Insulin Pump

Diabetes Offline Support is Important too

“Diabetes is so easy to manage these days.” “Sure he’ll grow out of it by the time he’s 18.” “Is he allowed to eat that??!" and "Oh yeah, my gran has that from eating too much sugar!"

Just some of the things people have said to me when talking about Cayden’s diagnosis for the first time. These statements used to drive me crazy in the early days of diagnosis. I know that people mean well and didn’t make these statements to hurt or offend, they’re just lucky enough to not have to know what type 1 diabetes really is. I was once one of those people.  My name is Pam Kavanagh.  My son Cayden was diagnosed with type 1 diabetes on 12th February, aged 7.  Myself and Cayden attended our first Thriveabetes event in October 2016 and I wanted to share what that experience was like for us and why we are now helping to raise much needed funds to ensure the 2018 conference goes ahead.

FIRST WEEK OF DIAGNOSIS

the kavanagh family

Anyone who has a child with Type 1 diabetes knows what those first days in hospital are like. That day, when you're told your child has diabetes. It’s a rollercoaster of emotion.  You’re in a bubble not quite taking in the enormity of it and what is involved in managing the condition.

Seeing your child take their first ever injection, that’s something I’ll never forget.  How can I do that to him every day?  Then you’re shown how to draw up insulin in a syringe and the best methods of injecting. Four is the floor, you eat X amount of carb for X amount of insulin, and so on… Yeah sure it didn’t sound too bad, pretty straight forward enough until BOOM! -  you’re sent home to start the journey on your own and you very quickly realise what managing diabetes entails and that life would never be the same again.

Guilt set in when I looked back at pictures in the weeks leading up to his diagnosis, why didn’t I realise the seriousness of it sooner.  It felt to me like I was taking home a newborn baby for the very first time only without the joy and excitement.

SUPPORT – WHO TO TURN TO

Previously, in times of trouble or strife, the first people I would turn to were my family and close friends but this time it was different. They couldn’t help in a lot of areas as they didn’t understand.  My husband and I felt lost and alone.

I spent hours on Google everyday looking up information, advice, complications, cures, gadgets, technology and each night I grew more fearful and wished I could take his diabetes from him.  Dr Google turned into Dr Fear. I bought every book there was and watched tons of videos.  Information overload.  This created another struggle as there was so much conflicting information out there regarding optimal blood sugar levels, what he should or should not be eating, what we needed to do to avoid long term complications and so on.

Some of what I read also contradicted what we were taught in the hospital too so I felt at a complete loss, who should I listen to.  I knew I had to connect with other parents living in Ireland dealing with the same struggles as us.

FINDING THE DIABETES ONLINE COMMUNITY & THRIVEABETES

A few weeks after diagnosis, I was getting my own bloods done in a hospital and got chatting to the nurse and her daughter had diabetes.  She recommended I join a closed Facebook group called Parents of children & teens with Type 1 Diabetes. It was in this group that I saw a post about Thriveabetes, a one day conference in Ireland for adults, children & families living with Type 1.  I got in touch with them straight away looking for more information and received a really lovely email from Grainne, one of the co-founders.

MY THRIVEABETES CONFERENCE EXPERIENCE

Thriveabetes 2016 took place at Kilashee Hotel, Naas, Co. Kildare. There was such a great atmosphere in the venue and it was lovely meeting with people I’d chatted to online.  It's hard to describe what it felt like being surrounded by other people who were living with Type 1. In simple terms, the conference felt like a great big bear hug. I was in a room with people that had my back.  I could express my fears and anxieties without fear of being judged or freaking anyone out.

The workshops were split into different groups; Adults with type 1 diabetes were in one room, parents/grandparents of children with Type 1 in another and then three rooms for the children, divided up by age.

The speakers were amazing, in particular Joe Solowiejczyk (or Joe Solo as he's more commonly known) and Gary Scheiner.  Both certified diabetes educators living with type 1 diabetes. Gary has had type 1 for more than 30 years and Joe 50 years.  To see someone standing before your very eyes living well with diabetes for that long made me take a deep breath and smile, I honestly didn’t believe it was possible.  They shared some really great tips for managing diabetes on both a physical and phycological level.

