Jon Rosser: My life with Type 1 Diabetes

I’m Jon Rosser, 27 years old from Bristol and have been a type 1 diabetic for 17 years. Being involved with TDFC has enabled me to link up with other diabetics of varying ages and share our experiences, however this is often very focussed on the present – what we are currently doing, learning or going through. Reading these blogs, I found gaining an insight into these people’s pasts and hearing of their journey has been really enlightening and valuable, even for someone who has already learned to an extent how to live with the condition. So the obvious next step was to try and somehow put down my story outlining the changes it has made to my life and the lessons I’ve learned in the hope that others can take something from it like I have done. So here goes…

My journey starts with diagnosis at the age of 10 and the very familiar story of the tell tale signs. I was always thirsty! I didn’t really notice this symptom but my dad whose late mother was a Type 1 noticed I was increasingly up and down to the kitchen tap, filling up pint glasses of water and knocking them back like no tomorrow. As a result of this I was back and forth to the toilet and it didn’t take long for him to step in. Looking back at it now I suppose I was quite fortunate that my dad noticed this going on and intervened pretty early as I can’t actually remember feeling too bad! He made me do a urine sample and booked me into the doctors. A quick ketone test and finger prick confirmed what my dad had feared and arrangements were made for me to forget about going back to school, pack a bag and get to the hospital. Being a 10 year old I can remember feeling a bit oblivious to what was actually going on, but I knew that something had ultimately shifted by the way my dad had reacted, he seemed gutted and spoke to me about how we were going to go about telling my mum when we got home. I had never even heard of diabetes and was still completely naive about what was to come. 

A few hours later I was at Southmead Hospital being admitted into the children’s ward. A flurry of nurses were showing me my bed, where the toilets were, where the common room was, a full on tour of the facilities and this was the point where I kind of started to realise that I was here to stay for a while and this whole situation was going to be the start of something that was going to change my life forever. I was on this ward for 5 days and during this time I had to learn the skills that would ultimately keep me alive. One event that sticks in my mind from this period was when a 16 year old boy got rushed into the booth next to me. Other kids on the ward were all chatting to their neighbours so I welcomed a new face to hopefully ease the boredom. However on admission his curtains were shut and I remember feeling that the nurses were actively discouraging me from trying to say hello, and no sooner had he arrived he was gone again. I didn’t find out until years later that this guy was also a diabetic and had not woken up one morning due to having a serious hypo during the night. Looking back now I realise it was the right call not to let a newly diagnosed 10 year old get wind of this! The ward had a classroom where I spent a few hours a day which was nice as it got me out of my bed, but I remember being pulled out at regular intervals to be finger pricked and stuck with syringes and this was another point where I started to realise this was going to be the new normal from now on, and I didn’t like it one bit. How was this going to work at my own school? What about at football? I was bang into scouts at this age so how will I go on the camps? Can I even still do all these things? The answer of course was yes, but the anxiety and worry about all of this was something I will always remember. 

Fast forward a bit and I’d settled into my new routines, teachers and coaches had all been really engaged in making things as easy as possible for me. But it wasn’t all plain sailing by any means. I was initially put on the 2 injections a day regime and it wasn’t long before I felt frustrated at the restrictions of this, especially when transitioning to secondary school. Having to inject my insulin at the same time morning and evening, and knowing I HAD to also eat at these times each day meant things such as after school sports fixtures, clubs, and even just hanging out with friends would all have to be arranged around my insulin and meals. It took so much planning and at times I found it exhausting and stressful. 

