As I’ve said, and will likely continue to say, city life is the ultimate basal insulin. Getting to take in sights, and sites, like this while positively contributing to my health and diabetes management might be the most underrated piece of my move to the west coast.
The theory I’m operating on is that seeing and feeling this thing on my wrist every day will provide the external motivation I need to take my health more seriously. I’m not going to run a marathon tomorrow, but I’m hoping this will be a sufficient reminder that I need to get off the couch more.
Ironically, I should already be in tune to the fact that a healthy lifestyle requires more than simply acknowledging that exercise is good. I wear a Dexcom sensor on my arm for weeks on end. I take insulin injections for meals and basal coverage. I’m testing my blood glucose by poking my fingers all the time. Diabetes is an ever-present reminder that being healthy requires active participation and constant engagement. There are no days off with diabetes.
Among my problems right now is the fact that there has not been a documented detriment to my A1c. I want to believe that if things got out of hand with that one number, I’d find a way to turn the page and get back on the path to a better me. But I don’t want to wait for things to get that bad. This is my attempt find my way before I reach an ultimatum.
I dreamt of a world where I went to the gym every morning during the week, targeting different muscle groups for a well-rounded approach to physical fitness. Every evening I spent an episode of Breaking Bad on the elliptical machine or searching for zen with a yoga session. In this world, I kept better track of my physical activity and ate responsibly.
I checked my blood glucose at least 6 times a day. I took my insulin Lantus at 11pm and 11am every day. I took my Humalog at least 15 minutes before eating. I took my Synthroid and Lisinopril every day.
I dreamt of a world where I was in complete control.
Then I woke up and realized that world doesn’t exist.
But I can try to make that dream a reality.
I think, generally speaking, we all know what has to be done to live a healthy life. Some level of exercise, a balanced diet, and an intangible quality of life factor loosely represent the tripod that makes our individual worlds go ’round. Obviously each one of those components is influenced by a wide range of factors, thus making each of our lives unique and blah blah blah. And while it’s a given that all of this isn’t easy, diabetes makes everything more complicated in ways that I cannot describe – but I’ll try anyway.
Let’s take today for example:
The great thing about traveling for a week and ultimately missing out on nearly two weeks of gym sessions is your diabetes can’t wait to share the impact. I can’t remember the last time I had to acknowledge a low alarm on my Dexcom. I also can’t remember the last time I didn’t have to wake up multiple times in the middle of the night to acknowledge a high alarm. I know part of this upward shift is my miserable diet, which is entirely my own doing. I just wish the reminders of my lethargy weren’t so frequent. I just want to relax for a little bit longer.
I think it’s gotten to the point that my body can actively inform me that I have skipped one-two-many gym sessions in a row. Sure, sleeping in occasionally is okay. It’s not ideal, but sometimes that extra 45 minutes makes a difference. But if I string together too many of those mornings things start to break down.
And insulin starts to have the same medical impact as saline. For example:
A couple of weeks ago I noticed a sign for ‘Noble CrossFit’ pop up near my local Safeway. I’ve seen a few tweets and posts here and there about it so I had an idea about what was involved superficially. Having never CrossFitted myself, I can’t speak to what is actually required physically or mentally to get through a single session, but from what I’ve read it sounds intense. I’m not sure if CrossFit is right for me, but I’m strongly considering it.