#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.

IMG_2415

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.

IMG_2392

 

#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

 

 

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.

My First Game after Diagnosis

I’ve seen and read a number of inspiring and emotional accounts of those difficult moments which follow the diagnosis of type 1 diabetes. Your life is flipped upside down, forever.  The life you led before is now a distant memory and a lifetime of injections and constant concern for your own wellbeing is now the norm.

However for anyone who knows me well the following sentence won’t come as a surprise.

I was diagnosed on a Monday afternoon at 8 years old and on the Friday evening of that same week I was back out on the pitch playing again.

IMG_0699

It epitomises everything about my approach since my diagnosis. I didn’t let it stand in my way in week 1 of being a diabetic and I haven’t let it stop me in any other week since!

Despite this attitude that I adopted very early on, there’s no doubt that it tests your resolve both mentally and physically. Never more so than in that first game post diagnosis.

I remember that game really well. After a 3 night stay in hospital I had one day at home before a Friday night friendly for my club Kingfisher Colts. I remember thinking to myself there’s no way on this planet I’m not playing. It took a lot of persuasion over those 24 hours to convince both my diabetes nurse and parents that this was the right thing to do, but in my mind there was no question that I was getting out on the pitch.

In 1999, the treatment methods weren’t quite what they are today. I was placed on 2 injections a day, which can cause you to lead a more rigid lifestyle as well as a more difficult one around sport. But this was diabetes care in the late nineties, so I just got on with it and lived like this for 4/5 years. For this first game we were really just guessing and hoping everything would go well!

As you can imagine, that Friday was full of emotion. I honestly didn’t know how to feel. I was an 8 year old who had just found out that he had to live the rest of his life on daily injections. I was drained physically and emotionally. However, the overriding feeling I felt as I left for the game was one of defiance. No matter how the condition was going to test me over the rest of my life, I knew in that moment I wasn’t going to give up, or stop playing football regardless of the trials and tribulations I faced.

img_0729.jpg

As I arrived at the game with my Mom and Dad there was tension in the air. We were all stepping into the unknown and despite my defiance; I was frightened, anxious and scared. “Would my team mates look at me differently? Would they treat me differently? Would I be as good as I was before? Am I going to collapse whilst I’m running around? Can I still do this?” These were the questions I was posing to myself as I met the squad and my manager out on the pitch.

I think through the fear of the unknown and the prior planning to the game, I avoided doing the warm up that day. As a family, and with my coach’s input, we had agreed that I should come off the bench for the last 20 minutes of the game. The only problem with this plan was that I had 40 minutes to stew and worry about going onto the pitch. Watching on was torturous, knowing that usually I would start the game. This was alien to me but I understood that the world was different now. I just wanted to prove more than anything that I could still do it.

As the game reached half time, and as we had become accustomed to, my team were winning comfortably. I played for one of the most successful kid’s teams at my age group in the south Birmingham area so this was absolutely no surprise and it took the pressure off my performance, as the boys were already doing the job. This didn’t stop me feeling really nervous, as the moment I was expecting to come on was creeping up on me quickly.

My Dad tested my blood glucose levels and they were in range, so I began to warm up. The normal excitement and nerves for a game came rushing back. We were 3-0 up and surely this was going to be business as usual? I was feeling pumped up and those feelings and thoughts of defiance were right at the forefront of my mind. I ran up and down for a few minutes, stretched off & got a couple of touches of the ball. I was ready.

IMG_0725

Nick Reddish (My Coach, whom I owe a lot to!), called for the substitution and there I was stood on the touchline waiting to shake my teammates hand as I replaced him. I can’t even imagine what my Mom and Dad were feeling watching, I was emotional enough as it was. Then it happened, I ran onto the pitch and the euphoria of being able to play again after the most frightening week of my short 8 years hit me. I ran into my position and nearly broke down as it meant that much to be back out there. I didn’t. Instead I quickly forgot the emotions and why it meant so much and got down to playing. In reality the 20 minutes I was involved in were never going to be that meaningful as it was a friendly and we were already 3-0 up, but it took on another meaning to me which no one else could see or feel.

After all of the build up, I played 20 minutes of football where nothing much happened and we saw the game out comfortably. Most importantly for me, that first experience back out on the pitch went without a hiccup and I took a lot of confidence from that. Obviously many hiccups followed in the future as we got to grips with controlling my blood glucose levels around my football, but after that scary first week there was a ray of light at the end of it. It didn’t stop me. I didn’t collapse. I didn’t play badly.

The emotional and psychological build up for this match was incredibly draining, far more so than the actual playing itself. As a family we built on that game, one day at a time and one game at a time, to learn and improve my control to the point where it rarely impacted my performance.

I strongly believe that more needs to be done to support people who live with chronic conditions such as Diabetes in mainstream sport but this is a discussion for another post….

For me this was the first day of my defiance, which I’ve followed with another 17 years of that same defiance. Diabetes will never make it easy but if you want it badly enough you’ll find a way of making it work for you.

“Never stop playing because it’s tough, stop playing when your legs give up!”

 

Thank you for reading this post. I found it extremely difficult to write as it took me back to some difficult memories that I haven’t visited for a long time.