Managing Type 1 Diabetes for Football & Futsal in 2020…

The new year is always a chance to take a fresh look at things and alter the path or journey we’re on…. At the start of every year I try to look at the context I’m surrounded by and set myself new goals or challenges which drive my motivation for what’s ahead.

But what I thought I’d do, to help some of you out there who might be thinking about starting a journey with Football/Futsal & Type 1 Diabetes or taking it up a level, is give you some insight around how I manage my condition. 2019 was a pretty good year for me with my sport so it’s probably a good time to share with you some of the ways I go about trying to get the best from my glucose levels to allow me to play to the best of my ability.

So I thought I’d outline some of the ideas, most of which I shared at the #SporT1Day conference, to hopefully provide some insight and support to anyone out there who might need it.

Here’s my general thoughts on what I try to do or think about for my management before any sport or exercise:

  • A plan of how to approach the sport/exercise/game – What type of exercise is it (interval, aerobic, anaerobic etc)? Intensity? Duration? Time of day? Timing of meals? Last Bolus?
  • Consistency of Routine – If it’s working, I keep using it.
  • Good night’s sleep.
  • Plenty of time between pre match meal insulin dose and starting the game (3 hours + ideally)
  • Lots of Testing – As much as you can or utilising a CGM such as the Dexcom G6 which has been the best I’ve used so far. This way you can learn about the effects of types of exercises, intensities, durations etc on your glucose levels.
  • Small adjustments of insulin & carbs to try and find the right glucose level for your best performance or for you to just enjoy it.
  • I aim for 7-8 mmols throughout the duration of any game to try and achieve my best performances.
  • Having my quick acting hypo treatments and insulin available and accessible for any adjustment I might need.
  • Consider the weather… Is it cold or hot? They usually play a part in how our glucose levels respond.
  • Am I in good general health? Have I been ill recently? Can play a part in less predictable glucose levels.
  • Keeping on top of my hydration… I find my levels drop more quickly if I’m dehydrated.
  •  Stress Levels – Do I feel nervous? Am I calm? Sometimes bigger games cause a bigger adrenaline spike in glucose levels. Do I need to account for this?
  • Have I fuelled up well before the exercise? Have I eaten enough calories/carbs in general for the energy I’m going to expend.
  • Always consider how much activity you’ve been doing around the particular sport or exercise you’re about to take part in, because the more active you are, the more sensitive to insulin you are!

Below are some of the generic details about my day to day management…

• My daily carb intake is around 180g. ( + or – depending on activity levels). I’m on MDI and CGM, No pump.
• Carb Ratios are roughly 1:15 g breakfast, 1:10g lunch, 1:7.5 g for dinner.
Much of what I’ve said above is linked to a generic way I tackle my Football or Futsal but there are some subtle differences I employ between the two because the intensity of the two sports is very different. This has a drastic impact on the reaction of my glucose levels and the way I manage them during and afterwards especially. So I’ll show you some of the key differences below:
Football (Example is preparation towards a Saturday 3pm Kick Off)
  • Aiming to be 7-8mmols to start the game and throughout.
  • Ensuring my pre-game meal & bolus is 3 hours before kick off.
  • Reducing pre-game meal bolus by roughly 10%.
  • Half time testing and adjusting based on level. If I’m below 9mmols I’ll take on 10g of carbs to cater for the second half dip and even more if my levels are below 5mmols. These choices very much depend on length of time you’re going to play and how hard the game is. If it’s a tough game with a lot of chasing then I sometimes have an extra 5-10g of carbs. If I’m over 13mmols I’ll take on a unit of insulin.
  • Post game meal I reduce my bolus by 25-50% depending on how much I’ve played and the intensity of the game.
  • I try to make my post-game meal both full of protein and carbohydrate to help with the recovery of glycogen stores and muscle growth/repair.
  • I will have a bed-time snack of 10-15g without a bolus to try and alleviate the nocturnal hypo risk. (If I’ve played a whole 90 minutes, I’ll scale all of this back if I’ve played less than that)
  • I don’t adjust my basal insulin because I use Tresiba, which is an ultra-long acting insulin and this will have no effect on my risk of a nocturnal hypo.

