DiaEuro 2019: UK Player Perspective (Jon Peach)

I have just fulfilled the dream of every schoolboy and girl who loves sport. I have represented my country at an international tournament. Belting out the national anthem before each game as loud and proud as I could, wearing the union Jack on my kit – this is something I have always dreamed of, but never really thought could happen. But it has. And it has happened with an amazing bunch of team mates, all with the same thing in common. Diabetes.

Since I was diagnosed with diabetes age 5, I have had a love hate relationship with it. When I’m on top of it, and I’m winning, I love it. However, far too often it gets the better of me and I hate it. However, if it wasn’t for diabetes, I wouldn’t have met such an amazing community of people.

A year aģo, I watched on as Chris took the first ever UK team to the 2018 DiaEuros. I hadn’t kicked a ball in 3 years and had retired due to persistent injuries. 10 operations had taken their toll on my body and I’d had enough. However, this was an amazing project that he had set up, and one I wanted to be involved in. But my knowledge of futsal was incredibly limited. However, I didn’t want to be going along all the time if I wasn’t playing. So I decided to rejoin my old 11 a side team in Bristol as well as coming along to all the training sessions with TDFC. I had no intention of putting myself forward for the DiaEuro squad, but wanted to be part of the project. I was enjoying going along to the sessions, and when Chris asked for the final time who wanted to be part of the squad, I had a decision to make; did I want to put myself forward?!  I’d heard so many positive things from the previous year that I thought I would. I had no expectation that I’d come close to going, but the thought of it was too good to not try out for. Fast forward a few months and I had been chosen to go to the Ukraine!

My only experience of going away with other diabetics was a kids camp I went on with my family when I was young. While I don’t remember much about it, I didn’t really enjoy it!! This was different though. Every one of us was type 1 diabetic, but we also loved sport, especially football, and in this case futsal. We were able to share stories and help each other out where necessary. Advice was always there if needed, and there was such a range in terms of years of having diabetes. We talked about levels before sporting performance, treatments, different types of insulin….In fact diabetes was quite often one of the main  subjects we talked about (as well as football!)

Meals were a challenge, as it was a buffet every meal, we weren’t entirely sure of the carbohydrate content. Some managed it better than others, which was great to see. There was often talk of how much insulin people had given themselves, as well as at what point people gave their insulin.

Going in to the tournament, I thought my bloodsugar control was fairly good. However, being around other diabetics 24-7, I learnt that there is always room for improvement. People who felt 9 was too high to have our blood glucose for a game inspired me to think differently. Whereas before, I might have ignored that, I soon realised that this wasn’t okay, and starting a game with a blood glucose level of 10 might impact upon  my performance. I also learnt better treatment of hypos. Too often I over eat and then end up shooting sky high. However, watching other diabetics being patient having had a couple of tablets or some of the amazing lift liquid products we’d been given helped me massively.

We were also incredibly fortunate to have the use of the dexcom G6 for the tournament, which helped my blood glucose levels no end. I started off setting the high alarm at 16, but by the end of the tournament, I had moved it to 10.5. This wasn’t necessarily to treat, but to be aware. It also helped by having arrows, single and double, showing which way my levels were going and at what rate. We have been able to keep this going since returning from Ukraine, and I’m now aware via an alarm when my levels are getting to 4.2, meaning I can treat it before I actually go low.

So after a week where I’ve been so proud to represent my country at futsal, I have also got tips and seen first hand how others also manage their diabetes. Inspired by others, not just from our team and country.

On the playing side of the tournament, sadly the results didn’t reflect the performances we put in. We were well beaten 5-1 by a very good Portugal team in our first game, but the second day was a tough one to take. We outplayed Slovakia but went down 1-0, then again outplayed Ireland, but only managed a 1-1 draw. We had chances, but just couldn’t seem to score the goals. We moved the ball around and the rotations that we’d worked on were going well, but not the results. The next day we were soundly beaten 11-3 by eventual champions Bosnia. By this point we were struggling physically having played the last game on day 2 (our 2nd game that day) and then the first game on day 3. But that’s sport, and we all love it!

The organisation and management was great. We’d get a text the night before telling us our plans, meeting times and what we had to wear or have with us the next day. We then also got one from the amazing physio, Milly, asking if anyone needed treatments, fixing or taping up the next day. As I was sharing a room with fellow old man and captain Tim, Milly spent her fair share of time in our room sorting us out so we could even get out of bed, let alone play!! We had enough kit to be able to have some taken to the laundrette whilst still having enough to wear around and about, train in and travel to and from matches.

There was also a bit of time for sightseeing. We looked around Kiev, and some of the squad were lucky enough to visit Chernobyl on the last day, which was an amazing cultural experience. Without doubt, this is my sporting highlight of my career. Representing my country at a major tournament. But with an amazing group of people who just seem to bond so well. And we all happen to have shown that diabetes can’t hold you back!

