrating and predictable. Living with diabetes means you can rely on its uncertainty.

And don’t get me started on how each person living with diabetes relates to their condition emotionally and mentally. In a recent conversation, a friend with type 2 diabetes stressed how exhausting it felt having to stay so vigilant with daily blood tests and visits to the doctor. In the end her way of dealing with it was to say, “I have diabetes, so what.”

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Listening to her take on diabetes made me reflect on my own approach. I could completely understand her position. Taking anything so seriously that it restricts your life can make you more unwell.

This is where I segway into my personal approach to management. It’s definitely the serious approach, where fear of complications such as loss of vision, amputation, kidney damage,and neuropathy give me the discipline and impetus for strict control. I’ve used my body my whole life to express myself through dance and yoga. The body being my joy meter. I remember thinking as a teenager that if I couldn’t walk, or dance I didn’t know how I’d cope. I feel the same way now as an avid yoga practitioner. I see the body as a powerful tool for health and wellbeing. If you can open, stretch and strengthen the body you can directly affect how you deal with any physical , mental or emotional stressor.

Luckily the daily discipline required of a dancer and yogi has its benefits, I utilise it  to be comfortable with eating the same kinds of foods at every meal, taking approximately the same amount of insulin, walking at a specific time each day, checking my blood sugar often and using yoga and meditation to mange my mindset. When I veer from my daily routine it takes days to catch up. It’s hard for me to experiment and try new approaches even when I know those changes would benefit me. I don’t want to beat myself up about my approach though… I’m fine with it. As one of my diabuddy’s once said,  “You do diabetes your way and if it ain’t broke, don’t fix it.”

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Walking with my friend today we talked about how it feels when I see a positive number on my glucometer or I know I’m doing good time in range. ” Do you feel like you can take a moment to soak in the tone of that feeling? In other words stop and feel how good it feels to know your managing well? ” I absolutely loved the way she put this. If I can acknowledge the good feelings, really soak them in then perhaps those more challenging moments i.e low or high blood sugar freakouts, will be less stressful. I like the idea that even something as stressful as diabetes gives me the opportunity to embrace those feel good vibes and to heal my nervous system.

A nice way to acknowledge that even though I have diabetes, so what.

See you tomorrow

with great respect…

rachel

It’s not up to me

Setting myself the task to write something every day for 30 days about diabetes to spread diabetes awareness is definitely daunting. I live with diabetes for 365 days a year and deal with it 24/7 so it should be easy to articulate that right? In reality the way I deal with diabetes is deeply private.

After spending 6 years ignoring it and then spending 4 years shouting about it via writing a book and being a fierce advocate through social media, it’s been interesting to spend this past year taking a break from the need to externalise my experience.

In 2019 I set a goal to lower my Hba1c, heal some of my underlying digestion issues and be brave when it comes to taking Insulin. I started 2019 using the Diabetic Health Journal, created by yogi and  diabetes health coach Lauren Bongiorno, with incredible results. Writing down daily goals, things I was grateful for and staying accountable made a big difference. My Hba1c went from 6% to 5.6 % in 6 months. If you’re not sure what that means it’s like dropping your cholesterol levels or blood pressure. Moving it from a pass to a win.

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I also went into hyper drive with my digestion, adding different supplements, bone broth and more variety into my daily meals. I worked on stored trauma with network spinal analysis and neuroimmunology sessions. Finally I made sure to keep up a daily walk and my twice daily yoga practice.

Making a concerted effort to shift some deep seated patterns has been an interesting process. I didn’t necessarily make great strides or have major revelations, instead I settled more into accepting what is.

“What is” might not be what I want but if I can accept it that’s a pretty good place to be. It’s how I dealt with diagnosis after fighting it for so long and pretty much how I manage my finicky digestion and volatile blood sugars and everything else that comes my way.

My latest go to phrase for everything is, ” It’s not up to me” That’s not about not doing everything I can to stay balanced. It’s about understanding that I don’t know the recipe of creation.  Letting go of needing to know, enjoying the gifts I’ve been given and trusting that whatever comes is perfect, goes a long way in helping me manage my condition.

I never expected to be diagnosed with diabetes but now that I have been I can honestly share it’s a blessing in disguise.

More on that tomorrow  #NDAM #DiabetesAwarenessMonth

With great respect…

rachel

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6 tips to bounce back from a rebound high

The first time it happened I was clueless. People living with diabetes often talk about blood sugar roller coasters but I thought that just meant highs and lows in a short period of time. What I didn’t understand was that when I go low I also go high and not just right after correcting a low blood sugar. The high lasts for days. My body starts resisting the insulin I’m injecting and I need more insulin to manage the highs which means more risk of lows. When I was a kid I hated rollercoasters and for good reason. They made me feel sick, scared the begeezus out of me and I’d come off the dang thing with a sore throat from screaming my lungs out.

