Raylene Foster MS,RD,CDE

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Presentation transcript:

Raylene Foster MS,RD,CDE Papercuts and Closets: Humorous Observations, Tips, and Tricks for Living with long-term Type 1 Raylene Foster MS,RD,CDE

I am a PERSON with DIABETES (PWD for short) WHY THIS TOPIC? Feedback from prior programs asked for tips and tricks living day to day with diabetes from exercise to weight loss to motivating yourself through diabetes burnout. Support and belonging at any age with type 1 diabetes Inspire people to live a full life and pursue their dreams despite living with diabetes Share stories and humor Provide some new or re-visited thoughts on daily living with diabetes I am a PERSON with DIABETES (PWD for short) Not a… DIABETIC

PAPERCUTS and CLOSETS

Children and Adolescents with Type 1 grow up to be Adults with Type 1

You are UNIQUE Funny thing about some mornings… Can I borrow some carbs…. Hiking is magic…. Alcohol does what???? You are UNIQUE

START STOP CONTINUE

Should you be eating “THAT????” FOOD Police Myths that won’t die Should you be eating “THAT????”

How foods affect blood glucose (cont’d) Understanding carbohydrates Group Health Cooperative website.

TIPS So you want to lose weight… Eating for health Going to the next level….

Ever feel like this….

DEPRESSION is Real Signs of DIABETES BURNOUT Sees diabetes as a burden Is angry about having diabetes Feels that diabetes controls his or her life Is thinking of quitting diabetes care People with type 1 are 2-3x more likely to experience it in their life

TIPS Talk to a therapist/counselor, Join a support group Talk to the diabetes care team Make a positive one degree change Find a coping style that works Practice relaxation

2017 Exercise GUIDELINES 1.) 5x/week of 30 minutes moderate to vigorous activity split between at least 3 days and avoid missing more than 2 days in a row 2.) Strength training 2 x/ week 3.) Flexibility training: Yoga or Tai chi 2x/week 4.) Get up and move every 30 minutes

TIPS “Fitting in” activity Getting started (again or new) Going to the next level….

Treating Low Blood Sugar: The Rule of 15 Eat or drink something with 15 g carbs Wait 15 minutes and check blood sugar If still low, eat another 15 g carbs Check again after 15 minutes *if 50 mg/dL or below immediately double treat with 30 g carbs ADA website.

WAG approach and pattern management

“Are you OK???? What is your BG?” High Hba1c trying to improve but feel bad when in “normal levels” Overtreating low blood glucose: the rollercoaster effect Dealing with an Hba1c that is higher than usual

TIPS The more you check…. Avoiding overtreatment What “habits” worked in the past?

“Be Brave enough to start a conversation that matters”. -Dau Voire

“to be PREPARED is HALF the VICTORY.” DAY to DAY LIVING: Be consistent with diabetes related responsibilities Forgive yourself-you will never be perfect…especially with diabetes Increase frequency of BG checks in life transition or when BGs have been higher Take insulin on schedule and practice ongoing pattern management-insulin needs change Eat right (most of the time) Pack all necessary diabetes related items when travelling elsewhere Laugh and choose a good attitude “to be PREPARED is HALF the VICTORY.” “Miguel De Cervantes”

Questions??