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I want to shift the focus largely on how I’ve dealt with my diabetes within football and sport and I guess I’ve never let it stop me, but there have been times when I felt it has hindered me. At the age of 15 I joined Forest Green Rovers from just previously playing local junior football, and the training stepped up which was great! But it was a much more competitive environment and although to a certain extent I had always tried to keep my condition under wraps (which seems to be a common theme from guys writing these blogs), in this environment I found myself doing this even more. I didn’t want to show any weakness and felt an obligation to keep up with the standards being set, often not recognising that in order to do this I needed to take time out of sessions to take on sugar or test my levels. Occasionally this led me to playing on through hypos and my standards suffered as a result. Sometimes coaches and players would confuse my hypo reactions with being lazy or uninterested, and I found trying to explain what was actually going on sounded like excuses. The fact I was still on the 2 injections a day meant that I would get home from school, have to hastily eat a carby meal (to avoid going low during training) before heading straight off to train on a full stomach which personally my body did not deal well with – I’d feel heavy and slow. It was the same with the games – we played in a floodlit league so fixtures would be midweek evenings so my preparations would never be ideal. These pressures ultimately led me to change onto the basal bolus regime and immediately after I did that I saw the benefits, not just with my football but with my day to day life. The flexibility was something I’d been longing for and I continued to play for 2 more successful seasons at Forest Green, winning individual awards at presentations and I remember feeling really proud and realising at this point that I had gotten the upper hand on my diabetes and vowed to never let it beat me.

Another event that always sticks out to me as a time where I felt I overcame the urge to keep quiet and let my diabetes win was in a tennis tournament when I was about 17. Over the course of about 6 weeks I had played a match every week and got through to the final without any diabetes related issues. In this final however I struggled from the start. There were a fair few people watching and I was putting my performance down to nerves and threw away the first set in record time. On the switch around I asked the umpire for 10 minutes just to check my sugars which for me at the time took a lot of courage, I was 3.1. I remember sitting there in front of the crowd openly testing my sugars and taking on food which is something at that age I always felt really self conscious doing. My opponent was getting restless as were his supporters watching on but I stabilised my levels and got back out there… I smashed him in the next 2 sets to win the tournament. Like I said this was a real moment of realisation that I could achieve things in sport regardless of having this condition and getting dealt hypos, and it gave me confidence to keep aiming high. 

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The next major milestone for me was gaining a place at Plymouth University. Leaving the family home to move to a new city with new people, new surroundings and new routines was pretty daunting, and when you throw diabetes into the mix it was quite a challenge. I was having to shop and cook for myself and it took a while for me to get used to having full responsibility for what I put into my body in order to maintain good control of my condition. Students’ diets are notoriously not the best so resisting the urge to follow examples of quick, convenient, often high sugar and high carb meals set by my new found friends was important and something I’m glad I focussed on, as it set me up well to continue to control my diabetes successfully. I quickly got involved with the Uni football club and was playing regularly, although the routines and rituals of a university football club were much different to what I was used to. One thing I struggled with was the fact that if we’d win on a Wednesday afternoon (and often even when we lost!) after the game it was shirt and tie and straight to the bars. A lot of these guys wouldn’t take time out to eat post match, and especially after a good win, wouldn’t go home until the next morning. Being diabetic, I felt a bit of a kill joy having to temporarily leave a buzzing group of lads for a few hours to go and get some food of substance and make sure I recovered well in terms of glucose levels, especially when there was alcohol involved! This was a small price to pay though as I found if I put my diabetes first, I would have a much better time celebrating later on knowing I’d done what I needed to do in order for my sugars to behave (as well as they could) during a night out in Plymouth’s finest establishments. These were some of my best times playing football, the social side of the club was immense and winning a varsity and a cup in my 3 years at Plymouth are things I remember for the achievements and not how my diabetes hindered me!

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The most recent landmark in my footballing life has most definitely been getting involved with TDFC. I remember turning up to the first session and experiencing an environment where everyone there would openly discuss the condition, openly test their sugars and inject insulin, there was an underlying bond straight away. I had been so used to dealing with diabetes in a changing room and on a pitch on my own – it was solely my problem, and to feel that problem shared by everyone else there was so refreshing. No feeling guilty for taking time out to test sugars, no strange looks for sticking a needle in my arm, just a feeling of understanding and support. I have played in both DiaEuro tournaments that the UK team has entered in Bratislava and Kiev, and both times were amazing experiences. Playing against some top nations and top players gives you that drive to improve and I feel since being introduced to Futsal (which I had never played before TDFC) I have learned and improved my game as well as my control of my diabetes. I have also found myself transitioning skills I’ve learnt from Futsal into my 11-a-side game which is great! I’ve also found my Saturday team mates have taken a real interest in what I’ve been involved with regarding TDFC, seeing it on my social media and things like that. One of the lads has even adopted a pre match ritual of eating glucose tablets with me before kick off and now swears by it! 

