Showing posts with label food diaries. Show all posts
Showing posts with label food diaries. Show all posts

Wednesday 9 October 2019

For the geraniums....

The tree had to go.  Our beautiful, climbable, hammock-swinging tree had grown too large for our plot, and the roots were threatening to cause even more cracks in the house.  It was a sad, but not difficult, decision as we simply could not live with a beautiful tree but no home.  A few Saturdays ago, with the help of a wandering band of tree-fellers, we cut the tree down, and then cut it up.



Sunlight flooded into our lounge , and immediately lifted our spirits (and showed the dirt on the carpet). There is usually a bright side to even a sad decision, if we care to look for it.

In my head I envisioned a change in the garden lay-out.  Grass is SO before-drought these days, so we dug it up.  We have decided to make little gardens instead of one big patch of lawn, and to create a number of flower beds using the tree logs to border garden or wood chip paths.  It is hard work, digging, axing roots, laying paths, planting geraniums, planning where the tea mug stumps go.  In my mind I can see the future garden, but at the moment you will have to graciously use your imagination when you come to visit.

Changes require a certain amount of bravery - we can get (too) comfortable with things that are familiar, and change can show things in a different light. It is also a realization that things could work better. (The engineer husband always says "If it's not broke, don't fix it") I felt, and I think TD did too, that we needed to make some changes in her diabetes management.  The last few months have been difficult, glucose numbers wise.  We had, I think, built solid foundations for diabetes management over the past few years, but some encroaching issues were causing cracks.  Safe guarding TD's health is not as simple as uprooting a tree however -Oh I wish it were - so we needed to see where things are not working optimally and how we can redesign a system that helps create a calmer glucose experience for TD.

On my request, we have gone back to writing a food diary.  It helps.  Somehow recording the day's insulin shots and food intake along with any notable activities makes the process of glucose control more mindful.  TD has increased the basal (long acting) insulin dose - only by one unit, but that is how finicky glucose control is.  Her bolus (short acting) insulin at breakfast is taken 18 minutes before she eats.  Not 10, not 20 - 18 seems to be best.  You can see how much attention to detail your body wants you to take.

This all helps, but still does not eliminate the waves of highs and lows that TD surfs daily.  Some of her lows have been extreme lately.  Did you know that hot water can cause someone with diabetes to go low?  (The blood vessels dilate from the heat and cause insulin to be more rapidly absorbed than usual.) So taking insulin just before a lovely bath or hot shower can cause a hypoglycemic event.  Last weekend TD generously offered to have a rare and sacred bath, as the geraniums were looking a bit droopy and needed watering (we recycle of course!) She went low, and called me in to help.  As I wrapped a towel around her, fed her glucose and waited until it was possible to lift her out the bath, we both wished for a magic wand that would make this horrible disease go away. 

But in the absence of magic, we will look for shafts of sunlight, and embrace helpful changes.  Things may look a bit wild and unkempt at the moment, but just wait until next year when the fruits/flower of our labour will create a beautiful environment.  Well, That's the hope, anyway.  And if not - we can try again.











Wednesday 3 July 2019

Finding water

Water is a great restorer of balance. My rather whacky theory is that since we, as humans, are 60 per cent water in our body, the best remedy for relaxation is to float, listen and surround ourselves in that life sustaining  substance to balance the outer and inner environments.  So, being the mid year school break, TD and I went in search of the seaside. This is the second Mom/Daughter trip we have taken, and I regard these short breaks as a huge privilege, a time to relax and to catch up.  Above all else we just have fun.  Besides, Andrew had a business trip to Taiwan, and R is in the UK, so we wanted to explore a bit too. We didn't go far: Hermanus is about a two hour leisurely drive from home.

