#and new people filter in and ask q's ive already talked about

[daughterofsarenrae]

eek

[soap-brain]

oooo so i got tagged by both @elroymarvelous (something like a week ago i’m so sorry) and @greetings-from-the-suffer-puppet (yesterday :p) to do this alphabet questions thing! let’s go!!

a - age: 19

b - birthplace: düsseldorf, nrw (it’s in germany) (it’s the best city in germany) (95 olé)

c - current time: 11:38 am

d - drink you had last: some neat sparkling water, also i pretended to drink chips rings but they’re solid so idk whether that counts

e - easiest person to talk to: @greetings-from-the-suffer-puppet , cause we have somehow absolutely /no/ need for filters and we’ve talked about some things we would never, ever talk about with other people :D (hey ryn, remember the scintillating convo we had recently involving chrispy? good times) and also @loststarlight bc she’s a very bad person who got me into a ship and enables me to write fic for it and sends me unacceptable photo posts and totally made me watch doom!! which i didn’t want to do.. at.. all *sweats nervously and holds hand over pocket that’s def not bulging with karl pics... and bruce... and chrispy...*

f - favorite song: atm it’s a tie between sabotage by the beastie boys and ..... every time we touch by cascada (look, i’m technically a rock person, but sometimes it’s midnight, you’ve had about 5hrs of sleep every night, you know you have at least one more hour of super complicated chemistry to do, you’ve had a long ass day, you’re really hungry, just had a bowl of cereal and are fast approaching an ultra sugar high. what better to party with than that song??)

g - grossest memory: story time! during grades 9-12, i sometimes liked walking home instead of doing the hour long tram and bus ride. idk, it was a self reflection / relaxing thing, which i still kinda do. there was a short tunnel i had to go through. nothing scary, it was literally just the street and a pavement on each side, it was short, well lit, in an okay neighborhood, there were frequently people around etc. so really, really, not scary / gross. one day i’m walking and i see a guy of maybe my age coming towards me ahead of me, so i go to one side of the pavement, while he goes to the other, i’m doing the staring ahead thing which will morph into a lightning quick checking the other person over thing once we pass each other. it’s a thing i do. so  we’re just about to pass each other, and he pushes up his tee shirt (it was summer/spring) and ... there’s just... his erection. which he consciously shows to me. and he says something which i didn’t hear cause i’m listening to music, but i do physically recoil a little, my shoulder brushes the tunnel wall but i keep walking, pretending nothing happened, and i remember thinking to myself “the fact that you know now that you won’t believe yourself later that you didn’t make this up is the only thing that’ll make you believe it really happened.”, and just because i know i thought that then already, i believe myself that i didn’t make it up cause man, i kinda wanted to pretend it didn’t happen. and that’s the story of the first ever real life erection i saw! yay! now you know things about me you didn’t want to know!

h - horror yes or no: noooooo pls i get scared easily. even bad horror movies (ie doom) can scare me a bit. esp jumpscares??? the worst imo

i - in love?: nah. never been, either *shrug emoji*

j - jealous of people?: klasjdlfjasdlf i get really jealous of how people manage to socially interact with such ease?? and just... talk to other people and aren’t awkward and make friends?? a wild concept

k - killed someone?: ok so i know we should all either answer something cool and quirky or no!! of course not!! but i have a story. (fuck ok now y’all think i actually killed a person. disclaimer: i didn’t. but i was close) ok so i was doing my three months mandatory nurse work for studying medicine, and around the second month there was this old lady (93yo i think), who’d just gotten i think a new hip? and before her op she was surprisingly mobile with her walking frame and just really cute and chipper and also scared of her op. afterwards, she went to the icu, as was scheduled bc she was so old, and and then she got back to her regular station, and she was slowly but surely learning how to sit up and stand up again and then also walk. she had major pain problems  and her leg had gotten stiff, but she really was a champ, and i really liked her. also, to make some infusions (ie pain meds) easier, she’d gotten a central venous catheter, ie a catheter into the vein right at the bottom of her neck. and then it was time to take it out bc she’d gotten so much better, and there was a doctor there and i was just doing some work or something in the same room (i think we just got done helping the patient dress), and the doctor knew i wanted to study medicine, so she asked me whether i wanted to take it out with her help. i said yes, and then the doctor got a call and took it and told me to go ahead and detach the iv drip line from the catheter. which i did. then i waited for the doctor to finish her call to tell me the next step. she was done just as the patient started feeling faint and started to lose feeling in the arm on the side the central venous catheter was in. long story short, she was rushed to the icu again, because what i didn’t know was that you had to close the catheter, and i’d essentially pulled off the stopper as well, and she ended up having no blood in certain parts of her brain, which i think ended up as a terminal condition for her. she lived, but she had a very, very hard time getting better again and i think she never fully recovered. so. yeah. that’s my story on how i almost killed a person.

