#Parenting a child with #diabetes #struggles & #rewards: owning your own #lifetime

This is a blog I have wanted to write for some time. As the parent of a now grown up child with diabetes, I feel a ‘special’ bond with other parents. Because of this, I am one of the moderators of the Facebook Closed group Parents of kids with diabetes. Almost every day I read & respond to heroic, wonderful, ordinary, or desperate stories of parents, ordinary people, most of them with no prior knowledge or experience of life with diabetes. Some are the parents of newly diagnosed infants. Those of us diagnosed as adults, no matter what type of diabetes, we know the emotional rollercoaster that diagnosis brings. Imagine that diagnosis being pronounced on your baby or your child.

A child's trust
A child’s trust

The journey of acceptance of the diagnosis of diabetes is often described as the journey of loss, a journey through the stages of mourning. Some people diagnosed, or some partners of people who are diagnosed, get ‘stuck’ in one of the very earliest of stages, Disbelief & or Denial. They may delay or refuse the suggested treatment or advice for management. They may hide their diagnosis from those around them. That stage is bypassed in a Blink for the parent whose child is diagnosed. From lasting perhaps years, this stage is reduced to a few moments, a few hours, a day, a couple of days. From then on, ‘Disbelief’ & ‘Denial’ do not exist. We leap straight to fear, panic, guilt; into anger, blame, shame. We also leap straight into fierce Warrior protector mode. For most of us, our fear has to be submerged into Action, Compliance, & Learning, all embedded in a fierce protective mode that overrides everything else. Our own sadness, mourning, self blame must be submerged under the need to be the responsible Parent, the one who will manage the journey of our precious child into adulthood with lifelong chronic disease. I imagine the journey is similar to that of any parent whose child is diagnosed with a chronic disease or condition.

One of the differences lies in the management. Daily, a parent must monitor & restrict or ‘manage’ the food intake of their child. When birthday parties or celebratory occasions come up, the decisions about how to manage party food become an obsession. We handle insulin, a powerful hormone with great responsibilities attached, several times a day. We check glucose levels, ketones. We must ensure that we never run out of any supplies. We make & keep appointments with a range of HCP’s. We keep records, or trust our children to. We learn jargon. We FB, we Tweet, we SoMe. We must budget to afford all this, & although thankfully in Australia parents do receive some government assistance with costs whilst their children are under 16, in some countries this is a crushing, unsustainable burden. Our sleep is interrupted, sometimes many times a night, for the duration of the time our child with diabetes lives under our roof; and in the case of our daughters, possibly again when (if) (joyfully; & scarily) pregnancy occurs. We become master mathematicians & pseudo nurses & endocrinologists, calculating complex equations several times a day, carbs, insulin, bgl ratios. measurements & the needle

Another difference between being diagnosed yourself & having your child diagnosed is the type & level of Guilt & Self Blame that occurs. For ourselves, it becomes tied up in not talking about our diabetes, in hiding it so that we check our bgl’s or inject our insulin or take our oral medication very privately. We may even not do these things at all if a social occasion comes up. When it’s your child, ‘compliance’ is not an issue. We follow our instructions to the letter, to the minute. We advocate, we speak out, we question, we seek knowledge, advice, support. We talk to teachers, schools, principals, classrooms full of children. For many parents, their Guilt & Self Blame becomes lifelong, but is submerged into supporting a search for a cure. This is absolutely normal. It gives Hope, which is so wonderful. However, for some people supporting a cause such as this can become obsessive, preventing Acceptance, & interfering with normal life, & just getting on with managing the diabetes as best as possible.

It can seem impossible to set aside time for managing to care for ourselves. We can feel as though we are too tired, too busy, too responsible to take some time out just to be ourselves, just to breathe & enjoy our lives. We feel driven to Act, to do. The younger the child, & the more young siblings there are, the more difficult this becomes. Many parents are fortunate in having the practical support of a partner, grandparents, their own siblings. Others have friends in the ‘real’ world as well as in the virtual world. You may have access to good Child Care, where people are already trained or are open to be trained in managing your child’s health condition. It is hard to accept that it is not selfish to use such practical help to simply ‘take a sanity break’. However, doing so can actually be a wise management strategy. By allowing someone else to take care of our child with diabetes for a half a day, a day, a ‘sleepover’, a weekend; we are teaching everyone concerned that if for some reason we are unavailable, they can manage, & manage well. We’re teaching our child that there are safe people & places in the world, & as they get older, that they are clever, brave, strong; and normal. They can be away from us, & we can be away from them. We will come back, & we will all be OK. And we’re teaching ourselves that our lives exist outside our Parenting role, a role which changes over time for everyone, regardless of any health condition of their child.

