I refuse to call it a resolution. Bottom line.
Last night, I had the pleasure to be part of a podcast conversation with Gozamos, an online cultural magazine. I was asked to talk about Diabetes from a personal and cultural perspective. It was exciting and at the same time made me nervous because I had never really openly spoke to an “audience” about my diabetes before. I suppose I write, but that’s different than people seeing me and my face and hearing my voice, get me? I’m used to speaking to people one-on-one about particular questions they may have, but as far as telling people my story, well, that can get a little hard.
Anyway, I’ve agreed to join Gozamos in their diabetes and nutrition efforts by writing a column for them about nutrition and a variety of other aspects to the diabetic lifestyle. I’m very excited and looking forward to getting more awareness out there about a problem that affects such a large segment of the Latino and general population.
So let’s go back to my goal for 2011, that which I refuse to call a resolution. Let’s take a little history lesson in Christina’s life. When I was diagnosed with having diabetes at the age of 7, they performed a test on me called the Hemoglobin A1c test, which is an average of your blood sugars over a three-month span. A normally functioning person has an A1c at about 6 or lower. If you have an A1c over 6.5, it’s a reason to be concerned.
At the age of 7, my HbA1c was a 10. Yeah, exactly. I was definitely diabetic. Ha! (I really just laughed at that.) As I aged, I also became more wise about myself and kept my A1c controlled as best as I knew how. In high school and most of college I kept it at an 8 and when I met my doctor and educator at Northwestern I dropped it to a 7. I was so happy to have it down to an almost normal number! The last one I had done, last year, was a 7.4. A tad bit of fluctuation but nothing terrible. I’m up for another one this month. I know it probably will still be around a 7, which is fine by me. But my goals for this are changing.
I hear about people who have an A1c of a 6 or even better and they’re diabetic. I want that. I want to get mine down to a 6 and have complete control. I want to do it without having to work out like a maniac and without having to eat only grass. I have always known how to count my carbs and watch what I eat and all that, but now with the pump (a very useful tool in creating the perfect “normal” bodily conditions) I can actually get myself down to a 6; maybe even a 5.9!
I’m not going on a diet, I’m furthering my diabetic education.
But be careful when looking at A1cs: They’re tricky. As I talked to Luz, the Tu Cultura editor for Gozamos, after the conversation for the podcast, I explained how the A1c is an average. That’s the key word. The goal for diabetics is to keep your blood sugars at a normal, even level. If your blood sugar is always around 100-110, you’ll have a great average reading. But, for you mathematicians, you can get the same readings if you have a level in the 300 and then have some in the 50s. You can’t do that. First of all, the normal level for any human is to keep blood sugars between 70-120. If you drop (“getting the shakes,” which happens sometimes) to anything below 65, it takes a full 24 hours for your body to recover and come back to a normal state. Your body goes through a lot in that time period. Sometimes I wake up with blood sugars in the 40s in the middle of the night. I eat something and go back to sleep, only waking up extra tired in the morning. My body feels weak and unstable and it isn’t until that same night that I feel remotely normal.
There was a doctor who was also a Type 1 diabetic. She was also a speaker and educator. At a conference she spoke about managing her blood sugars and having a very good A1c reading. That night, she went to bed and didn’t wake up. Unbeknown to anyone around her, her A1c was good because she kept them at a dangerously low level. She passed away because her blood sugar dropped so low that she didn’t feel it.
Thank God, I feel it. When I drop in to the 50s, I feel it. When I drop to even just the 60s I feel weird and at night, my body wakes me up because it knows that something’s wrong. This is because I try to keep my blood sugar in the 90s and 100s which is normal. As soon as it goes above those points, I start feeling different symptoms and everyone is different.
This woman, who kept her blood sugar readings so low, didn’t feel the drastic drop because to her body, it was normal. This is why it’s important to “train” your body and keep it as regulated and moderated as possible; “normal” if you will.
A friend of mine told me that her mother who is a Type 2 diabetic has two eyeglass prescriptions because depending on where her blood sugar is, her vision shifts. This is also as a result of not taking care of herself. She is also having other health problems, of which include her kidneys. All of this could be prevented if she just managed her blood sugar.
There are times like those when I wish I could have a conversation with people, especially when they feel there is nothing they can do or don’t want to do. Living with Diabetes is NOT impossible. I’m living proof as well as so many other thousands of people out there.
In the end, it all sounds easier than it actually is, but I plan on getting that A1c down by doing it the right way. I’m totally excited about it!
If you have any questions or concerns, please don’t hesitate to contact me in one of many forms! Leave a comment, email me at firstname.lastname@example.org or follow me at @kikisbetes and DM or @ me there!