#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.

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The Rollercoaster of Diabetes: dealing with it

Diagnosis of diabetes is like starting a “journey” on a road that is new and unfamiliar to you. It is not chosen and certainly not wanted! It is important to remember you carry all the other parts of your life with you.

Just because you get diabetes, the rest of your life still carries on.

  • At diagnosis you can experience:
    • Shock
    • Denial
    • Fear
    • Grief
    • Loss
    • Hopelessness
    • and many other things

Family members can also experience these things and family relationships can change. These are normal experiences and feelings and people will work through them in time. However sometimes support is needed to adjust to life with diabetes and our counselling and education team can help.

girl beach 2

type 1 diabetes

If you are diagnosed with type 1 diabetes as a child you may experience these feelings later, when you grow older and start to take responsibility for diabetes yourself and/or when diabetes impacts on your life in more ways. How you deal with the diagnosis of diabetes can be different depending on your age, personality and past experiences. The support around you is also important.

If you are diagnosed as a young adult with type 1 diabetes it can be tough as most of the information and support is targeted at children and teens and people do not expect to get type 1 diabetes in adulthood. This Starter Kit by The Type 1 diabetes network is very helpful. The Straight to the Point book by JDRF which we had a lot of input into, is also a great resource.

Diabetes can cause conflict and pressure on the parent/teen/young adult relationship above what people without diabetes have to deal with in adolescence and young adulthood.

help word

type 2 diabetes

If you are diagnosed with type 2 diabetes there can be a lot of guilt, blame and stigma – many people feel it is their fault and there is an attitude in the community that you “brought it on yourself”.

In fact, diabetes is not your fault, no matter when you get it, or what type of diabetes you get.

Of course we know there are some risk factors in type 2 diabetes that can be reduced, such as weight, lifestyle and activity levels. These are things you can try to work on if you are at risk of type 2 diabetes. There are other risk factors that are not in your control such as family history and your culture. However even lifestyle factors can be hard to tackle alone as many people who are overweight are living with problems that are difficult and not their fault.

dreamstime_m_21615438 - Copy

after diagnosis…getting on the roller coaster

The Rollercoaster of Diabetes – after you get the diagnosis of diabetes you will eventually travel a road from what you knew and what was familiar to you in life before diabetes came along – towards where you will end up with diabetes being part of your life.

During this journey people can experience emotional ups and downs and often talk about it being a rollercoaster ride.

Eventually you will incorporate diabetes into your life and get back on track with your life. This can take weeks, months, or even years for some people.

Even after diabetes becomes a more comfortable part of life there can still be many ups and downs and unknown territory. It is a lifelong journey with no map! We are all different and how & when people come to the point where they make diabetes part of life varies. Some people call this “acceptance” or adjustment. Acceptance can be “up and down” at different times depending on what else is happening in life, such as how your general health is going, other problems in life and so on.

vintage car

it is your life and your diabetes – you are the driver!

It’s important for many people to feel they are the “driver” of their life and to feel in control. Diabetes is a disease that requires you to be the driver and to try and stay in control of it. Once diabetes becomes part of what you know, understand and feel comfortable with, you are more likely to have less stress and better able to continue managing diabetes when there are other stress/problems around and when diabetes is doing its own thing and being difficult!

why can it be so tough?

Diabetes is sometimes seen as different to other chronic diseases as it requires self management by you on a daily even hourly, basis. You make most of the daily decisions about diabetes management, with guidance from your health care team. There are many targets for health to prevent long term complications and it can be easy to be overwhelmed. Diabetes is tied up with many important physical targets/tests but there can be less focus on day to day living and maintaining wellbeing. Also Diabetes can become a low priority in your life, or it can become overwhelming, taking over everything.

Things can get out of balance and it can be easy to lose your way

diabetes can be affected by:

  • stress
  • activity/exercise
  • illness
  • excitement
  • travel, work & routine changes
  • hormones
  • age/stage of life
  • food and drinks
  • medication and insulin type/dose/site of injection – OR
  • For no reason at all it can do it’s own thing!

You can end up tearing your hair out! And this can lead to lowered motivation.

What helps you in staying motivated to care for yourself and your diabetes?

