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Posts from the ‘Exercise & Fitness’ Category

What to Work On.

I’ve gotten lazy in my diabetes management.  And I’m not proud of it.  My recent A1C result was still in my goal range but not where it was a few months ago, and I’d love to return to that level of control.  Thing is, I’ve gone soft when it comes to following through on my daily diabetes duties.

Yeah.  I’m at that point in the postpartum recovery thing:  finding ways to up my diabetes game.

I can check two things off my to do list with confidence:  I wear  my Dexcom every, single day and I also have been on top of my doctor’s appointments.  Those two things get big, fat gold stars.

Other stuff needs some grooming, though.  Here’s my wishlist:

  • Check fasting BG immediately after waking up.
  • Calibrate CGM right when it requests calibration.
  • Pre-bolus at least 15 minutes before eating.
  • Exercise 3 – 5 times a week.
  • Sleep more than 5 hours a night.
  • React faster to the high alarm from my Dexcom.
  • Rotate my device sites better.
  • Remember to eat more than coffee before 1 pm.

Hmmm.  That’s a lot.  Plan of attack for each:

  • Check fasting BG immediately after waking up.  We just moved the little Guy out of our bedroom and now he’s sleeping in his crib in his own room, so I have a little more time (3 min versus zero min) in the morning before I have to run and grab him.  I need to return to the habit of keeping my glucose meter on the bathroom counter and using it before I brush my teeth in the morning.
  • Calibrate CGM right when it requests calibration.  Ugh.  This just requires being less of a lazy tool and just checking/calibrating ASAP instead of ignoring the little red blood drop.
  • Pre-bolus at least 15 minutes before eating. This one is admittedly going to be challenging, as my schedule is a little non-scheduley these days.  My son is a busy little creature and also unpredictable, so it’s challenging to find the “right time” to do things like change out my insulin pump, eat breakfast, schedule conference calls.  But as he gets older, he does seem to be settling into something resembling a pattern, so maybe this will get easier.  I’ll try to pre-bolus.
  • Exercise 3 – 5 times a week.  This one is already going in the right direction.  As mentioned, I joined a gym and that gym has childcare, so there’s no excuse.  Except days like over the weekend, when I was away for work, or today, when the little Guy is so sniffling and booger-gross that I don’t want to bring him to the daycare and expose any other kids/adults to his germs.  We did go for a walk around the neighborhood today, clocking in at least a little bit of exercise, so that helps.  The weather warming up will help here, too.  This bullet point is one I’m putting like half a gold star on.
  • Sleep more than 6 hours a night.  OH HA HA HA HA.  The baby thinks 5.30 am is when human beings should wake up.  The early morning hours are gorgeous and I love the quiet of being awake that early, but around 10 pm my body starts to give up on doing body things, although I rarely make it to bed before 11.30 pm.  I need to work on this sleep thing.
  • React faster to the high alarm from my Dexcom.  Again, this one is something I just have to DO.  No excuses and no reason not to.  My high alarm used to be 140 mg/dL (pre-pregnancy and during pregnancy), but I’ve moved it to 180 mg/dL in the last few months.  I should be responding to 180s.  I will work on this.
  • Rotate my device sites better.  Yep, this is also a need.  My thighs have become a permanent home for my Dexcom sensors, but I am okay with the back of my hip or maybe my arm.  I’ll try to get creative.  As far as pump sites, I’ve been working on rotating those better, too.  Maybe it’s time to try a lower arm site?  (Has anyone ever done that and does it hurt??)
  • Remember to eat more than coffee before 1 pm.  Yeah, this is another whoops.  My mornings are generally a bit crazy, and sometimes I’d rather keep my CGM graph steady instead of interrupting it with breakfast.  But this is backfiring because I then get so hungry around lunch time that I eat the fridge, causing a nasty post-lunch bounce.  Moderation here.  Eat regularly throughout the day and I’ll be less likely to unhinge my jaws and devour the contents of the cupboard.

I hope writing this crap down will help up my accountability and will inspire me to keep moving forward.  If I can make one or two of these become habit in the next few weeks, I’ll mark that as a success.  Because backwards is all gross and disgusting feeling and also it looks like there’s a c-section back there and I am NOT going back to that.

The One About the Gym.

UUUUUUUGGGGGGHHHHH the one about the gym.

Dude, I wanted to start this post with a story about how hard it’s been to regain traction with losing the baby weight and then end with a BAM I NO LONGER WANT TO BURN MY SHAPEWEAR IN A BONFIRE.  But no.  That is sadly not the case.

The road to my last pregnancy was paved with fertility drugs, miscarriage, depression, and other terrible crap.  Ends eventually justified the means and I was beyond grateful to find out I was pregnant after such a journey.  (The little Guy is my favorite guy.)  My son was born eight months ago and he is exactly who we had been waiting for.

Table all the parental happies for a minute, though, because this post is not about infertility.  Or the little Guy.  It’s about the tarnish that’s settled onto the word “just” in the sentence, “I’ve just had a baby.”

No.  I did not just have a baby.  I had a baby eight months ago.  And I still feel like I’m trapped in the postpartum schlubby chub club.