Our Journey with Type 1 and Football…

Another amazing story to share with the community brought to you by Karen Brown, the mother of Ellen, a young type 1 who’s having a fantastic time with her Football/Futsal at the moment. Ellen & Karen have been big advocates and supporters of our work at TDFC from the very early days so it’s brilliant to be able to share their story! No more words needed from us, over to you Karen…

“Our daughter Ellen was diagnosed at age 8 with type 1 diabetes. As you all know it hits like a bomb and the early days are hard. Somewhere amongst the haze of diagnosis we made a decision that when we got Ellen home we would stabilise her doing all of the sport she usually did. So the day after discharge we took her to school for a few hours and the following Monday she started back swimming. I sat on the edge of the pool chewing my nails hoping she would be fine. Strangely enough the year she was diagnosed is the only year she hasn’t played football (played 1 year of netball and hated it!). Ellen prefers to manage her diabetes with a pump (Medtronic) and we use CGM periodically.

Since then it has been buckets of football and within the last 4 years she has also played futsal in the off-season. It is amazing how different the two are to manage. Football often sends her low- particularly in the cold Canberra winters (we live in Australia) whereas futsal sends her high due to the adrenaline. As futsal isn’t as big in Canberra her futsal club (Boomerangs FS) travel to Sydney to play in a Sydney comp. So every Sydney game we travel between 2 ½ to 4 hours each way (depending on what side of Sydney the game is) to play. The weather in Canberra is quite dry whereas Sydney can be humid which can affect Ellen’s BGLs (sends her low) so at the half way stop en route to the game we reduce insulin if she has any carbs and put a reduced temp basal on. We find doing low carb on the morning prior to the Sydney trips much easier to manage. At least we are only fixing the humidity problem. Then during the games she heads high! Sydney games we nearly always use CGM to help keep an eye on things. If it’s a home game its breakfast as usual. After the game she eats what she wants.

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Whilst having diabetes can be tough when you are playing football and futsal, we run at it with the attitude that if we have a tough day diabetes wise we look at why and see if we can do something different. There are days when you just can’t explain why the numbers are what they are! All of her coaches and teams have been really supportive and the boys often try and guess her Blood Glucose Level – she plays in the Boys National Premier League. Ellen also chooses to celebrate her ‘diaversary’, so the team usually hangs out for the cupcakes she takes along to celebrate another year kicking the butt of diabetes.

Having diabetes hasn’t stopped Ellen from achieving in soccer and futsal. The last 12 months have been particularly rewarding!!! 12 months ago her girls futsal team won both the premiership and championship in the Sydney comp. For outdoor her BBFC U16’s team made the Grand Final and won in a penalty shootout. She then made the ACT team (regional team) to play futsal at Nationals in January – they were runners up in the Grand Final in a penalty shootout. And a couple of weeks ago at the presentation night for Boomerangs FS, Ellen was awarded female player of the year. We are pretty proud of her. Winning isn’t everything but it is great to get some wins and they have been a while coming!! Though I must say the victories are much sweeter after the effort you put in to get the diabetes right. (excuse the pun!)

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As much as it is a challenge, there have been lots of good things about having diabetes in our lives for the last 8 years. We have made a whole new bunch of friends we wouldn’t have otherwise met. Whilst it is so nice being able to converse with those who understand the challenges and learn new things from. Ellen has had the opportunity to speak at JDRF fundraisers and she was recently asked to take part in some research at ANU.

Being part of TDFC has been a huge help though. It was so nice to hear from others who play football and be able to read about their experiences. With Ellen being a girl it was so nice to read about Noel and what she has achieved. We got to meet Zac (UK DiaEuro Player) at one of Ellen’s games in Sydney and hope to see him again soon. Whilst it’s also great to see that Chris represented his country in Futsal, which gives Ellen so much hope she can achieve the same.

Ellen Brown Picture 4

To any young footballer out there, chase your dreams. Ellen’s favourite saying is “I don’t live with diabetes, diabetes lives with me”.”

 

A really great blog written by Karen Brown and a huge thank you from us for putting it together. If there’s anyone out there reading this who’d like to contribute in a similar way get in touch! We’re always on the look out for blogs and stories to share…

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

Diabetes, Football and Me

It’s great to be able to share stories of our community and when we asked Zak if he’d like to write for the blog he was really keen… If you’d like to write something for us please get in touch! Anyway, over to Zak…

Hi, my name is Zak. I am 26 years old and a PE Teacher from Lancashire, England but currently living in Sydney, Australia.

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Football has always been a huge part of my life and being diagnosed with Type 1 Diabetes aged 14 did not change this one bit.

 

Despite my Dad’s initial fears that I may not be able to play football in the same way, we were reassured by the nurses at Blackburn Hospital that I could continue my number one hobby soon enough. Sure enough, after a few minor adjustments and some extra pre-game preparation, I lined up for my team just two weeks after diagnosis! I remember it so vividly, tucking into a couple of digestive biscuits at half time to keep my blood sugars up and cramping up towards the end of the game.

 

I know that many people have struggled to keep up their previous lifestyles after diagnosis, through fear of hypos/hypers or by misinformed advice, but it’s something that has never stopped me from doing anything I like… except for one thing – scuba diving.

