Don’t drink Coke and drive

Todd Peebler, the son of our father’s late business partner, is a Type 1 diabetic. Driving to a new job in Idaho, he realized his blood sugar was down to 69, so he drank a Coke and kept driving. After two hours in a semi-blackout, he came to on an isolated mountain road, his car stuck hopelessly in the snow. He started hiking out with his small dog, Lola. He tells his story of survival here:

So the first day I walked about 10 hours and then finally had to get off of the trail. The trail, mind you now, is almost impossible to walk. It was near the end of the ski season and while there was still snow on the ground, it was very soft. So I would take one step and then have that leg sink about four feet, then pull that leg out and do it again. This made it incredibly tiring and incredibly hard to move, especially at about 9,000 feet. But after 10 hours on the trail I saw an opening about 500 yards below the trail where there was some dry land. Lola and I made our way down to that cleared-out area. We were so happy to rest but at the same time so cold, so I opened my backpack, which felt like I was carrying a pack of bricks, and removed the one thing I could use to start a fire, and that was the latest edition of Lapham’s Quarterly. I started tearing it apart to create kindling for the fire. Luckily, I had a lighter on me for some reason and I was able to start a fire, and Lola and I slept practically on top of that fire the first night as it was so cold on the side of the mountain.

Day 2 started very early as it was freezing out again, and I only had a pair of Levi jean-style cords and a couple of T-shirts that I was wearing under a hoodie and a windbreaker. So with Lola in her bag and me carrying her, we start out again. However, today we are much higher up on the mountain and the snow is nowhere near sturdy, so about 15 minutes into Day 2 the strap on Lola’s bag breaks and she went tumbling down the mountain. I mean ass over tea kettle for about 700 yards down the mountain. I then get in a sit-down position and slide right down there to get her. When I got to her I noticed that my slide had ripped the ass out of my pants, and now my pants only covered the back of my legs from my knees down. I also at that point realized that there was no way with the snow as soft as it was that I could make it back up the mountain and back onto the original road. Then the oddest line crawled into my head and it is from Jack Donaghy from 30 Rock who told Liz Lemon on one episode that when all seems lost, the only way to win is to go deeper into the abyss, and so I did. I jerry rigged Lola’s bag, ditched my backpack and then jumped into the river. I did not walk next to the river or beside it but rather in it. For nine and a half hours I walked in the freezing river, occasionally stopping to drink from the river as I had no snacks or drinks.

After that horrible, horrible day, I pulled myself out of the river and took refuge behind a misshapen trunk of a tree. I was so cold, though, as I could not start a fire this night because I slipped in the river and basically soaked everything I had on me, lighter included. The EMT guy later told me that the temperature dropped that night down to single digits and I was out there sleeping or trying to sleep in ripped pants soaked in water and with no end to this journey in sight.

When I lay down for bed that night I took Lola and put her under my T-shirts trying to use our body heat to keep each other warm because, to be honest, I did not think I was going to wake up. I thought for sure that I was going die, freezing and alone. But somehow I made it through the evening.

On Day 3 the earth was frozen and the wind with its chilly bite was killing any motivation I had. I thought for sure this is just how it ends. But then I realized that with all this cold, maybe the snow got more compact and thus I could walk on it. Funny enough, that was true—the cold was going to be my only way out, and so, yes, I went deeper into the abyss. So I started out on Day 3 at about 6:30 a.m. and was able to walk at a good pace because the snow had frozen over. So after crossing over two more beaver ponds, which were very deep, I heard some dogs barking in the distance, and finally by 11:30 a.m. I spotted another human being.

Doctors told Todd he’d have been dead in a few more hours. Instead, he’s expected to make a full recovery.

Syringe Vs. Pen

insulin_in_a_bottleI am a type 2 diabetic but I am insulin dependent. I inject Lantus once a day in the evening. My many diabetic standards, I’ve got it pretty easy. I use a syringe mostly because that’s what my first doctor started me on. He said I could switch to a pen but he thought it would be good if I learned to use the syringe first. Someone recently questioned me about it and wondered why I wouldn’t use a pen. A syringe, such a barbaric device. I think I still like the syringe because it gives me complete control. I control exactly how and how fast the needle enters my body. I push the plunger just the way I like. There’s just something about the pen that creeps me out.

I have a desperate fear of needles and it was the thing that scared me most about being diagnosed with diabetes. For a long time fear of the needle motivated me to keep my sugars in line, but eventually it wasn’t enough. When it finally came time to use insulin I was sure I would never be able to do it. I hate needles and now I would have to face one every single night.

