Month:September 2016

Food, Glorious Food

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Last night’s OzDOC chat on food was engrossing enough to draw my attention away from the first ten minutes of Australian Survivor, so I’m elaborating on it today.

我第一次收到糖尿病诊断后的膳食建议是吃低脂肪，高纤维食品缓慢消化。我被糖尿病教育者编写了碳水化合物，最终逐渐褪色到胰岛素注射液的同时逐渐猜测。


我认为最奇怪的事情是这个想法，我们必须吃避免低下，而不是调整胰岛素！我还从医疗保健专业人员听到它，它通常在糖尿病书籍和杂志中引用。我有时想知道他们是否只是试图覆盖他们的背部！

I relied on this advice heavily in the beginning. I religiously sought out foods that were low in fat and had a low glycemic index ranking, regardless of their nutritional value or carbohydrate load. I continued to eat a lot of processed foods that were seemingly healthy – cereals, juices, yoghurts, canned fruit, brown bread, muesli bars – and ridden with hidden sugar! I often remember testing my blood sugar at uni after breakfast, unable to make the connection between a level of 17 and the foods I was eating.

由于我开始与糖尿病的其他人连接，我已经阅读了各种各样的故事和对食物选择的观点。我当然在这里和那里绘制了灵感，但我真的不觉得我特别拍摄了任何一个来源的饮食建议。最终是关于找到一种让我开心的方法，同时实现我的目标是定期的。

In the beginning, I definitely used to shy away from foods that weren’t blood sugar friendly. And when I did eventually cave in and eat them, I would feel super guilty for the numbers that followed. One of my biggest shifts in the past year or so has been having more confidence in working my way around the foods that I want to eat.碳水化合物计数和预掺入胰岛素这是过去几个月的最佳资产。我从经验中学习。随着时间的推移，我对某些食物对我的血糖水平有什么影响以及我如何能够努力工作。

另一个大型转变一直在改变食物周围的一些旧习惯。Cutting the sugar out of my coffee and tea是最难的，但最有价值的。含糖饮料的同意。我不再为我的三个咖啡感到非常内疚！下午零食仍然仍然是我的弱点，但我试图这些天准备好了，而不是从橱柜和冰箱来回来回做好准备。我仍然吃碳水化合物, but in a lot more moderation and balance than I once did. I don’t shy away from higher fat foods either, especially for nutritional value such as iron or protein.

I still do eat chocolate. And cannoli. And donuts. When I go out for meals, I usually give it my best guess, regularly test and try to enjoy myself.

达到糖尿病和食物时没有权利或错误的方法。但是我知道这种食物方法目前是我的权利，因为它让我开心，我可以实现我定期的瞄准的BGL。

黎明现象，早餐，身体活动和糖尿病

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A couple of months ago, I wrote about therelentless hypos I was having at work。已经有几天我的血糖像yoyo一样上下蹦蹦跳跳。最小的胰岛素纠正足以让我在半小时内发出垂直。我的自由将在一个炒作后向我展示反弹（我现在知道Libre倾向于发出我的BGL中的动作）。我会再次纠正它的冲动，只能再次结束了。这个看似恶毒的循环使得在我在工作时不可能获得稳定的线路，让我在一天结束时感到疲惫。

The one thing I genuinely do miss about injections is that insulin sensitivity during physical activity was hardly an issue. I don’t remember having to pay half as much attention to my diabetes at work while I was on injections. I’ve felt very conscious of the number of times I’ve had to tend to diabetes in a day. Unlike a Lantus injection, my pump delivers basal insulin in tiny amounts throughout the day as I’m working. In addition to physical activity, dawn phenomenon and breakfast boluses are also thrown into my morning diabetes equation.

After a lot of trial, error, and notes in my diary, I finally feel as though I’ve got my mornings down pat in recent weeks.

显而易见的是确保我的基础率是正确的。如果我没有在范围内，我不能强调血糖水平如何难以理解。没有多少次矫正似乎能够解决它们，而且我最终会在早上8点之前真的脾气暴躁，因为我在早餐后看到我的水平飙升。

几个星期前，我注意到我的水平每天早上凌晨3点左右攀登，保证过夜基础率的变化。直到固定，我无法正常专注于早晨。我所学到的另一件事是，我醒来的基础率（当我的肝脏开始倾倒额外的葡萄糖）需要在我醒来之前至少整整一小时。即使是15分钟的间隙也足以搞砸了我的早晨基础测试。在直觉上似乎在微调我早晨的基本费率的剩余时间来完成了诀窍。


Breakfast really has been a case of trial and error. I’ve learned that I do not need to subtract any carbohydrates from my breakfast insulin dose. Subtracting 5g from my breakfast dose is the difference between a post prandial result of 9mmol or a post prandial result of 15mmol. My pump will also add a correction dose to my breakfast bolus if my blood sugar level is over 7mmol.


I’ve learned that I need to ignore it unless my blood sugar level is above 8mmol, and that I need to subtract insulin accordingly if my blood sugar is lower than 6mmol.