 

I have tried to Scuba Dive twice in Thailand and Australia but not been accepted both times. Without a doctor’s letter of approval after taking private health exams via a registered “dive doctor”, unfortunately I had to stick to snorkeling. I’d be interested to hear about other people’s experiences with scuba diving so please get in contact if you have a story or info worth sharing!

 

And despite the scuba setback, I have done kayaking, bungee jumps, overnight treks, 100km bike rides and many many more adventurous activities!

 

Having diabetes has its obvious challenges and hurdles we face day in, day out, but it has given me some great experiences that I will cherish for a long time to come…

 

I have been fortunate to represent Great Britain in the Junior Diabetes Cup held in Geneva, Switzerland. In my first year (2009), we won the tournament in a nail-biting penalty shootout against Slovakia. I was due to be the next penalty taker and I can’t describe the relief I felt at not having to take one! I went back again the next year and was nominated to be captain, which was an incredible honour. Despite finishing the top scorer in the tournament, we lost 1-0 in the final to Slovakia who got their sweet revenge (excuse the pun).

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Then in September 2016, I decided to move to Australia to give life a go “down under”. I have found a great football team here in Sydney and have represented Australia at the Mini Football World Cup in Tunisia, playing in front of a packed stadium of 3000 fans under the floodlights! I spent a bit of time pre-tournament learning the national anthem so that I didn’t have to mime awkwardly whilst on camera! I was also part of the UK’s first diabetic futsal team to play in DiaEuro 2018, which was an amazing experience both on and off the court. To meet so many other diabetics with a passion as big as mine for football was incredible, you can imagine how many stories were shared during that week!

 

A few adjustments have been made after moving to Australia, most notably with my prescriptions and dealing with heat of up to 40 degrees during summer! I have to pay for my diabetes supplies here, which makes me appreciate just how good the NHS is back home. Playing football in the heat took some trial and error too. My suncream is now just as important to pack as my insulin on a Saturday afternoon!

 

Two and a half years down the line and I’m still enjoying life here. I’ve met one other sporting diabetic superstar and her family in Sydney – my namesakes the Brown’s have been great at handling Ellen’s diabetes whilst she competes at the highest level of futsal in Australia at U17 and all age women’s level. I hope to meet and chat to a few other sporty diabetics in the near future, so if you’ve read this and want to add anything of your own then please step forward!

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G’day

Zak

If you want to find Zak on social media head over to his Twitter @mrzakbrown or his Instagram @zakbtown

Chris Bright: Reviewing the 2017/18 Season

As it’s the end of #DiabetesWeek I thought it would be the perfect opportunity to share a blog about the completion of my 2017/18 season… A season of complete contrasts!

July 2017… As pre – season begins for most players and clubs involved in Football, I was in a plaster cast contemplating how this had all played out. Two 5th metatarsal fractures in 6 months and an operation later and I was staring down another 2 months until I could walk again, let alone run!  The worst injury I’d experienced in my sporting career.

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But anyone who knows me well, knows I don’t give up in the face of a challenge… This was a hard one but I was up for it!

The season was well underway by the time I could walk again on the 1st of September but after months of crutching around the local gym and using a handbike to do cardio, I was just so pleased to be back on 2 feet again. The key with injuries like this I’ve found is to celebrate the small wins as you progress towards your old self again… If you don’t give yourself the recognition of improvement it’s going to be a really hard mental and physical battle!

It wasn’t long after walking again that I was given the all clear to do some light jogging, which was a huge step in my mind, as I put some serious stress on the bone for the first time since the op. With any injury that keeps you out for this period of time the deterioration in muscle strength in your whole leg is a massive problem to also overcome as well as the concern for the injury itself.  I had a LOT of rehabilitation work to do but as I was accepted onto the Sports Scholarship scheme at the University of Worcester (www.worc.ac.uk) I knew I was going to have access to great facilities and people to support me on this journey back.

After 5 – 6 weeks of strength and conditioning, constant physiotherapy and some Futsal training sessions with the university futsal club, things looked to be progressing nicely in October.  I was getting used to my team mates, new surroundings at the university and the demands of the sport on my body again. I enjoyed it but things were painful… I spent a lot of the first 2/3 months in pain playing as my foot was weak and the muscles supporting it weren’t much stronger!

The first game back was towards the end of October, and when I say game, I mean 2 minutes on court just to see how things felt!! That’s the beauty of Futsal, you can roll on and roll off quickly with substitutions… It felt alright but I think it was a false sense of reality as I was still a long way off at this stage! There’s a lot of fear when you’re coming back after a torrid time which is hard to explain, naturally the body just tries to protect it so you move in a way which is not efficient or conducive of high performance. It took a good 2/3 months to get over this and I’d argue I’m still not fully there!!!

 

As things progressed and improved, I returned to my first national team Futsal camp in November 2018, almost a year after breaking my foot on international duty.  It was a great moment for me to see the lads again after spending so much time on the sidelines… I knew it was a tough ask to compete with the boys and their levels having only been able to run for just over a month and still playing in pain. Despite this I felt I gave a good account of myself but ultimately I didn’t have the fitness and games in the tank to really challenge for a place in the Wales Home Nations squad in 2017 as I narrowly missed out. Tough to take but understandable.