Helen

xx

Helen is the founder and director of Diabetes Counselling Online, a social worker, diabetes educator, type 1 diabetic since 1979, blogger at www.recycledinteriors.org PhD Candidate and mother of 3 sons

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Diabetes Counselling & a story of giving

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handing plant to toddelr

I thought I would tell a little story today. One about giving. About why we do what we do here at Diabetes Counselling Online. One about how a 12 year old girl was told she had type 1 diabetes as she sat in the local GP’s rooms in a little country town in South Australia, and that she would have to go to the city the next day to hospital. About how her parents and little sister went too and learnt to inject insulin into oranges, pig insulin straight from the pig.

How in hospital, she was made to have a hypo so that she would “know what it would feel like” and despite begging for food part way through, was told to wait as they wanted her to feel all the sensations as she went deeper into the low. And then made to walk a straight line like a drunk, to prove how uncoordinated she was. How she sat crying on the bed with the syringe held over her leg, terrified of injecting herself, sobbing as the nurse yelled at her to “just do it and it will be over with”. About how her parents had to inject her and it hurt so much she never let them do it again no matter how unwell she was.

The horror of being told she would never have babies and that if she did, they would be likely to be born deformed, or dead; and that she would probably go blind, lose her legs, be on dialysis and have a shortened life. And that if she DARED to step out of line, eat any sugar, stray from the rules, she would most definitely suffer all these horrors. And. It. Would. Be. All. HER. Fault.

About how she met an amazing little boy in hospital who had a terminal lung disease who sat on her bed and made her laugh, high on his puffers, talking a million miles an hour, sneaking into her bed at night when the nurses were not around. Giving her some normality in the chaos that had become her life. That later, she learnt he had passed away and grieved terribly for this friend she had in her life for such a short time, but who had such an impact on her life.

About how she went on into her teenage years in a blind mess, not knowing who she was or where she fitted. That she denied her diabetes. Did not want to go to diabetes camp (the only way to meet anyone with type 1 diabetes). How she threw diabetes away as far as she could to prove she was like all the other kids. How she danced with dangerous behaviours and taunted diabetes – “come on then. come and get me you bastard”.

How she managed to survive these years and came out looking. Looking for help. For someone else who had diabetes, she was ready. She wanted to talk. But, there was nobody. How she defied the odds and had a healthy baby, was deliriously happy. How she survived depression, anxiety, bad relationships, met a wonderful man, got married and had a second sweet baby boy. How happy she was to hold her babies. How she discovered sugar was not evil and she could eat foods with it listed on the ingredients and not go to hell. How she got fat, thin and fat again. Started looking again. Wanted to connect. Wanted to embrace diabetes. Say thank you, look I have this life and it is ok, I just want someone who gets it. That there was nowhere.

How the very clever people invented the Internet and the world opened up. How her geeky heart exploded with the love of this new technology. How she decided to do something with this. That she would take this and where there was nothing, she would make something so that other people who were looking could find somewhere to go, to connect, to communicate, to reach out.

How she tried to have another baby, for 9 years. Gave up. Cried. A lot. That she made a real go of this idea, this crazy idea about counselling people online, via email. How she grew this. How it blossomed. How her final baby made his way to her arms. How complete she felt. How she learnt ever so much from all the other people with diabetes she was meeting, talking to, caring about. How others came to join her in this new world of the Internet. How they were lucky to be supported to grow by some people who had belief in the ideas. How they hung on when there was no more support.

How hard they all worked. How much they gave. How much they received.

How every time someone told them “thank you, you have changed my life”, “thank you, I feel so much better just for writing this down”, they kept going, they felt the difference it made. That it made it easier to cope with the politics, with how hard it is to be heard. How you can become jaded, burnt out, lose your focus. How in the end, the little things, the person who tells you how much your caring changed their life, how the simple act of noticing another human being’s troubles, can give so much more to you than money ever can. That life with diabetes can be rich. Wonderful. Lovely. Yours to live.

That is my story. And the story of my family.

It is also the story of how much things have changed. How many places we can now get support for our diabetes. Yet so many people remain scared, alone and uninformed. So many people still get told the horror stories. So many still suffer.

