Tips for exams

Its been a really long time since I last posted I know but now that my GCSE's are basically over (I only have one more exam left which is on Friday) I am finally able to start writing on here again :) So much has happened since I last wrote on here, I have loads to tell you and lots of tips and advice I have learnt along the way which will hopefully help you all.

So where should I start?  I think GCSE's would be the best place. As you probably already know GCSE's can be very stressful but with diabetes on top of it, it can be a lot harder for us then it is for other people. There is so much revision that needs to be done, so many things to remember, so little time to do it all in. On top of this we have our levels that need to be kept under control so we can do the best that we can in the exams.

Everybody gets stressed out about exams. The only difference is when I get stressed out it can cause my levels to go high and this makes it really hard for me to concentrate. I remember sitting there trying to revise and wondering why it wasn't going into my head properly, when I checked my levels they were high and this was the reason why it wasn't going in. I would get really annoyed because it wasn't my fault this was happening but I was really worried it would mess up my exam results. I found the best way for me to revise was revising for half an hour and then having a break five minutes and then going back to revise for another half an hour. If I found my levels were running high I would give a correction or put a temp basal on to keep my levels lower so that I could actually concentrate.

If you are starting any exams or anything like that where you have got to do a lot of revision I would advice making a revision time table. On the time table it should tell you what you are going to revise everyday so that you don't get behind with revision. Making a revision time table really helped me because it meant I knew exactly what I had to do everyday and it meant I had revised everything I needed to in time for the exam. I would also recommend not leaving all your revision till the day before the exam. If you do it will just stress you out more because you wont be able to learn everything before the exam and this will mean you wont do as well as you can. I kinda left my revision for my mock exams to the last minute and I didn't do very well so for my GCSE's I made sure I revised months before the exam so that I knew all of the information and I wasn't stressing out the day before the exam.

When it came to my first exam I was so worried and stressed about it on the day, even though I had revised loads for the exam I felt like I didn't know the information properly. I remember sitting in the exam panicking as they read out the exam rules on the front of the test. I sat there and closed my eyes and focused on my breathing, this really helped me calm down. When I opened the paper and looked at the questions I realised I actually knew all the information and I was able to answer all of the questions. After the exam I felt so happy and impressed with myself because I couldn't believe that I got through the exam without panicking loads and giving up. The exam was no where near as bad as I thought it was going to be so this made me feel a little bit less stressed about the rest of my exams. Surprisingly throughout all of my exams in the first 2 weeks my levels were really good which meant I was able to concentrate properly and do the best I could.

When you do any exams remember to tell the exam people at school that you have diabetes so that they are aware as they can set up things like sitting you near the door so that you can go out and check your levels at anytime. Also the time that you are out sorting out your levels should then be added back on to the time you have in the exam so that you don't loose any time. This can be really helpful as it means you don't loose anytime if your levels are low so you have exactly the same amount of time that's everyone else has.

So here are a few things you need to remember when it comes to revision and exams.

1. Make sure you don't leave revision until the last moment
2. Make a revision time table
3. Take regular breaks when revising and keep checking your levels so you can correct them if they are high
4. Make sure the school have put things in place for your diabetes
5. If you start panicking in the exam concentrate on your breathing
6. Test your levels before and after exam so you can correct them if they are high or eat something if they are running a bit low
7. Try not to panic, (easier said then done I know)  you will be fine

Hopefully these points will help you through exams and revising. I know exams can be scary and you probably feel like your diabetes will get in the way and stop you achieving your best, but trust me that isn't true as long as you look after yourself as well as revising. I thought my levels would be really high in the exams which would have made it hard to concentrate and affected my grade but actually my levels were fine.

