Tanya, your blog is a kind of “a typical diabetic's manual". You plan to reveal the topic from the first signs to psychology and self-control. What topics do you consider the most important for beginners, and what should diabetics with experience be reminded about?
The main task of beginners is to learn how to manage their diabetes. After all, if you keep sugar under control and do not go beyond the limits of the target values, you can live a long and happy life.
Unfortunately, diabetes in our country is still treated incorrectly: in childhood, people were intimidated by this diagnosis, and most consider this disease almost fatal. Diabetics are pitied, avoided, redirected from doctor to doctor - in general, they run away from “problems”, they do not want to understand. But if diabetes is compensated, then we are practically no different from healthy people, and sometimes we can even give them a head start.
The key thing that beginners need to know (I'm talking about the first type of diabetes) is:
- how many bread units should they consume during the day;
- how to count proteins, fats and carbohydrates correctly (after all, it is necessary to pin not only on carbohydrates - we were not taught this in the hospital);
- how much insulin do they need to prick on 1HE and proteins;
- how are the products absorbed in their body;
- how much short insulin should I inject to increase sugar by 1 m/ mol;
- how much long insulin should be injected so that the sugars are normal all day, regardless of food;
- how is hypoglycemia manifested and how to stop it;
- how physical activity affects their sugars.
I have named only a few aspects. In fact, there are much more of them. But the point is clear: first you need to learn how to manage sugars using the balance of food and insulin, and then study the nuances.
Everything comes with practice, because in addition to general knowledge, individuality is important. You can study the features of your body only on personal experience. In any case, every diabetic should first of all throw all resources to achieve normoglycemia. After that, improvements begin in other areas of life.
Advanced diabetics can find highly specialized information on my blog. I'm talking about ordinary moments in the life of each of us, which become special because of the “sweet diagnosis". For example, healthy people often snack on fruit. For diabetics, fruits are not very useful, especially in large quantities. In the blog I give a list of products that you can eat and not worry about sugar.
Is it possible for a diabetic to eat sweets and drink alcohol, get tattoos, plastic surgery, how to find motivation - I reveal many burning topics.
But the main idea of the blog (and I remind all subscribers of this, regardless of length of service) is to make a choice in favor of health every day and perceive yourself not as a sick person, but as a real superhero. Good sugar is always a goal that is real. And even if it doesn't work out now, then we must try again and again, to understand the issue, consult with doctors, achieve our goals - and then in the end we will definitely succeed.
Remember, as in Harry Potter: “Happiness can be found even in dark times, if you do not forget to turn to the light.” I try to create this light in the blog so that everyone can find support there!
Do you think there are provocative topics in diabetes, or what concerns real life cannot be called a provocation in principle?
Not that provocative, there are a lot of controversial topics. In principle, yes, as in life.
As an example, I can cite the controversy under my post about droppers. I go to a planned hospitalization, do a course of ivs at least 1 time a year (although it's better every six months) and decided to share it.
The most popular publication, where I gave a list of the must-haves of diabetics in the field of medicines, caused a lot of controversy. Some subscribers did not hear at all about the need to maintain blood vessels with droppers and were outraged that they were not offered this in the hospital. Others shared their experiences, thinking about the cost of drugs. Still others supported the topic, approving the list of medicines listed. The fourth denied that ivs could help at all. They say that the only prevention of complications is normoglycemia, and if there really are problems with blood vessels, then you can't do with a course of ivs. Serious therapy is required. To be honest, despite a lot of experience, this question still remains open for me.
I absolutely agree that for any diabetic, it is most important to keep the sugar normal. At the same time, helping your body with various procedures, medications and dietary supplements is also not bad. There is no 100% evidence-based medical base that would confirm the connection of such supportive therapy and improvements in the condition of a diabetic. I think everyone decides for himself here. Even if all these manipulations are just a placebo, then faith in the power of self-care can work wonders.
Is your endocrinologist signed up for you? Have there been any comments and edits on her part?
It seems to me that she is not on Instagram. Plus, we are not in such a close relationship to dedicate each other to personal and creative plans. She is a very cool specialist who cares. This is the main thing! But she has so many patients (she works in a polyclinic and really delves into the health issues of each of them) that there is simply no time to follow the blogs of her wards.
As for edits and comments, I am not writing anything that requires a medical check. This is the concept of my blog: to give information and share my personal experience, and then the person decides what to do with it. Figure it out yourself, Google, discuss with a doctor, check in practice. I am not a doctor, I never impose anything and do not give advice similar to medical directives, and in any controversial issue I send to the doctor.
By the way, this is another pillar of my philosophy: to constantly remind diabetics that they are responsible for their lives.