Futsal

  • I like to start the game at 5mmols if I can, because despite being lower,  I’m still likely to need a small bolus before the game or at half time to manage my levels rising as a result of the higher intensity and expected spike.
  • Because of the roll on, roll off substitutions within Futsal, there’s a lot more opportunity for adjustment. So I always come off from the court and immediately check my CGM and look for the trend arrows and glucose level.
  • I always tend to carry a bit of short acting insulin in my system because for me within Futsal, knowing I have frequent breaks and the likely impact of the intensity (levels rising), I’d rather be lower and taking on some glucose, as it reacts quicker than my insulin, than being too high and waiting for my insulin to kick in. The important factor for me is having a glucose level which allows for performance, not the number of adjustments I have to make.
  • I will always have a protein bar/snack post game of around 20g of carbs because I tend to have a sharp drop in my levels post game. Probably as a result of carrying short – acting insulin during my sport and the intensity.
  • I don’t make any bolus adjustments post – game to my meals. Again I’ll eat a meal heavy in protein and carbohydrate.
  • No basal adjustments as a result of using tresiba.
  • If I want a bed-time snack I’ll bolus for it with a small reduction of 25%.
Wales vs Northern Ireland - 2019 Home Nations Match 1 -62
I really hope that this is a useful post for people out there trying to tackle football or futsal for the first time, or who might be finding it challenging currently. If something from this article helps someone out there get more from their performance or just allows them to enjoy it more I’ll be happy!! Please give it a share if you can because I’m sure you’ll know someone who may also find this useful.
I’ve also added my slides from the #SporT1Day Conference to the bottom of this post if you wanted to see what I shared on the day, which also has much of this detail in.
Thanks for reading and I wish you all a happy and healthy new year! Please also be aware of the below disclaimer.
Chris
Disclaimer – Always remember that this a personal perspective and is not endorsed by a medical professional. So any advice or ideas you take from this post is at your own risk and should always be cleared by your diabetes team. 

Chris Bright Presentation 2019 ( #SporT1Day Conference )

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What happened at SporT1Day 2019…

Well….. Where do I start?

I suppose it’s taken me a little while to get this written down with the vast amount of things on my plate in the last month but we got there eventually!

A culmination of months of behind the scenes work, emails, phone calls, marketing and raising awareness of what we were putting on came to fruition on November 17th. There was no better timing than to host it 3 days after World Diabetes Day as a statement of support for one of the most important days in the calendar.

Before I talk about the event itself, I need to thank the University of Worcester for allowing us to host the last 2 SporT1Day conferences within their facilities. I have a brilliant relationship with so many people at the university and their continued support for me, the conference and The Diabetes Football Community is incredible. I will always have a strong affinity to my university for how they’ve encouraged & facilitated the projects we’ve come up with and I just hope I represent their values & ethos in the work I now do. A huge thank you must also go to Dexcom & Roche for sponsoring the conference and supporting with refreshments & the programme.

I also must say a huge thank you to Paul, who shares this joint vision to drive education in sport for people with type 1 diabetes. A mate of mine whom I’ve been able to co-create something special alongside. Thank you buddy… We’re on some journey with this and I can’t wait to see what we can do next.

But lastly before talking about the day a final thank you to the incredible speakers, paul’s family and my own family for helping us deliver the day. Without you it wouldn’t have been possible.

An early start for myself, the family and one of our speakers Alex Richards, as we made our way down to the university. I was definitely less nervous than the first time round after having the experience of last year’s conference already under the belt. After setting it up the best we could based upon the volunteers and resources we have available for this kind of event we were all really excited to start seeing people arrive.

As soon as you see people arriving with their tickets it’s an incredible feeling to know that all of the planning you’ve put in place is about to happen but it’s also the moment when you realise there’s a show to put on.

We kicked off the day with the incredible Professor Partha Kar, who really needs no introduction. An amazing man, who through his determination, passion and ability has helped drive a transformation in the way type 1 diabetes is both viewed and supported within the NHS. Partha gave us a talk about the focus and direction the NHS England Diabetes programme is heading in whilst demonstrating the incredible developments and uptake of technology across the country. Having someone of Partha’s credentials attend the conference was a huge compliment and I really do owe him (He’s got me down for a couple of beers the next time I see him!). @parthaskar on Twitter

We’d planned the day to give our audience a chance to take on the recommendations and thoughts of the healthcare professionals at the beginning and end of the day. We felt this would be a good way of allowing people to pick up some tips before listening to some of the experiences of our athletes and people living with type 1 diabetes throughout the rest of the day.

