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Monday, 15 April 2013

guest post hawmc


“Face of my Disease”

Introduce my condition. Picture. My relationship with my health and condition. Few interesting facts about myself as a person AND as a patient






I’m sat in a local coffee shop, writing. I do this quite often, and it strikes me how much of a creature of habit I’ve become. How easily things have become to get used to.
It never used to be like this. Having an incurable, invisible illness changes you, it must, I believe. I haven’t always been since, nor have I always had my condition; in fact it’s only about 18 months old.

I have Crohn’s Disease, an Inflammatory Bowel Disease (IBD) which is a long term condition that inflammation of the lining of the digestive system; from mouth to anus. Common symptoms are diarrhoea, fatigue, abdominal pain and weight loss. Other symptoms (extra gastrointestinal) range from mouth ulcers, joint pain, eye infections and skin complaints. Crohn’s can affect any part of the digestive tract and can spread. Notice here that Ultraitive Colitis (UC, another IBD) is located to only the large bowel; Crohn’s can be more extensive and aggressive.

Luckily, for me so far, I’ve yet to see my Crohn’s spread further than it was when first diagnosed in Sept 2011. Despite being only located in my colon, my disease rapidly went from mild to severe within a couple months, meaning my medication doses and strength grew exponentially somewhat overnight. My last medication was a subcutaneous injection called Humira; an Anti TNF drug that helped control and vastly reduce the (then chronic) inflammation I had. I finished that in the New Year and have been on courses of Predniosolone (steroids) since to control the lingering inflammation.

Eight times out of ten, I manage my condition extremely well and am able to go to work and maintain a good lifestyle, despite my dietary restrictions. Acceptance of my condition was an extremely fraught process which took me into counselling to help me through the worst of it. I write my blog to help deal with the depression and anger I feel (and felt) as part of my diagnosis. I’m 24 and feel about 70 some days when my subsequent joint complain flares up. But I still keep going.

Despite the anger and depression, I would classify myself as a good patient. I have yet to refuse or dismiss a treatment course my GI (Gastroenterologist) advised me to take, or fail to turn up for a test or procedure. I trust my GI to do what is in my best interest, what is best for my disease at that point in time. I would rather try and fail at a medication that be too scared to take it. At some point, you have to live and let live, trust your doctor to treat you the best way they can.

I am a graduate but stuck in an unqualified job because my health problems have and still limit my body to move onwards. But, I am working. I am glad of my job for the most part; it keeps me sane when I need rescuing from the crap that my condition throws at me, at periodically inconvenient times. But I keep going.

I keep going.

If my condition has taught me anything, it is to know it will always get better. You might have to go through some pain and question life and yourself before you get there, but you will get better. Having some faith in another person to take care of you is important. As we go on with our conditions, as they grow and get older and we get more comfortable with them, as we learn more about them, we take back some of the control they have over us. It is a battle, I won’t lie, but it such a rewarding feeling knowing you are fighting against it and winning. And you will, you will win at some point down the line. Keep hold of that. 

Friday, 5 April 2013

sharing resources...

todays prompt was create a care page..

my best list of resources for newly diagnosed type 1...

your hospital team - they are often a great starting point and know how to get involved with different things

local support groups and type 1s - hospitals can often put you in touch with support group or other type 1 or parents of type 1s

facebook - circle d
               the insulin gang
               type 1 diabetes fact and information
               type 1 diabetes memes

twitter - #doc                       @ninjabetic1 @txtingmypancreas @annieastle @oceantragic
            #dblog                     @anniecoops @parthaskar @sweetercherise @sowerbee
            #dailydtalk                @ali_may_twit @clarentina @sixuntilme @sarahkaye128
            #ozdoc
            #dsma

other sites - diabetes.org.uk
                  jdrf.org.uk

Tuesday, 2 April 2013

day 2 of wego health

time for introductions:

i'm 17 , a college student soon to be student nurse in september. I also happen to have several invisible illnesses. From the outside you would see a healthy seventeen year old , unless you notice my insulin pump, you couldn't tell my body is seriously screwed up. So to introduce my health conditions-

Asthma

I have had asthma since i was very young, if i'm honest it is quite mild and its very predictable as to what triggers me and very rarely gets out of control. I'm pretty bad at taking my medication for this which is a preventer inhaler twice a day and then the blue inhaler when i have asthma attacks, i probably should be better since my peak flow is around 100 below what is expected of a girl of my age

basically means my blood vessels in my feet don't work properly and in cold or when my bloodcount is high they often turn black. Really annoying when i want to wear open shoes in the winter and can't! 
Hypothyroidism
so as well as killing off my pancreas, at around the age of 10 my immune system killed off my thyroid as well. although it has made a valiant attempt to do some work for the past 7 years i now take 125 mcg of thyroxine every morning to replace the hormones i've lost. When my hypothyroidism flares up i will become extremely tired to the point i will easily sleep 15 hours a day and i get terrible headaches and start losing my hair
Type 1 Diabetes
This is the biggie for me. type 1 is an autoimmune condition which means instead of attacking viruses etc like the immune system is supposed to, my immune system produced antibodies against my beta cells which produce insulin. Insulin is essential to survive so since the age of 2 i've had to take some form of insulin every day whether that be through syringes, injections or now through an insulin pump. That doesn't mean my diabetes has got worse , just the way we manage it has got better. There is no clear reason why the immune system attacks the pancreas, milk antibodies, lack of vitamin D or the coxsackie virus are among many of the theories. The things we know about the reason though - It isn't caused by eating too much sugar and It isn't caused by being overweight. We also Type 1 can not be cured (neither can type 2 diabetes for that matter) , we will be insulin dependent for life and will never be able to come off it, We can eat sweets and chocolate we just adjust insulin for it, yes its tough, yes there are days i absolutely hate it but it won't ever stop me. 
a day in my life with type 1 diabetes and this was a pretty good day i can have days where im anywhere from 1.7 (30 mg) to 30 (540) mg)-
wake up at 3 am and don't feel right extremely thirsty my bloodcount is 18.3 (329 mg). i went to bed the previous night at 6.7 (120) and had no food. by all logic it should stay steady. I do a correction dose of 1 u to 3 mmol to get it down below 10 i do 3 u through my pump
by the time i wake up at 9 am my bloodcount is 7.0 (126 mg), Hannah 1 Diabetes 1 . i then go take a bath do a small amount of insulin to cover being disconnected from the pump
bloodcount before lunch - 7.4 (133) big lunch today Mcdonalds a chicken nugget medium meal with diet coke - chicken nuggets 22 g carbs fries 44g carbs plus the sauce which is around 11g carbs so total 75g carbs i do 1 u to every 10g at lunch so do 7.5 u for my meal plus a correction dose of .4 u and extend it over half an hour to cover the fatty content which means the glucose is released slower.
2 hours post lunch my bloodcount is now 10.4(187) , slightly higher than i'd like so as well as a snack of 10g which i do 1 u for i give a correction 1 u to bring me down to 7 mmol (120mg) .
tea time, the correction hasn't worked i'm still at 10.2 (183) i have a meal of chips eggs and beans and 2 slices of bread which works out at 75g carbs (love the days it matches up but i do round to nearest 5 or 10 normally cause i'm lazy), i do 7.5 u for the carbs plus .9 correction as i want to between 7 - 10 for going to bed. i do a multiwave bolus for this over 15 minutes so my insulin matches my food release
i go to bed on a 9.3 (167) . not perfect but it holds steady till morning unlike the previous night.
i could do this day exactly the same all over again and would get completely different results . My ratios often change as does how much basal (background) insulin i need. so there's my type 1 diabetes 101 introduction to my life.