What activities do you currently do that are solely for yourself? Do you walk, run, climb, meet a friend, visit a library, play a sport, go to the gym, sew, go to the cinema, study, paint, garden, play with animals, swim, do yoga, ski, ride a motorbike or bicycle, box, write a diary or blog? What have you stopped doing that you would like to go back to? What have you always wanted to do or try that you have not yet tried? Do you know how to practice relaxation, controlled breathing, or any stress relief practices?

Always remember, you are a Parent of a child, & you are a Person. These roles do not exclude or preclude each other. Your life is yours, you own it. We have a short time on this earth, & our time is Now.

Remain in Light. Talking Heads

carpe diem

Helen Wilde

Helen is a Senior Counsellor with Diabetes Counselling online, a Teacher, & the Parent of a person living with Type 1 diabetes since 1979. She has lived with Type 2 diabetes herself since 2001.

Please Share!Share on FacebookPin on PinterestTweet about this on TwitterEmail this to someoneShare on LinkedInShare on Google+Print this pageDigg thisShare on RedditShare on StumbleUponShare on Tumblr

Wonderful wholegrains help with d-management and much more

Oaty heart

So often I refer to the Australian Dietary Guidelines, and today’s blog is no exception as I thought that Grains would be a great topic to explore as they’re so helpful for our diabetes management, weight management, avoidance of cardiovascular disease and to help us maximise nutritional requirements!

I’ll first look at why grains are important and what nutrients they include, then look at some of the variety of grains that are available to us, how many we need in our daily food intake and some new ways and recipes to include them. I think it’s interesting to know that this group is one that the guidelines are often not met, so hopefully this blog will make a difference for you.

As I hope you know by now, there are 5 different food groups listed in the Australian Dietary Guidelines (I’ll call them ‘the guidelines’ from now on). One of the key points under Guideline 2 (Enjoy a wide variety of nutritious foods every day) is to “enjoy grain (cereal) foods, mostly wholegrain and/or high cereal fibre varieties”, and for good reasons too!

The evidence for their inclusion in the guidelines gets a ‘Wow!’ from me with the guidelines telling us that:

Cardiovascular disease: There is evidence of a probable association between the consumption of grain (cereal) foods (especially wholegrains and those with fibre from oats or barley) and a reduced risk of cardiovascular disease in adults (Grade B; Evidence Report, Section 6.3). Almost all the high level trials were conducted with oats, with the evidence of beneficial lowering of levels of LDL and total cholesterol levels. The protective effect was noted with between one to three serves per day of wholegrain foods (predominantly oats).

Type 2 diabetes: There is evidence of a probable association between the consumption of grain (cereal) foods (especially wholegrains) and reduced risk of type 2 diabetes (Grade B; Evidence Report, Section 6.7). The evidence supports three serves per day of wholegrain foods conferring between 21% and 42% reduction in risk of type 2 diabetes.

Excess weight: There is evidence of a probable association between consumption of three to five serves per day of grain (cereal) foods (mainly wholegrain) and reduced risk of weight gain (Grade B; Evidence Report, Section 6.6).

Colorectal cancer: There is recent evidence suggesting that consumption of one to three serves of cereals high in dietary fibre per day is associated with reduced risk of colorectal cancer in adults (Grade C; Evidence Report, Section 6.2). Although previously the WCRF report noted a probable relationship, it recently reviewed the evidence and found it convincing that fibre-rich foods offer protection against colorectal cancer (see Appendix F). This is also supported by a recent systematic review and dose response meta-analysis of prospective studies showing that three serves of wholegrain and high fibre cereals per day reduced the risk of colorectal cancer.

Other cancers: Recent evidence is inconclusive for an association regarding the consumption of grain (cereal) foods and risk of other cancers in adults (Evidence Report, Section 6.1).”

This section of the guidelines finishes up by reminding us of a very important reason for us to focus on whole grains rather than processed grains: “Because wholegrains contain more nutrients and phytochemicals, concentrated in the bran and germ, they are likely to have greater effects than refined grains (cereals). Wholegrains contain phenolic compounds with strong anti-oxidant capacity that may be protective against processes involved in the pathology of type 2 diabetes, cardiovascular disease and cancer. Choosing wholegrain options may also assist with satiety and help in not over consuming food beyond energy (kilojoule) requirements.”

What’s in grains?

