Basal and Bolus

Basal and Bolus are my lifeline, but they’ve recently hit puberty, and their hormones and emotions are all over the place. This does not make life easier for me, and no matter what I do, they don’t listen. I guess I should respect their independence, but sometimes I miss the obedient rates that never questioned me.

I try to be the healthiest person I can be, but there are days when the diabetes takes over. It’s not necessarily a result of anything wrong I’ve done in managing it, but whether it’s stress or hormones, sometimes my blood sugar levels have a mind of their own.

In a State of Flux

Blacktip Reef with wavy blue lineYesterday was one of those days. Since I went off birth control six months ago, I’ve struggled to balance my basal and bolus rates (basal is the long-lasting insulin I take continuously throughout the day; bolus is the fast-acting insulin I take before meals). My insulin sensitivity is constantly fluctuating. Continue reading

Weightless

Sometimes it can be one look in the mirror. Sometimes it can be the tightening feeling of a pencil skirt. Sometimes it can be that bloated feeling right before the monthly cycle. Sometimes it can be the fact that one hasn’t been on a date in six months. Sometimes it can be the wintry mix outside and the mood it brings.

But whatever it is, it’s not good. It leads to a feeling of failure, of powerlessness over the fate of one’s body. All of those negative, self-critical thoughts come flooding back, and no matter how bright the sun peaks through the blackout curtains, the darkness overwhelms the room.

People asked how it is I lost weight in the past year. My response was always “I don’t know.” A five-hour daily commute. A failed relationship. Depression. Disease. I tried to believe it’s because I finally had a good body image. I listened to my diabetes, and I stayed active (this mostly constituted walking a mile to and from the train every day). Continue reading

An Online Realm of Little Freaks

“Hey u little freak.”

[Insert phone number here]

Everyone online boasts about traveling the world so it seems only appropriate I should post a picture in Frederick, MD.

Everyone online boasts about traveling the world so it seems only appropriate I should post a picture from Frederick, MD.

I have entered the world of online dating. Up until last night, I hadn’t (figuratively) met too many weirdos or creepers as so many warned me about, although within the first 24 hours of my profile going live, I received multiple “Hey beautiful” messages. Come on guys, let’s be creative. And girls, don’t ever respond to objective one-liners like that.

It’s a lot more work than I anticipated and a bit overwhelming. Sometimes after skimming profile after profile, it’s hard not to be superficial. I’ve decided I have certain criteria, too. After two failed long-term relationships back-to-back, I’m not willing to put myself in certain situations again. I no longer believe that they will change. Continue reading

The Silver Lining Effect

I’m a moody person, usually greatly affected by hormone levels. But even though I chart this for my own benefit, sometimes when I expect to be down, sad, and irritable, I’m upbeat and hopeful. I call these fortuitous moments because I’m not pulled in by my own confirmation bias. And I’m not intentionally looking for a silver lining, but it’s there like the alarm clock of my cat’s meow at 7am.

This week hasn’t been easy, either. After coming down off the high of traveling for the holidays and consuming way too many sweets, it seems my body is trying to punish me. From a cold to an infection to now a clogged tear gland on my left eye, I wanted to throw up my hands on Monday and go home.

And when I got lost for the tenth time around Dupont Circle (these DC traffic circles are the bane of my directional existence) trying to meet my friend for dinner in 20 degree temperatures, I gave up on this week. But then I got to see my one of my best high school friends who was in town for a series of events for law school. Continue reading

Christmas in Cookietown

Photo-Dec-30,-9-29-39-PMThere’s something to be said about being diagnosed with a chronic condition as a young professional. For one, you skip the growing pains and hormonal changes of adolescence. Two, your family never has to reconcile their lifestyle habits as a result of it so when you return home for the holidays, there is no reminder of your disease.

In fact, every sweet-toothed temptation surrounds you. It’s not inconsiderate. It’s nice, actually. Your family may have not changed their holiday menu line-up based on your diabetes, but that just means for once a year, you can splurge and forget you have this haunting disease.

That is until a few days later when the sight of another chocolate truffle makes your blood sugar soar. Your aunt offers you a piece of pumpkin pie, and when you check your continuous glucose monitor (CGM) receiver to see that your blood sugar has been a steady 250 for the past two hours, you politely decline. You fall asleep on the couch, overwhelmed with exhaustion, but really, your body is suffering the effects of long-term high blood sugar. You haven’t been running in a week, and the short walks with the dog in 20-degree temperatures are not enough to increase your energy levels.

You suddenly miss green vegetables and juice. Every time your blood sugar drops as a result of overestimating your insulin to carb ratio, you run for the kitchen because across the green marble countertop are rows of cookies, some homemade and some store-bought. You start with chocolate chip, then pecan sandies, and finally fudge. You feel nauseas, and even though your blood sugar is no longer low, it doesn’t take it long before it soars high. Continue reading

The Ones Who Survive

I can feel the tension in my knee building. I look at my watch: 26.07. Okay, I tell myself, I just need to make it up and down this hill, and then on the straight and narrow path home. If I can run 30 minutes today, that will be sufficient, and I shouldn’t put too much strain on my IT band.

Since September, I’ve been undergoing physical therapy because I couldn’t run seven minutes without being in extreme pain. Even with stretching, resting, and strengthening, I could not seem to surpass this hump that started at 20 minutes, then 12, and finally seven. Frustrated, I gave up and called my doctor. I invested more financial resources than I’d like to admit in attending physical therapy sessions twice a week.