I think for some people the syringe creeps them out because it’s so raw. The pen neatly and nicely encapsulates everything into a package. With the syringe it’s all out there. I still hold out hope for an insulin nanobot that lives in the bloodstream, automatically secreting insulin when needed. Then everyone could be free from the needle.

Disruptive Sleep Patterns Can Cause Diabetes

PillowsBad news for night shift workers and others who don’t get proper sleep, if your normal circadian rhythm gets too out of whack, diabetes can result. A new major study at Brigham and Women’s Hospital in Boston took 21 healthy people and purposely disrupted their natural internal clocks. Within days, eating a normal meal caused glucose levels to rise much higher than normal and stay that way for hours. Some volunteers even became fully pre-diabetic after a time. Fortunately after several days of normal sleep their symptoms disappeared.

The study clearly demonstrates that night shift work or any other disruption of a persons body clock can cause diabetes. For people who already have diabetes, conditions just get worse. We have always known good sleep is important for a variety of health reasons, but now for diabetes, it’s something to really pay attention to even more carefully.

Mac & Cheese Updates Recipe For Lower Fat/Calories

Mac and CheeseIf you’re a parent like me, you make a lot of Kraft Macaroni and Cheese. It may not be the healthiest thing you can feed your kids, but as you may have noticed, it’s one of the few things many young ones will eat nearly all the time. The traditional Mac recipe calls for 3 tablespoons of butter and when I cut this measurement off the butter stick it always looks to me like a massive amount of butter. I always feel bad about it and wonder if all that butter is really necessary.

It turns out it’s not. While making Mac and Cheese for my daughter tonight I dutifully followed the directions as usual, but this time for butter it called for half a tablespoon. I stopped and read it again. I looked at the markings on my butter stick. Half a tablespoon is like nothing. I had to read the box yet again. I was so confused until I noticed a small chart at the bottom of the box that compared the regular recipe with the “traditional” recipe.

 Suggested Prep Traditional Prep  
Calories  290  420
 Fat  5g  19g
 Trans Fat  0g  4g
 Sodium  590mg  730mg

 

As you can see the new recipe cuts down calories, fat and sodium considerably. Now you still have that crazy powdered cheese, but no doubt this is a much healthier way to prepare a children’s favorite. I had not heard any particular national outcry over Mac and Cheese although I don’t doubt mothers have been complaining about it quietly for years. Wether on their own or by some public pressure, good on Kraft for updating their recipe for the beter. Now if we can just work on those chicken nuggets.

Stomach surgery can cure Type 2 diabetes

Stomach surgery can cure Type 2 diabetes, according to two new studies. Surgery works better than medicine alone, researchers concluded.

The studies tested three types of surgery that reduce the size of the stomach and bypass part of the small intestine.

In the first study, conducted at the Cleveland Clinic, some 40 percent of patients who had surgery had much better control of their blood sugar, while just 12 percent of patients who did not have the operation obtained that good outcome.

The second study, conducted in Italy, achieved even better results. Gastric bypass surgery put 75 percent of patients into full remission from diabetes, while a more extreme type of surgery that bypasses more of the intestines, biliopancreatic diversion, led to a 95 percent remission rate.

Patients in the studies were randomly selected for surgery or treatment with medications.

Patients who can’t control their blood sugar through dieting, exercise and medication are good candidates for stomach surgery, says Philip Schauer, a surgeon at the Cleveland Clinic. “More than 50 percent of patients with Type 2 [diabetes] are not in good blood sugar control,”  Schauer said. “The current strategy is not working well for them.”

“People who have quite marked obesity who have diabetes that fails to respond to lifestyle [changes] and medication should be considered for surgery,” said Vivian Fonseca, president for medicine and science at ADA. “But it’s not for everyone.”

Sugar As Dangerous As Tobacco And Alcohol?

Skull and Crossbones CupcakePressure to regulate sugar is growing as new studies suggest sugar could be as harmful as tobacco and alcohol. Professor Robert Lustig of the University of California, San Francisco  says increased global consumption of sugar was responsible for many chronic diseases that are reaching epidemic levels. The UCSF group contends sugar is now so intrenched into society and culture it will take more than awareness and education campaigns to get people to cut back on sugar. They are advocating government involvement and policy changes be put into effect. “It [sugar] meets all the criteria for societal intervention that alcohol and tobacco meet” said Lustig.

In Europe, several countries have passed laws penalizing food choices. In Denmark, there is a tax on saturated fat and in France a tax on soft drinks.