It took quite a few hypo’s for me to work out that the high’s that followed were to do with the lows. At first I just thought there was something wrong with the insulin, or maybe I hadn’t dosed enough. I even speculated that maybe my pancreas had finally hit the dirt and I really didn’t have an ounce of beta cell function left. Because I live with LADA ( latent autoimmune diabetes in adults) I still produce a minute amount of  insulin, this means that sometimes my body squirts out a tiny amount when I first start eating. It also means that if I am already low when I start eating I could go even lower and have a hypo. Not having the recipe as to what my pancreas will do when means there’s a lot of guessing going on. So when I’m high for days on end and doing everything exactly as I did it the days, weeks and months before it feels like I’m in the middle of a crap shoot. Lucky me!

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When people meet someone living with diabetes, the decision making and daily micromanagement is largely invisible. You might see a CGM or an insulin pump, but on the whole it seems as though the whole process runs smoothly.

Here’s what actually goes on most days for me. I wake up, inject. I eat, inject. Go a little below range, take a glucose tab. Go high, take some insulin.  I check my blood sugar every hour to be on the safe side except for at night where I place my faith in morpheus, the god of sleep trusting that the amount I take for my long acting insulin will keep me in range all night. 20 fingerpricks and up to 6 shots a day of insulin is not easy or seamless no matter how doable it is.

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What do I do to deal with the physical and mental blood sugar challenges during a rebound high? Here’s 6 things that have really helped me.

  1. Do some physical exercise which I know increases insulin sensitivity, like a walk with some hills,
  2. Do a yoga practice which works with the larger muscles of the body and includes standing hip openers and balancing postures
  3. Talk to myself in a positive and supportive way when I see a high number on my meter. I.e. This too shall pass, this is a normal response to a low blood sugar, everybody goes through this
  4. Do things in my day that give me joy, like writing, yoga, connecting with a friend or have some hang out time with my husband
  5. Go to bed early, there’s nothing more healing then a good nights sleep
  6. Reach out in the #DOC ( diabetes online community) to find out how my diabuddies deal with the same situation

And if you live with diabetes I’d love to know… How do you deal with a rebound high? Lets start a conversation in the comments below!

See you tomorrow #NDAM #DiabetesAwarenessMonth

with great respect…

rachel

A horrible hypo

I titled this post at 2 am this morning after a sudden hypo around dinner time. At 2 am I was thinking clearly, taking time to make a note on my phone so I wouldn’t forget. At 7.15 pm things were a whole lot more chaotic. Well not at first….

I was cruising nicely through my evening yoga practice after taking my basal shot (long acting insulin which keeps my blood sugar level over night) about 30 minutes prior. I’ve been playing around with where to take the shot to avoid insulin absorption issues, and decided to inject in the soft fleshy area in the top part of my bum. There was a sting on entry and when I pulled the needle out quite a bit of bleeding so I knew I hit a capillary. I wasn’t concerned. Usually this means the insulin won’t absorb as well and I’ll sustain a higher level overnight.

I hopped on my mat, forgetting all about the shot. It was towards the end of my practice that I noticed some itchy sensations around my waist. This is usually a sign that I am going low but sometimes that itch comes when I’m high. I actually find the itch super annoying. It’s not at all useful in helping me determine whether I should check my level or not. Luckily I checked.

3.4 mmol flashed large on my blood glucose meter. This is NOT a good result. This is a scary result. The last time I had checked I was 5.4 and usually it would stay that number until dinner. This sudden and fast drop could only mean one thing. My long acting insulin had hit my blood stream and was absorbing all at once. If I’d been wearing a CGM ( continuous glucose monitor) I could have seen the trend. Arrow pointing down on an angle means I can treat it with around 8 grams of fast acting carbs and it would come up in 20 minutes. Arrow pointing straight down would mean taking 15 grams and still having to wait 20 minutes.

Sadly I cannot afford a CGM. I had to fly blind.

After cramming two tabs in my mouth at once I sat back down on my mat. By now the itch had turned into a crawl which went from head to toe. My husband who was sitting next to me and in the middle of his own yoga practice reminded me to breathe.

I engaged whats called Ujayii breath a slow whispering breath, which sounds almost like a snore and tried to focus on lengthening my exhalation. It worked and I stayed calm but it did little to budge the numbers on my meter. I took another tab and a half and started raving and ranting This is the point where someone telling me to calm down doesn’t  work.  Me telling me to calm down doesn’t work.

Telling myself, “don’t react, don’t eat more tabs, just be here, it will pass, your blood sugar will come up” is like that feeling on the edge of orgasm when the thought comes “don’t do it… hold off… keep enjoying…” and then you go for it anyway.

Not the best analogy, because sex feels good while hypos are horrible, a total brain melt. 

It took 30 minutes and three and half glucose tabs to come out of the tail spin. The graph on the app which measures my data went straight up. When I pulled out my syringe to take some fast acting insulin for dinner my husband was confused. Why are you taking insulin when insulin just caused the problem? How to explain that if I don’t take some insulin to cover the meal I’ll rebound even higher.

