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What It’s Really Like To Live With Type 1 Diabetes

What It’s Really Like To Live With Type 1 Diabetes

We all need glucose to give our cells the energy they require to function so that the brain, heart, and lungs all work perfectly. Our bodies will manufacture enough insulin (produced by the pancreas) so that the blood glucose or blood sugar can get into those cells. But people with Type 1 diabetes (T1D) cannot make that insulin, so they have to inject it to help the body work properly. But it does not always go according to plan. When they have too much glucose or too little, there are serious health consequences.

I remember vividly when we had friends over for lunch on a very hot summer’s day. One of them has Type 1 diabetes and he had just been given a new, cutting edge insulin pump. But the pump was not correctly adjusted. He nearly collapsed on the way home and fortunately, his wife was driving. She later told me that he could have died. The irony is that he is a doctor himself!

Let me explain what an insulin pump does. First, it removes the need to have multiple injections of insulin on a daily basis. Second, it has to work perfectly because in many ways it mimics the pancreas. Otherwise, the diabetes gets out of control and may endanger one’s life, as happened with my friend.

Now, if I told you that people with this type of diabetes have to get through each day by checking and preventing spikes or slides in blood sugar, you would probably raise an eyebrow or two, but not give it much thought. So, here are 5 things that diabetics have to constantly monitor and prevent on an almost 24/7 basis.

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1. They have to constantly check their blood sugar

They have a blood glucose meter which tests their levels of glucose. But they have to do this between 4 and 8 times a day! They have to do this when they change medication, exercise or when they have gone through a stressful period. They have to do it very often and it means they must always carry the monitor wherever they go. Just a pinprick. But there are no holidays here. Anytime their routine changes, they have to check.

2. They have to know all about blood sugar levels

They know that when they get a reading of 70 milligrams per decilitre (mg/dL), they may have a dangerously low blood sugar count, aka hypoglycaemia. They may already know because of the alarming symptoms such as shaking, sweating, weakness and palpitations. If their levels skyrocket, they are in danger of going into a diabetic coma.

They know their levels change according to the time of day, before and after eating and, of course, at bedtime. Generally, according to the Mayo Clinic, daytime levels should be in the 80-120 md/dL range while bedtime scores should not go over 140 md/dL.

Just have a look here at the chart which explains the target range for blood sugar levels. It depends on many other factors such as age, weight, sex and general health.

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3. They have to be extra vigilant when eating out

If you think that diabetics are fussy eaters, think again! They are just trying to avoid a crisis which may in turn save them from going into a coma or fainting.

Because they are following a regular diet where they are watching out for carbohydrates, sugar and starch in vegetables and fruit, they have to careful when eating out. They have to focus on vegetables that are rich in vitamins and minerals but low in starch. They have to watch out for too many carbs as they turn to sugar in their blood. Typical vegetables that are good for them are tomatoes, spinach, onions, asparagus, peppers, and celery. Generally, they have to eat the right proteins and avoid processed foods.

4. They can exercise but they still have to be careful

They have to do another juggling act here! If they exercise (and it is highly recommended as it prevents other health issues), they have to balance insulin with the snacks they eat and the effect the activity has on their blood sugar levels. It also depends what time of the day they exercise and when they eat. The great thing is that physical activity does help to reduce blood glucose levels and reduces depression.

The inspiring story of Jay Cutler, quarterback with the Chicago Bears, who has T1D, has helped both kids and adults to live a healthy life which includes physical exercise.

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5. They are really hopeful about the future

And now the good news! The latest insulin pumps are much more sophisticated than they were a few years ago when my friend had his installed.

There are no wires and it is so small that many people never spot it. It communicates with a tiny computer which controls the insulin input. The machine needs a new pod of insulin every 3 days. It can be worn on the abdomen, leg or underarm. Diabetics can even get an extra dose of fast acting insulin just before mealtimes to take care of any carbs they will be consuming. There is even software in the computer which can calculate the right dose before eating.

It is fascinating to read about the latest research reported on the American Diabetes Association website which is moving towards making life a lot easier for people with T1D.

“I think I can, I think I can… I know I can, I know I can… learn to count the carb content of everything that passes my lips; carry monitor, glucose tabs, insulin pump/pen and needles at all times; learn to inject myself throughout the day; navigate the American healthcare system; and ward off the feeling that I’m somehow being punished. We all can. I’ve learned a ton since my diagnosis in 2003. With diabetes, you really do learn something new every day. “– AmyTenrich, Editor, DiabetesMine

There are 3 million people in America living with T1D, and 80 new cases are diagnosed every day. Myths and legends about diabetics abound. One fact is obvious though – if they neglect any of these checks and balances, they are putting their health at serious risk. They may suffer nerve damage, kidney malfunctioning, high blood pressure, vision deficits, and poor skin health which can lead to tissue death. It is no exaggeration to say they have to be their own nurse, dietician and math wizard to survive!

Featured photo credit: Diabetes test/Victor via flickr.com

More by this author

Robert Locke

Author of Ziger the Tiger Stories, a health enthusiast specializing in relationships, life improvement and mental health.

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Last Updated on November 19, 2019

20 Time Management Tips to Super Boost Your Productivity

20 Time Management Tips to Super Boost Your Productivity

Are you usually punctual or late? Do you finish things within the time you stipulate? Do you hand in your reports/work on time? Are you able to accomplish what you want to do before deadlines? Are you a good time manager?

If your answer is “no” to any of the questions above, that means you’re not managing your time as well as you want. Here are 20 time management tips to help you manage time better:

1. Create a Daily Plan

Plan your day before it unfolds. Do it in the morning or even better, the night before you sleep. The plan gives you a good overview of how the day will pan out. That way, you don’t get caught off guard. Your job for the day is to stick to the plan as best as possible.