早晨的咖啡通常发生在8.30至9点之间。我的中等卡布奇诺没有糖可能有大约15克的碳水化合物，10克我不需要推注。将围绕这些微小的胰岛素剂量包裹，但它们确实足够了！预注塑也是没有必要的，因为当我第一次到达时，我慢慢地啜饮着热咖啡。

Morning tea comes anywhere between 10 and 11am, and is usually a banana which is weighed before I leave home. Again, bolusing for 10g less carbs seems to do the trick, as do the rules for correcting.

Not foregoing what I love in the mornings has been really important to me. It would have been easy to simply forego breakfast or the morning coffee, but I know that would have made me unhappy (and hungry!). I work diabetes around my life and my activity, and not the other way around.

这是很多艰苦的工作，但我真的觉得我有早晨拍了帕特。而不是在一天中多次上下，它可能会在一周内发生2或3次。由于继续预推向和我的中度碳水化合物方法，水平也很棒。我计划在今天之后从我的自由休息一下，我很自信，我将能够在手指棍子上管理一段时间。

我被提名为Wego Health Activist奖。如果您喜欢阅读我的博客，我真的很感谢您的认可，您可以点击here。

帖子：存活胰岛素

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Rachel Zinman于2008年在42岁时被诊断出患有糖尿病，她现在知道是成人（LADA）的1型潜在的自身密肢糖尿病。雷切尔生活和呼吸瑜伽，热情地与他人共享瑜伽如何帮助管理糖尿病。我绝对喜欢Rachel在1型延迟发作的独特视角，并且必须用胰岛素慢慢来到术语。今天，我正在分享她新的电子书，幸存的胰岛素的摘录，你可以抓住你的免费副本here。


人仍然认为我一样是成岩作用osis. It’s hard for them to wrap their head around the fact that I’m not in control anymore. There was the life I had before diabetes, the one where I ate pretzel croissants, pizza bread and chocolate and the one I have now; low carb meals, afternoon walks and 15 finger pricks a day.

唯一一个我所知道的时候患有糖尿病I was in high school. I can still remember her ID bracelet circling her wrist and the diabetic friendly sweets she ate on the bus. She never complained and never explained. I knew it was something awful but how can anyone understand what it’s like to live with a disease that requires your attention all day, every day. I have never felt so guilty about food in my life. Always asking myself; did I eat too much? too little? did I walk enough? inject enough?

And by the way…. I am sick of people telling me how strong and brave I am. F-k that! If I could jump off the dia-boat I would. Who wouldn’t? Bravery and strength have nothing to do with it. How would you feel if you got lumped with something you didn’t ask for and didn’t do anything to get?

这就是为什么当每个人都在询问为什么会花我这么长时间才能继续胰岛素时，为什么这么沮丧。如果你在鞋子里？你不会尝试过一切吗？

I don’t regret one minute of trying something alternative. Each practitioner gave me hope. I think that’s what someone who doesn’t have diabetes doesn’t quite grasp. It’s hard not to equate the words “no cure” with “no hope”. I’m still hopeful, but I’ve learnt to be realistic.

我是一个现实的乐观主义者。

I take my time with just about everything now and it’s not because I’m into “self care.” If I rush out the door and don’t have everything I need its a disaster. People say they admire my discipline. But the truth is… if I could drink martinis and pig out on ice cream I would.

所以我相信命运吗？并不是的…。这就像你得到你得到的东西。是的，我对这一切的不公平感到足够生气。但我也觉得很感激。

Before diagnosis there was no off switch. I was used to doing, eating and behaving as I saw fit. I made up my own rules and lived my idea of what it meant to be healthy. I ignored the medical establishment and put my faith in things that eventually wore thin. That’s not to say that I don’t use alternative health and healing methods to accompany my allopathic regime. It just means I’m no longer hiding in the cupboard at the thought of taking a Panadol.

在我的生活中，感激之情是一个大的加号。每天我都想象自己在未知的创作的机器上羞辱自己。有些东西无法回答。了解我并不孤单地拥有不可批售的问题，使事情更容易忍受。但这并不意味着有些日子并不糟糕。所以......如果像我一样，你不想感激或不能困扰自我照顾，结束你的朋友在池塘里跳进一个池塘，因为他们只是没有得到它？

You’ll survive…

Rachel还在Yogafordiabetesblog.com上博客，你可以跟随她Facebook,推特andInstagram.。

试验成角度的输液集

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On a grey Saturday afternoon back in July, I was out painting. The rain was pouring down outside. I remember checking my blood sugar level after a perfectly carb counted and pre bolused lunch to find an unexplained high. After I gave an insulin correction with no effect, I lifted up my shirt to find my 6 hour old infusion site bleeding. In addition to those feelings of failure and guilt, my supplies were all the way back at home. I was doubly devastated.糖尿病毁了我的下午。我犹豫了一会儿，无法找到向我哥哥解释的话，我不得不起飞。

As I drove home in the pouring rain that afternoon, I was on the verge of tears. Once again, I felt failed by my diabetes.