I’d just gotten out of a long-term relationship. Work was stressful. I had no social support system. I needed to run. And it’s not like I’m a good runner. I could be in better shape. I usually run when I feel the need to blow off some steam or stretch my legs, but I wouldn’t say I do it consistently. But now that my life seemed to be shredding before me, I felt the need to do it more often.

So after a month of physical therapy, I could run 20 minutes without pain, and then after six weeks, I could run 25. I felt stuck at that number and started to think maybe I would just have to live with short distance. I no longer pushed past the pain. I wanted to be able to run tomorrow, too. This day was no different from any other. Continue reading

Ugh … Treadmills

AHS-RunningI have always had an irrational fear of treadmills. Much like water and fire – except I eventually got over those. I never quite mastered the treadmill, and it may be even more surprising to learn that in the 10 years I’ve been running long distance, I never tried the treadmill, until a few weeks ago.

For the past month, I have been attending physical therapy sessions to strengthen my iliotibial (IT) band. When I started physical therapy, I could only run seven minutes before an excruciating pain intensified around my knee, a result of an inflamed IT band. It certainly wasn’t a result of overuse – I had just started running again after nine months of rest.

I’m an outdoor runner. I’ve never joined a gym. I like the changing scenery and the varying climate conditions. But the physical therapy office did not have an outdoor track. It had a few machines such as the elliptical and of course, the dreaded treadmill. Continue reading

I Swing Alone: A Diabetic’s Confession

Photo credit: Sandy Hunt

Photo credit: Sandy Hunt

I swing alone. My feet now touch the ground. The figure eight chains are rusted. The black u-shaped seat is worn at the edges. I wonder for how long it will hold my weight. I am much bigger now, but I still love the feeling of when my feet leave the ground. For a fleeting moment, I wonder if they will ever return, and then gravity brings me back to reality. I swing alone. I do not belong here anymore, but I also do not want to leave.

The red and brown leaves fly across my shadow in the direction of the setting sun. I envy their journey, but I do not envy their withered state. They are at the end of their lives. I should be beginning mine, but ever since I turned twenty-two, I feel lost within this body. I feel like it’s slowly giving up on me. From a pancreas that doesn’t work to a series of infections to chronic pain to now an IT band that won’t let me run, I feel like it’s shutting down on me. It’s at the end of this journey, and although I know I have years left, I don’t know what quality that will be.

It will let me enjoy one last swing, but it will not let me enjoy the simple pleasures in life – the simple luxuries our physical beings allow. I cannot eat what I want; I cannot exercise how I want, and I cannot have a long-lasting sexual relationship. My mental state has never succumbed to my body – it’s only succumbed to itself, but how much more can my mind take? Can a mind be free with a useless body? Can a mind truly enjoy life with a body that’s slowly withering away? Continue reading

Eden: Back to Where I Started

On the Capital Crescent Trail from Bethesda to Georgetown, I walk along the pavement, staying close to the right so that bikers and runners may pass. I hear a shuffling of leaves to my right and see something white zip through the branches. I immediately grasp my key ring and two apartment keys tighter even though I am surrounded by several bikers and walkers. I search for a male lurking in the trees but see nothing. I begin my run again.

I’ve felt an ache to run for two days now. I don’t know where it came from. I have to admit I was scared to take the trail after hearing the horrid stories of women being raped, but my coworker assured me as long as I run during the day or evening when it’s crowded, I should be safe. In the 10 years I’ve been running, I’ve never feared for my safety, but I’ve always carried a few keys with me in case I needed them as defense weapons, and I always keep my music at a low volume.

But today with a storm pending, I knew it would be a perfect opportunity for a run. With my 10-minute commute, it doesn’t take me long to arrive home and change my clothes. And then I’m out the door in a hot pink shirt and black shorts. I should probably carry my CGM with me and maybe some glucose tablets, too. But I don’t plan to be gone long, and my blood sugar is steady at 125. I drank some juice just in case. Continue reading

The Ups and Downs of Lows

I’m driving my grandma’s formerly owned 1993 Geo Prizm down Taylorsville Road in the suburbs of Louisville, KY. My boyfriend at the time sits in the passenger seat rocking out to Blue October. We’ve seen them twice in concert, once at Louisville’s Fourth Street Live. We’re visiting my family for the weekend, just a few weeks after I was diagnosed with Type 1 diabetes. I will be the first in my family to graduate from college in Cincinnati in a few weeks.

I start to feel shaky and weak, but I don’t tell Reed. He recently shaved his head to mask his receding hairline at 22. His former football player fingers tap on his torn jeans. I focus on the yellow lines of the road. We’re only a mile from home – no reason to pull over. I can beat this. Come on Tracy, focus.

My peripheral vision goes fuzzy. Only half a mile now. I stop at the red light at the four-lane intersection of Taylorsville and Hurstbourne Lane. One moment of reprieve.

“Are you okay?” Reed asks, no longer whistling.

“I’m fine,” I say, still focused on the hazy yellow lines.

“You just seem really tense.”

“Let’s get back to my parents’ house, and I’ll explain.”

I pull into the three-car driveway, off to the side, in front of the rose bushes. I run into the one-level brick house. I am as much curious about the state of my blood sugar as I am worried. Reed finds me in my old bedroom, painted a faded blue.

“Whoa, 51,” I say, more out of amazement than concern.

“I don’t think I should have been driving,” I add, heading down the black and white tile hallway to the kitchen for some juice. I’m almost proud that I didn’t have an accident rather than regretful.

“Probably not,” Reed says, his eyebrows raised. Continue reading