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But whilst the Wales boys were playing in Edinburgh, I had the opportunity to attend the England Universities Trials in London. Another great opportunity to push myself against good players and towards my ultimate goal of full fitness and playing at the levels I knew I could achieve. It was a hard session considering where I was at in terms of fitness but I was really glad I did it. It ultimately led to selection in the squad later that month which was great! The management of my glucose levels and getting them right for games/occasions was now starting to become important again as I was more involved whilst playing more and more game time. You’d think the old ways would work?! A year after the last time I played sport at that level and my body certainly didn’t play ball!! My levels were shooting up to levels I’d not seen at a Futsal game before and crashing more dramatically than I remembered. I think there’s a certain amount of trial and error in everything we do as Type 1’s but it’s about reducing the number of errors we make that will allow us to enjoy our sport. For a good couple of months I made plenty!

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As the festive season approached I also took the decision to get back to playing Football. I’d missed it and it was time to use the sport to help me get fit in December and January as the Futsal season tends to go quiet at that time. My old manager Quentin Townsend had inquired about my fitness a month or two earlier and I’d put it off to ensure my body was in a good enough place to cope with Football when I finally said yes! I signed for Pershore Town FC and played my first football match in 20 months on 19th December 2017 in a friendly vs Worcester City FC.

Before I knew it I’d played in 3 games in a week and it was like I hadn’t been away! There’s nothing like being thrown in at the deep end but I was just pleased to get back out there again. I’ve got to say a big thanks to the lads who made it so easy for me to fit into the squad half way through the season and enjoy the second half of it. If I’m honest the transition with my Diabetes back into Football was much easier than with Futsal… Because I’ve played Football for a lot longer it feels a little more natural in terms of the routine I go through to manage type 1, so there was only really 1 and a half games from the 16 appearances I made where I’d say things weren’t quite right!

I spent a lot of time learning about how to manage my diabetes around sport again… 12 months away is a long time and plenty of things change during that time.

But as I moved into 2018 things were looking really promising following the call up to the England Universities squad and with regular weekly game time. This was huge! I was playing a 90 minute game on a Saturday and then playing Futsal on a Sunday for about 4/5 weeks on the bounce and after that I was flying into the business end of the season.

My season was all about pushing myself in Futsal and enjoying the game time in football.  I wanted to come out of the season with some silverware with the university team with both the league and cup in our grasp. As we negotiated our semi final with a really tight 9-8 win vs a well drilled Loughborough 2’s team, I had a cup final to prepare for as well as a north vs south challenge cup as part of the England Universities squad.

Unfortunately we were unable to chase down the league title after a couple of disappointing results which meant we finished up as runners up in our division but we still had the cup to play for.

I won’t go into much detail about how the final went as you can read all about it on the previous blog post (https://thediabetesfootballcommunity.com/2018/03/18/the-cup-final-can-you-ever-get-it-100-right/)…

 

 

To go from that cup final and into the North vs South challenge cup just a couple of weeks later was absolutely class and well timed… I could feel I was on a roll and feeling good, so for me it was great to see the good form continue as I ended up as the top goal scorer in the tournament and with a Team South win 9-3 across the two games (6-2 & 3-1). I was finally able to show my ability as a result of the body being closer to a state which could showcase it! After this tournament and a couple of good results with Pershore, I pretty much knew the only meaningful game left in my season was the annual varsity ding dong derby between the University of Worcester and the University of Gloucestershire.

Varsity is a big deal for the students at the university you represent and winning the game you’re involved in is all that matters in the month of April! Luckily for us we entered the game in good form and were really confident that if our big players turned up we’d win the game… So it turned out to be the case. We ran out 8-3 winners and the team played a really good game in which we controlled it from the start to finish.  It was a cracking way to finish the season off and undoubtedly contributed to the way we were rewarded at the end of season awards night…

 

The University 1st team were given the “Team of the Year” award for our cup and league exploits, whilst my individual contribution to those performances and my representation of the university with the England universities squad led to me being awarded “Male Athlete of the Year”. An award I didn’t feel worthy enough of winning but one I was extremely grateful and very lucky and proud to have received! When last year’s winner was an Olympian and former commonwealth champion Matt Hudson-Smith (https://en.wikipedia.org/wiki/Matthew_Hudson-Smith), you can see why I didn’t feel like I wasn’t worthy of this level of recognition haha! Incredible all the same though…

 

I honestly couldn’t be prouder to have ticked all of that off this season, despite not actually being 100% at any point.  The key was that after all that time away from the sport I found my love for it again, the smile on my face was back when I played and I don’t think I’ve enjoyed playing like I did in 2017/18, since I was a kid. Sometimes the adversity can set you up for what’s next and I think the injury taught me a lot about fun and enjoyment that maybe I was missing beforehand!

I think this line sums up the approach I’ve taken over the last season and one in which I’ll try to continue for the rest of my playing career:

“Train like it’s the most important thing in the world, play like you couldn’t care less!”

