Dear Beautiful Person (who happens to have diabetes),

Today, you are here. Is there a purpose to your being here? A universal, master purpose? Many claim to have the answer to this, but the honest response is that no one knows. The question is, in fact, irrelevant. You are here. That is a fact. Everything else is just speculation.

It matters not if it's an illusion, a grand plan, a godly design, or a happenchance. You are here.

And while you are here, think upon the magnitude of your existence: The last science knew, the universe was 13.8 billion years old. During much of that time, Earth was a big, hot mess. Life only began to evolve 3.5 billion years ago. Modern man, alone, has only existed for about 200,000 years...  and only in the last 30 years or so, have we seen vast improvements in industry, technology, education, science... and medicine.

Medicine.

If you would have been diagnosed with diabetes (of almost any type) back in the 1800s, it was most certainly a death sentence -- if not, a very challenging life.

Insulin wasn't discovered as a treatment for diabetes until the 1920s, thanks to Banting and Best, when many children were literally dying of malnutrition and emaciation. Banting had the heart to insist on not patenting their new-found medicine, so that it could reach as many as needed it.

Metformin was invented in the 1920s as well, and has been used in other countries since the 40s, and 50s. It was not, however, approved in the United States for use with type 2 diabetes until 1994! Yes, that is not a typo. 1994.

Back in the pre-insulin days, starvation was all people knew to do to control diabetes. To eat basically no carbohydrates, or really anything much -- as proteins and fats can also raise glucose (though, admittedly, to a lesser degree). Many simply died because it was so stressful -- or they just couldn't resist pinching food, while no one was watching.

It wasn't until the 1980s when a person with diabetes was able to monitor their levels, independently, and the first glucose monitors appeared. If they had insulin -- that was a good tool -- but if they didn't, all they knew to do was avoid eating sweets. Diabetes has always been with us, at least in the archaeological records, since Egyptian times, and we've known it's a disease about high glucose, but aside from that, there wasn't much monitoring of glucose levels until well into the 80s. Ask anyone who was diagnosed many years ago, and they will tell you stories of urine testing (sometimes, once a month, at a doctor's office), and sharpening and boiling their own needles, for sterility.

In fact... we really didn't know that diabetes was not a disease caused by eating excess sugar and sweets, until at least the early 90s. The other day, I saw a very old VHS tape for an old Vitamix blender I have acquired, and in it, they recommended diabetics substituting honey, in place of sugar. I guess in their minds, anything that was natural sugar, was not really sugar.

And here we are now... 2013. With a variety of different types of insulin, mimicking both basal and bolus outputs from our pancreas, insulin pumps and CGMs to allow us to eat with more freedom and catch hypoglycemic events, the knowledge of counting carbohydrates and the freedom to eat cake, diabetes alert dogs, and glucose meters small, sleek, or indistinguishable from an iPod, small, and painless needles... and on the thresholds of smart insulin, biohub and artificial pancreas options, and noninvasive glucose testing.

. . .

Yes. Diabetes is still hard. But we are blessed to live in 2013, and not 1913. We can see ourselves as the victims of fate, or as the blessed recipients of a grand universal lottery. Think about the kind of life you have the chance to pursue, right now... that you would have never had a chance to pursue back then. Let it sink in -- let it's blessings humble you. 

Yes... diabetes can be embarrassing. But all disease is humbling. 

Even if you never had diabetes, life is much of an embarrassing process, as well... At birth, and near death... someone has to wipe our behinds. We get old, and lose our good looks... we may get cancer, and lose our breasts, we may get alopecia, and lose our hair... We may be like Farrah Fawcett, and get colon cancer -- colon cancer. 

Illness is humbling -- for we have to accept that we are frail, that we get sick, that we get old, and yes, sometimes... that we haven't always done the best to take care of ourselves. But, can you think of anyone who has been perfect -- all of their lives? Always perfect? I know one or two who claim they were -- and you know what -- I honestly don't like them very much. For one, they are liars. They may have read the manual on living, but they haven't actually lived very much. No one learns to ride a bike from reading a book -- and thus it is with living. Some of us just have to fall a few more times, than others... and it is our beautiful, gnarly scars, which make us who we are.

I never thought of Farrah Fawcett as much of a hero -- until her war with colon cancer. And I never thought much at all, about Ryan O'Neal, until his passionate devotion to the woman he sought to wed on her deathbed. 

Don't be angry at your loved ones, beautiful person (who happens to have diabetes). It is not a matter of blame. It is not a matter of fault. Don't leave this world, and lose hope... for these massive amount of events I have listed had to have gone through... and for you to be here, in this point in time. Your loved one, well... your loved one simply LOVES you. They are in deep fear because they do not want to be without you -- at least -- not sooner than life will will. Can we blame them? 