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So that’s my story (so far!) of my life, football and sport with type 1 diabetes. My message to anyone maybe struggling to adapt to life and sport with diabetes is not to hide it, be open and honest about the problems you may encounter, it’s not a weakness! Although it presents challenges I feel diabetes has made me stronger in many ways, especially with discipline and will power… so keep at it!

Thanks all!

Jon

Instagram: @rossergram

It’s much more than just Football or Futsal… Part 4 (Zak Brown)

In our fourth instalment we feature Zak Brown… Zak is currently living and working in Australia but has been heavily involved in all things TDFC throughout 2018 as a pivotal member of the UK DiaEuro squad, whilst also heading out to Ireland with Chris to observe the Diabetes Junior Cup… Zak’s passion for the project is evident and in this post he shares his thoughts on how being involved has helped him! No more words from us, over to you Zak:

“I think firstly and foremost, the opportunity to meet several other T1D’s with a passion for football was amazing in itself! To then be able to discuss our condition as we went through very similar schedules during DiaEuro was great – having a diabetes discussion with your team-mates was like having 10 nurses beside us, as they added great value through personal stories and specialist advice.

The access to technology was a huge thing for me personally. I was a bit skeptical of the Dexcom G6 initially, as I have been on the same insulin and blood sugar testing strategy for a number of years and been relatively consistent (HbA1c usually between 50 and 61). It took a couple of days to adapt but several months later and I wish I still had the G6. I regularly see T1D’s on social media posting about how much the Dexcom has improved their control in recent times.

The other thing which was highlighted for me was the carb counting. I have generally just guessed my insulin based on what I am eating and knowing how it has affected my sugars in the past, but to see plenty of my UK team-mates measuring the carbs on their packets of food and calculating their dinner plate in the their head was a good insight for me; and pushed me to start making more calculated guesses with my own carb intake as life and diabetes continued after the tournament.

Whilst I wouldn’t say the experience has directly improved my control yet, I think it has acted as a gateway for me to access more information, attend diabetes meet-ups and possibly gain access to modern technology, which I expect will have a direct improvement on my Type 1 Diabetes control moving forward! Only time will tell…

Zak Brown

UK DiaEuro 2018 Player”

If you want to follow Zak’s journey on social media head to his twitter @mrzakbrown or his instagram @zakbtown

It’s much more than just Football or Futsal… Part 3 (Jack O’Brien)

In our third addition we share the thoughts of Jack O’Brien… Jack has a fresh outlook on the way Diabetes has impacted his life having been diagnosed quite recently! His account offers some great insight into how a newbie to type 1 Diabetes feels about the challenge of this condition coming into their life… No more words from us let Jack do the talking…

“First of all, I think I should point out that I am a relative newbie in the Diabetic world having only been Diagnosed 2 years ago today! (I wrote this on 6th Feb). DiaEuro was only the second time I was going to be away from home, and all the supposed safety that comes with that, since I was diagnosed.

To say I was nervous doesn’t really do it justice! I was fully aware that I was going to be spending the week with a group of people who have for the most part been Type 1 Diabetic for a long time. The fear or seeming like I don’t really know what I’m doing, or “messing up” all the time was playing on my mind because this was for me the first time I would be spending a prolonged period of time with other Diabetics. It’s funny how weird things like this can play on your mind! I was seriously still at a stage where I felt like it was only me who suffered from hypos because everyone else would have it under control!

The first morning we are there, we all go down to breakfast together as a squad to enjoy the spread of food that was being put on. It was this experience that alleviated all the pre concerns I had. Seeing most of us checking sugar levels and injecting insulin immediately eased my nerves. This was something that I found awkward to do beforehand.

