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 :)  

Holiday aboard

Sorry I haven't posted on my blog in a while, it's because I have been on holiday for 2 weeks in Portugal. The weather was so nice there, it was always sunny and hot throughout the day and in the evening there was a lovely cool breeze. The holiday was so relaxing and I loved it, the only bad thing was the only Internet that I was able to connect to was in a restaurant, which was quiet a long walk from our apartment. So I wasn't able to talk to people or write any blog posts or go on Facebook :( 

Whenever I go on holiday abroad I always worry that they won't let my through security because of all of my insulin and my pump and pump supplies that I will need.. Every time I have been on holiday it has been fine when i was going through security it always been fine so I don't really know why I worry about it. The only thing we got told we had to do this time was put my glucoJels in a separate bags to my insulin. 

If you go on holiday abroad I know it can make you worry a bit about getting through security with all your diabetic supplies but try and not worry as it will be fine. All you have to remember to do is get a letter off your diabetic team to say that you can bring liquids on to the plane and put all your liquids and diabetic supplies on clear plastic bags so that the security people can see what it is. Make sure your gluco gels and your insulin are in separate clear bags as one is a liquid and the other is a gel (as we found out when we went through security). Always pack more stuff then you will actually need so that if something went wrong with your pump supplies or your levels were higher so you injected more and used more insulin.  Make sure your insulin is in a cold bag or something so that it keeps cool and doesn't go off because it's too hot. If you are on a pump make sure you bring injections and needles just encase anything happens to your pump.

 

When we got through security we went in to a shop to buy some drinks and food for the plane. While we were in the shop looking at the sweets and chocolate one of the members of staff was stacking the shelf's right next to us. I looked over at her and noticed that she had the OmniPod pump in her arm. As the woman walked away I whispered to my mum that the woman was diabetic and that she had the wireless pump in her arm. The woman then came back and carried on stacking the self, my mum asked her if it was a pump in her arm and the woman said yeah. So I said how I was diabetic and was on a pump. 

 

Me and my mum had a conversation with the woman about the OmniPod as I didn't really know how it worked and had never met someone on it before. The woman said how it had helped her so much and that she preferred it to her old pump that had a wire. She said it made everyday life so much easier as there was no wire which meant she didn't catch the wire on anything and it also meant her line didn't get blocked as much as it used to. Also it made it a lot easier for her to have baths, showers and do exercise as she doesn't have to disconnect her pump as there is no wire. Overall she said she wouldn't know what she would do now if she didn't have the OmniPod pump.    

After thinking for a while about the OmniPod pump for a while I think I would really like to trial the pump as I don't know whether I would like it or not. The thought of not having to have a pump attached to you while you are sleeping and following you around whether you go, is amazing. The thought of not having to worry about catching your line on anything and it ripping out or having to disconnect then having a bath, shower or exercise. The only thing that worries me is because the cannula is a lot bigger then my cannula now I am scared I wouldn't like it because its bigger and I might knock it off or something while I was getting used to it. The OmniPod is so much more advanced for the other insulin pumps and it just shows how much technology has improve over the last couple of years.

Overall I had an amazing holiday but I think it went way too fast but maybe that was because I was staying in bed asleep until 10 or 11am haha. I will soon be starting school and it will be my last year at collage. I hope everyone else has had a good holiday as well and that your levels have been good.

hba1c

A hba1c is a test which works out your average level over a long period of time. This test is done by a simple finger prick just like a bloodcount test but you need a little more blood. A hba1c is normal done every time you have a hospital clinic appointment and it helps your diabetes team see how good your levels have been and how good your control of your diabetes is. If your hba1c is high the hospital will help you work out why it is high and how you can get it back down, they wont get annoyed or angry with you as they are only there to help you.

At the beginning of last year my hba1c went all the way up to 13 because I didn't have good control of my levels at all. I went through a bad patch where I decided I didn't want to be diabetic anymore so I didn't do my bloodcount and just gave myself insulin for the food I was eating. I would just make up what my bloodcount was and put it in my pump so that it looked like I was doing my levels when I wasn't. I thought no one would find out what I was doing but because I was making up what my levels were, it meant that when my levels were running really high I wasn't giving correction as I didn't know they were. so my levels just stayed high. When I was doing this I had no idea what I was actually doing to my body, my body got used to having high levels and I was making myself really ill. When I found out that my hba1c was 13 it made me realise that I really need to change and get it back down to normal.

