Thriveabetes

A Path to a Supportive Diabetes Community

Davina-Lyon-e1504012429172.jpg

Finding sources of support to help you in your life with diabetes isn't always easy. A few short years ago it was extremely difficult but then the world of social media came along and opened up so many doors to us. This week's Thriveabetes blog post comes from Davina Lyon, Co Founder of the Diabetes T One website and Thriveabetes event organiser. Davina was diagnosed with type 1 diabetes almost 10 years ago in her late forties. Her post this week takes us through her diagnosis and how she found support from the diabetes community.

 

My Path to Diabetes Support

by Davina Lyon.

Davina at Thriveabetes 2016

It's tough going back and remembering my diabetes journey from first diagnosis to now, but I feel it's important to tell my personal story, it might just help someone else who is struggling, confused, frightened and feeling alone.

In 1994, before diabetes, I was diagnosed with Graves Disease (overactive thyroid) at age 35. Graves Disease affected every part of me including the electrical system in my heart and in 1999, after several heart attacks and stays in ICU, I had a keyhole heart surgery called an AV Node ablation for Supraventricular tachycardia (SVT), which is an abnormally fast heart rhythm arising from improper electrical activity in the upper part of the heart. This fixed the problem and I got away with not needing a pacemaker.

In September 2006, I thought I was out of remission with Graves, because I had been unwell again. I scheduled a visit to my GP and it was then, when my blood glucose was tested, that I was misdiagnosed with Type 2 diabetes. Because I was 47 years old type 2 seemed more likely.

Needless to say things didn't improve with oral meds and to cut a long story short, further tests in December 2007 established that I actually had Type 1 diabetes. This was my second autoimmune disease but this one would be with me for the rest of my life.

The months that followed were some of my darkest, I just couldn't stop crying, I didn't want to leave the house and the very thought of food made me panic. To say the diagnosis knocked me sideways is putting it mildly.

Although I felt I couldn't function, I didn't consider this depression and still don't. It was shock, isolation, crippling fear and absolutely no support. I was torn between being terrified of going to sleep at night in case a hypo killed me. On the other hand, if I fell asleep and didn't wake, I wouldn't feel sad anymore and I wouldn't be lonely.

I didn't have anyone else to lean on. I had raised my daughters alone since they were 9 and 13, now adults. My instinct was to shield them, protect them and not cause them to worry. My siblings were totally intolerant of it (my diabetes), they thought I was attention seeking and felt I should be able to continue my life as before and "do whatever I had to do at home in private". They couldn’t understand why I needed to take insulin injections in public or why so often. They thought I was being very OCD!

My Sunrise moment: The start of finding support!

Two months after my official diagnosis of Type 1 diabetes, the hospital phoned requesting I attend a 3-day carb counting course, it was necessary they said, all newly diagnosed must attend. I agreed but I didn't want to.

On day one, I managed to dry my tears for long enough to get the bus to Naas hospital where, for the first time, I met others with Type 1. I can't describe the relief I felt that day, of being able to talk to others about it, we all tested blood at the lunch table, followed by injecting insulin. It felt like a whole other world, and I had found it.

I left the hospital that evening and headed for the bus home, I think it was the first time I'd smiled in many months, then I fell, smashed my face off a wall, broke my toe and had to pick my broken piece of tooth out of my lip. I got home with blood all down my coat & badly shaken.

I still turned up to the course for the next two days, even with the cuts, the fat lip and black eye. I limped in with my broken toe strapped to the next one and full of painkillers because it was the first time I had enjoyed something and felt good in a long time.

I loved the feeling that I was one of the gang, a member of the club. That was my first experience of diabetes support and being a part of the diabetes community.

After that, things took a positive turn, Dr Google and I became good friends. Through Google I found diabetes websites and lots of Type 1 diabetes information. I found Facebook pages and then of course I stumbled across private Facebook groups. It took endless hours on the internet but I found them. I could then learn from others experience, ask questions and eventually go on to get involved in advocacy with others.

Support when living with diabetes is so important. It's about not feeling lost and alone, scared and confused. For me, finding that support was like finding the road home. It's a pity the hospital didn't hand out a printed sheet with all the information of online support to me.

