Monthly Archive for January, 2010

I need a refridgerated desk drawer…

emergency kitThe devastating earthquakes in Haiti have made me think about my own disaster preparedness lately, and I have to admit, I’m coming up a little short. I’ve got back-up test strips and pumping supplies here at my work, but no actual back-up meter. Bad Lexie.

I’ve got an awesome dia-buddy one floor up who keeps a spare bottle of insulin in a private fridge here at the office (she has to use her boss’s fridge because our company fridges are fully cleaned out every last Friday of the month). It’s great to know that’s there as a back-up, but it wouldn’t be helpful if I became trapped at my desk for any length of time. My purse is never far away from my seat though, so I would hope that my normal stash of insulin and testing kit would be just a reach away in the event I was stuck in one spot for an extended period of time.

Is that enough though?  Does anyone have suggestions for how to be truly prepared? Are there guidelines listed anywhere? How are people dealing with refrigeration issues at work or other places they keep back-ups? Do you want me to ask more questions? No? Ok.

Also, my medic alert bracelet just recently broke and I’ve got to find some time and money to get a good, sturdy bracelet that reflects my current information. I know I’m directly asking for it from good ole’ Murphy’s Law by not wearing one right now, but the strong ones are expensive! I went the cheap route with the last one, and well, it performed cheaply as well.

I’m not totally unprepared though – I recently took one awesome proactive step, and that was to get a glucagon kit to keep at my boyfriend’s house. I’m there enough that there’s no excuse to not have one available, and I feel better knowing it’s handy at his place. Lord knows that poor man has brought me enough glasses of juice and GU packs to have his own glucagon set (bless him).

Other than that though, I could be doing a better job of being prepared, even when it comes to the small things like keeping glucose tablets or GU everywhere, because lows pop up in unexpected and inconvenient places. My trouble is re-stashing once I use the current supply. I just need to add that to page 3,426 of the diabetes “remember to” list…..

Inspiration Station

triathlon123Last Saturday I had the pleasure of seeing the documentary “The Science of Inspiration,” about people with diabetes training for the ultimate test of physical fitness: a full triathlon. For anyone that doesn’t know, a true triathlon is a 2.4 mile swim, followed by 112 mile bike ride, topped off with a full marathon (that would be 26.2 miles). In a row. As in swim, bike, run. For 10 hours. No, really.

The short film was created by insulindependence.org and one of their sub-projects, Triabetes, Insulindependence.org is a grassroots organization dedicated to helping people with diabetes live active and adventurous lives. They take groups of Type 1s on surf trips to Costa Rica, mountain climbing in South America, and to dozens of other amazing locations and adventures. I’ve always admired Insulindependence and their projects because of their mission: to ensure that having diabetes never holds anyone back from their dreams, which include (for reasons only known to the clinically insane) Triathlons. Triabetes is a USAT-certified triathlon training club that has a variety of training programs throughout the US for people with diabetes, and since their inception in 2007, club members have trained for and participated in hundreds of triathlons across the country.

The film was deeply inspiring, tracking the journey of 11 Type 1s who set out to train for and complete a Triathlon. For many of them, it was their first such race, but for one of them, this was old news: Bill Carlson. In 1983. Bill was the first Type 1 diabetic to complete an Ironman, a race considered to be the ultimate endurance challenge (check out that last link for some unbelievable footage of Bill’s 80s insulin pump – whoa!). Since completing the Ironman, Bill has gone on to complete over 80 marathons, dozens of triathlons, and even a few ultra-marathons – that would be a 100 mile run. You read that correctly.

In short, this man has logged more miles than AmTrack, and has managed to do it all while handling his diabetes – and don’t forget that 1983 was long before many of the convenience tools we have today, such as CGM and basal insulins.

Being in the presence of an elite athlete with diabetes is overwhelmingly awesome, because those are the kind of inspirational people  you remember when you’re faced with intimidation. There’s been many times in my life when diabetes has been a challenge for me, or caused fear of the unknown in my heart. Running my first half marathon in August was a tremendous physical and mental effort, but I could remind myself that I was not the first person with diabetes to run 13.1 miles. Same goes for traveling to all corners of the earth – including places that are not so diabetes-friendly: I wasn’t the first person with diabetes to travel through Honduras in 110+ degree heat with little refrigeration for my insulin. I know I can get through these challenges because others have gone before me and made it work. Like Bill Carlson. Although I don’t know that I’ll be running an ultra-marathon anytime soon….

Can you at least meet me halfway?

negotiator-lbvDon’t do it Blood Sugar, don’t do it. Come on, let’s be rational here, you were at just 108mg/dL 30 minutes ago, trending downward. How did you get here? 178mg/dL? And rising?!? C’mon man, that ain’t right! All I had was 18 measly carbs, and now this? You were on your way to a low and I helped you out, and this is what I get in return? Trending upward? In the middle of kickboxing? Come on! I’m begging you here. Just calm down – this isn’t worth it! I’m already working out, I promise you, if you just stop there, I’ll work harder. I hit those sprints so fast you’ll have no choice but to level out.  Just slow down and relax here.  There’s no need to hit 200mg/dL – that’s the one that makes my CGM buzz and holler “HIGH.” It hurts when that happens. Makes me feel like a failure. Especially when you were fine just a few short minutes ago. What happened? How did you get this upset? I had to have a snack to make sure you didn’t get low, and now we’re here? I didn’t even turn my basal down!  I just don’t understand what you want from me. I begging you, don’t do it. Don’t hit 200mg/dL.