Insulin dosing strategies before Football

Ask the expert – we put your questions to a leading expert in type 1 diabetes, exercise, and nutrition.Thank you to JDRF and Matt for the support in the creation of this content. For more information, support and resources from JDRF, click here

 Author: Dr Matthew Campbell | PhD ACSM-CEP MIFST RNutr FHEA BSc hons.

Read time: 5 minutes

Introduction

The objective of adjusting insulin doses before exercise is to prevent hypoglycaemia during a match whilst minimising hyperglycaemia during the run up to kick off. Important factors to consider are the insulin dose, where insulin is administered, the blood glucose level before exercise, the type, amount, and timing of the last meal or snack eaten, the intensity and duration of the match (difficult opposition? Will you play a full 90 minutes?), as well as recent hypos1.

What is the best blood glucose level to have during football?

Blood glucose levels are individual; some people feel (and perform) worse with higher glucose levels before exercise, whereas others don’t. The consensus amongst the medical research community is that a reasonable starting range for most footballers would be between 5-10 mmol/L depending on whether blood glucose levels usually decrease, stay stable, or increase as well as the expected difficulty of the match and the likely duration of play (are you a super-sub?). This range generally balances performance considerations against the risk of hypoglycaemia, although achieving and maintaining glucose levels in this range can be very challenging.  If starting exercise below 5 mmol/L it is recommended that you eat 10-20 grams of glucose beforehand and delay (if possible) the start of exercise until glucose levels are more than 5 mmol/L. If glucose levels are between 5-10 mmol/L then most people will be ok to start playing football, although some people may see a rise in glucose levels during the match. If glucose levels are above target (10-15 mmol/L) most people will expect a further rise in glucose during a game. Importantly, if glucose levels are above 15 mmol/L it is recommended to check blood ketone levels; if ketones are elevated up to 1.4 mmol/L then a small correction dose might be needed; if ketones are elevated over 1.4 mmol/L then exercise should be suspended and glucose management should be initiated rapidly.

What should I do if I struggle to avoid a hypo during a game?

People who tend to develop hypoglycaemia during exercise will usually turn to eating carbohydrates as a technique to avoid it. There is an issue with this, however. Firstly, if you find yourself eating lots of carbohydrate to prevent glucose lows the extra calories eaten might contribute to unwanted weight gain in the long-term. Secondly, eating carbohydrates does not necessarily tackle the underlying cause of a hypo.

The reason for the fall in glucose during exercise is at least partly due to high insulin levels. Whereas insulin levels fall in people without type 1 diabetes (in order to preserve blood glucose), in people with type 1 diabetes insulin levels are the result of the previously administered insulin dose or the rate of insulin being infused by an insulin pump. Irrespective of the method of insulin delivery, once insulin is in the body, it is unregulated and does not decrease in response to exercise; this results in excessive glucose removal from the blood. Even if individuals with insulin pumps half their basal insulin rates up to an hour before exercise, circulating insulin in the body does not decrease sufficiently before the start of exercise. Moreover, insulin levels tend to increase during exercise even when insulin pump rates are reduced because of changes in blood flow2. Although aggressively lowering insulin levels through reducing insulin administration or skipping an insulin dose can prevent hypoglycaemia during exercise3,4, this often causes hyperglycaemia and raises ketone levels before and during exercise5. For people using insulin pumps, a basal rate reduction, rather than a suspension can be attempted 60-90 minutes before the start of a game. An 80% basal reduction at the onset of exercise helps to mitigate hyperglycaemia after exercise more effectively than basal insulin suspension and appears to reduce the risk of hypoglycaemia both during and after the activity. For individuals treated with insulin pens, mealtime insulin dose can be reduced by about 50% when taken with a carbohydrate-based meal around 1 hour before the start of a game3. However, it must be stressed that people respond very differently to any strategy and there is no one-size fits all approach.

What should I do if struggle to avoid hyperglycaemia during a game?

High blood glucose levels can raise ketone levels, increases the perception of effort, and reduces performance. As discussed elsewhere, carbohydrate intake before a game is important for both performance and managing the risk of hypoglycaemia. If hyperglycaemia is an issue prior to a match, try eating earlier in the day and maintaining a normal mealtime insulin dose; most mealtime insulins peak in strength by 2-3 hours meaning that a normal insulin dose can be administered with an earlier meal and taking a small snack before exercise omitting insulin – this may reduce the risk of starting exercise with high glucose levels whilst ensuring adequate carbohydrate availability and lowered insulin levels for the game. If hyperglycaemia is a continual issue, starting glucose management preparations earlier in the day gives a longer window to achieve glucose targets. Unless glucose levels are above 10 mmol/L it is not recommended to take a correction dose of insulin because of the increased risk in developing hypoglycaemia.