After the excitement of Partha’s opening we then had the pleasure of having 2 of the leading healthcare professionals in exercise and type 1 diabetes within the country, whom lead on the EXTOD programme (www.extod.org), talk to us about the science of managing blood glucose levels through particular types of physical activities and sport. Dr Alistair Lumb and Dr Parth Narendran have been imperative in driving attempts to improve the knowledge of other healthcare professionals across the country through EXTOD and having them share the knowledge and framework at SporT1day was a privilege. You can always tell when a topic and talk has captivated an audience by the response at the end…… Let’s just say we could’ve been there a lot longer with the questions. A huge thank you for coming along guys and I look forward to working with you in the future on some exciting ideas! @DrAliLumb & @parthnarendran on Twitter.

Following an opening of theory from the healthcare professionals we started to delve into some of the experiences of those living with the condition, who are putting this knowledge into practice day in and day out. So first up was Brian Hoadley or Type1Bri ( www.type1bri.com). A really top bloke, who encouraged me to share my journey and who had a huge impact on me personally as I became aware of the diabetes online community. He’s been a great friend of mine who’s always supported the work of TDFC from the very beginning. It was an honour to have Bri share his own inspirational journey of running the London marathon less than a year after being someone who didn’t do any exercise. To do that in under a year is epic for anyone, but made even more special and inspiring when you’re able to do it with type 1 diabetes. Bri shared the journey he went on, how he did it and the effect it had on him and his diabetes. A brilliant talk and achievement from Bri. So pleased we all got to hear it. @Type1Bri on Twitter

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Next to the centre of our SporT1Day stage was Alex Richards. A very good friend of mine who’s work in sports psychology has taken a special interest in the experiences of people with type 1 diabetes in sport and exercise. Alex gave us a talk about perfectionism and it’s challenges to both athletes and those of us living with type 1. It was very poignantly linked to the goals we set ourselves and how most of us look towards outcome goals rather than process goals. Interestingly, those outcome goals are often out of our control to some extent, as winning trophies, representing teams or qualifying into tournaments relies on coaches, other players and beating the opposition which you can’t actually impact upon. His talk fascinated me having spent much of my life with this idea of perfectionism rooted inside of me and my focus on outcome goals, that I couldn’t always impact upon. Top work Al and I think there was a large proportion of the audience desperate for a chat about the presentation and keen to grab hold of the slides afterwards! It says it all about how interesting the talk was. @alex_acr on Twitter

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Then we moved onto the incredible Melanie Gray. Now Mel will always have a special place in the history of TDFC as she was someone I spoke to when I was thinking about putting myself out there to share my individual experiences as well as creating TDFC in the early part of 2017. So to have her along to speak at our joint conference with 1BloodyDrop was an honour. Mel has been an inspiration to so many within the diabetes community as an international sprinter with the condition who has gone onto share her story widely through her renowned blog, advocacy work and now her role as a dietician. As an experienced speaker with a vast knowledge of her sport and how to manage type 1 diabetes within it, it was a brilliant watch and listen. I think anyone in the audience on the day would’ve enjoyed the insight surrounding Mel’s management which complimented talking about her work, which has had her featured in a nike campaign during the London 2012 olympics, seen her become a London 2012 olympics torch bearer whilst also developing her own peer support group Blue Circle Diabetes.  If you want to take a closer look at what she’s up to head to www.lifesportdiabetes.co.uk to check out her blog and thank you Mel for supporting our conference.

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We then had a chance to take a breath! It was lunch…. Now for everyone else it means take a breath and grab some food but for me, paul and a couple of the speakers who’d already spoken it was an opportunity to speak to members of the audience. So lunch went in the blink of an eye but we had so much more to come….