With the exploding waistline of the United States as well as rapidly increased diabetes, I don’t doubt these suggestions, but regulating food intake here in the US will never fly. Universal health care, yes, bring it on, but keep your hands off my Twinkies. The FDA agrees with me, demonizing food rarely helps the situation.

Here’s something I know is not helping, the avalanche of high sugar and carb food items foisted on us daily, many of them positioned as healthy. I am talking specifically of the wide variety of juices and “natural” drinks that have flooded the market recently. They all talk about their various health benefits while completely ignoring the fact that they are chock full of sugar. And people drink this stuff up, thinking they are doing something good for themselves.

As much as I don’t like or trust the companies producing this junk, I trust the government less and I am not for their intervention. Do  I have a brilliant solution to the problem? Nope. But maybe if enough of us talk about it and share that word across social media outlets, maybe, we can make an impact.

Gluten-Free Not An Advantage For Diabetics

Gluten FreeI live in Portland, OR which I consider the gluten-free capital of the world. Never in my life have I seen more gluten-free products and signage on stores. If you have gluten problems, Portland would be a great place to live.

A new German study contradicts a previous study which held that babies whose diets included gluten in the first months of life were at greater risk for developing type 1 diabetes. According to this new study, having a gluten-free diet for babies will not lower the risk of type 1 diabetes. One percent of the U.S. population does have celiac disease which is linked to gluten. Researchers looked at a possible relationship between celiac disease and diabetes but found none.

Injecting Insulin In Public

Insulin InjectionDiabetes Daily asks: Is it ok to Inject Insulin in Public? Follow the link to read the responses, I will leave mine here.

Because I view insulin as one of the key components that now keeps me alive and healthy, i’ll do whatever I have to do where ever I have to do it. I can see where it would be a strange thing possibly for others let alone the diabetic and I do have a story about it.

When I was first injecting insulin, I found myself at a beach party for my daughter. There we were on the beach and it was time to take some insulin. I got my needle and my insulin bottle and headed to the bathroom. This being a beach bathroom, there was no place to set down a bottle or set anything up at all. Also, there was dirty sand and water everywhere. It was a beach bathroom, what do you expect? I didn’t see any other way about it so I went to the car to inject. There I was, sitting in the front seat of the car in a parking lot sticking a needle into myself. What I was most freaked out about was someone walking by and figuring I was taking drugs. I was in a similar situation when at a social media conference in Las Vegas. I was at a party in a hotel room and it was time for my insulin. I was staying at a different hotel, so I couldn’t go back to my own room, so I went into their bathroom. As I was discarding my needle in the trash there I wondered if someone would think, oh, someone shot up at my party! Needles are most associated with drug use in the common vernacular and that is one of the downsides of being diabetic.

It’s ultimately a personal choice, but I see no reason to feel bad about injecting in public. Sometimes you just don’t have a good place to go for privacy and you have to do what you have to do. The worst thing that’s going to actually happen is you will get dragged into a conversation about your diabetes. Personally that’s ultimately the one thing I don’t want to happen.

More FDA Warnings – This Time Statins


Zocor

The FDA has issued yet another warning this week, this time for the cholesterol-fighting drugs called statins. These include Lipitor, Lescol, Pravachol, Crestor, Mevacor, Altoprev, Livalo and Zocor. It appears this class of drugs can raise blood sugar and cause memory loss. Of course this is a double edged sword because many diabetics also suffer from high cholesterol and need effective medicine for that. So far, most doctors are saying the huge success of statins in preventing heart disease far outweighs the slight rick of higher blood sugar. The FDA warning still simply be an addition to the label and most doctors will not hesitate to keep prescribing statins. An interesting note, Lipitor is now the world’s all-time biggest selling prescription medicine with cumulative sales in excess of $130 billion.

Possible Pancreatic Problems With Januvia

JanuviaAlready my doctor has taken me off the diabetes drug Actos as it has a possible link with bladder cancer. Now I read of insufficient testing for the drug Januvia, which I also take. The FDA is not satisfied and has warned drug maker Merck to complete a three month study to determine if Januvia inflames the pancreas.

I would have really thought studies like these would be completed well before the marketing of any drug. I’m not sure if we are simply rushing more dugs into the pipeline without adequate testing or if there are effects that cannot be determined before a drug is released to the mass population. It kind of makes you want to try to control your diabetes with diet and exercise more rather than rely on drugs that may be worse than the disease. This might be a good time to check with your doctor to make sure all the drugs you are on are clear of possible issues.