However, one thing that I wanted to finish on surrounding Diabetes… After 12 months of being injured and focussing on my Diabetes more and more my Hba1c was 50 but as I returned to playing it went back up to 64… A really challenging question is…. What’s more important? I was called up to the England Universities squad, scored 5 goals in a cup final winning performance, won varsity and I won male athlete of the year at my university, yet my Diabetes control was worse. There’s no doubt my sport, the demands on my body and the responses my glucose levels have to exercise complicate overall control of the condition as my intensities of exercise differ so drastically!

I’d love to have some feedback on this… Because I honestly don’t know the answer but my choices have always involved enjoying life experiences over prioritising perfect Diabetic control but I’d love to hear what you think…

Finally I’d just like to thank a number of people who’ve supported me hugely throughout this season, my family for your continued support, to Dan Allen (https://www.instagram.com/da_training_and_performance/), Jamie Harrison and Marc Scriven for their strength and conditioning support, to Sally Smith and Lewis Miller for putting me back together each week with their sports therapy support, to the University for their providing great facility access and lastly to my teammates and coaches who’ve made me feel welcome and whom have played well so often this season! We win and lose as a team….

All in all a progressive season after one of the hardest periods of my sporting career with so much to look forward to in the 2018/19 season!

Chris

#WalkInOurBoots (24 hours in the life of a Diabetic Footballer)

After months of behind the scenes work from myself, Ferenc Nagy and the wonderful Andrewartha family, who star in the documentary, we have now finally launched the #WalkInOurBoots campaign to raise awareness of Type 1 Diabetes in Football.

TDFC wanted to showcase what life was like for a young footballer living with the condition and its effect on his family. This campaign is a “real world” example of the challenges and daily routines this condition forces upon people who were dealt this card in life.

I found parts of this documentary very emotional to watch, as someone who lives with the condition, I feel every word they say. I hope the emotion and management implications of Type 1 Diabetes are captured, to ensure we can continue to challenge the powers that be to help change perceptions within society and ultimately improve inclusivity for people living with the condition in our sport.

I hope you enjoy…. PLEASE SHARE AS FAR AND AS WIDELY AS POSSIBLE.

Chris

 

 

Psych Series: Your Driving Force (Chapter 1)

So this is the first of what we’re calling the psych series on the TDFC blog. In each post I’m going to blog about different topics in sports psychology and how they might impact your diabetes management or how you play sport. After all, diabetes is a chronic medical condition that requires continuous self-management. Whilst diabetes is a physical condition, there are psychological factors that influence your management and impact your sport and exercise experience. For example, diabetes may give you anxiety before a big performance, or poor levels may leave you feeling frustrating after you play. Or perhaps, testing around your teammates has an impact on your confidence? Some, or all of these may have an impact on your relationship with sport and exercise and it is my hope that through this psych series, you find some useful bits of information that can help you have a great experience with sport and exercise. I hope these posts are helpful and I look forward to any feedback or questions you may have.

Your driving force

Type 1 diabetes is a chronic medical condition that requires self-management day to day, hour to hour. When considering trying to be physically active on top of that and the challenge increases. The aim of this blog is to help you develop a clear mission for why managing your diabetes is important not just for the health reasons but to help you get the best out of your physical activity. To establish your driving force. No doubt there will be days where the frustration of not being able to just turn up to play the same way your friends do, or perhaps the aggravation you may feel when you must check your levels and your teammates are warming up can be overwhelming. Creating a clear mission and having that written down somewhere you can see often, will help you on those days. It will remind you doing the things that must be done, will help you in the long run.

How to develop your driving force

When you have some free time, take 3 minutes to jot down as many reasons that you love to play football (or any other physical activity you engage in). There are no right and wrong answers and don’t worry about grammar or spelling. With no restrictions, right as many as you can. Once you’ve done that, select between 5 and 10 of those reasons and underline them. Now, for each of those reasons, write down the best things you can do to help you achieve your goal. To save me trying to explain this further, I’ve completed this exercise with Chris to provide an example. Having completed those steps, you should have a list of reasons and behaviours that will help you reach your personal goals. Lastly, I want you to write at the bottom of your page, a clear mission statement that sums up the reasons you do what you do. Again, if you’re stuck just look at the example for some ideas. If you are struggling for time, make the exercises shorter by listing less reasons. For example, 3-5 reasons instead of 5 -10. This may also be helpful if you are a parent trying to complete this with your children. This exercise is great for helping to take ownership of your sport and helping you push through those days when you are feeling low or motivation is hard to come by.

Please check out Chris’ example below for how this could turn out for you.

Driving Force Example (Chris Bright)

I hope this helps and as always, please feel free to drop me an email if you have any questions.