Living with diabetes is a fine and tenuous balancing act between the horror of lows and the haunting of highs. No matter which way you look at it you can’t win. Best not to try. Thankfully I rarely have these testing moments. I chalk this up to a consistent and daily yoga routine. More of which I’ll share with you here during #diabetesawarenessmonth.

Want to learn the ujayii breathing technique I use to calm myself during a low? Watch this short video below and join in.

See you tomorrow

with great respect…

rachel

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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Subscribing to the Unsubscribe

It’s tragic, that moment when my inbox flags that someone’s unsubscribed from my newsletter. I know it’s not personal, but it is.

Feeling the inevitable gut punch when I post a newsletter is something I’m getting used to. It’s why I find it harder and harder to send them out and truth be told I’m a little envious of my unsubscribers. I’d like to do some unsubscribing myself

Like unsubscribing from Type 1 diabetes.

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It’s 6 am. I roll out of bed and pad to the computer, As I watch the myriad of newsletters come in the subject, “LOW BLOOD SUGAR” is staring me down. I click through the dropping numbers and glucose tabs to the fine print. Who wants low blood sugar in their inbox anyway? Not me. With a quick click, I’m done. PHEW!

One less newsletter to worry about until breakfast.

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The inevitable ping reminds me my next newsletter has arrived. This time the subject line reads, “BOLUS for BREAKFAST”. Again I scroll down to the teeny-weeny lettering and click the unsubscribe link, only to be led to a page which offers me numerous other ways to resubscribe

Bolus for Lunch ✅

Bolus for Dinner ✅

Basal for Bed ✅

Inject for a High ✅

I go through the process of unchecking all the boxes and BOOM no more bolusing for anything!

I feel an incredible sense of relief until I realize, I’ve got another mail. That annoying one where I have to manually write to the person and ask them to personally unsubscribe me. The subject reads, “Unknown Reason for High”.

As I write a diatribe to the person for not taking me off the list I find myself confessing, “Don’t you know I’ve tried everything already? Why can’t you just make sense? It’s no use showing up if you’re just going to be irrational.”

Blah Blah Blah

While I’m at it I rage unsubscribe to everything.

A bird flies overhead, the Sun rises and sets. The wind blows through evergreen trees and I feel calm again. I’ve tamed the beast and lived to tell the tale.

Now wouldn’t that be nice…

With great respect…

rachel 

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P.S if you’d like to subscribe to my newsletter go here 

It’s Okay To Receive

I’ve just made up a new word. It’s “GIVITUDE”

Givitude is when you find a way to make your gratitude a gift.

Giving is natural. From smiling at a stranger to donating to a cause, most of us without even thinking about it give in little ways every day. How many times have you opened a door for someone, offered directions, taking a partners hand, or called a friend just to listen?

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When I consciously give and my gift is received I find myself falling into gratitude. Gratitude that I could help someone feel better, learn something new or overcome a challenge. I don’t give expecting something in return rather I know that the giving will give me gratitude and the gratitude I feel will inspire more giving.

In the diabetes community giving seems to be a given. When I first reached out online to tell my story and ask for help I had over 25 replies in five minutes. Those five minutes changed everything. I went from feeling isolated and anxious to feeling seen, held and supported. I remember being overwhelmed with gratitude and longing to meet each person who had responded to my call for help. My next thought was what can I do for them? How can I show my gratitude?

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The answer… it’s okay to receive.

When someone gives you a gift it’s yours to receive. Think of it as creation, giving to you in the form of that person, situation or experience. In fact, when you analyze it, creation is giving everything to us all the time. The air we breathe, the ability to breathe, the trees that keep our atmosphere balanced, the earth which enables seeds to grow into trees, the sun which brings life and light to all things.  It’s all going on effortlessly.  Isn’t it amazing that we are free to enjoy creations gifts?

When I first found yoga my body went through some radical upgrades. I became stronger, lighter and more flexible and I was surprised at how resilient it made me. I changed my diet and rested more. I took my time and immersed myself in nature.  Time took on a different quality and I was more content. It was because of these simple gifts that I decided to become a teacher. The benefits of the practice were tangible and I wanted to share.

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Not much has changed other than now that I live with diabetes, I feel an urgency to share. Yoga was my lifeline in dealing with the crippling anxiety of starting insulin and my rock when I felt overwhelmed and alone.

Since coming out of isolation it’s been my mission to enable people to feel happy, healthy and free in spite of living with this chronic condition. I truly see yoga as the key to that and the greatest gift.

This Thanksgiving I invite you to take a moment for yourself. Receive your breath, feel your heartbeat, your ability to love, give and receive.

And… if you’d like to bring more yoga into your life join me in this downward dog for all levels in the video below.

with great respect….

rachel