l - love at first sight or should I walk past again?: definitely walk past again :D looks and mannerism can be very deceiving

m - middle name: inge brigitte

n - number of siblings: 2

o - one wish: to get my shit together lmao

p - person i called last: i think my dad?? about photoshop?

q - question you’re always asked: probably about my one weird tooth maybe? or what i did between school and uni 

r - reason to smile: getting messages / people willingly interacting with me, horses, when life is going good, when i can be proud of myself for a reason, when there’s music making me feel good things, star trek

s - song you last sang: i don’t sing. i’d sometimes like to, but i feel too awkward cause i’ve been told that i can’t sing at all, so like...

t - time you woke up: 6:47 am the first time, then sometime around 8

u - underwear color: white

v - vacation: this probably ties in with all the “places you wanna visit” ask games, so the answer has to be most of europe, northern america, iceland, australia, parts of asia, parts of africa, space, berlin

w - worst habit: picking at my skin.... and procrastinating!

y - your favorite food: well my fave meal would be garlic bread, a medium steak with fries and beans and either lava cake or crème brûlée for dessert, along with an apple martini; but my fav normal food would be spaghetti bolognese and ... chocolate-y sweets (and truffles. oh boy i want some truffles now)

z - zodiac: libra

i’m tagging @loststarlight, @chameleon-kirk, @bottomkirk, @mccoysbi, @lieutenant-sapphic, @trappist-1p and everyone else who wants to do this!! esp all my new followers - if you wanna do this, tag me so i can get to know y’all!!

[type2diabetestreatments-blog]

D-Teens and Alcohol: No Bull from Uncle Wil

New Post has been published on http://type2diabetestreatment.net/diabetes-in-children-and-teens/d-teens-and-alcohol-no-bull-from-uncle-wil/

D-Teens and Alcohol: No Bull from Uncle Wil

Today, we bring you a special edition of our weekly advice column, Ask D'Mine. Your host, type 1 diabetes author and educator Wil Dubois has a few things to say about drinking with diabetes.

Got questions? As usual, email us at AskDMine@diabetesmine.com

Uncle Wil on Alcohol Consumption

One of my type 1 patients is in jail today. Something involving a firearm and a bottle of whiskey downtown. He was so drunk he was shooting into the air.

He's 15 years old.

Before this happened, his mother had specifically asked me not to talk to him about diabetes and alcohol. He wasn't that kind of boy, you see. She was afraid I might put ideas in his head. Ideas that were apparently very much there already. Ideas with no facts and information to balance them.

So today, instead of our usual Q&A format, I'm writing today's Ask D'Mine as an open letter to all my little brothers and sisters. To tell you what I should have told him.

Dear Type 1 Teens and College-types:

Today I'm going to teach you how to get wasted safely. I'm not saying you should. I'm not saying I want you to. But if you are going to, I want you to know the dangers, and I want you to know how to do it right.

Why? Because no one else will frickin' tell you. Your parents won't. Your grandparents won't. Your doctors won't. Your educators won't. Your teachers won't. Your priests won't. But I will.

I call all young type 1s my little brothers or sisters, but I today I'm thinking of you as my nieces and nephews. Yep, I'm the Uncle your mother really wishes would just join the Merchant Marines and never visit until after you're all grown up. I'm the perceived bad influence. The tattooed guy who swears, smokes, drinks, flirts with all the women in the room, and makes politically incorrect jokes.

But God puts people into families for a reason. And the black-sheep uncle has an important role to fill: the adult who cares but does not judge.

To drink safely you need to first understand how alcohol affects you and me differently than it does the sugar-normals. Do you know anything about your liver? It does all kinds of things for your body. It has more than 500 different functions, actually. But most importantly to our discussion today: It's a blood filter. It removes toxins from your blood. Toxins like alcohol.

But the liver only does one thing at a time. Everyone and everything else just has to take a number and stand in line until it's finished the job at hand. And on that list of 500 jobs is "remove excess insulin." Unless, of course, alcohol is in line first. Then the insulin just builds up in your blood while your liver is dealing with the alcohol. It takes hours for the liver to "clear" a good binge, and all that time the insulin stays in your system. It's like taking an extra shot of basal. Big-time hypos hit 8-10 hours downstream from last call, when you're sleeping it off.

Oh, and when you've been drinking, your body will respond more sluggishly to the treatment of those lows. The rebound will be a lot slower than you're used to. So don't panic, just be prepared for a 2-3 times longer "recovery" than you'd experience with sober lows. Booze also reduces your awareness of lows overall, and sometimes even triggers a temporary state of hypoglycemia unawareness. So be aware that you may not be aware, OK?

If you want to learn more about the biology of booze, check this out. But the important message is that booze screws with your diabetic body differently than it does for all your non-D friends. And you need to plan for that fact.

