Posts Tagged ‘setting goals’

5 things to do when meeting your new endocrinologist or diabetes doctor

Sunday, November 27th, 2011

FINALLY! My appointment with my new endocrinologist rolled around last week (thankfully a week before and not post-Thanksgiving with all the food excesses we’re surrounded with!).

I’ll admit I was a little nervous waiting for this appointment. How could I not be after the negative experience I had spending four long unfruitful years with another diabetes doctor who didn’t make enough time to listen or problem-solve in positive ways with me? The experience with my previous doc not only left me with a bad taste about seeking another endocrinologist; it also left me questioning my own thinking, expectations and diabetes management style in very negative ways. In a word, rarely getting my very long-term diabetes issues addressed by that doc badly undermined my normal positive thinking. I had begun to question myself and even wondered if I knew enough–despite living over 46 years with Type 1 diabetes–to keep putting one foot in front of the other.

So this time around, while I waited for THE big heart-thumping appointment day with my new doc (who really was my “old” doc many years ago, and whom I couldn’t see until recently because I was on an off-limits health plan for his practice), I did some homework. Some planning, if you will, to help ensure our reintroduction was successful. I wanted to give Dr. E an accurate picture of what I know, what I do to take care of myself, and what I am willing to learn and do differently in collaboration with him.

So I came up with a list of FIVE  THINK-THROUGHS that helped make my appointment a success:

   1- Make a list of everything related to managing my diabetes that is working well for me.

   2- List some daily problems or challenges that threaten my health and thinking related to diabetes.

   3- Prioritize–or number–these challenges, from the most important to the tiniest concern.

   4- Keep an accurate log for at least 3 days (5 days is better!), and record in it all blood sugar levels, food (carb) intake, insulin amounts, times, medications, and daily issues that come up. Then take time, every day, to reflect on patterns I understand and problems I note so that I can thoughtfully contribute to the patient-doctor conversation.

   5- Think about what is not working in my own health management, and write down what issues I’m willing to address with the help of my doctor!

Doing these five things takes honesty and a little time. But the stakes are high: prepping for meetings with our doctors gives us the promise of more quality time spent living our lives productively and more independently. My new doc understood that I’d spent time thinking about what issues were most important to adddress together, and it paid off. I have a knowledgeable, caring endocrinologist who’s clearly on my side. And just as important, he has a new patient willing to do whatever it takes to team up and be successful in terms of managing her own health. That pays off physically and emotionally. For me, it’s the golden key to living life well.

 

B well, b happy. Until next time, kath

8 thoughts on not giving up on diabetes & moving forward

Saturday, November 19th, 2011

I don’t usually pass along quotes, although many inspire me toward appreciating life. But here’s one I thought I’d share. It may serve to strengthen your resolve or lighten your load–especially if you’ve been worrying a little too much about the “what if’s” of diabetes or another health issue.

Live your truth. Express your love. Share your enthusiasm. Take action towards your dreams. Walk your talk. Dance and sing to your music. Embrace your blessings. Make today worth remembering.                                                                                                                                              - Steve Maraboli       

Blessings? They surround us, challenging our thinking and the obstacles in our path. Diabetes, in a strange way, has ultimately made me a better person by forcing me to think, problem-solve, outwit and be able to laugh at all the zany situations that come up and are related to the disease. Would I rather be free of its burdens? Of course. But I also give thanks, at this time of the season, for its challenges. They remind me of the joy and beauty all around me. 

Celebrating Tess & Zoe's bds!

B well, b happy. And have a happy THANKSgiving. 

Until next time, kath

Control and Guilt

Friday, May 20th, 2011

Today is just one of those days when I find myself running around like a chicken with my head cut off!  BUSY and catching up, like we all find ourselves doing so often. So when I stopped for a few minutes to test my blood sugar level before fixing lunch, I played my daily guessing game. “Sixty-seven,” I announced to myself. “Sixty-five,” came back the reading on my meter. Hmmmm, not bad . . . you rock, girl! I was thrilled to be in such close touch with sensing my body signals and being in “good” control.

Ah–there’s that word that invokes guilt; control. What does it mean? Not every day is under your control when you live with diabetes, right? Hour to hour can find me moving from plummeting sugars to skyrocketing ones that make me feel sick as a dog. This happened to me earlier in the week during a four-day local dog show where I showed my 9 month old puppy Tess. I started off the morning congratulating myself on having a great blood sugar of 109. Ate a plate of eggs, knowing the protein would hold me. Three hours later amid the jitters (and adrenaline) of waiting, worrying, and then going into the show ring, my body was itching from the inside out. What was it? A blood sugar level of 311! Had I eaten anything? No. But stress and stress alone did me in. I had to go home after taking a large bolus of insulin from my pump and sleep it off–aggravated to have wasted the rest of the day.

A friend later asked, “Hey, isn’t the reason you wear an insulin pump so you can give more insulin when you need it–or not?” Guilt being my middle name, the question about why I didn’t test sooner to pre-empt my terribly high sugar level really bothered me.

Then, I realized what I was thinking at the time–sometimes, to figure out what works in terms of patterns, we have to grant ourselves time to experience what it really is that we have to do to function well and maintain control. In other words, I knew I had to observe the impact of stress on my blood sugar while handling my dog in the show ring. After it happened, I knew for sure that I had to counteract the rise in my sugar level the next day with just a touch of insulin.

What a fine line we have to walk–always deciding on not taking or doing too little versus not taking or doing too much–just to stay in control. Food, special treats, exercise, sleep, meds, travel–it’s all the same. Doing what works best to control your own health and enjoying your own life is what counts. That’s what I call being in control–but in a meaningful way.

