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

When I go Low, I reach Higher

I can remember having a conversation with my doctor early on about my condition. I kept telling him I was afraid of going low because I’d read about it online. He kept telling me not to worry. “You can’t go low because your problem is high blood sugar. You’re not on insulin so we don’t need to even go there.”  

Now that I’ve been properly diagnosed as a Type 1 LADA and on insulin things are different. I’ve learned that balancing your blood sugar is like playing Russian roulette and that a low blood sugar happens because I’ve either miscalculated the amount of insulin I need to match the number of carbs in a meal, or I’ve exercised and injected too much insulin, or my basal insulin ( long-acting insulin) is set too high.  

Luckily I’m not hypo unaware (a condition that occurs when your body can no longer sense a low blood sugar due to repeated hypoglycemic events) but that doesn’t mean I don’t have anxiety around a low.

Being hypo unaware is probably the single biggest issue anyone has living with type 1. To remedy this we prick our fingers and check our meter’s incessantly, use CGM’s, have something called Glucagon (a shot which has to be mixed and prepared on the spot by someone else to get glucose into the blood stream fast) or have special diabetes alert dogs who can smell the change in our blood sugar levels, to remind us through barks and nudges to check that we are going low.Parents of young kids who live with diabetes set their alarms throughout the night to finger prick their kids, or check their CGM’s making sure they are in range. Imagine a young mum waking through the night year after year hoping their little one is still alive.

I don’t want to paint a horrific picture but it IS horrific.

So what happens when we are conscious enough to treat a low? Well often the fear and impatience of having to wait 20 minutes to see if your levels rise means 2 sips of juice turn into eating the entire contents of the fridge (no joke) By then, your blood sugar is screaming high and you have to inject again to bring it back down.Because I still produce that little bit of insulin and because I eat such a low carb diet my levels are very stable.

I’ve only gone below 3.9 a few times and have experimented enough to know exactly what will raise my levels. But I have had a few fridge binge moments that I’m not proud of. Like the time my meter said I was below 3.9 and I actually wasn’t and by the time I checked again it was too late!

For me having a steady yoga practice to help me deal with the stresses associated with the complexity of this disease has absolutely saved me.

It’s the number one reason why I jump on my mat, work with my breath and explore all aspects of this beautiful and ancient discipline. When I go low I reach higher inside myself to be grateful and accepting of whatever comes along. And sometimes a little thing like a flower on my afternoon walks makes all the difference.