So Uncle Wil, you ask, how do I get totally shit-faced drunk off my ass safely? Look, the only way to play Russian Roulette safely is with an empty gun. Oh dear. Now I've gone and introduced your impressionable little minds to Russian Roulette, too. Your mother is going to throw me out of the house.

The stone cold sober truth: for people with type 1 diabetes, there is no safe way to get four sheets to the wind. Hang on! Keep reading! I know that sounds like a typical "adult" cop-out answer. But it's true, and it's why most adults just throw in the towel at this point and say "Just don't drink!" But I'm a realist. I know you will still get wasted, no matter what the risks.

I don't have any magic bullets, or secret formulas to let you binge in safety. No two young type 1s are alike, and no two binges are alike. That said, here are my tips for making this dangerous undertaking as safe as possible. Three things to consider before the first sip -

One: To bolus or not to bolus? Should you bolus for beer or mixers? Both have carbs. Sometimes a lot of carbs. Logically, you should cover those carbs. But the alcohol in the drink will supersize the insulin downstream, remember? What to do? There's no right answer here, and the drunker you get, the worse you'll count carbs, the worse you'll calculate the bolus, and the less you'll care. I suggest cutting your bolus down. Should you take half what you normally would? A third? Sorry, I don't know. But some amount less should be in your game plan.

Two: To eat drink and be merry requires eating. If you're not throwing up, and even if you are, I think you should eat a snack before you sleep it off. Something high in fat so that it takes a long time to work through your system. That slice of cold pizza on the floor will do the trick. Don't cover it with insulin unless you are insanely high at bedtime. You'll want carbs in your system to soak up the insulin that the liver isn't filtering away.

Three: No alcohol and heavy machinery. If you're wasted, can you drive a forklift safely? No? Then what makes you think you can drive an insulin pump safely? Or a glucometer, for that matter? If you are really out of it, can you make good treatment decisions? Smart adults choose a designated driver when they go out drinking in packs. Is there anyone in your group who can serve in that role? If so, does that person understand diabetes well enough to help? Is that person reliable? Is he or she the kind of person that'll wipe the vomit off your hands and check your blood sugar at 3 a.m. while you're sleeping it off? Or will they be passed out on the other side of the room?

Well, that's it. Alcohol supersizes your insulin and sets you up for epic lows hours later when you're likely to be asleep. It blunts your ability to feel those lows, and slows down your recovery if you do feel them and are sober enough to deal with it. But you can lower your risk of all of those scary things by thinking and planning ahead and...Oh, crap! I forgot to tell you about the Zombies.

My tattoo artist has a glass case in his studio with a faux chainsaw in it. Stenciled in bold red letters on the case is: BREAK GLASS IN CASE OF ZOMBIE ATTACK. So let's pretend there's been a Zombie attack. Steps behind you is a shuffling, stinking, moaning mob of the undead intent on tearing you to shreds, drinking your blood, and feasting on your flesh. You barely make it to the case in time, grab the hammer, and... Crap! The case is empty.

This doesn't look good for the home team.

You know what? If you drink too many Tactical Nuclear Penguins, your glucagon emergency kit case might just as well be empty, too.

I bet your endo never told you, but, glucagon does not work when you are drunk.

A drunk liver won't dump its stores of sugar on demand. I'm not saying your peers shouldn't try giving you a shot if you have a seizure, but realistically, it won't work. When you're drunk, the break-glass-in-case-of-emergency cabinet is empty.

The only way to save your life if you have a severe hypo when plastered is to get an IV of dextrose in the back of an ambulance or at the hospital ER. So wear your damn medic alert when you go drinking—if the paramedics smell booze on your passed out carcass, they probably won't think to check your blood sugar.

The lesson here, my dear nieces and nephews, is don't let your drinking get to the Zombie attack point. Plan ahead the best you can. If you drink to get drunk—or find you're way well down that road—please get the carbs in and get the insulin out. If you're pumping, turn down the basal or take the pump off. If you shoot up and you haven't taken your basal yet, take less, or maybe even skip it. If you've already taken your basal, skip the fast-acting insulin and eat a snack.

Can you get drunk safely? No. Not really. But now you have the tools to do it as safely as possible, because I want each of you to grow up and become a black-sheep uncle or aunt for the next generation.

Much love,

Uncle Wil

This is not a medical advice column. We are PWDs freely and openly sharing the wisdom of our collected experiences — our been-there-done-that knowledge from the trenches. But we are not MDs, RNs, NPs, PAs, CDEs, or partridges in pear trees. Bottom line: we are only a small part of your total prescription. You still need the professional advice, treatment, and care of a licensed medical professional.

Disclaimer: Content created by the Diabetes Mine team. For more details click here.

Disclaimer

This content is created for Diabetes Mine, a consumer health blog focused on the diabetes community. The content is not medically reviewed and doesn't adhere to Healthline's editorial guidelines. For more information about Healthline's partnership with Diabetes Mine, please click here.

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