Before you knew it, Diabetic chat was bouncing around the table. The same problems I found, others were also talking about. In a weird way, if felt so liberating! That sense of not being in something alone, that others have found ways to overcome similar situations and have come through them to find solutions was amazing for a newbie to hear.

You hear the phrase “trial and error” thrown around a lot when it comes to Diabetes, and I really understood that so much more after this journey. A corner was well and truly turned for me during this week. I am now playing sports more regularly, because I feel more confident. Understanding food on the day of playing football is something that is so important. Seeing other people using the Dexcom looked brilliant. Once I finished my trial run, I missed it so much that I signed up for 12 months.

 

 

 

 

 

The whole experience was invaluable to me. I learned more in that week than I would have done in years studying books and speaking to specialists. Seeing people who regularly play sport and manage their Diabetes gave me so many tips and ideas that I use myself now. There really is no better experience than experience itself.”

Thank you to Jack for sharing his thoughts on how TDFC has helped him and the UK DiaEuro team in particular. If you want to follow Jack on social media you can find him on Twitter @DalstonGooner … If you want to know what’s going on at Arsenal FC Jack’s your man to follow!!

#SporT1Day Reaction: One of the Speakers (Alex Richards)

Hi guys, just thought I’d write a blog post reflecting on my experience at the #SporT1Day conference that happened on the 13th May. The conference gave the chance for several speakers including myself, to cover a range of topics that impact type 1 diabetes. I wanted to write this post to share my opinions about the day whilst I also wanted to give a little summary of my talk for those who missed it.

So my thoughts on the day…. I think Chris and Paul Coker did a great job at making sure the day ran smoothly. There were a couple of hurdles to jump over such as the fire alarm going off during Paul’s talk. Despite a couple of things like this happening Chris and Paul managed to keep the day running nicely. One thing that really stood out to me was the variety of speakers at the conference. The speakers included professional athletes, women, diabetic nurses and people who had lived with the condition for over 60 years. It was great to see such a diverse line up which resulted in a wide range of experiences being shared. The take home message for me was that type 1 management is very much an individual thing. Therefore, it’s important to find out what works for you. This requires you to experiment and constantly keep learning what works and what doesn’t. The other great result of such a diverse line up was the breadth of topics covered. As there were so many different topics I think everyone could come away with something they found interesting. Topics ranged from management tips, to nutrition, psychology and some stories of inspiration. It’s a real credit to Chris and Paul for being able to put together such a great line up. The last thing I’ll say about the speakers is that hearing their stories has been invaluable to me. As someone who does not have type 1 diabetes I am constantly working hard to understand what people go through as best I can. So learning more about the condition from other personal experiences of type 1 is really important. I can’t thank people enough for sharing their stories with me.

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The previous point leads nicely into my own talk. I’m not going to recap it all here but I will write a post in the future that gives you guys some more detail. So, the main points of my talk. Diabetes has been viewed for the longest time as a medical condition; which of course it is. However, from the perspective of someone that lives with the condition it’s much more. It’s a 24/7 job that you didn’t ask for but have to do. It’s a condition that requires you to make constant decisions. As a result, how you think and feel impact how you manage the condition. This being the case, what you put in your head is as important as what you put in your body. However, psychology support is an underused resource for people with type 1 and I’m really passionate about changing that. The psychological load of managing type 1 daily and during sport or exercise is heavy and psychological skills training can help you cope with the load. As I’m conscious about making this an overly long read I’ll expand on this in my next psych series. Before I finish, I’d like to briefly mention the main part of my talk which was self-compassion. In a nutshell self-compassion is the ability to treat yourself like you would treat a loved one. When they experience difficulties, do you criticize them? Do you constantly remind them how rubbish they are? Or do you try and understand that this is a difficult time for them? Do you try your best to help them move past the difficulty? My take home message to the people in the audience was that Type 1 is a rollercoaster ride full of ups and downs. When you experience tough times, try and treat yourself with the compassion you would treat a loved one. If you wouldn’t say it to a close friend, don’t say it to yourself.

Thanks,

Alex.

