Today’s post starts a little like Bridget Jones’ Diary. My life has become a series of statistics and medications. It sucks, but it is what it is.
Weight: 128.4 kg
BMI: 48 (morbidly obese)
BGL: 15.4 mmol/L (target 6-8 mmol/L*)
Yesterday was a massive wake up call.
I visited my endocrinologist for my quarterly check up. I had a feeling my levels would be elevated, but not that bad!
I have become seriously lax when it comes to managing my diabetes. Thanks to an ongoing kitchen renovation (and laziness), we’ve been eating so poorly. Loads of takeaway and ready meals…resulting in dangerously high blood glucose levels (BGL). My fasting BGL was 17.9 mmol/L!! I burst into tears knowing that it meant I’d have to start insulin injections. My cholesterol levels were also elevated, so another tablet was added to my day. Am I starting to rattle when I move? So now my day looks a little like this…
– Checking my blood glucose levels before every meal and before I head to bed
– Injecting myself with NovoRapid before I eat breakfast, lunch, and dinner
– Injecting myself with Lantus prior to going to bed
– Swallowing a tonne of tablets for diabetes, cholesterol, and depression
(no shit I’m depressed)
– Recording everything in my diabetes record book for my endocrinologist, diabetes nurse, and gp to review
I’ll admit, I’m feeling pretty overwhelmed this morning. Thank goodness I took notes when my endo was filling me in on my new regime. I think I’ll need to create a check list for everything I need to take and do throughout the day so I don’t forget anything.
My escalating diabetes issues further confirms to me that having weightloss surgery pronto is the best way to go. Looking thinner would be a bonus, but reducing my blood glucose levels to “normal” is the ultimate goal.
Time to pull my head out of the sand and get real. Wish me luck!
*mmol/L = millimoles per litre
Diabetes can be so confusing, and many people don’t understand what this disease actually is…especially when you’re newly diagnosed. You are bombarded by a whole new world of regimes, terminology, and appointments with specialists; and you’ve got two choices…educate yourself and embrace it, or shorten your life span. It’s as simple as that.
Community awareness of the difference between type 1 and type 2 diabetes is still very limited. I am the first to admit, despite having family members who have type 2 diabetes (including my mum), I had never bothered to find out what it means…that is, until I was diagnosed myself. While some of the symptoms are very similar, the two diseases are quite different.
Type 1 diabetes affects around 10 to 15% of all people with diabetes. In individuals with this condition, the body is unable to produce the insulin required to stimulate glucose uptake from the blood into the body’s cells to be used as fuel. In type 1 diabetes insulin injections are required to control blood sugar levels.
The exact cause of type 1 diabetes is not yet known, however experts do know there is a strong genetic link, and it cannot be prevented. Experts also know that it has nothing to do with lifestyle. Maintaining a healthy lifestyle is incredibly important in helping to manage type 1 diabetes. Unfortunately, there is nothing that can be done to prevent or cure it at this stage.
Type 2 diabetes affects around 85 to 90% of people with diabetes. It is more common, and very different to type 1 diabetes. People with type 2 diabetes produce insulin, but the body is ineffective at stimulating glucose uptake from the blood into the cells of the body, due to insulin resistance. In some cases of type 2 diabetes, the body doesn’t produce enough insulin to keep the blood glucose levels under control. Although type 2 diabetes can often initially be treated with diet and exercise, many people also require medications to stimulate insulin release and improve insulin sensitivity.
Type 2 diabetes can be caused by a combination of genetic and environmental factors. Genetics play a strong part, however the risk is greatly increased in individuals who have high blood pressure, are overweight or obese, are physically inactive, maintain a poor diet, and/or have the classic ‘apple shape’ body where extra weight is carried around the waist. Let be know though…not all obese people will be diagnosed with type 2 diabetes, and just because you’re thin, you’re not immune!
For more information, please visit Diabetes Australia, or consult your doctor.