Our afternoon had a heavy tinge of football within it as 2 of the UK Diabetes Futsal squad shared their stories about getting involved in TDFC and their feelings towards the team. Having Tim and JT, share their thoughts so publicly about how TDFC has helped them through their involvement in our team was pretty special. I didn’t tell them what to say either!!! So for them to show their overwhelming support for what we do and showcase it so brilliantly to the audience was amazing. The power of peer support for people with chronic health conditions should never be overlooked and I firmly believe that its power can drive holistic improvements for people with conditions like type 1 diabetes. Listening to Tim and JT certainly made me feel that this is the case. After they’d both shared their stories it was a chance for me to briefly talk about how I manage my condition around my sport, some of the techniques and ideas I’ve adopted, as well as showcasing what TDFC has been up to and what’s planned for the future. To be honest, it was quite nice to just have a small part in the talking side of things such was the level of organisation required! Hopefully my small snapshot in the day was a worthwhile 10-15 minutes amongst the stars of the show. As we grabbed our coffees, we readied ourselves for Craig Stanley to take to the stage. If you wanted to hear more on JT or Tim’s journeys you can follow them on twitter under @Tim_Ward07 & @JonoTyrrell

I’m biased as a Football/Futsal player but Craig (Staners) talks so honestly and openly about his journey in professional football with type 1 diabetes that it just fascinates me every time I’ve heard him share it. Professional sport and the “elite” are supposedly supported by infinite resources, in the way of money, people and specialists, but Staners shares a story that despite his day job being to play in front of thousands of people playing Football, the support he had throughout his career was limited. I’d always felt this with my experiences in the part time game but you just assume that the added professionalism would improve the experience that players with type 1 diabetes had. Instead talks like Craig’s continue to demonstrate that mainstream sport still hasn’t got it right from the grassroots through to the elite for people living with chronic health conditions. This is where I hope campaigns like the #WeAreUndefeatable campaign created by Sport England goes some way to addressing the issues we face. Despite what Staners has faced he’s had an amazing pro career of over 500 appearances, a Wembley playoff victory and having the opportunity to captain the England C team. All of this despite living with type 1 diabetes. He’s a very down to earth guy but what an example he sets for us all. A massive thank you buddy for coming to share your story with us again. If anyone wants to follow Staners on social media you can find him on twitter under @staners6 and on instagram under @staners10.

Our last lived experience of the day came from my partner in crime Mr. Paul Coker. His experience of living with the condition for over 40 years which combines feats of endurance along the way always provides an insightful and inspiring listen. This time we had the pleasure of listening to the story of climbing Mount Kilimanjaro for JDRF with a number of other type 1s. I’ve heard Paul talk a few times but not on this topic with so much depth. It was really interesting to see the impact altitude had on himself and others managing the condition and certainly provided some important insight into how to go about tackling that sort of challenge. Paul’s experiences of Kilimanjaro provided yet another valuable varied talk for our audience whom I’m sure gleaned so much.

Another member of our healthcare profession came to round up the day with a specific view of what it’s like as a diabetes specialist nurse (DSN). Emma Innes talked us through some of the specifics of how we should work with our specialist team, some of the recommendations from healthcare professionals for sport & exercise and how technology is making it easier. Emma now uses her experience in the field to lecture at the University of Worcester for the nursing cohort of students. Her talk helped to remind us all of the importance of working with our healthcare professionals to achieve our joint goals together. A big thank you for sharing your insight for us Emma! You can follow Emma on Twitter under @emmainnes3

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Finally we finished off with a Q&A session for the audience and as I stood at the front with my fellow speakers, providing answers in the best way we could, I knew we’d delivered something special. The engagement, the faces and the thank you’s we received told us that. Now we need to consider where we go from here…. The magic of what we’ve started needs to be built upon and myself & Paul need to go away to think about how we make this grow and work for the future. Nevertheless SporT1Day was an incredible success which I certainly will look back upon with a huge amount of pride!

If you’re interested in where we go next make sure you follow @SporT1Day on twitter for updates and news from the conference. Our plans are always ongoing and if you think you’d like to see us in a different part of the country or you have an idea you’d like to share with us, you can contact TDFC, 1BloodyDrop or the SporT1Day twitter account to get through to us.