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Psych Series: Just Relax (Chapter 2)

Considering Chris’ fabulous display in his futsal cup final recently, I’d like to write about playing football with the right amount of intensity. Nerves are a funny thing and if you let them control you it can be tough to get the best out of yourself on the pitch. Nerves get your body pumping and you can feel the adrenaline throughout your body. When you play an important game, nerves will be there, and this isn’t necessarily a bad thing. However, without practice your nerves can get the best of you. Nerves can have two effects on your performance, mentally they can distract you from your task and physically they can tighten your muscles, raise your heart rate and impact your blood glucose levels. So, being able to reduce the nerves that you feel before a game will have an impact on your ability to regulate your diabetes and let you play your best stuff!

Sport psychologist have suggested that anxiety is different to arousal. Put simply, anxiety is the negative perception of arousal. Arousal can be thought of as the body preparing itself for either fight or flight. So when your hands are shaking or you can feel your heart beating faster, this is the body preparing itself to perform. It does not necessarily mean you are nervous, you could be excited. What’s more is that sport performers often suggest that they need a little bit of nerves to play their best.

It is possible to have too much arousal which can lead poor performances. In a football match, if you are too psyched up, you might make reckless challenges or perhaps give the ball away because you try and get rid of the ball as soon as you receive it. Or even worse, your blood glucose levels may shoot up. Over arousal or playing with too much intensity can be a problem and can get in the way of playing your best football when you most desperately want to. For a moment, think of arousal on a scale of 1-10. If you are not up for the game at all, say a one or two you probably won’t play your best. On the flipside, if you’re a 9-10 you may run around like a headless chicken or play hot potato with the ball, or your levels may be to high. Not the best way to allow your talent to show, you need to relax.

Now, relaxing can be easier said than done and I don’t think that anyone ever calmed down when someone told them, just relax. However, there are somethings you can do to help bring your arousal down and give you a chance to play your best.

TIP ONE: BREATHE – It sounds simple I know. However, when we feel under pressure and stressed, our breaths become shorter and our bodies become tense. When this happens it’s harder to produce the free-flowing footwork that allows you to beat a defender. Or the co-ordination you need to control a pass from your teammates. Before you step on the pitch, take some deep breaths, concentrate on inhaling and filling your lungs with air. Then, when you exhale, try to feel the stress leave your body. Do this for 30 seconds and then return to your regular breathing.

TIP TWO: PROGRESSIVE MUSCULE RELAXTION – This technique requires a little more time and regular practice to master. However, if you practice it frequently, it can really help you relax and perform on the big days. Progressive muscular relaxation (PMR) is a series of tensing and relaxing your muscles. When you are under pressure, your muscles can tighten and one of the best ways to loosen them is actually to tighten them some more first. Just as an example, right now try tensing your fist for 10 seconds, then relax it. Notice how loose your hand feels and compare it to the difference you felt when your fist was clenched. PMR usually takes between 15 and 20 minutes to complete and can help calm yourself down when you feel nervous. Chris and I will also go over this on our podcast so stay tuned for that!

TIP THREE: SLOW DOWN – As I mentioned earlier pressure can cause us to speed up and rush. Sometimes we play as if we want to get it over as fast as possible. This can happen even when we have worked really hard to get ourselves to this point. Remember, nerves can be a sign that you care. So when you find yourself in a big game, try slowing down. Take a little longer on the ball, get your head up and have a look around for your teammates. You probably have more time than your realise. Even though you may feel like you’re in slow motion, you probably won’t be far from your normal playing speed.

TIP FOUR: FOCUS ON THE PROCESS – Thoughts about winning, losing or anything outside of the here and now is a distraction and can cause anxiety. This anxiety then takes you out of your normal game. You become focused on things that make you worry and not things that make you play well. So try and focus on the here and now. Take a moment to think about when you play your best stuff, what do you do? Do you get on the ball and find your teammates, run in behind the defenders, win tackles? Whatever you do on the days you play well is your game. Focus on playing your game, if you play your game well, you will give yourself the best chance of winning.

Right sorry for the long read, I’ve tried to make it as short as possible but sometimes that’s easier said than done. Until next time!

Have a great week,

Alex.