So I set myself a goal to get my hba1c below 8, I knew it would take a lot to get it down that much but I knew I would be able to do it in the end. I didn't care how long it took me, I would do it. I started doing all the things I should have been doing like checking my levels and correcting, using temp basals to help get my levels down, changing the amount of insulin I was getting and  things like that. Every time I went to my clinic appointments I couldn't wait to see how much my hba1c had gone down. Sometimes I got a bit upset as it had gone up and I felt like it was never ever going to go below 8. However I never gave up I carried on doing everything and anything I could to get it lower.

Last week I had a hospital clinic appointment and for some reason I had a feeling that my hba1c was maybe going to be below 8 as my levels had been really good for once. After having the hba1c test done you have to wait a while to get the results s while we waited we got called by the doctor. I walked in to the room and sat down as the doctor was looking through my notes. She then looked at me and said wow, your hba1c is 7.2 (55). I honestly couldn't believe it was 7.2, that's the lowest my hba1c has ever been and I have been diabetic for over 11 years. The doctor was so impressed with me, she said that normally when someone's hba1c goes to 13 they never get it back down to 7. I was so happy I couldn't believe I had finally got it down that low :)

I realised that if I couldn't control my levels now it was going to be a lot harder then I got older and I don't want my diabetes to ruin getting good GCSE results.  I don't want my diabetes to control me and make it a lot harder to do things I want to do so I did something about it. I started looking after myself move and caring about what my levels were and what my hba1c was and that is how I got my hba1c down and back to normal.

Here are some tips to get your hba1c down:

• Set a goal for your hba1c so that you have something to work towards
• Have a reason why you want your hba1c to be lower
• Make sure you are doing all the things your hospital have told you to do
• Correct high levels
• Change the amount of insulin you are having if you are having constant lows or highs at a certain time of day
• Ask your diabetic team to help you if you are struggling or finding it hard

All of these thing will help you get your hba1c down, however don't get upset or annoyed if your hba1c goes up high because at the end of the day it is only a number. The hospital wont get annoyed with you if it is high as they are there to help you, not tell you off. As long as you are doing the best that you can that's all that matters.
If you but your mind to something you can do it, never give up.  

PE and School

I admit I really don't like PE at school, I don't like being judged by other people in the class because I am not very good at sport. Most people just end up moaning at you because you aren't very good and apparently your not even trying when you know you are, you're just not very good at it. This doesn't always happen to people but I have had it happen to me before and know probably other people have too. Anyway, doing PE can really effect your levels just like any form of exercise does and with the weather on top of this it can make it even harder and frustrating.

So a couple of weeks ago I was doing PE at school and we were playing rounders outside on the grass. The teacher split the class in to 3 teams so that 2 teams could play a game of rounders while 1 team did some batting practice and then we would all swap over. For the first game I was on the team that was doing batting practice then when we went to swap over I started to feel like my levels were low.

Me: Miss can I check my levels as I think I am low?
Teacher: Yeah of course
Me: (checks levels) Miss my levels are low
Teacher: It will be fine I will sit in field with you encase anything happens
Me: I need to have something to make my levels go up first
Teacher: Have you got something on you to eat or drink?
Me: Yeah I have a can of coke (gets can of coke out and starts drinking it)
Teacher: That can of coke is so small and perfect for people with diabetes
Me: Yeah I know (finishes can of coke)
Teacher: You can go stand in field now
Me: No I cant, I have to sit down for 10mins first, for my levels to up
Teacher: Ok, you can stay there then
Teacher: (Comes back to me 5mins later) Its been 10mins Laura
Me: I don't think it has been
Teacher: Yeah I know, I was only kidding
Teacher: (comes back 5mins later) Its been 10mins, you can bat now
Me: I need to check my levels first to see if they have upped enough
Teacher: Okay
Me: (checks levels) My levels are fine now miss
Teacher: Good but its the end of the lesson now


I couldn't believe that my PE didn't know what I was meant to do when my levels were low, she's so funny. Luckily now she knows what to do when my levels are low as I was low in my PE lesson the next day and she understood what I had to do and knew my levels were running low because of the hot weather.