So I joined a gym.

I used to go to the gym a lot.  It was kind of a family thing and while I never sculpted a physique that would stop traffic (unless a vehicle actually hit me), I was stronger and healthier and slimmer than I am now.  I didn’t feel ashamed of my shape and I wasn’t avoiding my closet in favor of athleisure wear.

Oh yeah.  “Doing absolutely nothing in my active wear” has been a theme these last eight months.

Postpartum anxiety didn’t help (better now, though) and neither did the c-section recovery.  I didn’t feel great after my first c-section and, despite rumors I’d heard that the second one is easier, I did not find that to be true.  Add in some wrist and hand issues (I ended up with breastfeeding injuries, which feels silly as eff to type but is actually a thing) and my body felt like something I was renting out instead of taking ownership of.

That did not feel good.  I want change.  Can’t wait around for change, though.  Have to chase change.  Change is exhausting.  So is this paragraph.

So about a month ago, I joined a gym.  It wasn’t a cheap decision, but the gym feels low pressure, has great hours, and also provides childcare for small baby people, so I have no excuse NOT to go.  Also, something about paying for it makes me less likely to NOT go because I hate throwing money away.  So I’ve been going.  Despite feeling shy (is exercise timidity a thing?) and despite feeling flumpy, I’ve been going.  I use the treadmill and the free weights and I’m debating a class or two if I can find some glasses and a fake mustache to wear while participating.  I’m trying not to weigh myself but instead using a particular pair of pants as my barometer for progress.

I hope to see some progress soon but I’m trying to find small victories in the steadier blood sugars and increase of energy.  And also in the “hey, I left my house and didn’t spend the entire day juggling kid requirements only.”

Hopefully, in time, I’ll schedule my shapewear bonfire, but in the meantime, I’ll try and find some pride in taking small steps now.  Especially wearing these mad cool glasses and this fake mustache.

Accountability.

We have a newly-minted kiddo.  That’s an established fact.  He is cleaned, fed, and loved all day long.

Here’s the problem:  I’m not cleaned, fed, or loved all day long.  It’s embarrassing to admit that, but it’s the truth.  I’m struggling hard with self-care.  And I also kind of buck up against even the admission of struggling with self-care, because parents in general are sometimes tsk, tsk‘d for putting their needs on the to do list at all.

But that oxygen mask metaphor that I used back when Birdy was born?  Applies to the little Guy, too.  I can’t take care of him, or her, or anyone if I’m off my own game.

Maybe I’m not off my game so much as I need to change the game.  Gone are the days of plotting and spreadsheeting fertility goals, and with them went the fastidious monitoring of blood sugars and doctor’s appointments.  It’s okay to loosen the reins a bit there, but I need to keep up some semblance of diabetes management.  Checking blood sugars?  On it.  Using the features of my insulin pump to my advantage, like inputting my blood sugar and carb intake and letting it calculate my insulin needs?  On it.  Keeping my CGM graph top of mind instead of succumbing to alarm fatigue?  I can do that, too.

But oh the exercise and food thing is a frigging quest.  Uphill.  In the snow.  With that Sisyphus ball thing.

I thrive when held accountable, and I need accountability in order to reignite some healthier habits.  There was a short discussion about this on Facebook last week, which led to the creation of a small Accountabilibetes group, where we’re trying to help one another stick with some kind of exercise program, and that camaraderie has been a big boost.  Even though the weather has been fuck all cold (snowed last night), I’ve been back on the treadmill the last few days, easing in with some interval training that’s heavy on the incline and gentler on the speed for now.  (I’ve started watching The West Wing, which I’ve never, ever seen even an episode of before.  Now I have seven seasons of Sorkin-saturated dialog to work through.  Should keep me entertained throughout the winter treadmill months.)  A fully-charged Fitbit helps, too, as I’ve avoided that thing for the last 12 months as well. As far as food goes, improved food choices usually follow exercise for me, so I know that I’ll battle food temptations less when I’m physically active.

So far, it’s only been a few days, but I’m hoping that a few more days will wet cement these habits.  Once that mental cement sets, I’ll be in my pre-pregnancy planning circuit and my health overall will improve.  Right?  RIIIIIIIIIIIGHT.

Before that cement dries, I need to stick my finger in it and write “It’s worth it.”  And maybe also draw a cat out of the word “cat.”

FitBit Motivation.

I like my FitBit.  I’ve been using one since March of last year and it has consistently kept me motivated to keep moving.

… okay, let me check that for a second.

It’s not the device itself that keeps me on the move. Initially, I liked seeing the numbers climb on my step count and watching that ticker drove me to earn higher numbers.  It was a stark mental contrast to how I felt about my diabetes numbers, where I was aiming for more of a game of golf (bring that number DOWN, not UP).  FitBit was cool because the higher the number, the better.

Eventually, the newness of the self-tracking incentive wore off and I wasn’t as eager to fight to hit my step goal.  I still exercised daily, but with a little less oomph, if that makes sense.

What reinvigorated my motivation are the people I’m interacting with through the FitBit community.  And this is where diabetes intersects a bit, because most of the people I’m connecting with through FitBit are friends from the DOC (diabetes online community).

