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For the first time, I cried about being diabetic.

 As stated in my first blog I am a juvenile diabetic going into my thirty-ninth year.  I was diagnosed in nineteen seventy-four at the age of two.  Diabetes is when the pancreas produces little or no insulin.  Insulin helps turn sugar, in your body, into energy.  Were you to produce or take too much insulin your blood sugar will get too low or if there is not enough insulin your blood glucose goes too high.  Which is better low or high? Neither.  How do I deal with this?  As a diabetic in order to maintain control I test my blood glucose up to ten times a day, count carbohydrates, exercise every day and visit my doctor every three months, at a minimum.  Categorically it is part science, part math, part psychology, biology, and physiology mixed in with a little luck.

I am a little slow in catching up with technology in the field of diabetes.  I gave myself insulin shots for twenty-six years.  The insulin pump was introduced in nineteen-eighty and I did not jump on board until twenty-two years later.  Six or seven years ago the continuous glucose monitor (CGM), which is a device that reads your blood glucose level every five minutes, was introduced and I have eclipsed my first month in wearing one and love it.  You may ask yourself where I am going with this……..the meat of the matter is coming up:

During my pursuit of being in better health and weight loss I frequent my endocrinologist’s (diabetic doctor) office.  At my three month check up, in December, the doctor asked me when I was due for an insulin pump upgrade and told her “I upgraded in September” and asked why?  She stated that there was new technology coming out and that it was a closed loop pump system and that I had to be on a continuous glucose monitoring system in order to get it.  I immediately said that I wanted it and she informed me that she would submit the paper work for the CGM.  A few months went by and I asked several other juvenile diabetics if they had heard about a supposed closed loop “bionic pancreas” with all indicating “no.”  The usual thoughts ran through my head.  Yes, we’ve been hearing this for forty plus years.  Is it some other farfetched pie in the sky pipe dream?  Can diabetes be cured?  No, it would take a successful pancreas transplant and every attempt has failed.  A fellow diabetic told me that what he is hearing is that it is just an insulin pump that would turn itself off when you are low.  My response…..Why would I go to the trouble of getting a cgm if that is all this device can do, what is the point?  I searched the internet high and low for information on the “bionic pancreas” and found very few articles, blogs and writings other than the usual hyperbole.

Then, one day I found a post by someone in my online pump group forum and the title was “Today, I held hope in my hand” written by Moira McCarthy who is a juvenile diabetic parent and volunteer speaker/blogger for the Juvenile Diabetes Research Foundation.  I clicked on it and began to read because it was bionic pancreas/pump related.  Moira recounted her interview with a twenty-two year old female named Anna that was participating in the field/clinical trial experiment of a bionic pancreas at Boston University Hospital.  The date of the blog is only a month or two old.  Moira was having lunch with Anna while she was wearing the actual mechanism and asked to hold the machine that would give her insulin, check her blood sugar and correctly react according to her glucose readings.  At lunch Anna consumed a potato-pasta meal that would wreck any diabetic’s blood glucose levels and be hard to control. Moira wrote that Anna’s blood glucose remained in the eighties which is the level that a non-diabetics  blood sugar would be.  Here is what Anna relayed to Moira McCarthy regarding her experience:

While I was in the trial, the trouble-shooting went away. Completely away. And because of that, (listen to what she says here carefully folks: this is really something to grasp) I had no guilt. I had no shame. I was forced to give all that up to technology. And man, it worked and it felt good.”  After the trial ended Anna was asked how she felt about the bionic pump and responded:  “I would wear 10 sites in my body if it meant the emotional toll of diabetes was stripped away from me like it was last week,” she said. “I would give up every asset I have to buy that thing tomorrow.”

Moira blogged:  “Guilt. Shame.  Frustration. My friends; THESE are the complications of diabetes that few consider. These are the effects that crush souls of some and challenge the mental health of others. These are the complications we can CURE and cure soon. I know, a smart pump or APP or bionic pancreas or whatever you want to call it will bring people with T1D better physical health. If we can create a tool that keeps most people’s a1c’s below even 7, we are probably looking at a world where kidney transplants, blindness and other such things are of the past. But even if all it ABSOLUTELY does is remove that guilt, that shame, that anger, that frustration from lives …. I’m so completely, completely in.”

 

Those words rocked me to my foundation.  They struck me like a bolt of lightning. Guilt, frustration, shame, anger, sadness and the roller coaster we ride daily…..these are the mental aspects that people do not and cannot realize or grasp unless they have experienced diabetes.  My whole life, as a diabetic, was summed up in those words and I did not realize it until reading McCarthy’s blog.  In all of my years being on this earth, I have never considered diabetes as a disease or as a burden because this is all I have ever known.   I attribute my view of diabetes to my mother because I was raised by an individual that went through the aforementioned emotions, worried about me and never showed me the anguish that she experienced.  As an adult I have a greater appreciation for the wonderful foundation she laid for me.  I thought of her as Moira McCarthy stated “Today, I held hope in my hand.”  I came to the realization that this is actually happening and I may be able to experience this in my life time.  For the first time, I cried about being a diabetic.  – Derek Raulerson

 

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I have entered …

I have entered the blogging world! Why? I have no idea. I wanted an avenue to document the journey I am about to take. I am forty-one years old and a juvenile diabetic diagnosed at the age of two in 1974. In good health, as far as I can tell, and recently shed forty-seven pounds off my 5 foot 7 frame. At the age of forty I ballooned to two hundred pounds for the first time in my life. Why? Multiple factors. I was in the process of running for mayor in my local city. I was elected to public office back in 2008 and served as a city councilor. The four years I was in office I put on forty-seven pounds!! Eating out, all the time, stress, diabetes (which was semi-controlled) led to me fluffing up.

On my fortieth birthday I made the decision that I would make a life change. I came to the realization that I would make the necessary adjustments to have better control of my diabetes and shed the pounds.  I kept telling myself that I would do it and never started until I hit the ripe old age of forty.  Determined, I committed an hour a day of physical movement. I started walking the neighborhood which led to walking the Chief Ladiga Trail. I walked as late as eleven o’clock, at night, and as early as five in morning. Movement, movement, movement!!! That’s what I had to do.

This led to me paying attention to what I was eating which led to less insulin intake and lowered blood sugar.  The hardest part were the first three weeks but, once I got through the initial withdrawal of consuming less carbs it became easier. I stepped on the scales daily, which is not a good idea as my weight fluctuated each time.  I decided to change my weigh-ins to once a week.  Slowly and surely I began shedding the pounds! I averaged losing four pounds a week.

People I interacted with, daily, began noticing the change and people who I had not seen, in a while, really did not notice. I began feeling better about myself and became more confident that I could accomplish my goal of getting to my target weight of one hundred fifty-five pounds which is the high-end of my target weight based on my height.  My Hemoglobin A1c, which is a blood test that shows your ninety day blood sugar average, had always been below seven but it was due to low blood sugars which can skew your results.  A normal person’s A1c is 4 to 5 with their blood sugars being running around eighty-three.  Ideally diabetics should be below seven which is an average blood glucose reading of 140.  At my last doctor’s appointment my A1c was 5.9 which is great but I was expecting a 5.5! My doctor said “Derek, you are harder on yourself than I am.”  After hearing my doctor make that statement I smiled and said “Yes! I have been at this for thirty-nine years and have gotten by without bearing down on the disease that could lead to an early death.  I took control and am thankful for this opportunity to be healthier and fit. I feel better now, at the age of forty-one, than I did in my teens. I will continue to press on. Each day has its own challenges and I look forward to every new beginning.

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