Thank you for all of the support with our conference & the wider work of TDFC and I hope you all have an amazing Christmas!

Chris

Live. Play. Inspire.

DiaEuro Player Perspective: Richie Grimes (Ireland)

It’s strange being asked to put down in words what my experience was like in Kiev. When Chris Bright asked me initially to say a few words for the TDFC website I said yes immediately, “that’s grand, no problem”. But fast forward a week and I still haven’t written anything down yet (sorry Chris).

So here we go……

I heard about trials taking place for the first ever Irish Diabetic football team in November 2018. My manager from my 11 a side team made me aware of it and said I should go for it. My initial reaction was to say no. At the ripe old age of 34, my dreams of pulling on a green jersey and representing my country were just that….. dreams. I don’t know what changed my mind but I decided to head up one night and check it out.

Driving home after that first session I thought to myself, ‘My god, Futsal is NOT like football at all’. But I loved it.

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We met up and trained once a month after that. I would’ve loved to have trained every week but it just wasn’t a viable option. People were making huge sacrifices to make it even once a month, coming from all over the country to be there.

There was so much work to be done and literally no time to do it. All of the players had played football at some level, but I don’t think anybody had played Futsal before. The differences in both games are huge. It’s essentially like playing basketball with your feet. Trying to get used to Futsal as a team was very challenging and we suffered big time when playing friendly matches against experienced Futsal teams.

My respect and thanks have to go out to Alban our coach, because he had the patience of a saint. I’m sure he had thoughts of strangling one or two of us at times (not naming names).

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The final squad was announced a couple of months before the tournament. I was buzzing to be apart of it all but to be honest it didn’t seem real to me at that stage.

Because the team wasn’t recognised by the FAI or Sport Ireland, we had to do all of the fundraising ourselves to get to Kiev. This was something I hated having to do as it meant broadcasting it all over social media and I didn’t like having to go on Facebook with the cap in hand, and ask for donations.

To be fair, the response we got was nothing short of incredible. I was overwhelmed by it. I expected people to throw maybe a fiver or a tenner my way. But we had loads of donations of €50s, €100s etc. A guy I went to college with who I hadn’t seen in 10 years, donated €100. Absolute madness. I mailed him straight away to thank him and said it was too much. He mentioned to me that he had cousins who were recently diagnosed with Type 1 diabetes and he knew it was hard. So a massive thank you to all who donated to us.

Looking back, it was strange during our training sessions because we never really mentioned that we were all diabetic. Any conversations about insulin or hypos or Libres were brief and short. Because our time together was so limited, it was all about the football, or all about the Futsal I should say. Towards the end we had a running joke where we wondered if we were even diabetic.

That all changed once we set off for Ukraine. When we met at Dublin airport in our Ireland tracksuits, it finally hit home and it felt real. We were going to the EUROS!!!

I had never been in an environment before where diabetes was openly discussed by everybody in the room. Bloods were checked, insulin injected, pumps were being used. It was an experience to say the least. Everybody followed the same general guidelines and principles of what should be done being a diabetic, but each person had their own little way of doing things. There was no definitive right way or wrong way to do it.

I bombarded the lads with question after question, and we swapped loads of stories of how diabetes has affected our day-to-day lives. One of my favourite topics was discussing favourite foods to treat a hypo, and I got some weird responses in return.

It was refreshing to see everybody so open about it, and honestly it was the first time since I was diagnosed 4 years ago where I actually felt normal.

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Kiev was brilliant. I don’t think I have laughed so much in my life ever. Our free time consisted of walking to supermarkets looking for food, and winding each other up. The two lads I roomed with, Mark and Aidan, were straight up mental cases. Although we’d essentially just met, I felt like I’d known them for years and nobody got a free pass when it came to being made fun of. It was brilliant.

Each night at 11pm, everybody would come down to Room 36, gather around one  mobile phone to watch a dodgy stream of Love Island and drink cups of tea. Looking back it was all very romantic.

The tournament itself was just special. I was asked by Alban to captain the team and I was bursting with pride to lead the lads out. Hearing Amhran na Bhfiann belting out before each game was a memory I will never ever forget.

