The Miracle of the Glucose Meter

        I get told how unusual I am quite a bit these days.  Doctors and nurses say it every time I see them.  I read about people with diabetes all the time and my story seems – unusual.  There’s a “story” about people who get diabetes and it doesn’t fit me.  So the question is – why?  Could there possibly have ever been someone LESS likely to successfully battle diabetes than me?  Given my history, passive acceptance of doom and sickness, and my expectation literally of punishment at each check up…how is it that I discovered a warrior inside who could seize control and resist the predictions of inevitable decline?  A warrior who would get up every day and battle her way to the gym?  Who would have the courage to reverse the mountain of inertial force pushing her into an early grave?        
   I try to describe a “click” that happened that night in the hospital.  But that’s not all it was.  I think – as strange as this sounds – that a huge part of my healing and determination and hopefulness comes from the glucose meter.  This tiny machine which I poke my finger with 6 times a day is the most powerful tool I’ve ever had in my life.  It gives me information…immediate feedback on what is going on inside me that tells me how my body – my machine – is operating.  I get a result of under 100 in the morning and it’s a scientific, indisputable fact that my body is normal and humming along just as it should.  It’s a wonderful result and I feel confident and proud and affirmed.  I’m doing well.  I am making the right choices.
I test my blood 2 hours after a meal and I see a reading under 120 and I know that I have successfully stayed under national guidelines, have achieved my endocrinologist's more stringent guidelines and I know – with a reliable, accurate, scientific assurance, that my body – this machine – is operating at peak sugar efficiency.  I am doing well.  No harm being done.  All systems green.  Jodie Foster in Contact…I am “ok to go," I am “ok to go."  Doesn’t matter if I’m shaking, nervous, unsure of what the future holds.  All I know is I have a green light, all readings are normal and I am ok to go.  Ok to go.
             I write down my readings throughout the day.  Every single day.  My sheets of paper are attached to a clip board on my health desk.  I scan them occasionally, the same way my eyes pass over the inspirational quotes on my “garbage bag” and framed pictures and magnets and buttons on display.  All of it is like the dashboard near my pilot's seat…a panel of controls and mirrors and dials and information all designed to keep me operating at my peak.

            A glucose meter is nothing like a scale.  For one thing a scale just measures bulk.  The meter is actually analyzing blood from inside and is so sensitive and deadly accurate.  It provides readings throughout the day and night, every day and every night, and I can see the changes as I eat a little too much bread or exercise for an extra 10 minutes, or add a swim to my daily routine.  I see the impact of choosing an apple over strawberries.  I see what my body likes and operates best on.  Knowledge is power.  Absolute knowledge is absolute power.
            I wonder how my life would have been different if I’d had this power and information years ago.  I wonder if I’d been given a glucose meter when I was 8 years old in third grade with a safety pin holding my skirt closed – I wonder if that would have changed things for me.
            The wonder and delight of seeing the difference in blood sugar before and after 15 minutes on a treadmill is nothing short of exhilarating.  I did that!  Just by getting on that machine, I changed my blood chemistry!  Talk about empowerment!  And if I’d been able to measure my blood sugar at age 10 before and after a package of yodels…what kind of impact would that have made? 
            All my life I knew that I shouldn’t eat sweets, that I should lose weight and exercise.  One of the “funny stories” that my mother repeatedly told people (in front of me) was how I just never wanted to go outside and play.  “She just reads and reads,” my mother would say with a laugh.  “One day I told her that it was ridiculous for her to be inside reading on a beautiful Sunday afternoon and that she had to go outside.  An hour later I looked out the window into the back yard and there she was sitting in the yard reading.”  Ha Ha Ha…she and whoever she was talking to would laugh and laugh.
            Oh, the feelings that rise like bile as I write this down…even now, so many years later, it still stings.  From my adult perspective I can’t help but wonder why she didn’t come outside with me?  If my parents thought it was so important for me to get fresh air and exercise, why did they stay inside reading while sending me out?  And why did they laugh about it and treat it as a funny, exasperating story rather than actually talk with me about why it was so important for my health?  Or were they even thinking about my health?  Maybe it was just that kids were supposed to want to go outside to play so they were stymied by my reluctance or preference for sitting indoors reading? 
            I knew I was the slowest and least able kid in gym class – always.  But no one – not a gym teacher, not a doctor, not a parent, not an adult friend – no one ever really talked to me about why I needed to make different choices about food and exercise.  No one ever talked to me about the power I had over my body.
            And that – together with being an incest victim – contributed to my feeling completely powerless.  And submitting to denial, pretense, and despair.  Alone and ignorant.  Feeling as though I had no choice, I had no options, nothing I would ever do would matter.
            But it turns out that every single thing I do matters.  Every bite I put into my mouth actually matters.  Every single step I take actually matters.  And my glucose meter measures those things and reinforces what I’ve learned with immediate, clear proof.
            Every child should have the chance to see “inside” their own machine and be given enough information so they know how to drive their bodies towards the most health they can achieve.  I truly believe that this tiny machine could change children's, change people’s lives.
            What’s interesting to me is how resistant people are to using one.  As if getting that information would be so terrifying because it is possible it would be bad.
            I understand.  That’s how I used to feel about getting any test results or going to the doctor or dentist for anything.  I didn’t want to know because I was terrified of hearing bad news.
            But if my blood sugar is high it just means I need to delay eating, change when or what my next meal includes, or adjust my medicine slightly.  It tells me that something I ate wasn’t a good match for my body, or the amount of carbs was greater than I expected.  Important things for me to know.  Because once I know them I can adjust accordingly and get my system back to normal quickly.  And very, very soon it’s a go.  It’s a go.  I’m cleared for health and take off.
            One morning my battery died in my glucose meter and I literally panicked.  Not being able to know my blood sugar was an awful feeling.  I had no idea if it was going high or how high and no way of steering myself through my day.  It was only a couple of hours until I had a new battery and was using it again, but that window of flying blind was a reminder of how ignorance is not bliss.  Information is what makes me happy, what gives me hope, what gives me incentive, and what makes me feel powerful. 

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