2. Peg a Time Limit to Each Task

Be clear that you need to finish X task by 10am, Y task by 3pm, and Z item by 5:30pm. This prevents your work from dragging on and eating into time reserved for other activities.

3. Use a Calendar

Having a calendar is the most fundamental step to managing your daily activities. If you use outlook or lotus notes, calendar come as part of your mailing software.

I use it. It’s even better if you can sync your calendar to your mobile phone and other hardwares you use – that way, you can access your schedule no matter where you are. Here’re the 10 Best Calendar Apps to Stay on Track .

Find out more tips about how to use calendar for better time management here: How to Use a Calendar to Create Time and Space

4. Use an Organizer

An organizer helps you to be on top of everything in your life. It’s your central tool to organize information, to-do lists, projects, and other miscellaneous items.

These Top 15 Time Management Apps and Tools can help you organize better, pick one that fits your needs.

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5. Know Your Deadlines

When do you need to finish your tasks? Mark the deadlines out clearly in your calendar and organizer so you know when you need to finish them.

But make sure you don’t make these 10 Common Mistakes When Setting Deadlines.

6. Learn to Say “No”

Don’t take on more than you can handle. For the distractions that come in when you’re doing other things, give a firm no. Or defer it to a later period.

Leo Babauta, the founder of Zen Habits has some great insights on how to say no: The Gentle Art of Saying No

7. Target to Be Early

When you target to be on time, you’ll either be on time or late. Most of the times you’ll be late. However, if you target to be early, you’ll most likely be on time.

For appointments, strive to be early. For your deadlines, submit them earlier than required.

Learn from these tips about how to prepare yourself to be early, instead of just in time.

8. Time Box Your Activities

This means restricting your work to X amount of time. Why time boxing is good for you? Here’re 10 reasons why you should start time-boxing.

You can also read more about how to do time boxing here: #5 of 13 Strategies To Jumpstart Your Productivity.

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9. Have a Clock Visibly Placed Before You

Sometimes we are so engrossed in our work that we lose track of time. Having a huge clock in front of you will keep you aware of the time at the moment.

10. Set Reminders 15 Minutes Before

Most calendars have a reminder function. If you have an important meeting to attend, set that alarm 15 minutes before.

You can learn more about how reminders help you remember everything in this article: The Importance of Reminders (And How to Make a Reminder That Works)

11. Focus

Are you multi-tasking so much that you’re just not getting anything done? If so, focus on just one key task at one time. Multitasking is bad for you.

Close off all the applications you aren’t using. Close off the tabs in your browser that are taking away your attention. Focus solely on what you’re doing. You’ll be more efficient that way.

Lifehack’s CEO has written a definitive guide on how to focus, learn the tips: How to Focus and Maximize Your Productivity (the Definitive Guide)

12. Block out Distractions

What’s distracting you in your work? Instant messages? Phone ringing? Text messages popping in?

I hardly ever use chat nowadays. The only times when I log on is when I’m not intending to do any work. Otherwise it gets very distracting.

When I’m doing important work, I also switch off my phone. Calls during this time are recorded and I contact them afterward if it’s something important. This helps me concentrate better.

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Find more tips on how to minimize distractions to achieve more in How to Minimize Distraction to Get Things Done

13. Track Your Time Spent

When you start to track your time, you’re more aware of how you spend your time. For example, you can set a simple countdown timer to make sure that you finish a task within a period of time, say 30 minutes or 1 hour. The time pressure can push you to stay focused and work more efficiently.

You can find more time tracking apps here and pick one that works for you.

14. Don’t Fuss About Unimportant Details

You’re never get everything done in exactly the way you want. Trying to do so is being ineffective.

Trying to be perfect does you more harm than good, learn here about how perfectionism kills your productivity and how to ditch the perfectionism mindset.

15. Prioritize

Since you can’t do everything, learn to prioritize the important and let go of the rest.

Apply the 80/20 principle which is a key principle in prioritization. You can also take up this technique to prioritize everything on your plate: How to Prioritize Right in 10 Minutes and Work 10X Faster

16. Delegate

If there are things that can be better done by others or things that are not so important, consider delegating. This takes a load off and you can focus on the important tasks.

When you delegate some of your work, you free up your time and achieve more. Learn about how to effectively delegate works in this guide: How to Delegate Work (the Definitive Guide for Successful Leaders)

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17. Batch Similar Tasks Together

For related work, batch them together.

For example, my work can be categorized into these core groups:

  1. writing (articles, my upcoming book)
  2. coaching
  3. workshop development
  4. business development
  5. administrative

I batch all the related tasks together so there’s synergy. If I need to make calls, I allocate a time slot to make all my calls. It really streamlines the process.

18. Eliminate Your Time Wasters

What takes your time away your work? Facebook? Twitter? Email checking? Stop checking them so often.

One thing you can do is make it hard to check them – remove them from your browser quick links / bookmarks and stuff them in a hard to access bookmarks folder. Replace your browser bookmarks with important work-related sites.

While you’ll still checking FB/Twitter no doubt, you’ll find it’s a lower frequency than before.

19. Cut off When You Need To

The number one reason why things overrun is because you don’t cut off when you have to.

Don’t be afraid to intercept in meetings or draw a line to cut-off. Otherwise, there’s never going to be an end and you’ll just eat into the time for later.

20. Leave Buffer Time In-Between

Don’t pack everything closely together. Leave a 5-10 minute buffer time in between each tasks. This helps you wrap up the previous task and start off on the next one.

More Time Management Techniques

Featured photo credit: Unsplash via unsplash.com

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