When you think grains, you might think ‘carb source’ or ‘low GI’ or ‘high fibre’ and you’d be right on all counts! The guidelines advise us that they also contain “protein, B group vitamins, vitamin E, iron, zinc, magnesium and phosphorus. Other protective components are fermentable carbohydrates, oligosaccharides, flavonoids, phenolics, phytoestrogens, lignans, protease inhibitors, saponins and selenium.” Another “Wow!” from me :)

Types of grains

The National Grains & Legumes Council has a very helpful website which goes into all kinds of detail on the topic of grains (and legumes too).

I like this listing of the types of grains that The National Grains & Legumes Council website provides:

“There are a number of different types of grains found within the Poaceae family from ‘true’ cereal grains e.g wheat, oats, rice, corn (maize), barley, sorghum, rye, millet, to the ‘pseudo-cereal’ group e.g. amaranth, buckwheat and quinoa (pronounced ‘keen-wah’). The ‘pseudo-cereal’ group are not part of the Poaceae botanical family, in which ‘true’ grains belong, however they are nutritionally similar and used in similar ways to ‘true’ grains.” The links will take you to further nutrient and historical information about the grains as listed.

For those of us with coeliac disease (unable to eat grains containing the protein gluten), as well as it still being Coeliac Awareness Week (13-20 March), you’ll notice that many grains are gluten-free – corn, rice, sorghum, millet, amaranth, buckwheat and quinoa. Remember to NOT start a gluten free diet unless you’re tested first for coeliac disease, but there’s no reason not to include these gluten free grains in a healthy balanced diet as they’re full of great health benefits (as all wholegrains are).

How much should we have?

If this is too small to read, click on it and it will enlarge
If this is too small to read, click on it and it will enlarge

How do we include them?

The National Grains & Legumes Council website offers recipes for both savoury and sweet ways to include more grains in our diets.

My other favourite ‘go to’ recipe websites include the Australian Healthy Food Guide (which also offers more great tips and advice on grains) and Taste.com.au that has a great selection of whole grain recipes.

So the main points to remember for us with diabetes is that we should aim for Whole Grains, rather than processed grains, and remember to ‘count the carbohydrates’ in the grains that we consume while aiming for the recommended number of serves each day. If you’re not sure what carbs are in the different types, use Calorie King to find out.

Click on the image if you need it to be larger
Click on the image if you need it to be larger

How do you ensure your intake of whole grains across your day?? If you’re not sure and would like to arrange a one-on-one e-consult with our e-dietitian (a free service for all Australians), just pop over and register here, or you can ask your questions and share your ideas below :)

Sally Marchini is the Social Media Dietitian with Diabetes Counselling Online, owner of her private practice (Marchini Nutrition), has had type 1 diabetes for close to 40 years and coeliac disease for many years too.

Please Share!Share on FacebookPin on PinterestTweet about this on TwitterEmail this to someoneShare on LinkedInShare on Google+Print this pageDigg thisShare on RedditShare on StumbleUponShare on Tumblr

It’s not easy to be me- journeying to the #self: how #melancholy is part of #happiness

Our inalienable rights are ‘Life, Liberty & the Pursuit of Happiness’- nothing in there about Health, or Wellness, right?

I was counselling someone today, someone who is actually older than I am, despite me having just had a birthday & feeling extremely ‘senior’ as a result. LOL! I had something of a ‘light bulb’ moment. I thought, it’s not depression that I live with, it’s melancholy. And is that such a bad thing? Once you realise your own mortality, which for many people is actually before the age of 10, isn’t melancholy part of the background to our lives? It’s not a word that is used or celebrated nowadays, it could even be called ‘unfashionable’ to acknowledge melancholy. It seems that you have to be always ‘happy’ to be considered ‘normal’: if you’re not obviously happy, then you must be ‘depressed’. I don’t believe that’s true.

