Just a Little Girl and her Mommy…and Mommy’s Diabetes Accessories

Ruby's-AccessoriesLittle girls do love their accessories and mine has an eagle eye for detail.  Here, my daughter Ruby has on her cool Reef flip-flops, a white snap bracelet with cherries, blue mirror shades, a pink and green striped raccoon tail, and a multicolored hair wrap with hot pink feathers on the end.

Needless to say, when I changed up my diabetes supply cases this weekend, she was quick to notice.  “Mommy I like your new gold case with the white case better than the old silver case with the green case.  And I like the pink case too.”  Hmmm, that’s a lot of cases. She’s grown up knowing it’s “Mommy’s diabetes stuff” but we haven’t ever talked about which case is for what.

New-Diabetes-CasesMy husband and I explained that the white case was a “skin” case for Mommy’s OmniPod, the gold case was Mommy’s diabetes kit and the pink case was for Mommy’s CGM, which stands for Continuous Glucose Monitor.  “Rubes, do you know what continuous means?”

“No.”

“It means all the time and Glucose means sugar.  Do you know what monitor means?”

“No.”

“Monitor means watcher.  So, the pink case is Mommy’s all the time sugar watcher.”

Ruby grinned and chimed in with “And your bracelet is your sleep watcher!”

Oh, yeah, that’s right…there’s also the Fitbit Flex I wear, which tracks activity and sleep. Little girls…they don’t miss an “accessory” beat!

Will My Kids Develop Type 1 Diabetes Too? Is There Anything I Can Do About It?

As a mother with T1 diabetes (and Grave’s disease) I can’t help but wonder “Is my child more likely to develop one of these conditions and if so, is there anything, no matter how small, that I can do about it?”

You’ve probably all heard the term “genetically predisposed to diabetes”.  What does it mean?  Basically it means that you were born with certain genetic markers (that’s just a small piece of your DNA) and research has shown that if you have these certain genetic markers you’re more likely to develop Type 1 diabetes than if you don’t.  We have no control over our DNA, so if we have them, we were born with them and that’s that.  The same goes for our children.  (Read a summary from Joslin Diabetes Center about what you’re child’s genetic risk may be based on relatives with T1).

Outside of the world of genetics though, there are lots of other factors that have been shown to increase (or decrease) your risk of developing T1 diabetes, including environmental factors (like certain things you eat or don’t eat), and your microbiome (that’s the “usually good” bacteria that live inside your body all the time….eww!).  Researchers are doing more and more studies on these other factors every day.  When factors are shown to increase your risk of developing T1 diabetes they’re called risk factors but when they’re shown to decrease your risk of developing T1, they’re called protective factors.  Ahh, as a parent I really like the sound of that…protective factors….

There isn’t anything I can do about my children’s genetic risk factors, or their microbiome (yet), but what about the environmental stuff?  Are there any protective factors, even if they’re small, that I can integrate into our daily lives?  In short, the answer is yes.

Will they actually help to protect my kids?  I’ll probably never know…but turns out most of these small changes, largely related to diet and our environments, are healthier choices for the whole family anyway, so why not try?

Some of the first protective factors we can control as parents are related to infant diet (but there are others that apply post-infancy).  Infant diet protective factors include:  longer duration of breastfeeding (at least 4-6 months), and waiting longer to introduce cow’s milk products (at least 8 days).

As a T1 diabetic these reasons were some of the most important ones for me when I chose to breastfeed my kids…and the main reason I really pushed myself to continue with it for at least a full year.

psst…I’ll be posting about other risk and protective factors periodically under the tag “Type 1 diabetes pathogenesis”.

Breastfeeding with T1 Diabetes for Over a Year: A Pat On the Back!

It’s official.  I quit nursing my son after 13 months.  Part of me wants to celebrate that my body is once again all mine and I have a little more freedom.  Part of me is a bit sad because I won’t be having any more children, so this was my last time to experience that special baby-mommy nursing bond.

What does the diabetic part of me think?

Well, research shows T1 mothers are less likely to long-term breastfeed successfully.  You read a lot of quotes in scientific journals like this:

Click on the image to go to the full article on PubMed.

Click on the image to go to the full article on PubMed.

I’m sure this isn’t a huge surprise to any of us, as most hard things in life are a bit harder with T1 along for the ride.  Nevertheless, I’m proud that I lasted this long (despite the fact that I’m guilty of “down-prioritizing my own needs”).

Research also shows that a longer duration of breastfeeding might help protect my children from potentially developing T1 themselves.   So, I’m proud for that reason as well. I really like to think that despite my broken immune system, I was still able to pass on to my little guy what he needed for his tiny immune system to grow big and strong (hopefully strong enough to know not to attack parts of his own little body!).

I’m also nervous.  I’ve been telling myself that when I finished nursing I would get back on the trail to emphasizing my own health, which means letting my body adjust to the hormone changes that come with quitting (and premature menopause) and then figuring out where my insulin requirements really stand now.  This is daunting.  So much has changed!  I weigh more.  My activity levels are different.  My schedule is more erratic.  I eat a little differently.  I was never afraid of a new variable before.  I watched my BG patterns and I made adjustments as needed.  But this?  This is a LOT of variables that have changed at once.  I almost feel like I’m starting from scratch.  Then again, I knew it was coming, so the jig is up.  I’m on my own once more with no excuses and it’s time to work on stabilizing my BG patterns.