Category Archives: Diabetes Notes
I See
I left an appointment last night (therapy or what I refer to as “Feelings”), walked out the door and turned right (East). As I walked down the street, something seemed bright behind me but I was busy with my phone. I turned the corner, and people were facing West, snapping photos with their phones. I spun around and was surprised to see Manhattanhenge was still happening. I thought it was over already and I had missed it the last few evenings. I snapped a quick pic too and turned North. At every intersection, I looked left (West) and there was always someone snapping a photo. Many people stopped in the middle of the road (be careful New Yorkers). I took a photo at every cross street too. The 3rd intersection was THE Moment. Blinding orange light. So much more beautiful than the photo below.
I kept walking and looking left. I realized I was smiling. I was smiling because last weekend on my 55 mile bike ride (yes, I rode 55 miles on the bike…. AGAIN). I had a brief conversation about diabetes and eyes. I shocked a fellow cyclist by describing how much aggressive laser eye treatments I’d had 15 years ago. As I walked and soaked in the changing views of Manhattanhenge, I kept thinking how easily I get caught-up in problems and life’s stress. There are times that I forget how very fortunate I am. How important it is to embrace and celebrate the act of being grateful. I kept thinking about this as I turned right (I zig zagged homeword) onto the same street as my church.
I heard from the Pastor of my church this week as he has not seen me in a while and was concerned. I had emailed him back explaining that I am still alive, training for a 100 mile bike ride (God help me, no really, please God, keep me on the bike and upright), and that I had been away a few Sundays as well (you know when I’m not falling off the bike), and I skipped the part that there have been times when I simply didn’t feel like going. As I walked past the church, thinking how I should really make some time to visit with the Pastor (he’s such a good, thoughtful man, even though he’s a Buffalo Sabers fan), I saw the sign outside.
Perfect timing.
This morning, I saw THIS ARTICLE and yes, the tears started flowing. THIS is what I tested in the Artificial Pancreas clinical trial. In summary, this version of the AP is headed towards commercialization. Huge news along with the Bigfoot announcements this week.
Human clinical trials of AP and Bionic Pancreas systems are happening. Human clinical trials of encapsulation are happening. Human clinical trials of Smart insulin are happening soon! I completely and totally understand the frustration of wanting the CURE, but I am grateful that huge steps in technology and better treatments are on the horizon and I am still around to “see” this happening.
Now, I just need to stay on that damn bike, increase my stamina and get to my fundraising goal!
Courageous Wednesday…and Everyday
“Life shrinks or expands in proportion to one’s courage.”
—Anaïs Nin (1903-1977)
Painful Secrets?
Day 2 of Diabetes Blog Week #Dblogweek:
It is Diabetes Blog Week. Karen at Bitter Sweet Diabetes wrote (in 2012?), “If you don’t have a blog but have thought about starting one, now is the perfect time”, so I did (which was my first post). For more information on Diabetes Blog Week please check this out. And thanks Karen for putting this all together.
Keep it to Yourself
Many of us share lots of aspects of our diabetes lives online for the world to see. What are some of the aspects of diabetes that you choose to keep private from the internet? Or from your family and friends? Why is it important to keep it to yourself?
I started writing my response to these questions, about my dating life and thought maybe 10x that I should go with this from a different angle or just not at all, but I work best with a stream of consciousness approach and heavy doses of unedited “winging it” so here goes. I was in a serious relationship when I started this blog years ago and my then partner was referenced in my early posts, often. I have not tackled dating here for a multitude of reasons, and diabetes is not the reason I didn’t find “the one” (please note that there is an eye roll that goes with typing that, “the one”), but diabetes has played a role in my relationships, to varying degrees, along with many other non-D aspects of life.
There is something specific to dating that has occurred with me in recent months. If you have followed me on twitter, or you know me, you might know I participated in an Artificial Pancreas trial back in November. It was pretty incredible. Since that time, I wrote about my experiences for JDRF, A Sweet Life, have spoken at various JDRF Type One Summits, spoken on behalf of Mount Sinai hospital, did interviews with some diabetes publications, ended up on the local news and witnessed a newspaper interview I did, get picked-up internationally. Wow. Sounds braggy right? I agreed to all these things for the reason that I want people to understand and learn about T1D. I want to help further the cause and if my body and my time enabled Artificial Pancreas research to progress, then I can use my mouth and my brain to explain both my experience and also why I believe research and diabetes research funding are so damn important. I could go on and on, but that’s not the point of today’s post.