Our first game was against the reigning champions Bosnia. An excellent team with tons of experience. It finished 3-0 but we were happy with our performance and we gave a good account of ourselves after a nervous start. The next morning we faced Portugal, a very skilful and tricky team. We scored first and played really well throughout. Ultimately their class shone through in a 6-2 win, but we did have chances.

Later that day came the UK game. It goes without saying that it was a huge match and one that neither team wanted to be on the losing side of. They came out of the blocks really quickly and hit us with everything. To our credit we hung in and defended well as a unit. Our gameplan was to keep it tight and take our chances on the break. We went 1-0 up with a well worked goal. Again the UK hit us with everything they had and equalised towards the end. It finished 1-1. The UK lads will say they deserved to win it, and they could have easily won it. But we also had chances too and I think a draw was a fair result in the end. Until next time.

Having played almost 2 full matches with no breaks, I was physically exhausted and just delighted there were no more games that day.

The last game of the group we played Slovakia. A strong physical side who wore us down in the end. We took an early lead again but the game finished in a 3-1 defeat.  That was the only game I felt that got away because I thought we were evenly matched.

Physically we were drained going into the last day playoff games. We came up against a very good Hungary team and just didn’t have the energy to compete. It finished 3-0 but we gave it everything.

In our last game we beat Bulgaria 4-0 to finish 7thplace overall. I didn’t want the tournament to end and felt we were improving as each game passed. I was proud of every single one of our lads. We left everything out on the pitch and couldn’t have given anymore. We did the country proud.

On a personal note I was delighted to chip in with a goal against Portugal and Slovakia.

I also particularly enjoyed at the end of each match, where both teams would pose for a photo together. Regardless of the results or when tensions boiled over, we still did it with a smile. It showed a togetherness and great sportsmanship and that’s what it’s all about at the end of the day.

As a team we didn’t get to do much sightseeing in Kiev but we did manage to do a stadium tour of the Olympic Stadium, which was very cool. After feeling the effects of the post tournament celebrations, it probably wasn’t the best idea to run a 100m race on the track in searing heat. It felt like we were running with parachutes on our backs, however I still managed to pip them on the line to win in a ‘respectable’ time of about 20seconds, ahem (video proof below!).

Before I go, I want to give a special thanks to Cathal Fleming who made all of this happen. The time and effort he put in to organising the squad and getting us to Kiev was amazing. When he first thought of the idea to make an Ireland Futsal team, I’m sure he had aspirations of playing outfield and scoring a few goals. But we had no goalkeeper and he ended up playing in goal for us. By the end of the week he was deservedly voted our player of the tournament, which is a testament to the man.

He is currently trying to develop our team further by entering us into our national Futsal league, which can only make us better. If there are any diabetics reading this who live in Ireland and love football, please come and try it out, and thank me later.

I had one of the best weeks of my life and I have genuinely made friends for life in that Ireland squad. An incredible bunch of lads. Can’t wait for next year already.

Thanks

Richie Grimes

Ps. I guess this means I’m a blogger now? BABY WE DID IT!!!

DiaEuro 2019: UK Player’s Perspective (Calvin Ferguson)

Now the dust has settled on the recent DiaEuro’s, I thought it would be a good time to summarise the experience…

It was an unbelievable feeling to pull on the kit and represent the United Kingdom in an international tournament. I have never felt any feeling like the feeling when we sang the national anthem before every game.  To score was a bonus, from my own half and against the holders and eventual champions was even more special.

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The standard of Futsal was phenomenal at times, especially against the likes of Portugal and Bosnia, they are light years ahead of where the UK as a whole are with Futsal, although to be fair, it is played far more commonly across Central and Eastern Europe, along with South America, than it is here in the UK, but, we are finally making moves forward to somewhat closing the quality gap.  We received many comments from opposition managers and players, stating how we were much improved from last year, even if the eventual results did not show this.

We were beaten 5-1 in the opening game against Portugal, although we felt the scoreline was pretty harsh, we had no argument about the loss itself. The day after we then lost 1-0 to Slovakia, after dominating the game, which was disappointing and then, in the afternoon, we drew 1-1 with the Republic of Ireland, again, after having the majority of chances.