 Email: alexrichards35@gmail.com

Twitter: alex_acr

Jon’s Story…

It’s great to be able to share a blog from another member of the TDFC team… I simply asked our squad “Who would like to write something for the site?” and Jon came forward without too much persuasion to share his story with the condition! It’s a great read so I won’t say too much more…. In his own words, please enjoy Jon’s story:  

 Image 4 (Jon)

“Having been diagnosed as a diabetic at 5 years old in the mid 80s, playing sport as a non diabetic isn’t something I have ever really experienced. I remember locking myself in the hospital toilet the morning of my diagnosis, scared of the syringe that they wanted to inject me with (we’re talking the size of a 30cm ruler!!).  Originally I was on one injection per day, and then soon moved to two; one 30 minutes before breakfast, and one 30 minutes before my evening meal. The dosage was dependant on the size of the meal I would be eating (obviously a bit harder when eating out!). Carb counting came from a big book in 3 sections; red (high in sugar), amber (okay) and green (good to eat). 

Because I was so active as a child, it was decided to run my blood glucose levels slightly higher as running about would invariably drop it down again!  If I was higher than normal in the evenings, my mum would send me on a run around the block (about 10 minutes) to get it down!  When playing football, whether training or a match, I usually had a mini mars or something similar at half time.  I’d probably have a slice of toast or a digestive biscuit beforehand.  Very rarely did I check my blood glucose levels before, during or after.  As I got older, and into my teens, the mars bars went from mini, to fun size, to full size!  Again, I relied more on feeling than actually testing my levels, and I wasn’t really challenged by doctors about this. 

At about 15, I started seeing Dr Ian Gallen as my diabetic specialist and got moved onto pens for my insulin, injecting 4 times per day.  He took an interest in the diabetes and sport, and I started to do a bit more.  Mars bars turned to Lucozade, and the checking started.  However, I would still run them higher through fear of going low during a match (something I experienced on my debut for my under 11s team!). I wasn’t aware at this point in my life that having glucose levels in range would equate to a better performance on the pitch. I was also playing hockey to a county standard, cricket, rugby and athletics.

Image 2 (Jon)

 However, through my late teens and early 20s, injuries set in, and playing time reduced. By 25, I’d had 3 operations on my right knee and one on my right ankle.  The rehab and recovery was (and is!) awful. Being unable to play meant blood glucose levels were going higher, as well as the challenging mental state of mind. When I got back to playing, I would be back to my old ways and not testing.  I’d have half a bottle of Lucozade before the game and the rest at half time. I’d have similar when training (half before, half during) and I honestly couldn’t tell you how this affected my glucose levels! Unfortunately, this lack of testing, as well as injuries, went on into my late 20s. I’d lie to the doctors, although they must have been suspicious by my HBa1C results!

Image 1 (Jon)

 In my late 20s, I met my now wife, who is a nurse. Through her nagging, and changing diabetic specialists, I started doing a lot more testing (although nothing like I do now). My pre match, half time and post match or training snacks would differ each week, dependant on the blood glucose level I presented. At 33, I finally gave in and moved onto an insulin pump, which has changed my life.  I probably test 8-12 times per day, and my HBa1C is at an all time low. Unfortunately, the injuries didn’t stop. 10 operations in the past 16 years (one on my eye due to diabetic complications) meant that I had to call time on my playing career last summer. However, I have now turned to cycling as I’m still recovering from a condition in my pelvis and hip meaning I struggle to run. Managing my glucose levels for this can still be difficult, and no two days seem to bring the same results!

So, what would I do different, what advice would I give and what have I learnt about sport and being diabetic? I would definitely say testing is so important. In later years, I really noticed how my performance on the pitch would be better the tighter my control was. If I was too high, I would feel sluggish, slow and off the pace. However, having that tight control is important all week, not just on match or training day. If it is higher than hoped, it’s not the end of the world. Sometimes it can be high and I have no idea why! Testing during a game or training is also important. There’s no shame in doing it. As a sporty youngster, my only role model was Gary Mabbutt (someone I still look up to), a professional footballer living with type 1 diabetes. However, I wasn’t aware of anyone else who I played against who was diabetic, and always thought I was on my own. Having something like TDFC is amazing, as it enables so many people to share their inspiring stories.  Just remember, you’re not alone in being a diabetic!“

Image 3 (Jon)

 

Upon reading Jon’s story I wanted to ask him a few questions to delve a bit deeper into his life experience with the condition….

CB: So, there’s obviously a vastly different way of controlling Diabetes in 2018 compared to when you were diagnosed in the mid 1980’s what sticks out as being drastically different?

JP: “When I was first diagnosed as a diabetic, the treatment seemed very basic.  One injection per day, one appointment every 6 months to a year, basic carb counting, no real research or good information on playing sport with diabetes, it was all generic, and given to me by doctors and nurses who a) didn’t have diabetes themselves; and b) didn’t play sport!”

CB: You mentioned in your story that you lied to your healthcare professionals… Why did you feel like you had to do that?

JP: “Sadly, I felt I had to lie to the doctors and nurses I saw as I thought I’d get told off for not testing enough.  I think I also felt that there wouldn’t be any problems if I could just keep them happy.  Long term complications of poor control and benefits of keeping close control were never really explained to me (that I can remember) until later years.  Even then, I guess I thought it’ll never happen to me”

CB: What were the difficulties you faced when injured and managing your Diabetes? Was that the hardest part or was it the mental battle with being injured as a sporty person?