What I considered but didn’t really fathom, was Google. I don’t hide the fact that I’m T1D (or PWD, but I never remember to use that terminology). I have been google-able for a long time. As far as T1D goes, my JDRF Walk team has had fundraising stuff all over the damn interwebs for years. There is no hiding and that’s not my desire anyway. The press over the AP trial though, I didn’t/don’t control. An article that says I’m haunted by T1D (Seriously? I want ghosts if that’s true. I want ghosts that can go do stuff for me… pick up dry cleaning, walk the dog, give me a massage and go scare my obnoxiously loud neighbors, etc). According to a reporter, I haven’t had a good night’s sleep in 35 years (I was diagnosed in 1979. I must look like a zombie!). I am a horrendous sleeper but not just because a Dexcom has beeped at me periodically over the past few years. I live in Manhattan. It’s effing loud here, people. Or my favorite, that I’ve “suffered” with T1D since I was a child. Yeah it hasn’t been a walk in the park, but the word “suffered’ is drop-kick worthy to me. You get the point. Sometimes the facts were corrected in online press, but printed press is, well… printed. And now when it comes to dating, and even in some recent business situations, people actually Google me. Instead of explaining to someone new that I’m T1D and what that entails, the internet gives them a slew of information, not necessarily spun how I would introduce it and sometimes not quite accurate.
I have to admit though it isn’t all bad news for dating. I went out with someone a while ago who I had to keep rescheduling our get togethers (yep, I’m good like that). At one point, in a casual conversation, he text me that he had Googled me. Oy. He made comments about my career success and some photos (hey thanks), but he never mentioned T1D. I knew he knew. So I waited, until I actually wasn’t rescheduling dates and while we were out, he seemed to bring it up -ish, you know, Google and I helped him out. We discussed T1D. He clearly did some homework (huge plus in my book) and finally asked where I put my pump. I pointed between my boobs (I rarely wear my pump there but the dress I was wearing had no other good spot). Nothing like an ice breaker where you have actually encouraged a guy to stare at your chest. And then it happened, I know this sounds like a Romantic Comedy, but as soon as I pointed to my chest, I went over my target blood glucose (ps I’m on an Animas Vibe and the screen was facing outward) and my pump beeped and then lit up! Right through the dress, a blue light. Yep so I had a guy staring at my boobs and then my chest beeped and lit up like I’d swallowed a strobe light. After explaining, “no I did not do that by pointing at my chest”, it was good for some laughs and then I’m sorry to say, unlike a romantic comedy, he wasn’t “the one” either, but the two other times we went out, I was truly amazed at how he showed-up clearly having done more and more T1D research and we have actually stayed friends since.
There have been some, what I consider, bee sting moments too (well more like a wasp). In a way, I am relieved I can weed out the “possibles” from the “toss to the curbs”, thanks to some AP press, but let’s face it, those bee sting “Oh Wait, You’re Sick? I can’t handle sick!” moments happened both in my 20s and 30s. They were rare, but yes, they happened and nothing has ever been as shocking as a 3rd date I went on in my late 20s where the guy went nuts on me in a restaurant about how I misrepresented myself and he doesn’t deal with sick people. It was awful, he had had a few drinks, got louder, wouldn’t shut-up and I left in tears. The end of that story though is I’d been set up with him by a friend and a year later she told me he had testicular cancer. I wouldn’t wish that on anyone, even a boy who made me cry, but maybe he has a different perspective on “sick people” now.
So there you have it. This is one of a few things I don’t talk about online and for the record, I would do another AP trial again in a heartbeat. I would do all the press in the world and write as many stories about it as I could as I believe so strongly in research. The clinical trial experience is like nothing else I’ve ever done and it opened my mind and my heart to the people who are trying to bring this technology to all of us haunted by T1D (sorry I couldn’t resist). I might get a Casper cut-out on my bike for the JDRF Burlington ride.
And as for the question of why this is important to keep to myself, I just realized it isn’t, is it?
Diabetes Blog Week – Ride On
It is Diabetes Blog Week. Karen at Bitter Sweet Diabetes wrote (in 2012?), “If you don’t have a blog but have thought about starting one, now is the perfect time”, so I did (which was my first post). For more information on Diabetes Blog Week please check this out. And thanks Karen for putting this all together.
