Through having
diabetes I must take the place of the pancreas and live out the actions in my
day to day living of what the pancreas would normally do if it were functioning
normally. In this I must stand in place for the pancreas. For supporting the
body at maintaining the blood sugar levels, I must manually inject insulin into
the body so that the sugar within the blood is able to move from the blood
stream into the cells and not raise too high causing health problems.
This is an extensive
process and includes quite a variety of variables, such as the food that I eat,
whether it is a mono or complex carbohydrate, when/how much I sleep, how much I
exercise, any illness that I run into, any stress that I cause for myself,
insulin dosages my life style and life habits, with each variable having a
varying affect on the others. Suffice it to say, I had no idea that the body
managed this without the awareness of myself as the body. It manages so much
for us to keep us alive without us even knowing! Shows how much knowing gets us.
So lets take on one
point right now and move with insulin dosages. When I was diagnosed I was on 2
types of insulin ( I still am on two types but one is a different type than
what I started out with). One type of insulin I used lasted 12 hours and one that
lasted four hours. Both types of insulin has a spike in the effectiveness to
time ratio meaning that when I inject the insulin that lasts for four hours
(Rapid) it works its `hardest`, `best`, after 2 hours after injection. So when
I eat and inject insulin to be able to transfer the sugar within the blood
stream into the cells, I must be aware/consider that after 2 hours is when the
insulin is going to be working it's hardest, and to be honest I was never told
WHY insulin peaks, only that it does peak and I must deal with it. Through
research I found that the insulin molecule starts out as a hexamer,
With that variable
taken into consideration, if I end up going low an hour after injection (low
meaning below 4 mmol/l of sugar within the blood) I know that I am going to
have to still monitor my sugar levels and I usually expect to continue to go
low when this happens because the insulin has not reached it' s peak
performance yet, I then have to eat more or I must eat again when I go low
again. The pancreas manages the blood sugar between 4 and 8 mmol/l all the time
every time excreting enough insulin perfectly every time one eats to always
keep it in that range, there is no need to consider any spikes, or insulin
rates, or how much one eats, or if one has ate too much or if the pancreas has
secreted enough insulin because that is all managed automatically with or without our awareness or consideration of
what it in fact does.
And let me tell you,
in order to keep the blood sugar between 4 and 8 all the time takes a great
deal of effort, I must check my blood
sugar almost every hour to make sure that I regulate it if I were to attempt to
keep it at 4-8 the entire day. I say that it is impossible to maintain it at
4-8 all the time because once I eat it takes 15 minutes for the food to start
to be broken down and the nutrients extracted, so in order for me to be 4-8 at
the end of the four hour duration of the insulin being active; the first hour I must be around 12-13 in
order for the insulin to reach it's peak and descend with the blood sugar
ending up at 4-8 at the end of the time that the insulin is effective. There is
the insulin pump which constantly injects the rapid insulin into the body at a
constant rate at a slow pace, with the ability to inject a large dose of
insulin when one eats, but this as well works on rapid insulin which still has the
peak effectiveness which still boils down to having to go high at first in
order to maintain the blood sugar levels later on. To cross reference this, I
tested my sister's blood sugar after she ate quite a bit of candy because I
wanted to know that from that large amount of candy, if the blood sugar would
go above 8 on a non-diabetic, so I tested her sugar level and it was 8 on the
spot, which was cool feedback for me. In this I have to take the responsibility
for the pancreas, take responsibility for managing the blood sugar level to
assist me in staying alive. To consider that the body does this unconditionally
no matter what we do is quite cool = it does this to support us even when/as we
abuse the body with what we ingest.
The second type of
insulin lasts 12 hours with a spike after six hours. This insulin was called
NPH. What this insulin does is regulate the blood sugar throughout a 12 hour
period with me injecting it every 12 hours. Why it regulates it over the 12
hour period is because the liver will produce a hormone called glycogen that
will inevitably heighten the blood sugar throughout time without any insulin to
act as the transmitter for the sugar to pass into the cells, that is why the
insulin is designed to last 12 hours - because the liver is consistently
producing this hormone. Again this is another variable to consider as it must
be the right amount for the specific person and if too much one will end up
going low quite frequently throughout the day, if too little one is quite high
throughout the day. As well, it must be considered where you inject it, and
whether or not you go too deep or not deep enough when injecting into the skin.
Too deep, you hit muscle, it hurts, and causes the insulin to act too quickly,
too shallow and one does not hit the layer of fat beneath the skin causing the
insulin to not follow the desired effect, in addition to this, where on the
body one injects also has an effect, wherein each part of the body will have a
different amount of fat which the insulin must move through to work
effectively, causing the amount of fat to slow down the rate of effectiveness.
What I am getting at
within this blog post is that the body is specific in how it operates and
functions in order to keep us alive within the body so that we have the
opportunity to live here on Earth, and that when we take away a single aspect
of the body only then we realize what the body actually does for us, what the
body is capable of, and how hard it is to manage the body the way the body does
through external means. This is to give a perspective on possibly what you were
not aware of, to show how much the body does for us each day and each time we
eat, and most of the time we are not considering the body, most of the time we
are up in our heads, thinking , worrying about emotions and feelings, in this
missing the body and it's amazingness and what is does to keep us alive even if
we are abusive assholes. We must consider the body, the physical, and all it
does for us to live here in the physical and stop considering the mind, as
shown through me, I had not an iota of an idea what it took to manage the body,
but through creating diabetes within myself I had to see, and in this seeing;
realize the body does much more then what we are aware of as we supposedly
`live` our lives.