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Where do I fit in?

For many, I don’t count as being disabled. The fact I lost use of my beta cells that mean, without subcutaneously delivered insulin, I would die.

Now, my insulin is not delivered in the same way as a non-type 1 diabetic. I programme in my basal to make use of the stores in my body I release to power my body – just as those stores would be released if I wasn’t type 1. When I eat, I have to give extra insulin to make use of the energy – whether that energy comes from protein, fat, or carbohydrates (that’s sugars in common parlance).

Like anyone else’s body, I am not fussy about what I convert into usable blood glucose – what’s different about me is the fact I am getting my insulin in a form that lasts a long time. Which means, if I get it wrong, I have no safety net – the numbers are big enough that my body can’t necessarily do everything I need to pull me back out of trouble.

Each morning, I make some fundamental choices on my pump, forming a base plan on which I base the rest of my decisions – if I get that right, I don’t have do much other than get my boluses right. If not, my foundation is a disaster and it’s very much like living in an active earthquake zone…

Yesterday, I got it pretty much perfect – 24 hours in zone. Today, was not so easy. I’m only 5% out of range, but as a result, everything hurts, including my head and it has been a battle to get that good a result.

Why not use a hybrid loop pump, is that better than you?

To be honest, yesterday, I didn’t use the control loop at all – 100% in range. Today I did and at least one high and one low were caused by the hybrid loop. It leaves me to pick up the mess.

Despite that, not everyone sees me as being disabled. In fact, the tech makes people believe “type 1 isn’t really a problem anymore” is something I hear many times a month.

Grrr…

We don’t say to migrane sufferers that have painkillers or have identified their triggers. So why do we say this about type 1 diabetes that is a complex condition that expects the people who have it to replace a highly difficult function in the body to mimic?

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