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We were truly up against it as we then required a result against the holders, Bosnia & Herzegovina, to have a chance of progressing from the group stage.  They blitzed us in the first half and we were 8-1 down at half time and 11-1 down within 2 minutes of the 2nd half beginning…!  To our credit, we dominated most of the second half, which included my goal, but the game was long gone by then…Bosnia went on to beat the hosts, Ukraine, 1-0, in the final, therefore retaining their title.

It has been great reading all the messages of support from home whilst we were over there, thanks so much for those, it meant a lot to the team and pushed us even further to take pride in representing both our country and condition.   It was great to have my Dad supporting us up in the stands for all the games too, along with family members of other players and also people from other nations, who took to our fight and determination on display.

I can genuinely say that it was a pleasure and a privilege to line up alongside each and every one of you lads in the squad…the spirit we showed to play for each other, our country and condition was second to none…at 11-1 down against the tournaments best team, we rallied round and promised each other that we would hold strong and use that first half “schooling” as a lesson, to then play out the rest of the half at a score of 2-0 in our favour was exactly what was needed, even if it was too late to rescue anything from the match.

We formed bonds with many of the players from other nations, including Portugal, Ukraine and Croatia, something that will help us both at future DiaEuro tournaments, and, as a team as a whole.

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The main message overall was to prove that Diabetes should be no barrier to playing sport and competing at a high standard.  I never thought I would represent my country at this level in any sport but now that I have done, I am very proud to say that.  The team as a whole was really supportive of each other, helping each other out when low – many of the guys provided me with the Lift glucose tablets when I hadn’t any left over and the Dexcom G6 CGM allowed constant monitoring for the whole squad, the beep became a famous notification amongst the squad, meaning nobody could avoid correcting their levels!

Despite the results, the experience was absolutely first class, I am very proud of each and every one of the team, including the management staff and our supporters who came out to Ukraine to cheer us on…simply the best!

As a Diabetic, there are no barriers to what you can achieve – whether you want to represent your country or just simply play sport with your friends in the park, you can achieve any of this…Diabetes will not stop you from participating or achieving your dreams.  Some days are certainly tougher than others but with constantly improving technology, awareness and support groups, like TDFC, the boundaries and barriers are becoming smaller and the world is becoming more aware of Diabetes…

I hope we as a squad have inspired and motivated many of you back at home and those of you who are a part of the TDFC community.  The results may have not gone our way this year, but, our main goal is always to spread the word and pass on the message that Diabetes creates no barriers to achieving what you wish.

Calvin

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#DiabetesWeek 2019… See Diabetes Differently

As the motto for Diabetes Week 2019 is “See Diabetes Differently” it’s great to be able to share an interview that Chris conducted with DigiBete (www.digibete.org) which focusses upon mindset and the approach to sport/exercise that he takes in the hope it may help others living with Diabetes. It’s different to the usual articles/content on the physical management of the condition for sport but we hope it proves to be useful!

A huge thank you to DigiBete for asking Chris and putting the time into creating this amazing video. If you want to check out their resources for people with type 1 diabetes surrounding sport & exercise head to the below link:

https://www.digibete.org/resources/sportsandexercise/

We must also thank the University of Worcester who gave Chris & DigiBete permission to shoot on their campus. Thank you!

We hope you enjoy the video and we’d love to hear your feedback on it! Please share far and wide if you enjoyed it as you never know who it may reach!

Thanks,

TDFC Team

Mo’s Story with TDFC so far…

Mo, is one of the newest members of the Diabetes Football community family having recently finding us! We wanted to get his initial thoughts on what it’s been like since he joined in with our Adult diabetes Futsal teams in Worcester and London. No more words from us over to Mo to tell us about the experience so far.

“I came across the diabetes football community by chance; having attended a type 1 diabetes technology event where Chris Bright presented.

Since that point in time it’s been brilliant, as you’ll see from reading on.

I was diagnosed age 2.5, some 27 years back. Throughout my school life I was always held back from sport as teachers wouldn’t risk me having a hypo. I felt left out many times, but it did spur on a desire to ask “why not?”. I always used to challenge restrictions brought on by society and more often than not was able to prove people wrong.

