Racing Cars and Freight Trucks in my body

Dear Bloggers,

My ups and downs have been a little more up and down of late (read for most of this year, it's still nearly Christmas, right?). Not exactly disastrous, but I've not really managed to ever get things into any kind of groove for more than a week at a time. A bit wearying to say the least. Yes my brain exists best by complete chaos.

Part of me knows the best way to improve things is to go back to basics and do some fasting basal tests and tweak my basal profiles based on actual information rather than the (un)educated guesswork I've been relying on for a while. Another part of me is having enormous difficulty summoning up any enthusiasm, since I know that the holidays are coming and I'm likely to stop going to the gym for a couple of months which will have a knock-on effect in itself.

So I'm spending my time grumbling and hurrumphing instead (my family are so lucky!). The old nagger is coming to town and no it is not Santa, it's Santabetes

 

On the plus side it does give me a chance to jot down this analogy that I've been meaning to for some time. It's something that usually strikes me when my blood glucose levels are a bit errant, and Victoza and food are just not playing nicely.

When it comes to trying to balance the effects of food and Victoza on blood glucose levels (well and everything else.. but specifically food and Victoza), one thing that makes it very tricky is the difference in the speed of action of carbohydrate and Victoza. It's not enough to accurately match the dose of Victoza to the amount of carbohydrate you are eating - you have to try to ensure that the two act more or less together to reduce blood glucose wobbliness (technical term).

Almost all carbohydrate is very much in the Formule1 car class. Fans of glycaemic index tables (GI) might agonise over whether something is high GI, medium GI or low GI, but in my experience the differences equate to something being 'almost instantaneous', 'really very fast indeed' or only 'very fast'. Not a great deal of protection against the ravages of a post-meal spike, either physiologically, or that emotional kick in the guts of seeing your levels rise from a decent pre-meal number well into double figures an hour or so later. From the very first mouthful those big outboards start roaring and the carbs go zipping and zooming about, gleefully spraying glucose in their wake.

Victoza, on the other hand - even the fancy schmancy 'rapid acting' analogues can seem painfully slow to get going. More like one of those behemothic freight trucks or road trains. With a great groaning and clanking, the thrum of the plunger on an insulin pen or pump delivers the dose and then... Nothing. Watch and wait. Is it an illusion? Is it actually moving yet? Nope. Still can't see anything happening.

Vooooom! Swish! The carbs go tearing past again. Running rings around the slumbering giant.

This is particularly the case for me when I am waiting for a correction dose to kick in. I've had to stop myself from checking post-correction blood glucose levels before an hour has elapsed. Any less than that and the chances are my blood glucose levels will be almost unchanged. An hour!
 

Of course... one of the things about a freight truck is that once it is moving, there's not a lot you can do about it. All those stories about them needing however many miles to slow down or turn a corner. And so it can feel with rapid insulins. 

Nothing... nothing... nothing... Ah good, movement! Good... All good, back into range. Right that's enough now thanks... STOP!

But on and on, the dose lumbers forward - an unstoppable force. All-ahead full. The truck has now run straight over those race cars crushing them to matchwood and we could very well be steering directly toward Hypocity.

Corrections can be a tricky course to navigate. My doctor tries to help by offering a suggestion of 'Active insulin' - how much dose is still working away, but there are many variables to factor into that equation. Sadly I find my doctor's attempts to be the vaguest of indications at best, and often wildly inappropriate to the particular circumstances of the moment.

 

Patience is the skill I have to master. I am always trying to remind myself that while the spike in my blood glucose levels may have happened in only 45 minutes or so, the insulin correction will only have stopped after something like 4 or 5 hours. If I get impatient and overcorrect in the meantime I am likely to cause myself another problem (and more wobbles) by overdoing it.

The Old Sailor,

Our Christmas Survival

Dear Bloggers,

This Christmas, I am sidestepping as host in my kitchen and moving over to give my oldest daughter the honors of putting together her now very famous Tomato and Mushroom Soup! Being the good sport that I am, I will graciously surrender our kitchen and temporarily relinquish my right as Head Chef in my home, for one night only. Mmuahhhhhh! It’s my kitchen and I’ll cry if I want to. But together we will make the main course and I will make dessert, and no-one is going to stop me. (Not because of her skills in cooking, but timing is tough for a 12 year old girl) So there!