One of the things I like most about the FitBit are the challenges you can engage in.  Here’s a screenshot of what’s available (over there on the right) –>

The ones I like the most are Workweek Hustles, because you have five days to not only reach your own self-set goals, but you can pace yourself against friends, making it a friendly competition.  As the FitBit devices sync with the app, you can watch your step count climb and see which participant will come in “first” (with the most steps).

Dude, it is FUN to play and to flex my competitive muscle.  (I’m a little bit competitive.  Maybe more than a little bit, judging by my husband’s bemused raised eyebrow every time I go to use the treadmill at 9 pm.  “FitBit challenge again?”  “Yep.”  “Go get ’em.”)  And while exercise isn’t something I’ve ever shied away from, it’s more exciting when I’m held accountable.  If I’m in first place, there’s no way I’m going to skip a workout or avoid going for a walk or run, because I want to keep my foothold on that leader board.

These competitions play out awesomely for my blood sugars, if I stay on top of things.  Making an effort to move more during the day has brought my total daily doses of insulin down by more than 20%, which for me is quite a bit.  (Also, this is not medical advice or science of any kind.  Talk with your doctor if you are considering taking anything you read on the Internet as medical advice, because they are a doctor.  And I am simply an over-caffeinated FitBit addict.)

More importantly, I noticed that my activity level goes up significantly when I’m engaged in a FitBit challenge.  If there’s a competition to participate in, reaching my step goal of 12,000 steps per day is a piece of (gluten-free) cake.  It’s like having a dozen workout buddies.  (Read Laddie’s take on the challenges here.)

FitBit challenges are pretty freaking awesome.  And fun.  And help break up some of the mundane ho-hummishness that my exercise routine can fall into.  A dose a fun, friendly competition and accountability is exactly the gentle incentive I needed.

Practice Turkey.

Chris and I are both from big families with piles of aunts and uncles and cousins at every birthday party.  Part of being part of a flurry of people means big holiday gatherings, and Chris and I are prepping ourselves to start hosting some of the holidays.

Problem is, I’m a terrible cook.  Or, better stated:  an inexperienced cook.  Cooking hasn’t ever brought me joy or satisfaction, and I’m not interested in the time it takes to perfect a recipe.  I cook for form and functionality (read: make sure my family doesn’t survive on garlic salt and overripe bananas), not for fun.  I’m not good at making the effort to learn.

But if we want to start hosting holidays, we need to learn how to prepare some of the main courses.  Which brings me to the Practice Turkey:

Practice Turkey is currently taking up residence in our freezer, and my goal is to use him to teach myself how to properly prepare a whole turkey.  (Sidebar:  Animal is in our freezer because Birdy is afraid of him, but refuses to let us donate him or throw him out.  She wants him in the house, but entirely contained.  So he lives in our freezer and has been there about a year.  I always forget that he’s in there, until someone comes over to visit, opens the freezer, and subsequently goes, “OOH!!”) In the next week, my plan is to practice my culinary witchcraft on Practice Turkey so that when we host holidays this year, I’m not in a huge panic because I can be all, “Oh, the turkey?  I know how to do that.  I’m all over that!”

I need to actually do it in order to make sure I can do it.

Same goes for technology hiccups in my diabetes management plan.  I use an insulin pump and a CGM (hellooooo, disclosures), and with that convenience and data comes an influx of autonomy and the sacrifice of my autonomy, if that makes sense.  The devices give me a lot of flexibility and freedom, but if I rely on them too heavily, I forget how to manage my diabetes on my own.

I need to be my own Practice Turkey, relearning the details of diabetes.  I need to make sure I know how to calculate a bolus, check my blood sugar regularly by finger prick, and finagle basal insulin doses if my pump ever breaks, or if I ever want to take a CGM break, or if my will to wear devices breaks a little.  And over the last week, I’ve been on a bit of a device break (thank you, winter skin issues), realizing once again that a refresher course on how to drive the stick-shift version of my diabetes (so to speak) helps me take better care of myself overall.  Taking an injection before I eat makes me think twice about the food I’m putting into my body, and also help me remember to pre-bolus (because it’s a process, not just the push of a button).  Using the treadmill instead of a correction bolus to fix a 180 mg/dL keeps exercise fresh in my mind.  3 am checks aren’t always necessary, but doing a few of them helps me spot-check my overnight basal rates.  I appreciate my devices, but I needed a reminder on what they do for me, and how to continue to do for myself.

Practice (turkey) makes perfect.

[Also, today has been unofficially designated as a “day to check in” (hat tip to Chris Snider) with the DOC blogs that we’re reading.  I read a lot of diabetes blogs, but I don’t often comment because I usually want to say something meaningful, instead of “I like your post.”  (But I do like your post!)  But instead of finding that meaningful comment, I usually roll on and forget to return to comment.  NOT TODAY!  Today I’m commenting on every blog I read, because that’s the name of the game.  I love this community, and today I’ll show that through comments.  So please – if you’re here, share what your favorite word is, or just say hello.  And thanks for being here.]

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