the kaleidoscope

So I am an enneagram type 1 personality, probably too driven, too A type and all of the baggage that comes with that profile. However on the good side it means that I do try and do things properly. Tears, blood, sweat, but properly.

Luckily the kaleidscope is one that loops and swerves and the track gets changed just at the point that you think it is all just too much.

Life for a diabetic especially type 1’s is unrelenting. I honestly am impressed daily by the bravery. The way that the fear is faced.

Recently I have had 2 of my young patients “do battle” with their mums against DKAs – both sets won.

a week full of challenges

So when your husband goes away for 10 days with 2 full weekends as well as 2 public holidays making it many days on a stretch of continuous child care and that co-incides with one of the trickiest, hardest weeks of the year!!!

Life likes to throw the odd challenge, its when it does that in “hat trick” style on the week that the minor support system is unavailable. I say minor not meaning to sound as terrible as that sounds, I use the word minor in terms of the context of jobs done by one or the other. Any way you take the previous statement what I am trying to say is even the “minor” help is major when it is absent. Anyway.

The odd challenge is manageable, 3 major ones in a row in a week that was always going to be hard is a recipe for almost gauranteed mayhem. I am trying to make lemonade – it seems to be curdling!!

MODY

What the heck is that? Maturity onset diabetes in the young. It is a “hereditary” type  of diabetes. There are to date 11 types.

It is a form of diabetes that in a sense is “milder” and easier to control, however there are some subtypes where end organ damage occurs with serious gusto and is quite dramatic and thus typing is essential in terms of how important is becomes to get strict control in order to prevent end organ damage.

Often times MODY is completely undetected, flies low under the radar and can do for years. A simple glucose tolerance test will easily detect it and even a dipstick of urine would detect glucose in the urine.

It is fairly easily treated with oral agents (pills) and does NOT require insulin. In fact insulin may cause serious and dangerous lows.