Thriveabetes Conference for Type 1 Diabetes in Ireland

MY SON’S THRIVEABETES CONFERENCE EXPERIENCE

Cayden Making Friends at Thriveabetes

The children were divided into three groups based on their age. There were great activities put on for the kids including puppet making and circus skills workshops and a disco. Each of the children's rooms had volunteers who were experienced in checking blood sugars and dealing with hypos so I had no worries leaving him while I attended the workshops. He made friends for life. The kids also had a group session with Joe Solo. He made a great impression on Cayden. He still asks “When can we go to Thriveabetes again?”

Here's Cayden's experience in his own words :)

Joe Solo at Thriveabetes Ireland 2016

WHAT I GAINED FROM THE EVENT

Hope, courage, positivity, knowledge and a great sense of community. It was the first time since diagnosis where I felt that fear wasn’t ruling me, that things were actually going to be ok.

I learned far more in that one day than I had from months of reading stuff online. The Diabetes online community is like a lifeline but nothing can compare to being together in person and I think we are very lucky to have an event like this in Ireland.  It’s also great for the kids to see other children living with the condition too.

WHY MY FAMILY ARE RAISING FUNDS FOR THRIVEABETES

It's simple: we want to ensure that the next Thriveabetes conference goes ahead.  Thriveabetes is organised by a group of dedicated volunteers living with type 1 diabetes.  Organising an event of such a scale like this is no easy task and I admire the time and effort the team of volunteers put in. I try to help out when I can. The cost of running the event is quite significant.  Ticket sales alone are not enough. Fundraising is crucial to ensure the conference continues and to keep ticket prices reasonable.

FUNDRAISING MUSIC EVENT

My husband, Pete has organised a Fundraising Music Event which will take place on Saturday 12th August in the Moat Theatre, Naas, Co. Kildare. Tickets are €15 and available in advance from The Moat Theatre at this link.  We’re hoping to raise all of the funds required on the night and I would be extremely grateful if you could share the event with everyone you know. If you want to support this event but are unable to attend, you can also make a donation directly to Thriveabetes here.

Musical guests will include; Pete Kavanagh, The Cahill Sisters, Hally and special guest, Luka Bloom.  There will also be a raffle on the night with some great prizes (Currently accepting raffle prize donations; please get in touch if you are interested in helping out).

We asked Luka Bloom to perform at this event because his music has played a special role in our journey so far. We went to see him perform live two weeks before Cayden was diagnosed and he signed a CD to Cayden and our daughter Lilibeth.  Cayden was delighted with this and loves the album.  It was the album that we had on the cd player in the car on the surreal journey home from the hospital, not really knowing what was ahead for us.

It’s become one of Cayden’s favourite albums and one he asks us to play a lot so we chanced our arm and asked him if he would perform.  We were super excited when he kindly agreed.

Cayden saw him perform live for the first time a few weeks ago and he was over the moon when he dedicated a song to him :)

I would be super grateful if you could take a moment to find out more about the fundraiser and share it with your family and friends. It would mean an awful lot. Click here to get tickets.

Thank you so much for taking the time to read this and if you've not been to a Thriveabetes Conference before, I hope it has helped give you a feel as to what to expect at the next conference.

Meeting our Public Representatives

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On Wednesday 22nd June 2016 Diabetes Ireland, People with Diabetes and our National Clinical Leads in Diabetes Strategy briefed TD’s and Senators on the need for extra resources to improve the diabetes service for the 225,000 people living with the condition in Ireland today.  

How did it come about?

This event took place because Davina Lyon a person living with type 1 diabetes from Co. Kildare emailed her local TD’s about lack of services in both Naas and Tallaght Hospitals. And prompted by a call to action from Diabetes Ireland.

Frank O’Rourke, TD for Kildare North responded to Davina’s email and organised for us to have a room in Leinster House to make a presentation to our nation's TD’s and Senators.and invited all of his colleagues to attend.

I was so honoured that Davina, who is a friend through the Diabetes Online Community in Ireland, asked me to be a part of it. Both of us are members of Diabetes Ireland and asked for their advice and guidance on how to prepare for the briefing, which they did in huge quantities. Diabetes Ireland also put in a lot of their own stretched resources into their own preparation for the presentation with press releases and take away printouts for our attendees.