Although melancholy gets a bad press sometimes, being equated with deep depression, it has also a more poetic & lighter side. Many poets, composers, artists, writers from various cultures have felt melancholy. ‘Melancholy is sadness that has taken on lightness’ by Italo Calvino ‘There is no such thing as happiness, only lesser shades of melancholy.’ Robert Burton. ‘Sweet bird, that shun the noise of folly, most musical, most melancholy!’ John Milton and ‘There is no coming to consciousness without pain.’ Carl Jung. When you can acknowledge that it’s actually OK to be sad, not permanently deliriously happy, to be in fact somewhat melancholy, you can accept your state of being & find that ‘happiness’ & ‘beauty’ can encompass melancholy. ‘I don’t want to get to the end of my life and find that I just lived the length of it. I want to have lived the width of it as well.’ Dianne Ackerman

taking time out in nature
taking time out in nature

Of course that melancholy can be a spiderweb, it can creep into everything, it still takes work to maintain calm in the midst of chaos: to maintain serenity, joy. The tools of mental wellness remain the same. We are all living with diabetes. Now that’s just not fair. It basically sucks. At the same time, many of us are trying so hard to ‘live our lives to the full’, whatever that may mean. Whether it’s helping others, striving for a physical ‘high’ that will reward us, striving to be successful in a career, or in love, earning more money to purchase whatever it seems we want; our time is busy busy busy. Multi tasking is a way of life. We are attached to screens for much of our waking time. We are ‘communicating’ with more people than ever before in the history of the world. We need to take ‘down time’, & to use that time to be present in the real world. This might be as simple as exchanging our gym session for exercise outdoors, appreciating the world as it passes us by. It might be turning off screens for a 2 hour waking period every day: or for an entire day a week, & focussing on the people we are with & the world around us. Or to be alone. It might be remembering we have more than 3 senses: more than our eyes, ears & fingers. It might be reminding ourselves that we are more than our diabetes, or our child’s diabetes, that we still have other interests, & other people in our lives. It might be focussing on Breathing, on silence, on music: on watching your child sleep. It might be preparing and eating a meal with pleasure, not guilt, sharing our pleasure with others, not with self judgement or self criticism. It might be that we need to give ourselves a break, to celebrate how hard we are trying, to let go of guilt or shame. We need to use that wise voice in our head to counsel ourselves as we would another, to be kind to ourselves as to another, to say, ‘It’s OK, nobody’s perfect, you’re doing OK’.

a gift for yourself
a gift for yourself

It can be hard being Superman, or Superwoman. Even Superman feels melancholy sometimes.

Helen Wilde

Helen is a Senior Counsellor with Diabetes Counselling Online, Teacher, parent of a person living with Type 1 diabetes since 1979, & living with Type 2 diabetes herself since 2002.

You may find it helpful to talk with one of our team by visiting http://www.diabetescounselling.com.au/welcome/our-team-counsellors-ambassadors/

)

Please Share!Share on FacebookPin on PinterestTweet about this on TwitterEmail this to someoneShare on LinkedInShare on Google+Print this pageDigg thisShare on RedditShare on StumbleUponShare on Tumblr

An update on glycemic index and glycemic load

GI comparison image

Hello D-friends!

As usual there’s been a lot of talk lately about the Glycemic Index (GI) and how it affects us with diabetes. As I hope you know I wrote a series of blogs on the glycemic index – it’s benefits, how to make the change to a low-GI way of eating, and how both quality and quantity of the carbs you choose will make a difference to your glycemic control. I would encourage you to revisit these blogs to remind yourselves of the points included that will benefit everyone’s health, with or without diabetes, but especially so for those of us with it.

The reason for my further blog on this topic today is that last week I attended a seminar presented by Dr Alan Barclay who is Chief Scientific Officer at the Glycemic Index Foundation, and Head of Research at the Australian Diabetes Council (formerly Diabetes Australia-NSW). He is also co-author of the Diabetes and Pre-diabetes Handbook. The topic of Dr Barclay’s presentation was ‘The Latest Developments in Glycemic Index and Load’ and there were a few key points in there that I thought were worth bringing to your attention. He kindly agreed that I could share it with you as there were some very valid points made to help our understanding of how the GI of food affects us.

So, the following information is taken from Dr Barclay’s presentation with his kind permission to share with you. I hope you benefit from it as much as I have.

A great starting point was a reminder of the definition of Glycemic Index. The GI compares equal quantities of available carbohydrate in foods, is a measure of their effect on blood glucose levels in 10+ healthy people over a 2 hour period, and is expressed as a percentage.

The GI Ranking (as I hope you do know since we’re always on the lookout for the low ones) for individual foods looks like this:

  • Low = 55 or less
  • Moderate = 56-69
  • High = 70+

I also liked the example of an apple he provided in his definition of Glycemic Load (GL):

“A function of a food’s glycemic index and its total available carbohydrate content and defined as:

Glycemic Load = GI (%) x Carbohydrate (g)

Using an apple (140g with skin and core): GI value = 38%; Carbohydrate per serve =15 g

GL = 0.38 x 15 = 6

The GL of a medium sized (140g) apple is 6. Don’t you love how easy that is to work out??