JP: “My glucose levels would really rise when I was inactive.  Since a young age I’ve been active and on the go, so have always used that as something to bring the levels down, meaning I didn’t have as much insulin as I would if I was inactive.  Being inactive was incredibly hard both physically and mentally.  Blood glucose levels would go up, so I’d increase the insulin, meaning I’d then go low, then I’d have too much to eat or drink and go back up again!  This then had the knock on affect mentally.  It was hard being unable to do something that I’d grown up doing (not just football, but physical activity of any sort) and feeling like a gift you’d been given was being continually taken away was tough.  Then, as I would be coming back, I’d either suffer another setback, or get a small run of games before another injury.  (Ironically, since stopping playing, I’ve managed to shed quite a bit of weight, which would probably have helped me a little bit years ago!). So I’d have the mental side of not playing and seeing all my team mates playing and training every week, while I was stuck waiting for my injury to heal.  That combined with the glucose levels yo-yo-ing was tough to take.  Better control would have helped me with my recovery.  However, being injured did mean that I could spend more time with my family (that was about the only benefit, although I’m sure my wife would tell you that on a Saturday around kick off she’d rather I wasn’t moping around complaining that I wasn’t playing!!)  I couldn’t go and watch my team play as it made me cross and angry I wasn’t playing!”

CB: What’s been your proudest moment with Diabetes and Sport?

JP: “I feel that just continuing to play sport for as long as I have whilst having diabetes is a triumph in itself.  It should never stop you doing anything, but especially in the 80s and 90s, there wasn’t really any network or support in place if you were struggling or not sure at all.  Apart from Gary Mabbutt, there were no real sporty role models with Diabetes to seek out guidance and inspiration from. I’ve now spoken to children and adults (including one family member and a best friend from my childhood who are both active) who have been newly diagnosed and managed to convince them that you can continue life normally without letting diabetes hold you back.  They see that I can continue to participate in physical activity, so why can’t they!  It has also helped the people around them, who don’t have any knowledge of diabetes, see that you don’t need to let it hold you back, whether in sport, or just life in general.”

CB: What’s been the hardest thing you’ve had to deal with when dealing with Diabetes around football? 

JP: “Probably other people (coaches, parents etc) knowing what to do or how to act.  I was never shy about telling team mates I was diabetic, but also never shouted it from the rooftops.  As an adult, I made sure that there were a handful of team mates who knew, but as a child it was a bit more difficult.  We had one parent who was a nurse who watched her son most games, so I think that put my parents mind to rest (I didn’t like them watching me for some reason!!). My manager from u11 to u16 asked my parents about what he needed to do, and my best mate’s Dad would quite often be there (although he did go and sit in the car with my supplies because it was cold one game – typically when I needed them!!) 

Managing the control in general can be difficult; it can also be easy, but as no two days ever seem the exact same, it just adds to the fun!  I could be absolutely fine one game, do exactly the same the next, and it all be completely different.  Sometimes I‘d go too high before a game, sometimes after.  I’d always make sure my bag was on the side in the dugout fully stocked, and sometimes give a bottle of Lucozade to our keeper to put in his goal.”

CB: What would you like to influence in the future around Diabetes? What was your reason for joining TDFC?

JP: “I’d like diabetics and their families to have as much support as possible and to encourage them to keep active.  There’s no reason to let diabetes hold you back.  If I can make a difference to one person who is struggling with their diabetes, or even if they’re not struggling, I’ll be a happy man!  I’d also like to make sure that people are educated so diabetics can always have the same opportunities as others.

I discovered TDFC through social media.  I think I clicked with it straight away, wishing I’d had something like this when I was younger.  I want to be able to help and inspire future generations of diabetics, of all abilities, so that they may go on one day to inspire others!”

An amazing story Jon and thank you for sharing it with the community. 😀

Interviewing a Parent of someone with Type 1 Diabetes

I’ve been wanting to do this for quite a while now as I think it’s a fascinating opportunity to pose my own parents some of the questions I’ve always had around their feelings towards my diagnosis, my diabetes management and how it’s transitioned into my sport.

The below video was recorded with own mom on a Facebook Live Q&A session on the 26th January 2018. It’s around 1 hour 15 minutes long and we hope that it gives another perspective for you to access around parenting a type 1 diabetic with sporting aspirations. We don’t just discuss sport, as we tackle a bit of everything in this session to give a rounded view of the challenges parents face.

I’d like to thank my mom for giving up the time to help us create this great content and please feel free to share your feedback and views.

Head over to our Facebook page to see more Q&A’s very soon.

Enjoy.

Chris

DISCLAIMER – As the discussion is led by our own experiences and not necessarily supported by Healthcare Professionals any advice you take from this video should be signed off and supported by your healthcare team.

New Year, New Goals, Same Motivation?

At the start of every year I find myself reflecting on what’s happened over the previous 12 months and looking forward to what the next 12 bring my way. I don’t think I’m alone in the way that I do this with the hundreds of posts I see online, all referring to the end of one year and the beginning of the next. It’s a period of transition which in my eyes allows me to reset my thinking and the batteries. It gives me an excuse to think about the positive changes I can make to my life in the New Year and the impact I can have on the future, as I know I can’t affect what’s happened in the past.