We are blessed with a grant from the Commonwealth Government at the moment. But this runs out in July 2015. We do not know what will be next. All we know is that what we do matters. But we do need help. It may not be all about money but without it, we can not survive. We need people to support us in any way possible and we need this in a regular way.

You may not know Diabetes Counselling Online is a charity. You may not know we need your help. You may not know we are the only charity delivering this kind of online support. So I am here telling this story so that this message is shared.

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Tuesday December 3rd is Giving Tuesday.

#GivingTuesday™ is a movement to create a national day of giving to kick off the giving season. The second annual GivingTuesday is on December 3, 2013.

You can read our story here

We see #givingtuesday not JUST as a way to shout out for more fundraising, but also as an opportunity to reach out to our community to raise awareness of what it is really like live with diabetes. As far as we are concerned it is about giving money to help charities do what they do so well, but it is also about giving your time, your support and your heart to our communities in need.

As part of this our team will be at the International Diabetes Federation World Diabetes Congress in Melbourne on #GivingTuesday and we will be asking conference attendees who visit us on the day to share with us via writing on a chalk board, what it is like to live with diabetes.

We will be photographing and sharing these words via social media and asking each person who shares their words with us, to use the “Shout App” to SHOUT us a cup of tea, a cup of coffee, a movie, or a footy game (for example) to support our unique and important work for all people with diabetes.

You can also SHOUT us a cuppa and help make a difference to the lives of people with diabetes here https://shoutforgood.com/ at any time, or donate through our website at http://www.diabetescounselling.com.au/welcome/make-a-donation/

thank you for giving

Helen

xx

Helen is the founder and director of Diabetes Counselling Online, a social worker, diabetes educator, type 1 diabetic since 1979, blogger at www.recycledinteriors.org PhD Candidate and mother of 3 sons

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FACES of DCO Diabetes Week Blogs: Sandra, memories of diagnosis

The day will be stuck in my memory forever.

I am a T1 for 33 years and was diagnosed when I was 13 years old. My younger brother and sister are also T1. My sister was diagnosed several years earlier at 3 years of age. My younger brother was diagnosed before me but in the same year. I remember my parents telling me that Dr’s had told them that the odds of having 3 children with T1 were almost non-existent especially when there was no family history of any diabetes at all.

Shortly after my brother was diagnosed I started to show some symptoms; my parents had me tested but were advised I just had a high renal threshold for sugar level but that I was not a T1. Fast forward several months and I was really ill; could not ever get enough sleep, was drinking the weirdest concoctions ever to try and quench my thirst, my hair was thinning and really rapid weight loss. My grandparents came to visit and my grandfather commented to my mother that he thought I wasn’t well so off we went to the doctors once again. This time they arranged for a glucose tolerance test.

I can’t remember what the result was but will ALWAYS remember the look on my mothers face when she took the phone call. We lived in a small country town and needed to travel to Canberra for appropriate care. I remember my father and mother telling me that all would be OK; they had been worried that I was ill with something more life threatening than diabetes so they were relieved in a way. They reassured me that I would be Ok and that they would support in all and any way they could.

Even though it was not on the day I was diagnosed, it was while in hospital that I shared one of the most important moments in my life which I would like to share.

My father had come to visit me in hospital as I was having a bad day, keep in mind that it was 3 hours of travel for the family to visit me. During the visit he was my usual supportive, cheerful, positive father. As he was leaving I was looking out of the window watching him walk to the car; I saw him walking with slumped shoulders looking very sad.

I remember crying, not because of my diagnosis but because I knew that my father loved me so much and didn’t want me to know he was upset. My father died several years ago and this is a memory of him that I will carry forever as even though it is hard to convey it was a” life moment” for me when I know just how much I was loved.

My parents are super stars!!! I look back now and realise what the taught me; diabetes is NEVER going to stop you living your dreams or doing what you want to do!! Wow, I am not really a sooky la la despite my sentimental story :-) As painful as it was I also have some amazingly positive memories too. xx

Sandra

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FACES of DCO Diabetes Week Blogs: My journey out of sugar hell into Wellbeing, by Graham

Graham before and after
Graham before and after
Graham before and after

Friday, April 13 2012 started like most of my days, with the sound of the alarm clock at 6.30 am, but somehow I felt different…
I opened my eyes and my vision was somewhat blurry, being a typical bloke and given I was 49 years old, l figured it was time for an optometrist visit!