Our delegation grew to include;

Oireachtas Members;

Diabetes Ireland;

  •  Kieran O’Leary, CEO
  •  Hilary Hoey, Chairperson
  •  Anna Clarke, Head of Research & Advocacy.

National Clinical Leads in Diabetes;

  •  Dr. Nuala Murphy, Clinical Lead in Paediatric Diabetes
  •  Dr Ronan Canavan, Outgoing Clinical Lead in Diabetes
  •  Ms Siobhan Horkan,  Programme Manager for the HSE’s Paediatric Diabetes Clinical Programme

Four patient delegates;

  •  Davina Lyon (Kildare),
  •  Elizabeth Murphy (Waterford),
  •  Grainne Flynn (Clare)
  •  Rebecca Flanagan (Clare)

You can find out more about the patient representatives at the end of this post.

When the event was announced publicly, the four of us and Diabetes Ireland went to our diabetes online community asking if people would send emails to their own TD’s to represent them at this briefing. The response was overwhelming! And the true meaning of the word community was reinforced. Each TD we spoke to said they had received several emails and we felt you all in that room with us that day.

What a lot of pressure though, to speak for so many people:-O

 

What happened on the day?

Kieran, Anna, and Hilary from Diabetes Ireland, and Dr Murphy and Ms Horkan, greeted the four of us in Buswells across the street from Leinster House at 11am. With Dr Canavan, arriving in true superhero style; bike helmet and backpack. :-) image2

We knocked back a quick one to steady our nerves!!!! No we didn’t! Three of us discussed our insulin adjustments for the nerves, excitement and the pressure that was causing some high BG’s and we had time for one very strong cup of coffee. Then it was show time!

Over the road we went, but first, get your photo taken;-)

Leinster House Diabetes Delegation

The AV room in Leinster House is much like a small lecture room in a university, seats are not as comfy though. Frank O’Rourke & Mary Butler got us organised and settled.

Rebecca was brave enough to take the baton first. She gave a moving and detailed account of all the daily diabetes tasks that her 16 year old daughter has to do to help her manage her diabetes. We found out afterwards that this surprised a number of people who were under the impression that managing type 1 diabetes only involved eating healthily, taking insulin and forgetting about diabetes the rest of the day.

Davina Lyon spoke next giving her experience of making the very brave decision to go on an insulin pump only to discover that there was a waiting list and the only member of the diabetes team who could provide her with the training to use an insulin pump was on medical leave for the past six months.

Both our advocates spoke about the daily anxieties and concerns we feel living with type 1 diabetes such as the threat of diabetes complications, overdosing our insulin and the exhaustion of working out complicated daily mathematical problems.

Dr Murphy told us how “Right now, consultant paediatric endocrinologists are urgently required in Limerick, Galway and in the South East of the country. In Dublin, paediatric diabetes services are overflowing with insufficient clinic capacity to deliver high quality care. We have a shortfall of consultants, nurses and dietitians in each of our Dublin hospitals and with the new Children’s Hospital pending, planning for these posts needs to happen now”.

“In December 2015, a new paediatric diabetes strategy was launched which put forward a strong platform on which to build a high quality service with equity, local access and support for all children with Type 1 diabetes and their families, regardless of where they live in Ireland. As yet, we have seen no progress on implementing this strategy.”

TDs were informed that not a lot of extra resources were required for this. At present, 10% of the health budget is spent on diabetes annually with 60% of that spent on dealing with diabetes related complications. If just 0.4% (€5m) of that annual spend was re-directed towards funding the paediatric diabetes strategy, huge financial savings from preventing diabetes related complications would be accrued in future years” added Dr Murphy.

Dr Canavan, Consultant Endocrinologist, St Vincent’s & Loughlinstown Hospitals said “we have the costed strategies for paediatric, adult Type 1 & Type 2 diabetes that will address health inequalities, quality of life and health service planning to minimise expenditure and maximise patient care.

“We know that we can reduce the staggering amount spent on complications each year. In the past few years, the diabetes community has worked with the HSE in reducing the cost of diabetes medications and devices, making financial savings. We need those savings reallocated to providing the manpower resources to cope with the rising numbers and to encourage more effective daily management and better health outcomes. We need a multi-annual resource commitment to achieve this, rather than the annual “cap in hand” approach we all go through to try and get a few additional posts each year.

