Sunday, 19 July 2009

Come, dine with me!



It’s all about food of course. We need food as much as anyone else, but need to be aware how that food is going to affect our blood glucose levels. One of the biggest misconceptions about diabetes is that we can only eat a limited range of foods, or specialist ‘diabetic’ foods with artificial sweeteners to replace the real stuff. Not so at all! All we need to do is follow a healthy, balanced diet, which is actually no different to what most people would be advised to follow. Cakes and chocolate are allowed, but in moderation either as a treat or taken with a meal – that goes for alcohol too. All we need to do is be aware of how food and drink affects our levels and plan accordingly. My diet hasn’t changed dramatically since diagnosis – I guess it was pretty healthy before – but I have learned a lot more about how the body works and how to keep myself fit and healthy. A hundred years ago diabetes was a death sentence – a hugely restricted diet, leading to emaciation, malnutrition and a pitiful end. With modern knowledge, equipment and medication, I am probably healthier than many of my peers, and aim to remain that way!

Come, dine with me – drink wine with me!
Everything will be fine, you’ll see,
For though I have the dreaded ‘D’
I still take sugar in my tea!

I’m not averse to cake or sauce,
And I’ll eat chocolate mousse (if forced!)
Moderation is the key, of course,
Though sometimes I could eat a horse!

No polyols please, for they make
My nether regions gurgle and quake,
Much better, for my stomach’s sake –
A healthy wholemeal pasta bake!

Diabetes can be a curse,
But there are many things much worse…
I’ll follow the guidelines of my nurse –
Delay the day I’ll need that hearse!

Saturday, 18 July 2009

Goldilocks and the Three Bears


Not many people know that the story of Goldilocks and the Three Bears is actually much more complicated than the ‘eat porridge, break chair, sleep, flee’ version, as told to generations of children. The bears have been grossly misrepresented, and Goldilocks had Type 1 diabetes! Here is what actually happened…
(this is a bit of an epic, so you might want to make a cup of tea first!)
It was eight o’clock in the house of the Bears
And the occupants started to stir.
While Father Bear looked for his other red sock,
Little Baby Bear brushed down his fur.

Already downstairs was that fairest of bears,
Known as Mother Bear to all that she knew.
She was early to wake – she had porridge to make,
And give tea in the pot time to brew.

Now, I think it’s common knowledge that before a bear eats porridge
He would like to void his bladder if he could,
And lacking sanitation, he will feel an obligation
To relieve himself in private in the woods.

So with breakfast on the table, and as soon as they were able,
The bears would go discreetly out of doors.
Father Bear would do it standing, for he found it less demanding,
But Mother Bear preferred it on all fours…

Little Baby was still learning, and he often missed the turning
Which would lead him to the safe secluded spot,
And when Father finished p*ssing he would see his son was missing,
He was angry, as this happened quite a lot!

In the search for Baby Bear, they always started where
The forest path diverged and went three ways.
Father went off to the right and so Mother thought she might
Explore the left side of the forest maze.

Now, it came to pass that day, someone else had lost their way,
A girl called Goldilocks, with yellow shining hair.
Despite her mother’s warning she had spent the early morning
Playing in the forest without a care.

As she wandered in a tizzy, she began to feel all dizzy,
And her heart was pounding fast as it could go!
Panting breath and sweaty palms, the poor girl feared she’d come to harm,
It was obvious her sugars were too low!

She had left her home in haste, for she didn’t want to waste
A single moment playing in the wood.
Oh only if she’d thought to bring those sugar mice she’d bought
For now’s the time they would have done her good!

As she fell down to the ground, Father Bear appeared around
The corner of the path they both were on,
He knew he must act quickly for the girl appeared quite sickly,
So he scooped her up, and quickly both were gone!

As he hurried to his lair he called out to Mother Bear,
‘Come quickly Mother, help me with this child!’
For you see, these bears were kind, and I think that you would find
They were civilised, and not the least bit wild!

As they rushed into the house, Ma said ‘Find a sugar mouse!
For this girl is lacking sweetness in her veins!’
Father Bear said, ‘That’s astute, and that’s why I find you cute!
I’m glad I wed a bear endowed with brains!’

Baby Bear (for he’d been found) brought the sugar mice around
And asked his mother what else could be done?
‘It seems the girl is ailing and the sugar mice are failing,
So you’d better go and fetch the glucagon!’

Baby did as he was told, though he wasn’t very old,
He knew exactly what he had to do.
He’d encountered this before and would probably see more,
For Father Bear had diabetes too!

With the glucagon injected and her liver thus affected,
Goldilocks began to slowly stir
And boy, was she surprised at the sight that met her eyes –
To see three bears gathered around her!

‘Now hush my dear, there, there! You gave us quite a scare!
We’ll soon return you to the world of men.
You should thank your lucky stars that your path crossed ours,
For Mother is a qualified DSN!’

‘Please, will you take a seat, for I think you need to eat
Some porridge to prevent you going low.
We’ve got three different sorts, so please let us know your thoughts.
Then you can rest before it’s time to go.’