Through this, I played a lot of sport and it helped me during those early years keep good control of my diabetes and pick up a few hobbies. I also had an amazing paediatric team which inspired me to pursue a career in healthcare (hospital pharmacy).

However, back then diabetes communities were relatively scattered and so I did not know many other type 1’s. I managed the condition entirely on my own, taking on the burdens of life without having a community to share it with.

The diabetes football community totally changed this. The very first training session was brilliant! It was professionally organised, I met fellow type 1’s with respectfully unique stories and had tonnes of fun in a competitive environment. The best bit was having the knowledge that you had each other’s backs if anyone had a hypo (something I had never experienced before in my life).

The toughest thing for me to process as part of my diabetes is my job. I feel heartbroken on many days when I treat people with diabetes who have not been fortunate with their health outcomes. Many are in situations that cannot be reversed and a huge number suffer from mental health problems directly relating to the burden of managing diabetes. I often feel that many of these issues could have been prevented if people were in the right environment and had a drive to manage their condition well.

This is probably what I value most about this community. I feel that it provides an environment for people to enjoy sport, push themselves, feel supported and ultimately get better. It’s unique in this regard. I’m glad I’m part of this project as I feel it’s got a long way to go yet!

Furthermore, throughout my life I’ve always been the sportiest person with Diabetes I knew of. On the first training session, I was surrounded by stronger, faster, more skilful and fitter individuals. This has motivated me to up my game, and also to work hard to try out for the national team next year.

I’ve had the privilege to be part of the London Futsal team that started this year and have already learnt so much from the invaluable experience of other members. We’ve already made history by taking part in a league game against an all deaf team.

Can’t wait to see what the future brings!”

A great account from Muhammad on his initial thoughts on the magic of TDFC and the way we encourage, inspire and support our players with Diabetes to keep going no matter the challenges the condition puts in front of us!

Thanks Mo. 🙂

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!)

Ellen Brown Picture 1

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 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!!

It’s much more than just Football or Futsal… Part 2 (Scott Burrell)

In our second instalment of “It’s much more than just Football or Futsal” we look at the story of Scott Burrell. His journey with TDFC and type 1 Diabetes has been staggering and for those of you unaware of what Diabetes care was like without the technology that is available now, I’d urge you to read on… This is a fascinating account of how TDFC has effected and improved Scott’s life and another example of a social / community based project like ours supporting healthcare benefits and objectives for those living with the condition. No more talking from us lets hear from Scott in his own words:

“Being selected in the UK DiaEuro squad really changed my ‘diabetic life’ and that’s by no means an exaggeration! Firstly, and something a majority of the squad had said, was that they’d never met another T1 in ‘normal’ life so that was great. Like any football squad you tend to bond quite quickly with the other players but we bonded especially quickly as we all shared the condition. My knowledge of T1 has increased ten fold. It was great to share stories and bounce successes/failures off each other.

I was actually the only member on mixed insulin. I was taking Humulin M3 which was the same insulin I’d used since diagnosis in 1999! I’d been told for many years, probably close to 10, that a basal/bolus regime would be better for me, but me being a stubborn so and so I’d always thought I’d be better sticking with what I knew. Seeing all the other lads using the basal/bolus regime and many telling me how they had moved from mixed insulin and how much better it was really gave me the incentive to change.

A few months after we got back I eventually made the switch and now take Toujeo & Novo Rapid, I’m finding it much better and in hindsight wish I’d changed over many years ago. I’m certainly having less hypos which had always been a big problem for me before. As good as healthcare professionals are it was the kick from people living with the condition day in, day out which convinced me to finally change.

Finally I’m a lot more open about my Diabetes now… Growing up and even in my early 20s I’d try to hide it as much as possible, not talk about it and only tell people I was T1 if really needed. My mentality completely changed about that having been selected in the squad. I’ve now had newspaper articles written about me and appeared in a TDFC video filmed by BBC Hereford & Worcester which they shared on their social media platforms talking about the project and the condition. It actually made me feel ‘proud’ and gave me a desire to talk about diabetes for the first time…something I’d never experienced before in my time as a T1.”

Keep an eye out for more stories from some of the community and if you want to follow Scott on social media head to his twitter account @scottbufc to get in contact with him.

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