Low Glucose Alert

I stretch my legs and sprint down the paved path along the four-lane highway in Silver Spring, Maryland. The sun sets behind me, and the bugs eat at my exposed calves, but I relish this 70-degree temperature. After 5 miles of gravel pathways, wooden bridges, and cracked sidewalks, I only have one more uphill battle of this last mile to conquer.

And then my speed starts to wane. I can’t seem to muster the strength to push myself harder even on this decline. Something feels off. My muscles are tired and weak, and my heart rate is accelerated past the point of normal. I stop at the next intersection, and as the stoplight turns red, I look down at the phone strapped to my right bicep.

Low glucose alert – my Dexcom app reads. Continue reading

Saying Goodbye to Gizmo (My Insulin Pump)

As much as I love Gizmo, I’m kind of tired of my insulin pump. I know, I know, I shouldn’t complain. Having a $6,000 piece of equipment attached to me 24/7 has been an immense help in the management of my disease over the past four years.

But I am starting to understand why fellow Type 1 diabetics take a break from the pump every now and then and sometimes forever. It’s not easy having something attached to you 24/7. Right now I carry three devices around with me to manage my disease: my insulin pump (aka Gizmo), my continuous glucose monitoring receiver (aka Cosmo), and my glucometer. That doesn’t count my phone.

Gizmo is about the size of a pager. I usually conceal it clipped to my bra strap or waistline of my skirt or pants. The clip is currently taped together with duct tape, and the Medtronic label is practically worn away. I’ve had Gizmo for four and a half years. I’ve only had to replace it once when the battery container froze shut. For the most part I have no complaints.

But lately I’ve been more annoyed with Gizmo than happy. Take for example: Continue reading

Today I Bought a Scale

I recently bought a scale… to measure my weight… over time.

My former negative body image-self is terrified.

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But every time I come to grips with my single status again, I need something to focus on whether that be my writing, my work, or my fitness. Four months ago I started building muscle. I didn’t have much of a strategy. I just started lifting weights and varying my exercise routines.

And then I did gain muscle. I could feel definition in my biceps and abs. I could do things in yoga I’d never been able to do before, and I ran my fastest mile… ever. So I thought if I just put a little more thought and energy into it, I could actually be fit. Okay fitter.

But in order to do that I would need to start watching what I ate. I would need to start monitoring my fat and protein intake. I would need to start counting calories and checking my weight. I struggle with counting calories. I already have to watch my carb and sugar intake for my diabetes. I monitor my blood sugar constantly. Did I really want to add more to my daily math excursions?

Five Weeks

So I’m giving myself 5 weeks (only because after 5 weeks I’m taking my first week-long vacation in five years). See what I can accomplish with a strict regimen. I am a perfectionist after all. But that’s the catch. I have body image issues. I used to struggle with different types of eating disorders. I haven’t had a scale in my home in more than 10 years. The counting, the weighing – it encourages my obsession with an unrealistic body image.

Or at least it did. But it’s been 11 years since I’ve been that close to a scale. And I’m not doing this to lose weight. I’m doing this for my diabetes. I’m doing this for my physical being. I’m doing this for my health. I’m doing this for my mental and emotional well-being. I’m doing this for me not because I think I have to but because I want to. Continue reading

Making Up for the Break-Up: 10 Hard-And-Fast Rules

Break-ups are hard. I don’t know what it is about them that makes one question everything. Like why am I in DC? Why did I go to grad school? Why do I have so much student loan debt? Why am I still single? Why did I give up everything for a job I only semi-love?

I just went through my second hardest break-up in two years. Didn’t really know it was going to be hard until two weeks later when I spent eight hours of the day crying. Seriously, isn’t there a limit to how many waterworks one can produce?

But I guess it’s hard when you come to depend on someone for certain needs – a certain happiness so-to-speak – and then that happiness is taken out from under you and you’re left with a stark image of yourself in the mirror. Seriously how was I ever not single?

Anyway one thing I have learned from break-ups is as much as your friends and family may be tired of hearing about your failed single life, they kind of get it, and they’re totally there for you. And since I may be single for a long time now (okay just my pessimistic self speaking here), I might as well come up with some fun rules to get me back on the road to recovery and feeling excited about being free again.

So the next time I decide to end things for my own benefit (I’m being optimistic here) I’ll try to keep the following in mind: Continue reading

I’m Not Back… But My Pancreas Is (Sorta)

I’ve decided to take a break from my other writing projects to write this blog post. Because even though I may take a break from my blog, my diabetes does not take a break from my life. And upon learning some unexpected news recently, it seemed appropriate to mention it here.

So I’m not back to regular blogging but I may pop in every now and then.

Another Year in Cookietown

I’ve spent the past week and a half in Cookietown (aka my parents’ house during the holidays). And my blood sugar levels have never been so amazing. I even reached a no-hitter a couple of times (keeping my blood sugar levels within the lines for an entire day). That means no extreme highs (above 200) and no extreme lows (below 70).

No-Hitter-web

So how did I manage this? Well I’d like to think it’s because I’ve gotten better at managing this disease in the six and half years since I was diagnosed. But the real truth is completely based on biology.