I became used to talking about it and I had started to open up to my daughters about it all. One of them arrived home one day with a 44 page print out, A "Type 1 Diabetes Starter Kit". I read every word, I still have it in a folder in the kitchen with my other diabetes related stuff.

Type 1 Diabetes Starter Kit; A Guide for Newly Diagnosed Adults

I couldn't help but wonder about the Authors: Kate Gilbert, Dr Alison Nankervis, Diabetes Educator, Kerrie-Anne Arnold, Gráinne Flynn, Dr. Anna Clarke). In my mind I imagined they must be people who knew their stuff, working in private practice. They would remain faceless names I'd likely come across time and time again but as they probably lived far,far away and the chance of crossing paths with them was slim.

It is because of my personal struggle, that Diabetes T One was founded. I just couldn't bear the thoughts of anyone going through what I went through. My aim became raising diabetes awareness, diabetes advocacy and diabetes support in the hope that others joining our community didn't feel quite so isolated, scared and alone.

The diabetes online community are brilliant support, but I also love the opportunity of meeting up with other t1s while on mutual missions, or just to hang out and have a coffee when I get the chance.

My closing thoughts: I firmly believe knowledge is power, even if that knowledge is difficult to take on board sometimes. Today I live side by side with my type 1 diabetes, I respect that "it" is in control, and I use what tools I have to carefully manage it. I have made peace with it and no longer see it as the monster that once instilled a crippling fear in me.

Type 1 doesn't define me but it has played a part in what made me who I am today. I am a Mum, I am a Grandmother, an Advocate and so much more. Type 1 diabetes is in me, and with me, but it's not who I am. I'm not a "diabetic", I am a person with Type 1 diabetes, we are a package deal.

*If you are reading this and know someone who is diagnosed with diabetes, or their child is diagnosed with diabetes all you need to do is comment on this blog to get in touch with us. We can then help to get you the support you need

PS : As for those authors of the Type 1 Diabetes Starter Kit? Some are no longer faceless names ...... instead, they are my inspiration!

I'm Davina Lyon, I'm not a professional, just a person With Type 1 Diabetes sharing my experience.

 

Thank you so much to Davina for sharing her story with us. If any of you are looking for more in terms of online or offline support in living with diabetes; click on this link.

Happy Blogaversary

The very first post on the Thriveabetes blog was the 28th January 2015 - the blog has been running for 2 years!!! I'd like to celebrate our Blogaversary by through it back to you. We have covered so much in two years and I have to say I'm enjoy posting your stories that you have bravely shared with us. Now I need some fresh ideas and I've put together a brief survey to find out what you like to read.

It should only take a couple of minutes and I'd really, really appreciate it if you could fill it out.

Thriveabetes Reader Feedback

 

Would you like to write for us? Contact me via email at Grainne@thriveabetes.ie

 

images

Accessing Insulin Pumps

IMG_0077 AnimasThe buzzword in diabetes care these days seems to be “Insulin Pump”. And there is a lot of frustration in the diabetes community about the lack of availability of them. NOTE: If you have a child with type 1 diabetes age 6 years or younger; you should have access to an insulin pump almost immediately as per the HSE’s “ Model of Care for the Provision of Insulin Pumps for the treatment of Type 1 Diabetes in the Under Five Age Group” see here.

So, I thought I would pull together some of the information I have into a post to help people increase their odds of getting any piece of diabetes tech. Plus, dispel some myths around insulin pump therapy and accessibility.

Thank you to Davina Lyon from Diabetes T One for the suggestion for this post.

It might seem like some people have unlimited access to all of this technology but most people with type 1 diabetes in Ireland do not! Mostly people gain access to this tech by being knowledgeable, persistent and not being deterred. Oh, yes, and they also attend a diabetes clinic that offers all of this.

Firstly, The FreeStyle Libre is available to buy in Ireland since November 2016. So there is only one significant block to accessing this technology - affordability. The application process to have this device included on the Long Term Illness Scheme is ongoing and we will keep you informed. This website; http://www.freestylelibre.ie/ is where you can buy the Libre.