However, the start of the New Year in the U.K is often grey, cold and somewhat uninspiring for those looking to get active for the first time, or who have had a break over the festive period. Combine that with a challenging period of over indulgence in Food and drink that tests the blood glucose levels of people with Diabetes, and you can see why it may be a struggle to get into a new regime during the New Year.

Diabetes is a condition which is renowned for testing even the most positive people in their approach to life, so it’s important to consider its pitfalls when finding your motivation to get active or play sport. How do you combat negativity around your condition which affects your mindset and approach to daily activities and exercise?

I don’t have a definitive answer… However myself and Alex will try to offer you some insight in how to approach the New Year, set new goals, how to find your motivation and most importantly, maintain it:

  • First of all, it’s about what motivates you to get active? Is it external praise? The sense of achievement from within yourself? Money? Fun and enjoyment? Becoming Healthier?  There’s a whole array of things which may drive you to make a change. In my life it’s about the sense of achievement I get from ticking off goals and the enjoyment I get from playing sport.  But for you, it’s important to understand what’s driving you to get active or stay active and use that to continually fuel your motivation.

  • Secondly, I never set Diabetes related goals… I’m not sure if that will shock people or not, but it’s how I work as an individual. I’ve always had the attitude that as long as I maintain acceptable control which allows me to perform to the best of my ability in my sport, and it doesn’t affect my every day activities, that’s good enough for me. If I give it too much focus in my life it will consume it, so I choose to position it on the backseat of my life and not the front seat.
  • I like to break my goals into categories… I tend to place any objectives or goals into sections which reflect the direction of my life. So for example in 2018 I’ve got goals for my Personal life, my sport and my career. It helps me organise myself and the direction I’m trying to head towards in all walks of my life.
  • I set 2 or 3 goals in each section which I believe are achievable within the timescale of 2018…It’s important you don’t try and change too much as you’re unlikely to be able to achieve too many goals, which may disappoint you in the long run. Be realistic in the expectations you set yourself.
  • The goals I set are the big things I want to achieve, but each week I’ll set myself much smaller ones which underpin the progress towards the bigger ones. For example it might be reducing my 5k running time, or lifting a heavier weight in the gym. Neither of which are part of my overall objectives but both will contribute to hopefully successfully achieving 2018’s goals. Those smaller goals can be so important when you’re having a tough week with the Diabetes in feeling that sense of achievement we need to keep us going. I think it it’s important in driving the continuation of exercise and keeping those good habits.

Of course my motivation and the tools I’ve used are transferable, but on the next section of this post I’m handing over to Alex who’s going to take a look at it from his perspective as he’s spent a considerable amount of time studying sports psychology.

 

“I want to talk to you guys about goals. Goals can help keep you motivated throughout the year, especially when the initial motivation that often comes with the New Year begins to fade. All goals are not created equal and the better goals you set the greater chance you have of continuing to make progress throughout the New Year. The rest of this post will give you some do’s and don’ts when setting some goals.

DO – Make sure the goals you set are in the form of actions and behaviours. If you want to increase the amount of exercise you do this year, how are you going to do that? Perhaps you want go to the gym more? How many times a week will you go? An example of a good goal in here would be, “I’ll go to the gym twice a week this year”. You could make this even better by deciding which days you will go to the gym. Once you’ve achieved this goal you may decide to add another night.

DON’T – Carrying on from the first suggestion, do not and I mean never ever, set vague goals. So if you find yourself saying something like, I’m going to take my football more seriously this year, refer back to the first do. If you have ever found yourself starting something for a few weeks and then slowly but surely reverting back to old habits, vague goals may well be the reason why. Vague goals can also be thought of as wishful thinking.

DON’T – A goal that can’t be measured is not a great goal to set. Setting a goal that you can measure allows you to check your progress as you set out to achieve your something and lets you know when you have been successful. If you want to improve your diabetes management this year, perhaps set a target for where you would like your HBA1C score to be for your next consultation. It’s really important to mention here, that goals concerning your HBA1C score should be set with gradual improvement in mind, not drastic changes.

DO – Set goals that are positive. This is a simple but powerful tip; it’s really important to focus on what we want to happen rather than what we’d like to avoid. When you’re setting goals, try and make them about increasing behaviours rather than decreasing behaviours. So if you have a goal regarding your nutrition, make your goal about starting to eat things that are going to help you lead a healthier life instead of stop eating foods that don’t help you lead the lifestyle you would like. Being positive in your goal setting will help you decide on the actions that will help you get there (remember the first do).

Since I have just suggested to make your goals positive, I am going to finish on a do rather than a don’t. My advice to you all, setting goals will increase the chance that any resolutions you’ve made will continue past January. Goal setting is key to long lasting motivation and it will also let you see how far you’ve come. Once you see yourself making progress I hope this will also increase your motivation to continue. Happy New Year folks!

Alex.

If anyone wants some more in-depth advice regarding setting goals for the New Year, don’t hesitate to get in contact with me via email.

alexrichards35@gmail.com”

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