The first bowl that she got was a little bit too hot,
The second bowl, a little bit too cool.
The third, she thought was fine, and Baby said ‘That’s mine,
But you must eat it all up, that’s the rule!’

The porridge and her proclivity for all fresh air activity
Had made poor Goldilocks extremely tired
‘Please Bears, I think you said that you had a comfy bed,
Could I go there for an hour now?’ she enquired.

Following the bears, Goldilocks climbed the stairs,
And first she went to lie on Father’s bed.
But uncomfortable springs (amongst a host of other things!)
Made her look for somewhere else to lay her head.

She then tried Mother Bear’s, but a host of moulted hairs
Made the poor girl wheeze and sneeze and sneeze!
And to make things even worse, it seemed Mother Bear was cursed
With a mattress that distinctly smelled of cheese…!

But Baby’s mattress was so deep, Goldilocks was soon asleep
And Mother Bear said ‘Go now dear, and hurry,
We will leave the girl alone, and Father Bear please phone
Her mother, so she knows she needn’t worry.’

So, now you have the truth, that these bears were not uncouth,
They’re the kind of bears who’d help you if they could!
And if you’re ever asked the question, you can offer this suggestion:
It’s a proven fact that bears go in the woods!

Friday, 17 July 2009

The Podiatrist Who Tickled My Toes


Podiatry, or chiropody as it used to be called – not sure of the difference! – is an important aspect of diabetic care. The feet are particularly vulnerable to microvascular damage from elevated blood sugar levels, so it’s important to have them checked regularly by professionals. The treatment usually involves a variety of procedures: checking for visual signs of damage, checking the pulses to ensure a good blood supply, and checking for nerve damage by gently pricking the soles and toes to look for any lack of sensation.

My feet are very important to me, as a runner, so I make sure I never miss my appointments!




The podiatrist who tickled my toes
Didn’t do it because it was fun.
She did it because it was part of her job
To ensure that I keep every one!

The podiatrist who played with my feet
Didn’t do it to give me a thrill.
She did it to keep each appendage complete,
For I want to have TWO boots to fill!

The podiatrist who pressed on my foot
Didn’t do it to cause me alarm.
She did it to test that each pulse was correct,
In order to keep me from harm.

The podiatrist who said ‘Close your eyes’
Didn’t do it, whilst wielding a pin,
Intending to give me a birthday surprise,
But to say where the pin had gone in!

So I’m thankful to her for her skill,
And the attention she paid to my feet –
Let’s make it quite clear, for at least once a year,
The tickling of feet is a treat!

Thursday, 16 July 2009

Do you love the smell of lantus in the evening?




I use two kinds of insulin to control my diabetes – a fast-acting (bolus) one called Novorapid, and a slow-acting (basal) called Lantus. Both have their own particular ‘scent’, but the Lantus is probably the stronger. It’s not an unpleasant aroma. You pick it up when you do an airshot to make sure there are no bubbles of air in the needle. You do this, not because injecting air would do you harm, as it’s only under the skin and not into a vein – but because injecting air means you’re not injecting insulin and therefore not getting a full dose.

Estimating the dose can be an incredibly complex task, as there are so many factors to consider, but in time you begin to get a feeling for what’s right without too much complicated mathematics!



Do you love the smell of lantus in the evening?
Especially when the glucose reading's high?
But too much of it could mean going hypo,
And a late night feast of lucozade and pie.

Do you love the taste of porridge in the morning?
If it's covered with a bolus that's just right.
But working out just how big a bolus
Would even give the Vorderman a fright!

You have to take account of waking sugars,
And if you're going to run a mile or so,
And if that dreaded man-flu you've been feeling
Will need corrective treatment on the go.

Do you love your meter when the reading's normal,
But wish you didn't have to squeeze out blood?
Those fingers, sore from constant piercings
Would rather miss the testing if they could...

Do you sometimes think your body must be stupid
To turn against your pancreas that way?
But thankful that it's something you can manage
If you keep your wits about you day by day.

So, if you've just found out you're diabetic,
As I found out a few short months ago,
Then try to keep your spirits on the high side,
And do your best to keep your 'numbers' low!

Tuesday, 14 July 2009

Sulphonylureas!



I felt the need to challenge myself, not to write some long, elaborate poem,
but one that would use the word sulphonylureas – it’s a type of drug used in the treatment mainly of Type 2 diabetes. A couple of other quick limericks sprang to mind whilst I was pondering it, but I managed it eventually! I’m still looking for a rhyme for thiazolidinediones though…!






A man went for retinal screening
Without really knowing its meaning,
'You'll have drops, then you'll wait
Till your pupils dilate,
Then we'll know if you need laser healing!'

There was a young man who was vexed at all
This talk about lowering cholesterol.
He packed animal fat in
And took simvastatin,
Now he has a fine level of HDL!

There once was a man who was furious
That he'd been prescribed sulphonylureas!
He took gliclazide,
Saw his blood sugar subside,
And concluded it wasn't injurious!