Tips for looking after your levels while doing exercise:

• Check your levels before doing exercise - if they are below 10 maybe have something to eat before
• Make sure you have stuff to up your levels on you - Glucose Tabs, sugar drinks, sweets or something like that (liquid ups your levels quicker as you don't waste energy chewing)
• Make sure someone with you know what your symptoms of a low are - sometimes you might not realise you are low but someone else can by looking at you and the way you are acting
• Make sure you check your levels more while exercising - check if your levels are dropping so that you can have something to eat to stop them dropping
• Check your levels after doing exercise

I know that your levels can be really annoying while you are trying to do exercise but if you follow the tips in this post, hopefully it will make it a little bit easier for you. Don't let your levels stop yourself from having fun doing whatever exercise you like doing.
Always remember you are stronger than you think!

Some days...

Some days...
...are bad
...are good
...levels are high
...levels are low
...you feel rubbish
...you feel good
...you are fed up of diabetes
...you don't think that much about our diabetes
...you just want to be like everyone else
the list could go on and on

Being diabetic can be really hard at times, it can make you feel really different compared to other people. Everyone have days when your diabetes just doesn't seem to be going right and it can be really annoying, I know.
I have days when it hit me that my diabetes is probably going to affect me for the rest of my life and that there will be no breaks from my diabetes (I will have to deal with it every minute of every day). These days I realise that I am different to other people. I wish I never got diabetes as it would make life so much easier.
However I think it would be so weird if I didn't have diabetes anymore. In some ways I think I would be lost without diabetes as I have had it since I was 4 years old and I cant remember my life before I was diabetic. The things we have to do each day like checking levels, giving insulin, carb counting just seem like part of my everyday routine. Also I feel like I have become a lot more independent and more responsible because of having diabetes, I think it makes people act more responsible then they should be for their age. In some ways I look at having diabetes as a good thing as I have made so many new friend which I would probably never meet if I didn't have diabetes.
However everyone thinks of there diabetes in a different way (there is no right or wrong way) for this post I hope it helps people to understand that everyone has those tough day with their diabetes but always remember tomorrow is a new day and a new start. Diabetes doesn't always have to be a negative thing, in some ways it can be a positive thing.
 Always remember you are stronger than you think!  

 

Late Nights

Some nights it can be really hard to get to sleep because of your diabetes. Its so annoying laying  in bed for hours just looking up at the ceiling thinking why cant my levels just be in range so that I can get to sleep.  Its really annoying and frustrating, I know.

I don't know if its the same with you but when my levels are 15+ I find it really hard and impossible to sleep. I used to be able to get to sleep when my levels were high but for some reason I really struggle to now. Some night I just lay in bed for hours trying to get to sleep but no matter how hard I try or what I do I cant get to sleep due to my levels. I try reading a book (I always end up falling asleep when I read at night in bed), closing my eyes, just laying there, clearing my mind....and so many other things but nothing seems to work. I just end up just laying there thinking about so many different things. The only good thing is I do think of the weirdest of things while laying there and I normally end up remember things I had forgotten about and coming up with ideas. However the next day after I have had a night with high levels I am so tired and not in the best of moods. Its so annoying when you have school the next day because it takes so much energy to concentrate, I could so easily fall asleep in lesson lol (I don't think the teacher would be very impressed with me)

So what is the best way to deal with nights like this?
- You should check your levels every 1-2 hours to check that your levels are coming down or going up
- Try clearing your mind to help you sleep
- Try and stay relaxed and calm
- Don't worry if you cant get to sleep as you will fall asleep eventually
- Make sure you keep giving correction if your levels are high
- If your levels are running high check for ketones (if you have any ketones drink lots of water)

I know it can be really annoying when you cant sleep and everyone else in your house is asleep. The thing is there isn't really anything that we can do to stop with from happening, its just part of diabetes (annoying I know). The best thing to do is try to get your levels back in range so that you can sleep. Sometimes it can feel like you will never be able to get them back in range but I know that you can. You are stronger than you think!