My daughter has become a great cook in her own right. But she has now also become my unwilling rival (I’m smiling here with oozing pride!). I learn her as much as I can although I am not the greatest cook ever. Mom is teaching her also a couple of usefull skills and at school she is enjoying the cooking lessons as well. The other family members made the ’ request, that, my daughter will make their favorite soup on Christmas dinner for the whole family and a dish that clearly only she knows how to make best. Her Fantasy Soup, thus far, is supreme, unbeatable—even restaurants we’ve sampled have yet to compare. And I am not just blowing a lot of hot air here either; this is seriously good slurping!

The flavor she provokes from this one-pot liquid wonder is, to quote Granddad, And I am NOT allowed in the kitchen while she is cooking. I am not allowed even a glimpse of how she puts together this liquid gold. Only things I am allowed to do is cutting tomatos and mushrooms. I really enjoy to cook together with her as she is as disorganized as myself. The kitchen looks like battlefield but together we have a big laugh and satisfied customers.

So I was concerned there would be much disappointment and even rioting from our clan that will be gathering for Christmas dinner, expecting a roast, our usual yearly Christmas fare. Things have changed diet wise and the others don’t want to cook. But disappointment came only from the pure carnivores in the family – only one. When we explained the menu it was not so bad and there is at least chicken or turkey on it. But that will hold for Christmas only.

So now I sit here contemplating on what will make the perfect ending to a most exquisite savory Tomato and Mushroom Soup. Hmm....... delicious!

Have a Merry Christmas and enjoy the small things in live.

The Old Sailor,

Happy Fatfree Holidays for all

Dear Bloggers,


I am not the worlds example of being slim. And I do not feel the need to be that at all. Only trouble is that I have trouble to resist stuff that is high on the wrong kinds of calories and fat, and yes I love the good tradition of dining together during the holidays. Any other part of the holiday season is not bathering me at all. Normally I have been working nearly every Christmas or New Years.

We are heading in to the party season now, and that can spell disaster for many people trying to watch their weight and stay healthy. Christmas is always going to be a time when we gain a few extra pounds due to the foods that we eat which are both are richer and more readily available than throughout the rest of the year.

Certainly it is very important to let your hair down now and again and to enjoy the odd treat and luxury, but what can you do if you want to hold on to your figure over the coming weeks. Follow my tips to ensure you enjoy your Christmas parties without looking like a stuffed turkey at the end of it all.

Don't be afraid to say no. It isn't unusual to get invites to many parties, meals or social events during December and the New Year. Trying to keep everybody happy will only lead to massive excesses and probable weight gain. Be selective, try to keep the nights out evenly spaced over the weeks, instead of all back to back. (Being drunk on a daily base is a regular life but not that healthy, I figured this out the hard way by trying it.)

'You can take a horse to water but you can't make it drink'. You may have a busy social calendar over the next few weeks, but that doesn't mean you have to push the excesses to the limit. If it's a meal out, you could limit yourself to a main and a starter. If you have a few drinking nights out lined up, then aim to reduce the amount of alcohol you consume. Try something non alcoholic in between drinks (or even better still a glass of water), this way you could halve the amount of alcohol you have over the evening.

Choose the healthier options. For example as a starter melon balls or anything else based on fruit or veggies and soups are generally quite good choices. For mains try chicken and fish dishes without sauces or gravies. (if your not allergic to seafood like me.) Finally deserts are usually the hardest to get right. Basically anything that contains cream, pastries and sauces is going to be high in calories and saturated fat, so perhaps a better option would be to share one between two or totally skip them.

Burn away the excesses. Whatever calories you put in to your body will either be stored as fat or burned off to fuel movement. So my final tip is simply to be more active. Walk to and from the night out, if it's safe to do so. Dance as much as possible if that's an option and lastly try to avoid sitting down all night, instead try pottering around. Unless you have health issues of course that might get you into trouble. I do my excercises with the Nintendo Wii together with my kids we have loads of fun. So there we have 2 good things in one pleasurable moment.

Happy Holidays to you all

Christmas only comes once a year and if you are in good health and physical shape then a couple of weeks of excess probably won't do you any harm. If however you are carrying a little too much weight already (like myself) and the nearest thing you get to regular exercise is walking to and from the car then a month of over indulgences could just push your health over the edge. So enjoy yourself, but just don't forget that your health can and will suffer if you over consume for a prolonged period of time. I know that it is not easy in the beginning but believe me. I’ve been there, done that and got the t-shirt. Happy Holidays to you all.

The Old Sailor,