The Most Awesome Thing

The topic for this month's Diabetes Social Media Advocacy Blog Carnival is: “The most awesome thing I have done in spite of diabetes is ...."

I've been thinking about this inaugural topic for the Carnival all month. I don't think I has a good answer for it when it came up during DSMA's "Fill in the Blank" night, I know I didn't have a good answer for it when I was the featured guest on the following evening's "DSMA Live" webcast, and for most of this month I've assumed I wouldn't be contributing a carnival post this month at all.

See, at the current stage of my diabetes, my disease isn't what's going to stop me from doing awesome things. I've got plenty of barriers, but right now diabetes isn't a problem in that way. I thought of some responses that were close, but just didn't quite fit.

Until now.

In spite of diabetes, I am getting healthier. That's right: I have a chronic disease, but I'm getting healthier.

Even though diabetes is not a huge interference in my daily life at this stage, the fact remains that my metabolism is broken. Hunger and fullness, food and digestion, energy to do all the things I'd like to do, even my ability to maintain my body at a comfortable temperature: none of these work as well as they did a few years ago.

Yet, despite these and other challenges, I'm markedly healthier than I was at the time of diagnosis. My blood pressure stays comfortably in the target range. Most of my cholesterol numbers are well within the target range: my "good cholesterol" is still somewhat low but is climbing. My A1c has been steady in a good place for almost a year. And, I rarely experience the tingling in my feet that I had almost continually for months.

My increasing health is not just in these results, it's also in what I do. Though there's a lot of improvement, I've made very significant changes since diagnosis. I walk for half an hour almost every work day. I eat far fewer carbs than I did even two years ago, I eat much less fat, and I consume much more whole grain and vegetables. I've put considerable effort into increasing my ability to cook healthy and tasty food for myself, resulting in many fewer restaurant meals and much less processed food. I also feel that my active participation in the Diabetes Online Community enhances my health care. Additionally, I've made significant advances in my ability to manage my emotional health.

Because I failed so badly the make the big, immediate lifestyle changes I felt were expected of my when I was diagnosed, I have a little trouble taking credit for the small changes I've made. But these small changes, taken together, have become awesome. And I've done them despite diabetes.

This post is my February entry in the DSMA Blog Carnival. If you’d like to participate too, you can get all of the information at http://diabetessocmed.com/2011/introducing-the-dsma-blog-carnival/.

The Investment Paradox

I find life to be full of paradoxes, big and small. One of the paradoxes I find in the search for personal change is that to get more of something you want, you often have to give up some of what you have of that thing.

I find it useful to think of financial investments as an analogy. For most of us, part of increasing our financial stability is finding ways to build some savings, even if just a little bit, to get us through a rough patch or to secure a more comfortable retirement. But, few of us make the kind of income that allows us to save money without any pain. So, if we can't increase our income, we have to make the choices that allow us to cut our spending.

Exercise is a lot like that. Most of us know that exercise is good for everybody, and it's especially good for diabetics. It's most especially good for those of us with Type 2 (and many type 1 folks as well) because it reduces insulin resistance, sometimes dramatically. When I'm exercising regularly, my fasting numbers improve, I don't seem to spike as high after a meal, AND I seem to recover from the spike more rapidly.

I've been off the regular exercise pattern for a few months now. I'd recently been making some headway, but was derailed by the heat wave we've had here: the highs have been above 95 just about every day for a couple of weeks, and more exercise has just been out of the question for me. Perhaps as a result of the non-exercise, I'm just not feeling as well as I could be.

So, here's the paradox: in order to feel better, I have to "invest" some of my dwindling energy store into some aerobic movement. I can't buy exercise in a store, and I can't borrow some from a friend - I have to make that investment myself. Bummer, huh?

I suspect that sleep works the same way. I often have trouble sleeping, especially on Friday and Saturday nights. So, I sleep late on Saturdays and Sundays. But, I've often read that one of the best ways to improve one's sleep is to have a regular sleep schedule - that DOESN'T include sleeping until 10 on weekends. To improve, I'm probably going to have to give up sleeping in, even though it feels desperately needed, as an investment in better sleep.

What investments do you need to make?

Diabetes Blog Week: Friday - The E Word

Exercise.  It's important.  I know it is.

When I exercise regularly, my fasting numbers are lower and my post-meal numbers don't appear to go as high and come down faster.

Exercise is good for, well, everything.

I saw a headline on a podcast the other day (I haven't listened to it, yet) about how exercise may help prevent Alzheimer's disease.  My dad has Alzheimer's disease.

I walk to and from work essentially every weekday.  That forms a basis of about 25 minutes a day of moderate walking.

But more than that?  Well, crud.