Here’s today’s topic:
In the UK, there was a diabetes blog theme of “I can…” that participants found wonderfully empowering. So lets kick things off this year by looking at the positive side of our lives with diabetes. What have you or your loved one accomplished, despite having diabetes, that you weren’t sure you could? Or what have you done that you’ve been particularly proud of? Or what good thing has diabetes brought into your life? (Thank you to the anonymous person who submitted this topic suggestion.)
There are a few positive aspects of my life with diabetes… friends I’ve made and the incredible people I’ve met because of T1D would be at the top of the list, but currently, right this very second, I can only answer this by sharing a little more of my on-going JDRF Ride cycling progress.
I can cross “NEVER EVER wearing and entire outfit made of Spandex while walking through, and waiting in Penn Station” off my list of things I would never ever do. Yep, nailed that one.
I have also learned you need a Bike Permit to take a bike on the Long Island Rail Road (life is full of surprises). The permit is $5 and doesn’t expire. It looks like a train ticket. I’m sure I’ll never lose that one. Yep. Lost.
Long Island is shockingly hilly. An early morning in those hills is far chillier than one would expect. Getting lost is not the fun adventure you would like to believe it will be.
70% basal rate reduction worked pretty well but I should have started it a bit earlier. I had a GU because the Dexcom arrow was starting to drop, I stayed steady the rest of the ride. Woot.
A week later, I learned the following: trying to cross the street during the 5 Boro NYC Ride (when you are NOT in the ride but ARE on your bike) is damn near impossible.
Next, I learned that repeatedly bouncing off the railing of the “OMG-why-the-heck-is-this-SO-narrow” ramp up to the George Washington Bridge is similar to being a ball in a pinball machine. It is quickly becoming my signature move. Watch out people. No really, watch-out.
Are you ready for the big part??… I rode 60 miles in one ride!! Holy smokes! The hills were challenging, I went through a LOT of water, and my bgs ran a smidge high until about the 30 mile mark, but I rode 60 MILES. Nyack, New York is so beautiful. Just amazing. If someone told me that someday I would ride a bike from the lower half of Manhattan, up and over the George Washington Bridge, up through New Jersey, back over the New York state line, under the Tapanzee Bridge and up to Nyack, New York, I would have laughed so hard I would have peed my pants. I might be the slowest and the sweatiest, but I did it. I still need to improve my pacing (it is currently not so hot) and keep increasing my endurance (also still weak). And in even stranger news, I happened to have a meeting right over the Tapanzee Bridge 4 days later and pointed out where I had been on my ride. They asked where I started. When I answered with, “My apartment”, no one could believe it (I include myself in “no one”). It was SO far away!!!
And here’s the deal. I have thought about doing a JDRF Ride in the past. After almost 2 years of the back and forth of getting into one of the Artificial Pancreas clinical trials, I publicly stated (at a conference) that I would do the Ride if I got into the trial. I received the email that I was officially a candidate while still at the conference. I was/am a chatterbox. I told everyone about being on the candidate list. There was no way I was getting out of this Ride!
So here I am 2 and a half months from a 100 mile ride in Vermont (OMG x1000). I think of the many T1D athletes who I admire. My childhood hero, NHL great Bobby Clarke, Olympic swimmer Gary Hall, Jr, and professional snowboarder Sean Busby. I admire them in a way I simply couldn’t imagine before now (and believe me, I already admired them tremendously). I never thought someone with T1D couldn’t do a ridiculous amount of cycling, BUT I certainly didn’t think that I would ever be inspired enough to try (you read the part about all the Spandex right?). And now, I am inspired… and I continue to try.
Denial
Our Medical Director has determined that the request is: Denied – Not Medical Necessary.
After consideration of all available information, our Medical Director has determined that the requested procedure will not be covered for the following reason(s): Based on health plan criteria for diabetes care, your request for continuous blood sugar monitor and supplies is denied. This is because we did not receive the needed information from your doctor. You have diabetes and take insulin. We need to review your medical records showing your present diabetic condition and medical history. We do not know if your blood sugar cannot be controlled despite multiple insulin injections during the day. We do not know if you use up to three insulin injections per day. We do not know if you check your blood sugar level at least four times per day. We do not know your blood sugar levels. We do not know results of your blood sugar test called hemoglobin A1C. The medical equipment company supplying these items and your doctor were asked to send in this information to us.
