I had an appointment with the nutritionist at my diabetes clinic recently. It was so great. I always learn something new about food and how to deal with all it's implications to my diabetes. I also learn stuff about myself in the process of learning about food and my diabetes. Like the fact that over time, and in the effort to keep my life and diabetes regimen simple, I gradually narrow the choices I think I have. A few bad experiences with pizza for example, and over time pizza comes off my list of foods I want to eat. Which on one hand makes logical sense. There is no sense in continually going back for more of the same bad result. What's interesting to me though is how I decide that no pizza is the way to do that. After all, I wear the pump and it has the ability to do dual wave bolus', a feature designed for foods like pizza. That's another way of dealing with the pizza issue, but it hasn't been one I've even wanted to try, because it's yet another thing to have to try and experiment with and master. Another thing, on it's face, means more work, more highs and lows in the process, in a word, no fun. So my decision tree shuts off that option too and I'm back to no pizza for birdie. And so it's been years since I've had pizza for a meal. I've nibbled here and tasted there, but no crispy, thin crusted, cheesy delights as the main course for me. No, no, no.
Well, what was great about this visit to the nutritionist, was we talked about the process I go through to get to the pizza no. The reason's behind saying no, without judgement or recrimination. My wonderful nurse empathized deeply with me as a person navigating diabetes. Her empathy allowed me to see the choices I was making in a clear and supportive light. My husband was also there which helped further, because he's always trying to make my life better with diabetes. A professional and a loving partner, team members in my journey with diabetes. How amazing is that? What was great was we looked at the pizza story as a team, and we problem solved together. My nutritionist explained the biomechanics of how fat effects absorbtion. Check, on the science. Now the project. We came up with this idea that over the next few weeks, we'd just solve the pizza dilemma. Not all food dilemma's. Not dual wave bolus' and square bolus'. Nope we'd just solve pizza. We came up with a plan. I'd first eat a slice of pizza, test every hour after the meal for the next few hours. I'd just collect the data. Then I'd meet with my team to assess the data. We'd then walk through the dual wave process together. Then I'd try that with another pizza slice. Report back. It became a kind of a fun project. A team project. A small and managable diabetes project. With the end result being that I'd get to have a little bit of pizza back in my life. Fun. Not work. What fun.
Ok, so I know this sounds kind of remedial to all the folks out there that are wizards at their pump. It also may sound kind of lame that I've limited myself so much. I know that this isn't rocket science and I even know I'm smart enough to figure this out without the need of advice from a nutritionist or my husband. I know that I'm the one that's limited myself and that in the end, I'm the one that's going to need to do some work here. But frankly, that's not the point. The point is that I get filled up with diabetes management and technology interface and data collection. I'm not by nature a scientist or an engineer. My heart doesn't race with excitement when I think about yet another experiment where my body is the test animal. My personality, my tenure as a diabetic, my preferences don't predispose me to experimentation in this zone. So at the end of the day, I need some help in moving beyond my predisposition, and that's where my crack team comes in. By doing this simple small thing with them, I get beyond my habit, my decision tree, my belief of no pizza for me and end up with a reservation at ken's artisan pizza. Me, my team, my dual wave bolus and hopefully, the thinnest, crispiest, cheesiest pizza they make as my main course. It's a small thing but I think it's actually a big thing, because in the end, a little more pizza in my life would be nice. So now I'm pretty excited about this small adventure where before I was leary. It will be fun, not to mention the fact that my husband wants to have birdie's team pizza tee's made for the project. A great team, pizza and silly teeshirts. Boy am I the luckiest girl ever!