There was water aplenty!  Everyday we strolled down to the rocky water's edge and walked, or sat on  rocks, and talked and listened.  Mostly we sat and watched the waves roll in and listened to the power of the sea. It stills my thoughts.  TD loves the water as much as I do.   And her love of rocks is even greater.  She clambers over to cliff edges, hops from rock pool to rock pool, and I sit biting my tongue, wanting to yell, "Be careful! Not so far! Don't slip!"  She knows all that, and I need to trust her that she knows her abilities and limits.  She is ,after all, on the brink of adulthood.  More importantly, I don't want to project my fears onto her, and create an unnecessary caution.  When children are little and have not figured out what is safe and what is not, holding their hands while they explore is completely necessary. But TD knows what she is doing and is a competent adventurer. I felt a bit wistful watching my beautiful daughter contemplating life so far away, and also so proud that she was comfortable to do so, and that I am able to let her.

Our fears can be great teachers if we let them.  It shows our vulnerability, our hopes (what we fear losing), our coping mechanisms.  It is not always comfortable facing these fears, and like human teachers, some fears are approachable and we can befriend them, and others demand respect quite justifiably, and one should keep a distance.

I think fears surrounding T1 diabetes have
elements of both types of teachers.  While we were in Hermanus the food/insulin diary got a bit neglected.  This book has been completely in TD's control since January, and sitting on the rocks one day we chatted about whether it was still necessary.  TD suggested it has served its purpose and we can stop.  I think she is right, but some little niggle of fear creeps in that we may lose control if we have no record of insulin dosages and food and activities.  But, with the wisdom of youth, TD reminded me we can always start again if numbers go pear shaped.  That is a fear for me to befriend.

The fear I respect- and justifiably so- regarding diabetes, is its vicious unpredictability.  Testing every few hours is a non negotiable for me.  This is the other type of fear that keeps us safe.

Hermanus has many other excellent attractions apart from the sea.  We popped into art galleries, craft markets, coffee shops and some historical points of interest.  We indulged in Massages at the Serenity Spa. (A great idea if you are in the area!)  We had a walk and tea with a family friend who was mom's bridesmaid 60 years ago, and felt encircled with threads of history, creativity and compassion. We browsed the local bookshops and soaked up the musty, mindful atmosphere .We ate sandwiches. We bathed. We knitted.  We window shopped. We slept.  We laughed. We sang loudly.

This trip was not only time well spent,

 It also restored balance.



Of course we had tea
sunset contemplation




Monday 30 October 2017

Party tricks and food

One of TD's party tricks is that she can wiggle her ears.  It's a family trait passed down from her father's side, and quite impressive to those of us who don't have that level of facial muscle control.

Another party trick is that she can tell you exactly what she ate on any given day for any meal since Christmas 2014.  Admittedly, she will need a moment to look up the info in one of her ten food books, but the information is all there should anyone be interested in such trivia.  We have kept a food diary for TD since diagnosis.  Initially it was a life-saver for us bewildered and frightened parents.  Suddenly mealtimes had to ordered and measured and carbs had to be counted, and we had to make sure TD was getting the right food matched with the right insulin dosages.

Almost three years on and we still write in the book every day.  The format and function have stayed basically the same, but we have expanded the information to include anything notable that happens on a particular day.  So an entry may include "Bad day at school" or " Sleepover at friends." or "Knew she was low - shaking badly"  or even "Celebrating her distinction in music."

All this information is useful - we are able to see how food, stress, life, illness and particular situations influence glucose levels, and we are able to see where adjustments (of food and/or insulin) need to be made.

It serves another function too.  Everyday we sit down and chat to TD about her day - what she ate, what she injected, what the next day holds, how she is feeling - a general catch up. (Not that we didn't talk before - rather this is The Practice of Communicating.)

So there are ten volumes stacked in my cupboard creating a history of TD through food.  Food plays such a pivotal role in our lives - it is a form of communication in itself.  We share meals with friends, express our love and concern for others with a hot meal, celebrate achievements at restaurant tables, bake cakes to mark birthdays.  TD's school has a bring and share cake roster every Wednesday, because it is A Very Nice School.  Memories often are made up, in part, of tastes and flavours.  Recording all this seems like a good idea.

TD has a few other party tricks up her sleeve too.  She can recite long passages from her favourite books.  She can sing in a voice that sounds like Donald Duck. She can rattle off The Goon Show scripts, mimicking the characters' voices. She can inject insulin so efficiently before eating that you might miss it if you blink.  And she can do all of this whilst wiggling her ears at the same time.