We have provided a detailed explanation of the Member’s appeal rights below. A Member has the right…..
YEAH, this actually happened along with 9 more pages of incredibly specific instructions of how to appeal this decision. There is a one time appeal. Yes ONE. There is a possible option/request by your doctor for a peer-to-peer review (doctor from insurance company and your endocrinologist chat but it isn’t scheduled for a specific time. HUH? Needless to say it sounds like an option based on luck just to get the call) and there is a petition for an external review appeal. Does this all sound daunting? Yes it is. I received the letter above the night after my first JDRF cycling training ride which I believed would be 9 miles. Nope. 27.5 miles. It also snowed! But back to DENIAL.
I have been using Dexcom CGMs for what I believe to be 4 years now. CGMs have improved my quality of life tremendously and allowed for some incredible fine tuning of BGs, exercise adjustments, and timing of insulin dosages. As someone who has had hypoglycemic unawareness (first training ride, even with all my aggressive basal reductions I was treating lows (some in the 50s) the entire time. I didn’t feel them. I was shivering and cold and cycling and huffing and puffing and hoping to not get hit by cars or crashing), and a CGM has been a welcome addition to my T1D upkeep. Changing health insurance has been a bit roller coaster-y, BUT when I received a call that my Dex was out of warranty, then having the whole system replaced in January (under new insurance) and then upgrading to the Dex Share bluetooth receiver, I thought any fear I had about approval was for naught. Yep and then I got a crushing Denial letter.
Based on the information above, one might assume my doctor never sent in the proper medical paperwork… I thought that too. Me = LIVID. Nope. One might also think the insurance company lost it or was just being a bunch of bullies. Nope. One MIGHT think the Dexcom 3rd party supplier completely F-ed up the paperwork and then lied and lied about it and then people kept getting reassigned my case (huh?) and someone, by the grace of God, may have “slipped” that they (3rd party) never submitted my doctor’s paperwork even though I had visual proof they had indeed received all my medical notes on time. Yes, then you “may” be right. What a mess and what an exorbitant use of my time.
At my absolute wit’s end (which says a lot because I’m pretty damn witty sometimes), I just put my head in my hands and wondered how the hell I was going to fix this, and that I just wanted a break from this Monday through Friday daily morning fight (did I mention this has been going on for weeks now?). My sketchbook slipped off the mound of paperwork on my desk and I saw something I wrote on the 2nd to last page.
“Fight For What You Love”.
I don’t know when or why I wrote that in a work sketchbook (weirdo) but there it was and my Dexcom was buzzing in my lap and I remembered something. Something else I wrote. Something I loved writing. Something that made me smirk. I wrote this in 2012 about LOVE. Please read that link for this to all (well sort of) make sense. I’ll wait.
And that was it. Fight For What You LOVE. So I continue to fight. I’ve consulted with an attorney, I reached out to my T1D network, my insurance network, my CGM network, my insurance company, I called every party involved in this fiasco. I wasn’t DENIED because it wasn’t considered medically necessary. My denial (at this point) is a paperwork snafu. ONE appeal. And I FIGHT because I have to and I fight BECAUSE. I. LOVE.
As this continues to ebb and flow and there has been more hope in the last 2 weeks (but I never truly lost hope), I have thought about something everyday. What do other people do? What do people do who have a job where they don’t have phone access? A job where they can’t make calls during all these company’s involved business hours? What do people do who don’t have a network to reach out to. I’m not the first person to fight a denial letter. What about people who are denied an insulin pump? Or are told they are not covered for the amount of BG test strips they use daily? What do they all do? How many people hit the give-up point? What do they do? I remember many years ago being approved for only 6 BG test strips a day even though my prescription was for 8 per day.
I’m curious about other people’s denial stories and what resources you/they used.
More about my saga later. Boxing gloves back on.
One 4/1
“Never forget that you are one of a kind. Never forget that if there weren’t any need for you in all your uniqueness to be on this earth, you wouldn’t be here in the first place. And never forget, no matter how overwhelming life’s challenges and problems seem to be, that one person can make a difference in the world. In fact, it is always because of one person that all the changes that matter in the world come about. So be that one person.”
—R. Buckminster Fuller (1895-1983)
Architect, Engineer, Inventor
A 6 Point Update!
How fantastic is this?
“I am only one, but I am one. I cannot do everything, but I can do something. And I will not let what I cannot do interfere with what I can do.”