Apparently my pancreas is still making insulin. Continue reading

Taking a Break But Not Forever

Much has changed since I started this blog on September 11, 2013. My nonfiction grad school cohort can tell you how much I didn’t want to write about diabetes for my MFA thesis – the book that became the start to this blog. And in the six years since I’ve been diagnosed, I am still learning new things about myself with this disease.

I wanted to share those experiences with the world and contribute to a community of Type 1s. And maybe I wanted to prove to myself that I could manage life given this short end of the stick. What I didn’t expect when I started this blog back in 2013 was where it would take me and what kind of content my readers would inspire me to write.

I cannot tell you much I value your readership and support these past two years. You are the reason I keep this blog going. You are the reason I continue to write. And although this blog has kept me writing and contributing to this online community, I must now re-focus my priorities and take what little time I have to write to devote to other publishing opportunities. Continue reading

All The Pretty Girls

It’s hard to feel pretty when I feel like my mouth is the size of a cantaloupe, and I can only chew my dinner on the left side of my jaw. Today I had three cavities filled. I’ve never had a cavity in my life (damn those childhood sealants, which apparently become traps for bacteria as an adult).

I should really stop going to the doctor. This year is the year of medical expenses. Every time I go, even for what I think is going to be a yearly check-up, they find something wrong with me. A part of me wonders if this is some kind of conspiracy, but when my dentist showed me the actual images of my cavity-filled teeth, I knew he wasn’t lying.

The procedure wasn’t as bad as I thought. The numbing shots didn’t hurt, and there weren’t any bad smells, but when I left the office, I was oddly self-conscious of my numb face, and the fact that if the side of my face started to droop, I probably wouldn’t notice. So I spent the 20-minute walk home trying to keep my lips shut and avoid any kind of conversation with passersby.

But how is this different from any other day? I have a 10-minute commute to and from work every day. I’m lucky in that DC sense. And every time I make that trek, I am oddly self-conscious. Are my headphones too loud? Can anyone see my underwear line? Can anyone see my lacy bra peeking out beneath my sleeveless top? Is that bulge beneath my pencil skirt obvious? Are there sweat stains beneath my bra line?

Yet even amongst all these questions, I’m oddly confident. I make that walk like I own the sidewalk, and I never look back. I’m aware of my figure, and how good I look in my pencil skirt. But do I ever notice anyone checking me out? No. Do I ever see people look at me? Yep. And I automatically think there must be something wrong with my wardrobe or my headphones aren’t plugged into my phone and everyone can hear my music. Continue reading

Today I Became A Billy Goat

Great Falls ParkToday, after a night out dancing in DC (I don’t know why the person who never drinks thought it was a good idea to mix three different types of liquor), on another date, I visited Great Falls Park for the first time. This rocky water wonderland is a mere 16 miles outside the city. That is one thing I love about here – you can feel like you’re out in the country yet still live in an urban environment.

But in visiting the Maryland side of the park (and as my date would point out the better, less crowded side), I successfully climbed the Billy Goat Trail (and yes, I use climb for some very specific reasons). I had heard stories of the Billy Goat Trail and how I should definitely give it a try. What no better time than in my hungover state?

For some reason, I imagined this trail was like any other paved pathway, a little debris and uprooted branches but nothing strenuous and then at one point the trail would become a short ledge one would have to maneuver around before getting to the top. Yeah that was what I imagined. Clearly I did not think about the words “Billy Goat” in the name. Continue reading

Why Life Isn’t A Failure (Even Though My Mood May Tell You Otherwise)

When my colleague knocked on my office door earlier this week, I could barely keep it together. As soon as she saw the tears and trembling lips, she opened her arms, and then asked what was wrong.

“I don’t know, I’ve been crying all morning, and I don’t even know why. It’s not like I’m hormonal right now.” I threw up my arms and started venting or whining as I often like to berate myself.

There were many reasons to cry, I had deduced, but they all pointed to one thing: I felt like an absolute failure – that I had failed my life, and there was no way to remedy it.

Here are the reasons why I thought my life was a complete failure: Continue reading

Peanut Butter May Still Be the Death of Me

I woke up at 2:30 a.m. shaking, while Cosmo, my continuous glucose monitor (CGM) vibrated and beeped at me from the nightstand to my right. I pushed its button, acknowledging the warnings, and saw the screen light up with the number 45.

I didn’t need to check my blood sugar level with my glucometer. My heart was pounding, and the room was blurry. I thought of the orange juice in the fridge but decided to go for the Reese’s egg in the freezer. I knew from recent calculations that this chocolate-covered, peanut-butter filled egg contained 25 grams of carbohydrates (mostly sugar).

That should do it, I thought. Norm, my two-year-old tabby walked into my bedroom and sat on the floor in front of my bed with a quizzical look. The egg didn’t feel like enough even though I knew it was. I checked my insulin pump, which confirmed there was no active insulin in my system. My basal rate was set to decrease from .600 units to .400 at 3 a.m. to account for those middle-of-the-night lows.

I knew I would be okay, but I was still shaking, and my heart was pounding. My body felt weak and depleted, and I craved sugar – the sustenance necessary for instant energy. Earlier that day I had made the mistake of buying a few bags of Reese’s pieces eggs, now 50 percent off in the post-Easter haze. Continue reading