I started watching the film “The Impossible” this afternoon. It’s about a family vacationing in Thailand when a tsunami hits. Movies like this are hard for me to watch.
I’m sure we all pause and try to imagine what it’s like to end up suffering like that, losing family members, the shock and disorientation in the aftermath and trying to survive. Then it hits me how screwed I would be because of my diabetes.
Because I’ve had my diagnosis for a couple of years, with the clear message I would become insulin dependent eventually, I’ve thought of it a lot. Not until I became insulin dependent did I fully understand what any kind of disaster – natural or man-made, like a war – would have on my ability to live. Slowly but surely I am getting used to the idea I’d be one of the first people to go. I would be one of the first to die if I survived in the first place. I would be the first left behind if things depended on it. Probably also the first to sacrifice myself because I’m very aware of my chances of survival compared to others.
Sometimes this depresses me immensely, but then I also realize there’s not much use in feeling that way. If something is going to happen, it will happen. I have this illness, without my medicine I’m fucked, and if I don’t have any on-hand when shit goes down I know exactly what my fate will be. I might live for a few (miserable) months at most, depending on how much insulin production I have left, before DKA sets in and I die a pretty awful death. Fretting about it won’t change this. There are tons of others like me. When civilization falls, it’s all about natural selection anyway, isn’t it?
Has anyone else ever thought about this? There are a ton of websites where diabetics speculate about what to do ‘when the world ends’, how to survive, how to make your own insulin, how to ration, how to eat. But it all seems to come down to ‘you can extend your chances of survival but you’re not going to grow old either way unless you can get your hands on a proper batch of insulin again’.
On the upside, chances are this won’t ever happen in my lifetime. You never know for sure, but I seem to be in a good place at the moment, so it’s all just speculation. For now I’m proud that I’ve got a fairly good hold on my diabetes at the moment, on a (mostly) moderate carb diet no less. I do have days where I exceed 200g carbs, but I’m so bound by my budget that I don’t always have the choice. Taking what I can get!
I’m super stoked about the HbA1c value in this calculator. I’m getting lab work done next week and expect it to be higher than this, as I only started insulin beginning of January, and I’ve only logged a little over a week’s worth in this app. Obviously it’s not a good indicator for my actual A1C, buuuut if this trend continues I predict a great value around June!
Also had my first hypo last night since on insulin (1 in almost 4 weeks!). I’ve always caught every single one early, but there’s a first time for everything! I think now that I’m able to sleep at night and get enough rest, my insulin sensitivity has gone up, and therefore my i:c ratio has changed slightly. (I needed it at 1:11 during my insomnia bout, I think I’m going to try 1:13 for a bit now.) So after shoveling a couple of oatmeal cookies into my face as I watched the newest TWD episode, I probably bolused too much. I tidied up around my place after finishing the episode, and as I sat down I tested 3.3mmol/L. Whoops. Got the shakes and disorientation, but a baggie of Skittles fixed me right back up.
I’m pretty much always in range now with the exception of a few stragglers here and there. Proud of myself, after my checkup with my DSN I’m going to see what I can do to do better.
I’ve also received a request for more knitted knockers, so I started this last night (in the middle of my hypo because I’m dumb) and hopefully will have the pair completed in a day or two!