In time, we will then see a reduction in annual diabetes complications spending which will be good for the exchequer and more importantly quality of life”.

The presentations ended with a question and answer session from our TD’s.

It’s ironic that we, healthy people with diabetes, were there asking for an investment into keeping us healthy. Yet, if we had complications we would have a lot of what we need to manage those. Cart before the horse!

 

What were we asking for (the short version)?

The HSE has put measures in place that have reduced the cost of diabetes medications and devices, making financial savings.

We want those savings reallocated to providing the manpower resources below. We, (the service providers and the HSE) need to;

➜ Continue to support and implement the Type 2 Diabetes Cycle of Care Programme

➜ Implementation of the Paediatric Diabetes Model of Care

➜ Publish and implement the Adult with Diabetes Model of Care.

To do the above We need you, our TD’s and policy makers, to;

➜ Commit to a multi-annual funding programme to ensure that funding is in place for all of the above ➜ And that it is implemented in a timely manner.

 

Wrap it up!

We had to clear out of the AV room to allow the next group in. And the questions and discussions continued outside. Of course, before you leave always, always, get a photo inside the gates of Leinster House with purple socks in it!image2 (3)

Then we grabbed a lunch, hightailed it outta Dublin to make it home in time for your daughter’s 6th class graduation mass.

The four of us have received emails from various TD’s since Wednesday stating that they are supportive of what we are asking for and to keep them informed. Diabetes Ireland has another roundup of what happens next here.

And of course watch this space!!!

 

Huge thanks has to go to;

Frank O’Rourke, Mary Butler, Diabetes Ireland, Davina Lyon (all starts with her folks!!!), To our DOC. And to the gentleman who picked up my phone that I dropped & lost as I got out of the taxi and to Davina for picking up my handbag that I had forgotten all about and left in the AV room. Oops!

 

Who are your patient reps?

Davina Lyon; is a person with type 1 diabetes for 8 years from Kildare, a diabetes advocate, diabetes blogger and co-founder of the Diabetes T1 Ireland website and facebook page, which is aimed at providing information and support to people living with type 1 diabetes. Read Davina's review of the briefing here.

Elizabeth Murphy; is a person with type 1 diabetes for 40 years from Waterford, a diabetes advocate and works in information technology services.

Rebecca Flanagan; is mother to three very beautiful girls, her oldest, a 16 year old with type 1 diabetes for 8 years. Rebecca and her family live in Co. Clare. Rebecca is a diabetes advocate, marathon runner always raising money for diabetes and is co-founder of Thriveabetes. She also runs her own self catering business.

Grainne Flynn; is a person with type 1 diabetes for 23 years, originally from  Offaly, now living in Clare. She is a Diabetes Ireland volunteer, Diabetes Blogger, and Co-Founder & Event Organiser of Thriveabetes.

 

Diabetes Day in the Dail

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Diabetes Day At the DailOn Wednesday 22 June in Leinster House, Diabetes Ireland is briefing TDs and Senators on current diabetes services and what future services are required to support the diabetes community nationally in the coming years. Myself, Rebecca Flanagan, Davina Lyon & Elizabeth Murphy have been invited to attend this event with both Rebecca, a parent of a child with type 1 diabetes, & Davina, an adult with type 1 diabetes, making personal statements. Next week I hope to fill you all in on how it went.

If you are reading this post early on the 21st and have a couple of minutes we would very much appreciated it if you would email your local TDs and ask them to represent you or your family member at this briefing. You can find email addresses for all of them here; Who is my TD?

Speakers will include Dr Nuala Murphy, Consultant Paediatric Endocrinologist and National Clinical Lead in Paediatric Diabetes, Dr Ronan Canavan, Consultant Endocrinologist, National Clinical Lead in Adult Diabetes and our four patient representatives.

 

On a completely different note - We want to hear your stories!

Over a number of months we have been featuring your diabetes stories. And you have all been fantastic! We would love to hear from more of you. Are you a diabetes veteran but new to the Irish Diabetes Online Community? Have you raised a child with diabetes who is now an adult? Are you a young adult still getting use to doing it without your parents? Basically, if you have something you want to say or a story to tell - we want to hear it.

This is the list of people we have featured over the last couple of years;

Email me at Grainne@thriveabetes.ie