And speaking of control, this week, the TCOYD (Taking Control of Your Diabetes) conference comes to Albuquerque! Looking forward to sharing my blog with others and inviting you to join in on sharing your thoughts about the challenges of living with or being touched by diabetes, as well as how and where you find the inspiration to overcome its challenges and live life to the fullest every single day!

Until later, b well, b happy. Kath

Dreams and Boundaries

Wednesday, February 16th, 2011

When Reporters Become Targets

CBS News / AP

   Photography and reporting the thread of life beats in different places are among my greatest passions. So the recent incident of the Egyptian attack on CBS reporter Lara Logan, covering the frenzied unveiling of Egyptians’ push toward a more open society thrust me into the turmoil I want to believe I could face, and living with Type 1 diabetes, often do: that of figuring out the boundaries defined by diabetes. What do I want to do with my interests and my life? What can I do–as defined by laws governing jobs and hobbies people with diabetes sometimes are prohibited to undertake? And just as important, what are the actual limits (I truly HATE going there!) that my own years with diabetes impose on my choices and actions? Such hard questions.

   It’s said that WANTS and NEEDS are polar opposites, and there’s much wisdom in this truism. But being a dreamer, and a fighter against just “giving in” to the long-term demands of living with diabetes, many of the things I want to do definitely collide with my everyday reality. That reality includes checking blood sugars 6-10 times every day-especially when exercising and traveling in foreign beats. Changing my pump infusion site every 4 days. Being sure to either carry snacks with me or have easy access to food in case I should need it. Making sure there are enough diabetic supplies on hand (insulin pump supplies, batteries, blood sugar checking strips, insulin . . . ) that there’s no danger of running low–or worse, completely out. Trying to reduce incidents of long-term stress which drives blood sugars sky high.

   Some of my wants and dreams that collide with diabetes? Flying a single engine plane solo. Being a photojournalist in the most remote of the world’s locations. Being a field-based cultural anthropologist, working with remote village people and cultures. Trekking through the forests for months on end to document the lives of chimps and gorillas.

   It’s so hard to temper one’s dreams, and to accept boundaries, making the most of what you have! I want to be there as part of the caring humanity documenting crisis and triumph. The aftermath of the Indonesian tsunami; Hurricane Katrina; Egypt: all of the human drama compels me to want to be in places to document firsthand the emotions and changes of people facing challenges such as these.

   I haven’t necessarily given in to all the boundaries imposed by diabetes. Instead, I’ve tried to take my lust for photojournalism and work it into opportunities to capture the passion of cultural festivals, celebrations, and life events around the world and in everyday life. Volunteering helps. Doing these things has worked (more or less) for me, but I still have dreams of moving beyond walls and boundaries. And, just as I hope reporter Lara Logan never gives up on living her dream, I vow to never give up on mine.

B well, b happy.  And make the most of what u have!

Until next time, kath :)

reflecting on life & dreams

Thursday, February 3rd, 2011

 Kathy . . . in haiku

      January 2011

 

 I was born early—

long struggling to find my way

in spirit and place.

Survivor, thriver—

I’ve learned a key to living

is looking forward.

My visions are strong—

realized through a camera’s lens

and other art forms.

I am a thinker;

creative problem-solver;

a great listener.

I relish in play—

everyday interactions

wrap me in happy.

I’m swept by passion—

more artist than scientist;

dreaming in color.

I’ve tasted success—

teaching and training, giving

to make a diff’rence.

Passionate trav’ler–

I love grasping warp and weft

of other life beats.

Still, dreams are many—

motivational speaker,

writer; gard’ner, too.

Despite challenges—

yet perhaps from their impact,

I assume little.

Laughter is a gift—

and opportunity looms

every day I wake.

Push onward, I say—

live extraordinarily

and never give up.

And those dreams? Still strong—

despite the cacophony

of spooling months, years.

They all nourish hope—

feeding every embarked step

of dazzling passage.

banish the blues

Friday, April 2nd, 2010

a friend of mine who has a very wise soul writes that despite how many times we tell ourselves that positive thoughts will make a difference in our lives (“I will exercise by walking my dogs today” . . . “I can take my mind off my high blood sugar while waiting for it to come down to a more normal range”) . . . it’s by making up a ritual or using a symbol that makes what we resolve to do all the more powerful.

lynda, in her book ceremonies for change: creating personal ritual to heal life’s hurts, shares how life-changing it is to think of things that have symbolic meaning to you, and in the company of a friend or loved ones, have the courage to verbally share your goals by creating a ceremony that will truly celebrate changes you want to bring about in your life.

as i contemplate the power of symbols to move my own thinking and actions, i catch glimpse of a tiny stuffed dog sitting on my fireplace mantle. she represents both being loved and being able to forgive.

any number of coins collected from foreign countries to which i’ve traveled symbolize health AND adventure; they are a vivid reminder that i need to take care of myself so i can be well enough to travel to other countries and be able to meet people of all kinds! this way of thinking keeps me looking forward with anticipation to the possibility of opening up new doors to amazing experiences that, whether physical, intellectual, and/or spiritual, sustain me!

finally, a small broken shard saved from one of my own pottery pieces represents creativity; being able to appreciate the people and experiences in my life that have enabled me to be creative and move forward. holding this fragment, i am able to push myself to let go of my worries. instead, it enables me to think of what i might make next.  i can imagine being totally immersed in shaping another ceramic piece on my wheel or by hand that will be unique and likely better than what existed before.

Ah, the unbelievable power of words and the magic of ritual; maybe i should just swallow any doubts and try it.  the marriage of intellectual intention and celebratory acts might just be the ticket to feeling better and moving forward on this blustery not-quite-spring day; a blues-buster.