1. 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

2. 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

3. PAPERCUTS and CLOSETS

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

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

6. START STOP CONTINUE

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

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

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

12. Ever feel like this….

13. 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

14. 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

17. 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

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

19. 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.

20. WAG approach and pattern management

21. “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

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

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

26. “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”

27. Questions??