I was angry once... at my father for (in my own warped perception) not trying harder, at life and circumstance, and God, and you name it. I was once that angry loved one... living in FEAR. Sheer fear. But, you see... for whatever reason, you are here -- in this very moment in time, and a time when you happened to meet your loved one. This is a very precious moment in time... In fact, to quote Lawrence Krauss -- a renowned Theoretical Physicist: 

�Every atom in your body came from a star that exploded. And, the atoms in your left hand probably came from a different star than your right hand. It really is the most poetic thing I know about physics: You are all stardust. You couldn�t be here if stars hadn�t exploded, because the elements - the carbon, nitrogen, oxygen, iron, all the things that matter for evolution and for life - weren�t created at the beginning of time. They were created in the nuclear furnaces of stars, and the only way for them to get into your body is if those stars were kind enough to explode . . . The stars died so that you could be here today.�

Is diabetes embarrassing? Well, sometimes... But I am in fact honored to be so privileged to be alive, today... right now... Experiencing this universe, the love of friends, and family... The patter of rain on my window pains, the loving purr of my cat, and the imperfect love and friendship of that idiot that still lives here which I call my husband.

Yes, I am honored... to be living here, and living with diabetes.

» Read More...

Photo by Joke du Jour

Diabetes is a LOT of responsibility. It's like suddenly being forced to have a crazed pet that you never intended on having, that you CAN'T say 'no thanks' to, that you CAN'T give back, and that it's not even cute! It's an attention whore, it's expensive (the feeding it, taking it to the vet, getting it appropriate gear, appropriate medical tests, etc.), and if you don't control it, it goes off tearing up all the rooms in your house, destroying your toilette paper, pissing on your carpet, and ruining your good shoes. It will especially do these things when you're NOT paying attention; when you're away, and your mind's focused on other things, and often, BECAUSE your mind is focused on other things.  

"You're crazy, Liz... How can Diabetes piss on my carpet??"

... Well, maybe not literally... :)

But every time you ignore your diabetes, or the longer you have lived with the struggle of controlling high blood glucose, it's a little bit like Diabetes is running amok in your blood stream. High blood glucose levels are more than just a little inconvenience -- aside from the dehydration, and morning after hangover feelings, and mood swings -- they can slowly cause damage to the many nerves, capillaries, and blood vessels that support, connect, and feed our organs; they can damage our organs themselves. If we don't do our best to control Diabetes, it can, potentially, really get out of hand. It can, figuratively, piss on your carpet.

It's because of this potential 'havoc' that there are many areas of our overall health that we must monitor, like our heart, our feet, our kidneys, our eyes, our teeth, etc.  Finding the time, commitment, money, and insurance coverage support to care for all of these can be challenging, and sometimes intimidating.

Now imagine having to do all of this... without health insurance.

....

Welcome to MY world.

When you are Diabetic, and have NO health insurance, it can be easy to emotionally 'give up' with the mounting pressures of managing an expensive disease, and it can be easy to feel guilty that you can't have some of the things you need; you can become a bit complacent.  But I want you to stop right there, and don't feel sorry for yourself: the internet is your friend. Repeat after me: THE INTERNET IS YOUR FRIEND. Make sure to do research, every day, and scour the very ends of the vast internet arena for some answers.  Do NOT take no for an answer, do NOT stop looking, and never, EVER, give up.  Just because some people out there may think that people like you, and me, should die without any appropriate care (because of their own misinformed, personal biases), does NOT mean that everyone else feels this way.  Just because our health care system is broken, and because some doctors may work just for money, does not mean that there aren't doctors are out there, volunteering and sacrificing, every day... honoring their Hippocratic Oath. LOOK for them.

Enter the American Optometric Association.

For some time now, since before diagnosis, I've been experiencing eye flashes, either on my left eye (most aggressively), and sometimes, on my right eye.  I've been somewhat scared.  A cousin of mine who lives too far away to visit, and is an optometrist, told me I needed to get to an eye doctor immediately because this was a potential retinal tear. All the what ifs started running through my mind... what if I was diagnosed just a bit too shy of being able to avoid complications? What if this is the start of retinopathy? What if all of this is going to send me into BANKRUPTCY?!

Well...  The American Optometric Association has a program called "Vision USA," through which volunteer Optometrists have helped hundreds of thousands of low income families since 1991 with basic eye care. Just some basic eye exams, and some good ol' love for their fellow human beings. Basic eye care can go a long way into catching issues early, and preventing further complications from some gone ignored. I would have NEVER known about this, had I not done a little googling and filled out some forms. Vision USA helped pair me up with an eye doctor just BLOCKS from where I live, and that doctor did  more than just some basic eye tests... He did extensive tests on me, including a dilated pupil eye exam, today, FOR FREE. To further my peace of mind, all my tests came out great.  For now, at least, there's NOTHING wrong with my vision that can't, perhaps, be attributed to exhaustion, or aging... And that's worth a LOT for me to hear.

When every little penny pinched counts... there are just not enough ways to say THANK YOU.  Thank you SO MUCH.

And when your diabetes pet wants to piss on your carpet... don't fret; get on the 'net.  Whether it's for emotional support, or volunteer help... You are NOT alone.

» Read More...