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Remission?

Routine is the way of – and to – life for a diabetic: wake, check, eat, walk, check, inject, eat, ride, check, eat, sleep, check, eat, walk, check, eat, check, sleep, check, sleep, check, sleep. Then start all over again.

The objective is to control as many variables as possible, and so to mimic the body’s broken mechanism that is supposed to keep the sugar in my blood at a concentration of between 4 and 6 mmol/L. That is the equivalent of 4 to 6 grams of sugar in total, about 1 teaspoonful. It’s like fine-tuning a carburettor with a sledge hammer.

Two or three times a year the endocrinologist reviews my efforts. If she likes the numbers, I get a sticker for my troubles. If not, she growls. I have a deep respect for doctor Lai.

Following the routine, I can routinely (pun) predict how my body will respond to my manipulation of it. With lots of trial and error, I worked out how to do more of this, and get away with less of that. Or the other way around. And still get the target number on my meter screen.

Sometimes my decrepit pancreas decides to have a bit of fun. When the autoimmune police is asleep on the job, these beta cells (as they are known) wake up a little and squirt a splash of homegrown insulin into the equation. Technical term: the honeymoon. And throw my tight ship into utter havoc. Without warning my blood sugar numbers go low.

Panic stations! I must eat more, and more, and inject less, and less. Until a new routine is found. Usually the pancreas returns to the slumbers of death within a day or two. When the revival lasts longer the ‘R’ word inserts itself into the conversation.

Could this be the impossible, but secretly hoped for remission? Was doc wrong when he said: “You’ll have this for life”? Is God relenting to my mother’s and brother’s incessant requests?

The autoimmune police is efficient and deadly, however. After a few days of chaos it is back to the routine: wake, check, eat, walk, check, inject etc.

Comforting, in it’s own way.

About the author Rien

dutch by birth πŸ‡³πŸ‡± | australian by choice πŸ‡¦πŸ‡Ί | type 1 diabetic πŸ’‰ | vegan πŸ₯• | married ❀️⚭ | grandfather πŸ‘΄πŸ» | fuji fiend πŸ“· | boat builder and sailor ⛡️ | exercise fanatic 🚴 | seeker no more πŸš«πŸ“–

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11 Comments

  1. Your commitment to your routine is more than admirable and as a consequence your results are terrific. While it is a tantalizing thought, your results demonstrate that the unheard of ‘remission’ is not necessary to achieve long term good health outcomes. Keep up the extraordinary commitment.

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    1. Thanks, Jo-Anne. You are my rock.

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  2. If anyone can capture the “R”, it has to be you Rien.

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    1. Thanks for your support, Edi.

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  3. Sorry to say and it may be totally inconvenient I am believing for total remission and that you won’t have this for life. πŸ™‚

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    1. Thanks, Opa. I admire your faith. I’m already grateful that through discipline, diet, exercise and minimal insulin I can achieve the same health outcomes as a healthy person. Possibly even better. As James the brother of Jesus said: “Faith without hard work is dead.” The hard work is my faith.

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  4. Lillian Scarini ( M I L ) January 6, 2017 at 4:41 pm

    Smart man, well said and well done, only a few could be so committed…

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    1. Thanks, Lillian.

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  5. Hold on, Rien. It’s a terrible desease. You’re strong enough to beat it! Keep going! Groet van Anja

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    1. Bedankt voor je bemoedigende woorden, Anja! I appreciate it.

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  6. Now if you could find a cure for tinnitus I am all ears πŸ™‚

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