—Edward Everett Hale (1822-1909)
American Author
LOVE it.
1. In other news, I’m trying something new this week. It was just a post shower whim Monday morning. I think my tummy needs a break and in order to keep my friend laughing who thinks I’m butt obsessed, I put my pump site on my derriere. It was at the top of my badonkadunk on the left side. It felt a little weird at first, but worked GREAT. Yesterday I wore jeans and it did make me a little nervous that I had to be “aware” of where it was before I peed, But for Monday- Wednesday, I didn’t feel a damn thing (Day One was the best though… wore vegan leather patched leggings. Vegan leather pants are such an awesome marketing ploy… seriously brilliant. No pleather here… “vegan leather”. Brilliant). Day One I wore a blouse that covered my bum, but this is what it looked like (red circle shows the site and the cord). I thought it would stick out more, but it was a VERY pleasant surprise and did I mention how GREAT that site worked? Fantastic! Old dog, new tricks.
2. I received a new Dexcom receiver last week with the Share stuff. Yay bluetooth! When I was in the AP trial a few months ago, the Dexcom receiver was put into a sleeve that enabled it to have bluetooth (whole AP system works off Bluetooth). I am thrilled the Dexcom receiver now has bluetooth as this seems like one more bridge crossed in getting to Artificial Pancreas land right? Sunday I was on a rather crowded train and carrying way too much stuff (and this guy),
and the novelty of seeing my Dexcom info on my phone (which was easy for me to grab from my pocket) was rather convenient.
3. With that said, I did upgrade to the Animas Vibe pump 3 months ago (3 ish?). Now, that I’m used to it, I again wonder why I bother reading reviews. YDMV is just so darn TRUE (YOUR DIABETES MAY VARY). This is the screen that is a game changer for me (thanks Karen H for teaching me how to set this):
Great BG right now (Nice moment). The part I am LOVING though is that IOB. Wow. THIS. IS. AWESOME. I hit one button on this pump and BOOM, I see my BG and Insulin On Board. Wow.
4. I now have my second butt pump site. I have no idea why I was squeamish about trying this. I am currently wearing tights and took a photo to show how much this does NOT stand out. I then realized the photo is way too risque. Apparently I now know my limit on “putting it all out there”. My Dexcom is on my left upper thigh/hip, pump site on left top of butt cheek and my pump is in my tights right below the Dexcom sensor. It has worked well today and I am in a dress that is very fitted. It amazes me that I ever worried about wearing all this equipment. All good in the hood. No biggie. Yay tights.
5. Today I officially kicked-off my JDRF Burlington Ride page. It’s been up for a little while but today is my birthday and I want my birthday to be something productive, something positive and if I am nailed down for this biking madness…. errrr, I mean “adventure”, let’s do this right! Birthday? Ehhh. Fundraising KICK OFF DAY? Hell yes! I have been shocked by the success today and I feel even MORE motivated to embrace this adventure (still mildly terrified though). Bike research is going well. Bike test ride is Sunday. Crashing would suck (and I don’t mean BG, I mean actually crashing into a car). Want more info? Want to see how we’re doing? Curious about the Ride program? Click HERE! Do Good, Feel Good.
6. Whew. Last thing. There’s a Type One Nation Summit in Long Island NY this Saturday. The last speakers of the day are attempting this tag team style. They are talking about their Artificial Pancreas trial experience. Yep, Brian and I will both be there, and yes, we are speaking together. This could be…. interesting…? The line-up of break out session and speakers is truly remarkable and I am so honored to attend. Want more info? Right HERE . Originally I planned on doing a comparison like I did with Britney Spears (but the Long Island version which would either involve… Billy Joel or Lindsay Lohan). I didn’t get to that and my friend who did all the previous photo work is in Italy so use your imagination!
A Wednesday That’s Really A Tuesday and a Kardashian Booty
This was going to be my Wordless Wednesday post but it’s D Blog Check day (thanks Chris) so I’m jumping ahead. I learned to ski when I was 8 years old. My college boyfriend got really into snowboarding and we ran around with a snowboarding crowd in the winters during my early 20s (I made a brief switch to snowboarding, broke my coccyx bone, and decided I would remain a skier). In my early 30s, I skied inconsistently at best. As far as I can tell, the last time I’d skied was 2008 and I broke my foot in 2009 (unrelated to skiing, tripping in high heels getting in a cab and rushing to the airport… and then wearing high heel platform boots for 2 days before I got an x-ray… woof). Although I’d talked about skiing again, I haven’t made it happen until this winter.