 

 

Whether it’s an Insulin Pump or a Continuous Glucose Monitor (CGM) that you're after, or just curious about, here is my advice to you on finding out more;

  1. Do your homework!

Find out as much as you can from different manufacturers websites, from reputable diabetes websites and from online support groups. And not just in Ireland-go beyond. Start with this really good website; InPut Diabetes, for finding out the basics about how all these diabetes devices work.

The companies offering insulin pumps in Ireland are; Animas - Rep of Ireland Telephone; 1800 812 715, Email: https://www.animascorp.co.uk/contact Medtronic - Rep of Ireland Telephone; 01 5111499, Email: https://www.medtronic-diabetes.ie/contact-medtronic-diabetes

Other pumps available in Ireland but not included in the HSE tender; Roche (Insulin Pump only… for the moment) Rep of Ireland Telephone; 1800 882351, Website; https://www.accu-chek.co.uk/gb/products/insulinpumps/index.html?product=insight

IMG_0123 Medtronic 2. Decide if the piece of technology is for you.

These devices do not work for some people and may require huge changes in your lifestyle. When I was deciding if I wanted to take the insulin pump leap a friend gave me this book to read; Insulin Pump Therapy Demystified: An Essential Guide for Everyone Pumping Insulin by Gabrielle Kaplan-Mayer available from Amazon.co.uk

3. Does your diabetes clinic or consultant run an insulin pump programme?

This is really important! There are a number of clinics who do not have the resources to run insulin pump programmes, which means they cannot offer you what they don’t have. They also might be embarrassed about not being able to offer this programme to you and may suggest that you are not a suitable candidate. This really tests your commitment because you might have to change clinics and consultants to pursue it.

4.Now, you can talk to your Diabetes team about your idea.

Have your research ready to present and be ready to state exactly what you think this piece of technology will do for your diabetes management and be as specific as you can.

 

THE APPLICATION PROCESS This is, actually, the most straight forward bit of the complete process. Really it is! All the hard graft has been done.

Once your diabetes team agrees to submit an application for the HSE funding for your diabetes technology I would suggest that you ask that they include you in all correspondence. This might require a couple of phone calls to your clinic to request copies of letters/replies to/from the HSE.

The next step is either funding approved or denied. If you are approved then you will need to coordinate with your diabetes team to schedule your training. Again, this might require a number of phone calls and navigating the availability of the specialist trainer which in some clinics can be very frustrating. See Davina’s blog post re; 3 rescheduled pump start dates;

 

HOW I GOT MY INSULIN PUMP AND CGM

I have written about my journey to an insulin pump and how I got my CGM on my personal blog page; Blood Sugar Trampoline. There is a bit more detail there, plus, I wrote it when it was all fresh in my mind. Here are some of the basics. And you can read Davina's experience above, along with other members of the Irish Diabetes online Commuity here.

I began my journey to my Insulin Pump in 2008. I had decided that maybe I should investigate what it was and how it worked. I turned to the internet and the dozens of online communities in the English speaking world for more information, I met some sales reps at diabetes conferences and acquired more reading material and I read a book specifically on insulin pumping. The more I read the more my decision was made.

The first bump in my journey was discovering that my consultant didn’t have the funding to offer an Insulin Pump programme and therefore couldn't offer me one. At this point, I was part of a type 1 diabetes support group that met often in Ennis, Co. Clare and had found out from another member of the group about a consultant who did offer insulin pumps.

I had a good relationship with my Endo and asked if she would be ok with me transferring to another consultant and she wrote me a referral. She was AWESOME!!! I’m still sad that she moved.

Between a letter of reference being mislaid, a waiting list being very long and lots of phone calls from me following up with everyone concerned I finally got connected to my pump on June 3rd 2010.

Knowledge, determination and persistence - all with lots of politeness, paid off. It continued to pay off when my insulin pump was due for an upgrade and the availability of a CGM became a possibility. I got this in November 2015. I wrote about the process I went there for that here.

 

I hope that this post has cleared up some misunderstanding around the whole topic of accessing diabetes technology and maybe helped you in your quest.

Here are some of the funding options available to you for accessing a CGM.

We are always looking for stories from the Irish Diabetes community to share and if you would like to share your story with Thriveabetes, email me, Gráinne at Grainne@Thriveabetes.ie