Good Luck to anyone who has been taking exams recently :)  

Pressure

Having diabetes can be really stressful and emotional at times, you can sometimes feel like there is a lot of pressure on you.  Trying to achieve perfect numbers, carb count accurately so your levels don't go high or low, trying to get the right balance of insulin to food, trying to not over treat low levels or high levels, trying to keep your levels perfect when your ill, excited or sad, trying to get a perfect hba1c. No mater how much your try, it can sometimes feel like you are going backwards with your diabetes instead of forward. It can be really hard at times but don't worry you're not the only person who feels like this, everyone goes through a stage like this.

As you can probably tell from my last post my levels have been running really high because I have been ill, my cannula feel out in the night, I've had ketones and some other things. I have been trying everything to get my levels down and back to normal but nothing really seems to be working, I have tried using temp basals, corrections and it seems to work for a while but then my levels go high again, its been so annoying.

I have a hospital appointment on the 9th January (Thursday) and I have been really worried and scared about going. I really don't want to have my hba1c done because I had worked so hard to so hard to get my hba1c down to 8.1 (it used to be 11.4)and now this happens. My hba1c is probably going to be really high again. I did think about asking the hospital not to do my hba1c as I have had a bad patch with isn't my fault and I have been doing everything I can to try and sort my levels out but it hasn't really been working.

After talking to some people I realised that at the end of the day you cant always have perfect levels, perfect hba1c, its just not possible. We are human and we cant be perfect at everything. Its not our fault if we have a stage where are levels aren't perfect as long as your try you best and get your levels back on track it doesn't matter. Always remember you are stronger then you think you are, you will get through times like this I promise

High levels and Ketones

We all have those bad days were your levels are running really high or really low, the days were you forget to give yourself insulin at one of your meals, the night where your cannula to your pump falls out in the night and you don't realise, the time were you cant find you meter to test your bloods, the day where you over treat your low bloods by accident, don't worry we all do these things sometimes. Its can be so annoying because if you forget to do one of these things or something happens that's not your fault for example your cannula falling out and you don't realise because it can make you feel really ill and sick.

On Thursday my cannula fell out in the night and I didn't realise, this meant I hadn't been getting any insulin throughout the night. I woke up at 6am feeling really thirsty and sick, so I went down stairs and got a drink and when I got back in bed I realised that my cannula wasn't in my leg anymore. I tested my levels straight away and they were 25.0 so I tested my ketones and they were 2.8. The next thing I did was put a new cannula in me, put a temp basal of 150% on and put a correction in my pump too. I felt so ill so I just laid back in bed and I fell asleep, I kept waking up and checking my level and when the next thing I knew I was asleep again.

By lunch time my levels were 5.1 and my ketones were 0.0, I was feeling a bit better too. I took my temp basal off so that my levels didn't go low. I thought I had gotten rid off all of my ketones for that day but that wasn't the case :(  At dinner when I did my levels they were running a bit high so I check my levels and I had some ketones but not a lot. I but on another temp basal of 150% on so that I could get my levels back to normal. When I tested my levels and ketones an hour later they had gone up instead of down. So I changed my cannula again (for the second time that day which was really annoying) and I gave myself another correction and laid down because I felt really ill again. I tested my levels an hour later and my levels were HI (33,3+) and my ketones were 2.2.

My mum said to me if levels and ketones didn't start to come down in the next hour then i would have to go to a&e because I probably had DKA. I was sitting in the living room on the sofa so scared I really didn't want to end up in hospital. The last time I got admitted into hospital with DKA they had to put two drips in my arm and hand and I nearly fainted and they had to give me gas and air because I have a bit of a needle phobia. I really didn't want to end up in hospital  for like 3 days and have to have two drips in my arm. I really cant explain to you the feelings that were going through me head I was so scared, it was like the longest hour ever to have to wait. Luckily when I tested my levels and ketones an hour later they had lowered, I was so happy I told my mum and she said she didn't have to take me to the hospital anymore (:

I know at times it can be really scary to have diabetes but I have learnt that you shouldn't jump to conclusions. I got all worked up and upset over something that never ever happened, we need to try and stay calm in situations like this. I know it can be really hard but always remember you are stronger then you think (: