Several of my readers are those with diabetes. To you, you know what it's like living day in and day out with a disease for which there is no cure. It's daunting, it's confusing, and sometimes, it's downright depressing. Other times, you might forget you have diabetes, if only for a few glorious, freeing moments.
For those of my readers who do not have diabetes, perhaps the disease is just something that your grandmother has or something you think is caused by eating too much sugar. Perhaps you don't think much about diabetes because it's either not a part of your life or it's just too scary to dwell on.
No matter who you are or how you feel about diabetes, it exists, it's real, it's my life.
So here is a day in the life of type I diabetes:
Every morning when I wake up I think about diabetes. I wonder if I hit my snooze four times because my
blood sugar is too high and my body is dragging. But it could be that I just needed a few extra minutes of shut-eye and my sugar is fine. I read my
morning devotional in an attempt to start my day off right. I get out of bed, put in my contact lenses, and head to the kitchen. Before I choose my breakfast,
I check my blood sugar. Checking my sugar involves loading a test strip into my meter, pricking my finger with a lancet, and putting the blood onto the test strip. I wait for about five seconds, and then the meter reads a number. I'm happy with any reading under 110 or so.
Without insurance, each test strip costs about $1 a piece. I use 8-10 strips a day. Thankfully, I have insurance.

After I check my blood sugar, take an injection of
Symlin (a hormone that helps my sugar not rise too rapidly when consuming carbohydrates), and take insulin via
my insulin pump, I can eat breakfast. My usual is two whole wheat waffles with yogurt butter and a piece of fruit. I always drink tea or water. In order to eat, I have to
calculate how many carbs are in what I've chosen to consume. Sometimes I have to measure my cereal to be sure I'm calculating accurately. Taking too much insulin can result in a low blood sugar. Not enough insulin can result in a high blood sugar. Both have negative consequences. BALANCE is always the goal.

After breakfast, which has to consist of enough carbs to sustain me during a
workout, I get dressed. Some mornings I go for an hour-long walk in a hilly subdivision. I have to be prepared. Besides my IPOD to keep me moving a brisk pace, I take my cell phone, my
medical ID bracelet, and my glucotabs (sugar tablets) in case my blood sugar drops. And, of course, I wear my pump, since Type I diabetes means my body produces no insulin. I must wear my pump at all times except when I take a shower.
On Mondays, Wednesdays, and Fridays I got to my local gym and exercise by weight lifting, using the cardio machines, or taking a step class. I make it my goal to workout every morning in some way. When we travel, we find hotels with gyms. Yes, I even workout on Christmas and Thanksgiving.

After a workout, on most weekdays I head to work. People with diabetes don't usually look sick. We are good at masking our bad days. We just deal with our disease and move forward. Two days a week I teach composition at a university. One day a week I watch three young children. I love both my jobs; however, I cannot imagine working full time. Diabetes in itself is a full time job. I also work as a freelance writer, focusing most of my creative energies on writing about my disease and about adoption. My husband and I are currently
waiting to adopt an infant domestically.

Most of my days are good thanks to eating healthy, working out, sleeping seven to eight hours a night, and taking time to relax. Sometimes I'm even blessed to see a perfect blood sugar: 100. Throughout an average day I check my sugar: before breakfast, during a workout, after my workout, before lunch, mid-afternoon, before dinner, after dinner, before bed. A good blood sugar is 140 or under two hours after a meal and under 100 fasting (no food for quite some time, like overnight). Sometimes I even set my alarm and check my sugar in the middle of the night.

Sometimes my days aren't good. For example, two weeks ago my insulin pump stopped working. My sugars skyrocketed, and I went into a flu-like state. Sometimes my sugars get high for no clear reason, and I just have to ride out those days. On my bad days, one can find me drinking tea or water (no carbs!), shuffling around my house in my pjs and a blanket around my shoulders like a cape. Most of the time I go to work, even if I'm sick, because life must go on.

It's hard to eat healthy all the time. Once in awhile I'll allow myself one of my favorite "bad" foods, like my once-a-year funnel cake (and not ever the whole thing). These moments are necessary to sustain sanity. Recently my husband and I went to Chicago to visit my aunt and uncle. I endulged in pizza, cheesy beef, and cheese fries.

Every third day, I have to change my pump "set." This consists of the tubing and catheter that connects my body to my insulin pump. The process of changing the pump set doesn't take long. There is always the risk that the tubing will get kinked or the catheter will get bent when I insert it. I usually know this happens after I have a few "highs." A not-good high sugar is 240 or above. Then I have to change the pump set again. The sets are covered by my insurance, as is the pump. I believe an insulin pump costs around $5000.

My insulin pump is always on me. This picture, taken during a summer vacation, shows a happy girl by the beach. Most people do not notice my insulin pump. It's fairly small, about the size of a pager. It's hard being a girl and wearing a pump. I have to wear clothes that accommodate the weight of my pump. Usually I clip my pump to my waistband, or if I'm wearing a dress, my bra. No matter where I go, whom I go with, or when I go, I have to be prepared with my glucose meter, test strips, lancets, Symlin pen, pen needles, an extra pump "set," insulin, a syringe, an extra battery, and glucotabs.

People with diabetes are supposed to do daily
foot checks. Because a person with diabetes can have damaged nerves due to high blood sugars, a person may not always feel a cut or sore on his or her feet. I like my feet and plan to keep them...though I often forget to check my feet. I'm supposed to not wear open-toed shoes, too high of heels (that puts pressure on my toes), or shoes that my feet can easily slip out of. Too bad I love summer---and flip flops are my summer wardrobe staple. I grew up in the country, and we always went barefoot. Now I have to be more careful. I wear shoes everywhere except when sunning myself while grading papers in my backyard and while in my house.

My days begin and end with diabetes. My life revolves around my disease. It is what it is: do or die, sink or swim. I don't count on a cure, but I do hope for one. For the most part, diabetes has become a part of me, a natural part of my existence.
I am a believer that God gave me my body and I have a responsibility to take care of it. I have diabetes, but I also have a fruitful life ahead of me. And because of this disease, which is both a blessing and a curse, I am healthier, stronger, and smarter.