It’s important to remember that the higher the GL, the greater the elevation in blood glucose AND insulin levels, so it’s worth keeping an eye on.

As already mentioned, both the amount and type of carbs are important predictors of blood glucose levels but something that I hadn’t specifically talked about is that together they account for 90% of the total variability in blood glucose response.

Dr Barclay then ran through a number of studies that demonstrated benefits as outlined in that first blog of mine, including an extra couple worth mentioning here:

  • There was Grade A (the best) evidence to show that for those of us at risk of hypoglycaemia, those people who favoured low-GI carbs had significantly fewer hypos than those who didn’t.
  • Research demonstrating that low GI foods tip the balance in favour of fat oxidation (meaning you’ll burn fat rather than store it)
  • In terms of weight maintenance, one study, a randomised controlled trial called Diogenes, showed that people on a Low-GI higher protein diet were able to maintain their weight loss where all the other ‘diets’ led to weight regain over a 6 month period.

You can read more about this sort of research here if you’re interested.

GI logo2

You know of the GI Symbol, but were you aware of what the requirements are to be able to display the symbol on packaging?

  • Products must be tested by approved laboratory using the Australian Standard procedure.
  • Products must contain greater than or equal to 10g of carbohydrate, or greater than or equal to 80% carbohydrate AND be traditionally served in multiple units of small serve sizes
  • Products must meet strict nutrition criteria (all the things we’re looking for with diabetes!):
    • Energy
    • Total and Saturated Fat
    • Sodium
    • Dietary Fibre
    • Calcium

Another part that I thought worth reminding you of was that the University of Sydney publishes an e-newsletter called GI News that you can subscribe to which has great articles and recipes as well as listing the latest foods that have been tested for their GI values.

Low GI Shoppers Guide 2014

And something for your shopping bag! There’s a booklet that sells for about $12 called the ‘Low GI diet Shopper’s Guide’ that contains the GI values of more than 1000 foods – great to carry with you when you’re doing the weekly shop! You can buy it from any bookseller, but I saw them in stock at the Australian Diabetes Council in Sydney (for $12) when I was there for Dr Barclays presentation, so I’m guessing they’re also available through other state Diabetes Australia outlets.

If you’re looking for low-GI food ideas, the GI Foundation website not only has a special section for diabetes, but also some great recipes and many other hints and tips including a SWAP calculator to help you find a lower-GI alternative to your favourites.

What a great way to eat well and know that you’re helping to improve your diabetes wellbeing! Thanks Dr Barclay!

As usual, please let me know if you have any questions or ideas to share.

Sally.

Sally Marchini is the Social Media Dietitian with Diabetes Counselling Online, owner of her private practice (Marchini Nutrition), has had type 1 diabetes for close to 40 years and coeliac disease for many years too.

Please Share!Share on FacebookPin on PinterestTweet about this on TwitterEmail this to someoneShare on LinkedInShare on Google+Print this pageDigg thisShare on RedditShare on StumbleUponShare on Tumblr

Diabetes Self Education & Managing Your Health Care Professional: who is driving this car?

dreamstime_m_15098014 (2)

dreamstime_m_15098014 (2)

We’ve had some discussion today around the topic of Research on our Facebook group. There were lots of different opinions. Some people want to know and learn and be in control: others want to be told what to do and want someone else to be responsible. I believe in being in charge of my own health.

What about you?

The discussion made me think about some of the links we provide from time to time about current Research. I decided to follow up on some personal research about myself. I took a questionnaire which aims to check our Emotional health and wellbeing around diabetes. It has been sitting in our Forums for some time, unloved & neglected. Diabetes Counselling Online had input into this questionnaire, which was developed under the NDSS initiative of the Australian Government.

The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Federal Government. If you are not already registered with the NDSS, you can access the Registration form here Registration is free for all Australians living with Diabetes and provides a range of free services.

Here is the questionnaire

It begins: “Many people with diabetes can feel weighed down with concerns about their health and wellbeing. If neglected, these feelings can end up affecting their quality of life and self-management of diabetes.

This website has been designed to help you to identify any problem areas you may have with the emotional aspects of diabetes, and to get help and information.

Using this website :

  • There are 24 questions to complete. It will only take a few minutes and there are no right or wrong answers.
  • When you finish the questions you will receive your results and be provided with feedback
  • You can view online resources for more advice and information.
  • You can print out the results to discuss with your health professional.

It was very easy to take, and it did give me things to think about in regards to how I actually feel about living with my own diabetes.

