14 augusti 2019 |  Diabetes

Diabetes and complications #DBW2019

2016. I didn’t know that my fear of getting a high blood sugar was going to change my future. I wasn’t eating enough, wasn’t happy and I could not see the problems…
This picture was taken a few hours later (than the above). So tired, didn’t had the energy at all.
2019 – Not afraid of eating not afraid of asking for help and excited for what life has to offer

Diabetes has a strong connection to horrible and severe complications. However, this must be seen in conjunction with the limited treatment options that existed previously and that the complications that we now see are the result of the treatment that was given many years ago. As the development has progressed strongly (treatment method, mental attitude, support, medication, awareness of risk factors, etc.), the risk of complications seems to be steadily decreasing.

Ever since I got diabetes, I have always had the attitude of a daily life with a life with diabetes that I have to manage my diabetes in the best possible way. Partly because I know I’m feeling better if I have a good blood sugar curve, and partly because I know that the risks of complications will then decrease.

I have received good support from both hospitals and family / friends and I believe that this is probably a reason of why I haven’t, after 18 years, received any ”classic” medical complications of my diabetes.

But one important complication that hasn’t always been noticed and that I want to address here is the risk of eating disorders as a result of diabetes. There has always been a ambition for me to keep a stable blood sugar curve and to manage everything in the ”right” way. Pressures from doctors, outsiders, colleagues, social media made me begin to see food in a different way after a few years, which led me, as a diabetic, to misunderstand that I shouldn’t eat carbohydrates, among other things. I started slowly but surely exercising more and eating less and less carbohydrates. Just to keep a more stable blood sugar curve. With these choices, together with other concerns, I felt worse. This meant that I was diagnosed with Anorexia Nervosa in 2017. Fortunately, this risk has been increasingly noticed.

Together with the help from my family, friends, diabetes doctors and CBT treatment, I was able to return to a healthy life again. But the road was long and tough and some days the ”non-healthy” thoughts are coming back.

With today’s difficulties in getting help with both a chronic illness such as diabetes and a mental illness, I know that finding the right help can be difficult. Being tied to a disease where food is a central part of life can cause big problems when food becomes a problem. Today, more and more problems with food are affecting people with diabetes. That may not be so strange when food is and are the focus of everyday life to successfully maintain a stable blood sugar. But I know that we are moving towards better methods for diabetics to get help on time. Hang in there, and don’t be afraid of talking about it.

Diabetes har en stark koppling till hemska och svåra komplikationer. Detta måste ändå ses tillsammans med de begränsade behandlingsmöjligheter som fanns tidigare och att de komplikationer som vi nu ser är resultatet av den behandling som gavs för många år sedan.  I takt med att utvecklingen gått starkt framåt (behandlingsmetod, mental inställning, support, mediciner, uppmärksammande av riskfaktorer etc) tycks komplikationsrisken stadigt minska.

Jag har sedan jag fick diabetes alltid haft inställningen till en vardag med ett liv med diabetes att jag måste sköta min diabetes på bästa möjliga sätt. Dels för att jag vet att jag mår bättre om jag har en bra blodsockerkurva, dels för att jag vet att riskerna för komplikationer då minskar.

Jag har fått bra stöd från både sjukhus och familj/vänner och det är förmodligen en del i varför jag idag inte, efter 18 år, har fått några ”klassiska” medicinska komplikationer av min diabetes.

Men en viktig komplikation som inte alltid har uppmärksammats och som jag vill ta upp här är risken för ätstörningar som ett resultat av diabetes. Det har alltid funnits ett driv i mig att hålla en stabil blodsockerkurva och att sköta allt på ”rätt” sätt. Påtryckningar från läkare, utomstående, kollegor, social media fick mig att börja se mat på ett annat sätt efter några år, vilket ledde till att jag som diabetiker missuppfattade att jag inte skulle äta bland annat kolhydrater. Jag började sakta men säkert träna mer och äta allt mindre kolhydrater. Bara för att hålla en mer stabil blodsockerkurva. I och med dessa val tillsammans med andra bekymmer mådde jag allt sämre. Detta innebar att jag 2017 fick diagnosen Anorexia Nervosa. Lyckligtvis har denna risk uppmärksammats allt mer.

Tillsammans med hjälp från min familj, vänner, diabetesläkare och kbt-behandling kunde jag hitta tillbaka till ett hälsosamt liv igen. Men vägen var lång och tuff och vissa dagar kommer de ”icke-friska” tankarna tillbaka. I och med svårigheter idag att få hjälp med en både en kronisk sjukdom som diabetes och en psykisk sjukdom vet jag om att det kan vara svårt att hitta rätt hjälp. Att vara bunden till en sjukdom där mat är en central del kan ställa till det när maten blir ett problem. Idag drabbas fler och fler av matproblematik för personer som har diabetes. Det i sig är kanske inte så konstigt när maten kan vara det största fokus i vardagen för att lyckas hålla ett stabilt blodsocker. Men jag vet att vi är på väg mot bättre metoder för att diabetiker ska få hjälp i tid.

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@saramoback

For me it is important to eat a balanced diet and for me it means that I eat a little of everything. There is no "no" food and there is nothing that I remove from my diet if it is something I actually like. I am not a lover of pasta, but when we had settled down at this restaurant the other day, the only thing that was available that was gluten free (yes, I have celiac as well) was pasta. I think it is important that I can feel that there is no danger around food or bloodsugar, even though it is carbs, and that pasta wasn’t in my mind during the day, but it was delicious!!!



We all make our choices. I encourage you to make choices that are good for YOU, and YOUR body. I sometimes eat low carb food, sometimes salad, sometimes I eat pizza. A balanced diet. I choose the food I crave and I have learned that my diabetes doesn’t have to be an obstacle. We will all make mistakes, and that's normal.



To eat out can be a challenge, but it doesn’t means it will stop you from trying it enjoying the company 🌸



After recovering from my eating disorder, it is important that I fuel my body with energy and nutrition. But also to make sure to eat delicious chocolate/bread or whatever it is I’m craving that day 💕
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I am so happy and grateful that this is only a temporary moment. I know many people are worse off than I am, but sometimes it is difficult to find strength in what belongs to my everyday life. And these are feelings that I am aware of are normal.



Life goes up and down and it can be tough that emotions you never felt before shows up. I think it's part of experiencing life and learning new things about myself.



The most important thing I feel at the moment, is that I am surrounded by people who encourage and loves me! There are many fun things I have planned and I know I have a very fun summer to look forward to 💕
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I have had a very good weekend 💕 The pain becomes less painful and it becomes easier to live a more “normal” life (what that means). But there is a lot to work on. During the weekend I have occasionally cried, laughed and felt incredibly weak. But the positive thing is I haven’t been alone.



The mental part is still something I need to work on. I take one thing at a time. Because I know I am stronger that I think I am, and it’s okey to not be okey ❤️
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