输液位点是我在胰岛素泵浦的前三个月中所面临的最强大的问题之一。s8投注 雷竞技我花了很多时候痴迷于我的胃在我的网站上最不可能失败的地方。每个站点发生变化后，我在最后几个小时暂停了悬念，几乎等待网站失败。想知道插管是否在皮肤下方平稳地“点击”，or whether it had kinked.检查我的输液网站下的皮肤像鹰一样，寻找任何迹象bruising or occlusions.Worrying about the rapid loss of usable real estate on my stomach, and how much longer I would be able to continue using my beloved insulin pump. I actually felt guilty for the amount of insulin I was using, because more insulin meant quicker onset of site failures.

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I was using a 90 degree infusion set with an insertion device at the time. Others had suggested I try a different type of infusion set. I knew that there were different kinds of infusion sets on the market. Ones that went in on an angle, rather than straight in. I don’t really know why it took me so long to look into it. I guess I just thought this was normal. I thought that the site failures were simply a side effect of six years worth of insulin injections. I thought that my body simply couldn’t handle 3 days worth of insulin infusions into the same spot. Besides, it was daunting to try something new.

When I woke up one morning to a bleeding infusion site that I was yet to actually begin using, I knew I had nothing to lose. I grabbed the box of Animas Comfort infusion sets that had been sitting in my wardrobe for a week, and I haven’t looked back since.


This cannula goes into my stomach on an angle, rather than straight in. For starters, I don’t feel it “digging in” when I’m laying on the couch or in bed. On the angle, it doesn’t hit blood vessels and nerves which likely caused the bleeding and site failures so easily. Not having a lot of fat on me probably didn’t help, either…

Yeah, I have to stick a big long needle into my stomach with every site change, but it virtually eliminates the possibility of套管在途中扭结了。这也很少浪费。如果由于某种原因我的输液集在插入后感到不舒服，我可以将针头粘在输注组并重新涂抹。以前，一旦他们从插入装置中脱离时，输液套就比无用。

Since I began using the comfort infusion sets a month ago, I’ve had one failed site. The first one. The rest of them have been a breeze. And did I mention that I can actually get them to last the whole three days? Even four? Possibly five…

I keep thinking back to a comment Laddie left me several weeks ago. She mentioned that she couldn’t find a 90 degree infusion set that worked for her. Looking back on my experience, I’m very much inclined to agree.

今天的网站变化感到非常舒服。我可以改变一个网站，实际上正在上午继续下来，而不是在几个小时内压力。我的胃实际上是开始看起来像胃，而不是像一些血染荒地。我终于对我所经历的所有与网站相关的问题进行了解释，我可以兴奋地舒适。所有内疚和失败的感受都消失了。

今天，我终于可以关闭那本书的怀疑，并自信地称自己是一种胰岛素的保险杠。s8投注 雷竞技

凭借所有建议试用一种不同类型的输液集的大家感谢。我读过并欣赏所有对鼓励的评论。我为犹豫不决而道歉。有一天，我欠你所有的咖啡......

Sidenote: I’ve been nominated for a Wego Health Activist Award. If you enjoy reading my blog, I’d really appreciate your endorsement which you can do by clickinghere.

玩糖尿病卡

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A few weeks ago, I was consulted about some potential changes to my position at work. I felt that what had been asked of me是巨大的，非常出乎意料。这是我舒适区的一大步。它让我感到压力，并且在我第一次发现后的几个小时内通过屋顶的血糖水平。

I knew that this change was not going to be great for my diabetes, either. It was going to mess majorly with the routine that I had become ever so familiar with over the past four years. I knew that it would make me unhappy and ruin my attitude towards my job.

我拔出了我的泵，向我的老板解释了，我患有糖尿病。那些像我的臀部附着的小寻呼机一样的设备递送了所有的胰岛素，并且我刚刚完成了三个月后刚刚过精细调整胰岛素递送设置。我继续说，我茁壮成长，那我并没有真正觉得太舒服，在我的泵治疗中如此巨大的程度。

I felt terrible. I felt so small, and so defined by my diabetes that day. I absolutely hated myself for having to fall back on diabetes as an excuse. I absolutely hated that first impression I had given to my relatively new boss, of both diabetes and otherwise. I couldn’t even begin to imagine what he would have thought, as he asked me if there was anything he could do to help make this change happen.

I was prepared to go back and make a compromise that I felt more comfortable with after much thought, but ended up being offered an even better option.

在这种情况下，使用糖尿病作为借口绝对可怕。Very rarely do I use my diabetes as an excuse for anything. Morning coffee. Christmas lunch. Taking on extra responsibilities at work. Helping others. Doing handy work myself to save hiring someone.

But two weeks into this compromise, I realise that it was well worth speaking up. I knew that I would have been unhappy with the original change, and that it would not be good for my diabetes and general wellbeing at all. I know that I am miles happier than what I would have been. And as one of my work Mums reminded me yesterday, this would not have happened had I not spoken up.

The reality is that I do have diabetes, and it can afford me some special privileges if I see fit. Taking into account the special privileges that I’ve been given in trying to operate a broken pancreas for the rest of my life, I think we can just about call it even.