Here is my ‘results’ page:

“It is not always easy to manage diabetes. It can be unpredictable, frustrating; time consuming and at times overwhelming. Blood glucose levels can go up and down for no apparent reason despite your best efforts. People who don’t have diabetes don’t always understand the juggling act required to manage to always eat well, take tablets and insulin and constantly do blood glucose testing. Friends and family can be very supportive but sometimes their well meant advice is not always helpful and may unwittingly increase your stress.”

and

“It is common to feel annoyed, fed up and frustrated with your diabetes but if this results in you feeling that you can’t cope, you may need some help. Often a lot of energy is spent on looking after your physical health and although that is important, it is just as important to look after your emotional and mental health.”

Now that’s a pretty normal sort of statement for any organisation talking about managing diabetes, hey?

My Results report goes on:
“Be sure to scroll down for additional content. Your results indicate these areas may be a problem for you”
And then the actual issue that was revealed:
“Feelings about food”

No surprises there then. I did know I have issues around food. What Western woman over 30 doesn’t?

The issues are around guilt about taking pleasure in food, and guilt about weight, even when the weight is in normal range. What this questionnaire did for me was to highlight that basically I’m pretty OK about my diabetes, but I still get stressed about food & diabetes. It’s interesting because I know at the start of this journey I was very stressed about having to take medication. Now I know that the medication is helping me, and somehow I’m ok with it.

My other problem area is Exercise, and that didn’t show up in my results. So the questionnaire is not perfect, or doesn’t cover everything for me. But it is a great starting point.

I did do one other thing with this questionnaire. I went back and answered as though I was another person, using the kind of thinking that is often experienced by people with diabetes, the kind of thinking that various people have shared with me during counselling.

Among other interesting results, I got some very useful advice, which I want to pass on, regarding visits to the doctor.

“It is really important that you feel you are able to communicate effectively with your health professionals and that you develop a good relationship where you can discuss your goals for managing your blood glucose levels, weight and all other aspects of diabetes. Sometimes the health professional and the person with diabetes don’t have the same goals and this may cause confusion and frustration for everyone.”

“Your doctor needs to explain clearly what he/she considers the best treatment options for you; but equally you need to let your doctor know what you prefer and what is important to you. It can be difficult in a busy consultation telling the doctor everything you want him/her to know and asking all the questions you have.”

“These points might help:

  • If you know you will need more time ask the receptionist to make a longer appointment
  • Write your questions down so you don’t forget
  • Ask lots of questions to clarify information the doctor gives you
  • Ask the doctor to explain if you don’t understand.
  • Tell the doctor what you think is realistic for you to do
  • Bring a friend or family member to help you remember what has been discussed
  • Ask for printed information”

“If you think your doctor or heath professional’s advice is not right for you, you can ask to be referred to another or ask for a second opinion. If you do not have a good relationship with your heath professional and you can’t see it becoming much better you can see a different one. You can ask to have all your medical records transferred to the new doctor or health professional”.

“Do you and your health care professional share the same goals? To help you to be clear about your goals so you can explain them to your diabetes health care professional.

Consider the following

  • What changes are you prepared to make to your food and eating habits?
  • How much physical activity are you prepared to do?
  • Are you willing to take medication to control your blood glucose levels?
  • Are you prepared to take tablets to control your cholesterol and/or blood pressure?
  • How often are you prepared to check your blood glucose levels?
  • What is a realistic HbA1c for you?
  • How often do you want to see your diabetes health care professional?”

Further information is then available via live weblinks to various State Diabetes Associations.

It’s very much like being the driver of your own car, and this has been brought home to me by my elderly mother’s theory, who attributes all of her problems nearing the end of her life to her decision to give up her car.

You can read about ‘Taking Control’ elsewhere on our website, here.

This is a very comprehensive section and ends:
Most importantly, making decisions and taking control of your diabetes self management will put you in the centre of your management team.

You may also be interested in reading this article about What keeps Australians living with diabetes awake at night.

Helen Wilde

Helen is a long term Senior Counsellor with Diabetes Counselling Online, Teacher, mother of a type 1 diabetic for 34 years and a type 2 diabetic herself for 12 years.

You can get help from our team here: http://www.diabetescounselling.com.au/counselling-request/
You can also join our Chat, forums & chatline from the front page of the website.

Please Share!Share on FacebookPin on PinterestTweet about this on TwitterEmail this to someoneShare on LinkedInShare on Google+Print this pageDigg thisShare on RedditShare on StumbleUponShare on Tumblr