As the weekend progressed, other symptoms started to kick in, dehydration and bathroom visits every 5 minutes.
By Sunday night I figured something was just not right.

Monday, April 16, 2012 hit the local GP, explained my symptoms and a blood glucose level (BGL) measurement was taken, I returned a reading of 29, innocently I asked the GP, “Is that bad?” His first words to me were go home and pack a bag as you are going straight to the emergency ward at the local hospital and most likely will be checked in overnight!

He explained that I was type 2 diabetic and he did not know how I had not had a stroke!

I freaked!

Normal BGL readings pre-food is 4-6 and 4-8 post food.

The Concord hospital emergency ward was an experience to remember but after many blood tests, cardio tests and lots of questions asked and answered I was officially declared type 2 diabetic! I was given a good shot of insulin and told to return to the Diabetic clinic the next day.

Tuesday, April 17, Diabetic clinic here I come!
My life changed forever from this day…

I’m greeted by the lovely Sylvia who walks me through what my life will look like from today! After spending almost 1.5 hours with her I’m sent away with the following information and plan:

1. Lose weight especially around my stomach – current weight 118kgs! Wow! was surprised but not really, more in denial about the number, in my head I was 105 kgs!

2. Monitor my BGL 3 x a day, Sylvia taught me how to take my own blood. BGL should be as follows 4-6 pre food, 4-8 post food. BGL should be done pre food.
3. How to inject insulin, once a day preferably at night.

4. When to take my medication – 2 tablets a day, morning and evening.

5. What I can and can’t eat, portion control and massive reduction in alcohol consumption.

6. Wait 4 weeks to go and get a full eye check up, my vision will change daily.

7. Strength work!

8. ………………. Basically a complete lifestyle change is required.
I leave the clinic full of confidence that I will join the 20 of the 80/20 club

%80 of people do nothing about their type 2 diabetes, 20% of people end up reversing and manage their diabetes through, nutrition, exercise and well being. I took up this challenge!

I kick straight into my lifestyle change which includes nutrition, fitness and general well being!

49 Years Old

Weight – 118kgs

BGL reading – 29

Nutrition – poor
Fitness – average, can’t run, do a push up except on my knees, no more than 3 crunches at a time!

I spend the next 6 months eating right, getting portion control right, learning about food and labels, working out what foods spike my BGL’s and what foods I really need to avoid and of course daily exercise is completed.
I set myself daily, weekly and monthly goals around my weight loss, fitness and nutrition.

After a month once most of the sugar leaves my body I decide it’s time to engage a Personal Trainer (PT) to show me how to do strength work. Little did I know that this move would change the course of everything for me…fitness and nutrition wise.
I team up with Stephen O’Brien who from the outset whips me into shape and guides me into stripping away all the fat in my body.

I go from strength to strength working with Steve, we hit my goals each week and before I realise it, four months later I have stripped off almost 15 kgs! …and I’m close to my main goal of getting to 100kgs!

At the same time my cardio and strength improve so much that even I’m shocked at what I was doing during our sessions!

A visit back to the diabetic clinic sees my medication halved and my blood results showing a massive improvement. The Dr is super impressed with my commitment and my blood tests show amazing results especially an increase in my phytonutrients and antioxidant levels. Of course I will never underestimate the power of fruit and vegetables again!

Fast track to today, after 12 months and with a complete overhaul…
I have fully reversed my diabetes!
I’m off all diabetic medication!

I’m in peak physical condition

I’m in the best shape I have ever been in my life!

…well certainly since my early 20’s.

I competed in this year’s CrossFit games, running over 10km, doing things that I only ever dreamed of.
I FEEL alive and energised!
Here’s my NEW Stats:

50 Years Old

Weight – 85 kgs (total weight loss 33kgs)

BGL reading 4-6

Nutrition – excellent

Fitness level – high!
This has been an incredible journey…

I have learnt a lot about myself and continue to take care of myself.

Graham

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