For the rest of this story, you need to know the following… no matter what my weight, I have a butt. You know that strange photo of Kim Kardashian where she is balancing a glass of champagne on her derriere? You know, the photo that was supposed to break the internet? If not, you may be too highbrow to be reading this blog (or you don’t have interwebs or live under a rock). I’m fairly certain I could do that Kardashian maneuver AND also balance my pump, Dexcom receiver, my cellphone and a couple bottles of insulin simultaneously on my butt. Yep, baby got back.
So, “back” to skiing and a big butt. I have new ski pants this year that are snug in the waist. Great. They also swish a lot when I walk so I could never sneak attack anyone. On Sunday I skied. I clipped my pump to the back of my pants, with the pump itself on the inside of my waistband. It seemed firm between Smartwool long undies and my new, loud swishing pants. I skied my heart out. I am shocked I got right back into skiing in the past month as though I’d never left and maybe, as I’m in better shape than I think I was 7 years ago, I kinda killed it.
As the day progressed, I felt my pump pop off my pants twice as I got off the gondola. I blame my butt. I sat down, the pump got pushed upwards by my Kardashian-esque booty. When I stood to get off the gondola, my pump had been pushed above the waistband. Once, it slid down the back of my pants. Once I felt it loose inside my jacket against my back. Not cool, but my jacket unzips from the bottom so poles stuck in snow, mittens off, glove liners off, pump re-clipped, velcro on pants tightened, layers adjusted, coat re-zipped, glove liners on, mittens on, poles around wrists. Whew. Ski.
Second to the last run of the day, I was flying (well as fast as I could go before my rental skis started shaking because I technically needed high performance skis and believe me, I LOVE typing that. one more time, I needed the performance package). As I soared down the mountain singing in my head and strategically shifting my weight and the edges of the skis, I saw something in my shadow. Something sticking out of the side of my jacket. Oh, just my lift ticket. Ummmm no, the lift tickets don’t clip onto a zipper anymore. The lift ticket is now a keycard you put in your pocket and they scan you with a zapper in the lift lines (this fascinated me as once scanned, the zapper operator would say your name and chit chat. Lovely). As soon as I realized that strange shadow waving in the breeze was not my lift ticket, I started hitting the breaks. We’re not talking hockey stop, I hit the breaks in a pie wedge, like a beginner, and the shadow whacked me in the back of the leg. I scooted to the side. I stopped. I tried and missed grabbing whatever was in the shadow with my pouffy mittens. I had already tossed my poles to the ground. I tossed the mittens there too. I reached again and grabbed my swinging pump. Whew. I just stood there thinking that this was NOT the ideal situation. I then smiled. I’m fine. I caught it. This wasn’t a calamity. I snapped a photo because based on my maturity, I started giggling to myself that my shadow could be the source of many a dirty joke. Diabetes is so effing annoying sometimes, but I was absolutely fine. A little freaked out, but fine. I was better than fine, I was skiing my heart out.
So I skied down the rest of the way and thought about what I’d do. If I’d lost my pump, that would be a horrendously expensive problem, but I could have taken the gondola down to the lodge as I had insulin and emergency syringes in my purse which I’d put in a locker. If I’d never found my pump, I had a back-up old Ping in my purse too. I have a photo of my pump settings on my phone. Inconvenient and expensive for sure, but I’d live and that’s the thing…
I recently had a conversation about the concept that you can never go back. I’m not sure I believe that. After all these years, I returned to a sport I once loved as a child. Oh sure I hated the cold, and carrying all that gear, but the art of skiing was always me in my zone. My Dad would say he could hear me humming and singing as I skied past him as a kid. I was always making up my own songs with the theme of “You can do it” (I was a creative, cuckoo little kid). What if instead of not being able to go back, you take all that stuff you learned, stuff that’s supposedly behind you, you smush it into a ball and you toss it ahead of you?
I think it’s true of diabetes too. You learn all this stuff, you screw up, you learn, you try again, and you don’t leave it behind. You use it all to lead you. You can let it beat you down and God knows I understand diabetes fear, but its also your motivation. Sometimes your pump needs to smack you in the ass to make you slow down and then, you pull on your mittens and race ahead.