How is a blog theme born? Personal experience, topic study, feedback from subscribers?...
- I consider myself an experienced diabetic (my experience is more than 14 years) and during this time I have learned a lot of important and useful things. These insights came by experience, and for some reason no one in the hospital ever talked about it. For example, about a foreign body and diabetes, signs of hypoglycemia, a scheme for counting food (in addition to the notorious carbohydrates).
At first I just wanted to share it with people and help them make their life better. I would have been happy if someone had told me about the “diabetic discoveries” 10 or 5 years ago. Initially, the content plan was made up of such topical topics, plus some basics. I wrote it in notes, made several posts, and then the development of the blog itself began to guide me.
Now it happens in different ways. I often write posts that answer subscribers' questions (every day I receive a lot of messages in yandex.direct and in comments). Sometimes I find out something important from the world of diabetes myself - and immediately share it with my people. Of course, I have a plan, but very often it is adjusted during the course of the play.
And as for personal experience - I always write only about what I really understand or what I went through myself. This is one of the golden rules of my project.
What do you use yourself to compensate and self-monitor for technical innovations?
- I can't call myself an advanced diabetic, because I hardly follow the new products. But with blogging, of course, I have become more knowledgeable in these matters: I am subscribed to several cool public sites from the world of diabetes, and some information occasionally reaches me (@diabetes.connect and @stylish_diabetic).
I manage my diabetes with a blood glucose meter and syringe pens. By the way, I have several blood glucose meters: most often I use Contour TS (attracts convenience and affordable price for strips) and One Touch Verio (I really love this blood glucose meter, but the strips to it are expensive, and I use them only if they are prescribed). There is also One Touch Ultra and recently presented Accu-Chek Active (but I haven't even opened it yet). By the way, I advise every diabetic to have at least 2 glitches, especially if you leave the house :)
I have the most ordinary syringe pens, I prescribe them at the polyclinic. Long insulin - Tujeo, short - Apidra.
Lately, I often think about switching to the pump, but so far there is a complete zero in this topic. Until this year, the very idea of a pump scared me because of the physical connection to the wiring. That's why I plunged into the topic of blogging with diabetes, realized that ordinary people use it, not just Batman, and the fear was removed. Now I plan to find out everything: how to get it, how to use it, where to get consumables and how much this pleasure will cost per month.
Are you familiar with the state of psychological burnout on the background of diabetes?
- I don't remember ever giving up because of diabetes. Yes, diabetes dictates certain rules of life and it is impossible to eat a bag of sweets, washing them down with 2 liters of juice. But this is not useful for a healthy person either…
If everything is organized and sorted out correctly, then managing diabetes is not difficult. The main role is played by the attitude to this. Addressing the readers of your magazine, I repeat: don't consider yourself sick. Consider yourself SPECIAL, a person with a special mission and greater responsibility. A super hero, if you will. It is best to come up with your own personal scheme of “taming” diabetes and add elements of play and joy to it.
For example, it gives me great pleasure to see good values on the glucose meter. Write them down and know that I'm in control of everything. If there is a problem, find a solution through control.
Also, all my dia-accessories are in a beautiful shiny cosmetic bag. It charges with its brilliance and color. Everyone can find accessories to their liking that will cheer you up just like that.
The main thing is not to limit yourself and not to lock yourself in. Diabetes, as one of my favorite bloggers wrote, “is a reason to be better.” That's all.
Do you have your own list for inspiration: personalities, books, blogs?..
- Oh, I can talk about this forever. Since the age of 14, I have been madly addicted to the topic of self-development. If you narrow down the inspiration to diabetes, then I am incredibly admired by @dia.star.w - a girl who proves by personal example every day that it is possible to be healthy and successful, and this is the result of choice. She travels, moves, cooks, raises a child, and just lives, sincerely sharing her life with subscribers.
Yes, eating right every day is sometimes hard, I want to eat something harmful, but, Friends, let's prioritize. Stuffing your stomach with fast food and drinking soda is nice for the first few minutes. But to live a happy full life, giving preference to proper nutrition, is much more important. She broadcasts this idea on her blog.
It was Olya who turned my idea of diabetes upside down at the time. Doctors told me that sugar 12 after eating is normal. Looking at her blog, I realized that only sugars that are in the healthy range and do not exceed the so-called “renal threshold” can be considered normal. She proves that this is not only possible, but also necessary.
For me, her lifestyle is a kind of dream of a diabetic who has embarked on the path of compensation and is confidently moving forward. It's incredibly inspiring.
I also follow @trusivgoroh, the winner of the unique DiaChallenge project, from bloggers with passion. She also treats her nutrition and physical loads with special trepidation, and this can't help but charge.