If you are interested in learning how to tailor strategies like the ones presented to your own individual requirements, contact Matthew at: matt@t1dcoaching.co.uk

References

  1. Bally L, Laimer M, Stettler C. Exercise-associated glucose metabolism in individuals with type 1 diabetes mellitus. Current opinion in clinical nutrition & metabolic care. 2015;18(4):428-433.
  2. McAuley SA, Horsburgh JC, Ward GM, et al. Insulin pump basal adjustment for exercise in type 1 diabetes: a randomised crossover study. Diabetologia. 2016;59(8):1636-1644.
  3. West DJ, Morton RD, Bain SC, Stephens JW, Bracken RM. Blood glucose responses to reductions in pre-exercise rapid-acting insulin for 24 h after running in individuals with type 1 diabetes. Journal of sports sciences. 2010;28(7):781-788.
  4. Campbell MD, Walker M, Trenell MI, et al. Large pre-and postexercise rapid-acting insulin reductions preserve glycemia and prevent early-but not late-onset hypoglycemia in patients with type 1 diabetes. 2013;36(8):2217-2224.
  5. Berger M, Berchtold P, Cüppers H, et al. Metabolic and hormonal effects of muscular exercise in juvenile type diabetics. Diabetologia. 1977;13(4):355-365.

 

We are back… Diabetes Futsal Returns!

It’s been a long time since we’ve been able to write this, but…….. WE ARE BACK! This weekend coming, we will be resuming our Men’s Diabetes Futsal sessions at the Worcestershire FA headquarters after a gap of 15 months due to the impact of the Coronavirus pandemic.

It’s been a tough break for us all. We know so many of the group took a lot from the sessions in the past and we’re hoping to bring back all of that positivity, engagement and support to our upcoming sessions. We know there’s a lot of excitement amongst the ranks from existing and new players to the project so we can’t wait to get back out there!

We will be starting back on the 27th of June with another session planned in for the 25th of July as well so if you want to get involved please do get in touch!

For us these sessions will be about re-engaging with our community, getting our squad back together to play as well as welcoming new faces to the pitch. We should have a good laugh and a lot of fun which is what it’s all about.

We must also say a big thank you to The Tackling Inequalities fund created by Sport England and put into practice by Active Herefordshire and Worcestershire. They’ve supported us with funding and support to help get us back off the ground after what has been a really challenging period during the pandemic.

It’s going to be a really exciting month for us as the sessions get back underway whilst we also continue to grow the women’s arm of the Diabetes Futsal squads…. However, ahead of this first session we thought we’d invite one of the newest members of the community, who will be attending his first session this weekend, to describe how he’s feeling ahead of Sunday…. Over to you Bryn:

“I’m really excited to be finally meeting up with the lads from TDFC. Ever since I watched Chris’ story I just knew it was something I would love to be Involved in. So to be invited to training with them is really special.

I was so inspired by the work of TDFC I even held an active fundraiser for the charity through my sports coaching business ‘BMO Coaching’ – we managed to raise £377.50 for TDFC and £900 in total, which we shared with other local charities.

Living in the Welsh coastal town of Aberystwyth, I have only met a total of two T1D players that are still playing senior football so It’s going to be a fantastic experience playing / meeting with other T1 diabetics in a football environment.

I’m passionate about raising awareness and passing on knowledge about diabetes, especially throughout my area of Wales. I’ve been playing football with T1D for 20 years and I’m keen to show people that it doesn’t stop me from playing sport and doing the things I love.

The lads have been really welcoming on the group chat so I’m looking forward to a session with them to break the ice. “

Thanks for sharing your thoughts Bryn and isn’t it great to be back!

TDFC

Louise’s Story & the launch of TDFC Womens

Hey! My name is Louise McCay and I am a 27-year-old type one diabetic with a passion for football & futsal.

At the age of 11 I was diagnosed with type one diabetes after my parents picked up on a dramatic change in my water intake. I had gone from having been forced to have to have a drink before school to literally downing pints after pints and never quite quenching my thirst. After a couple of days of monitoring this change in behavior my parents purchased a blood glucose meter and tested my bloods to find that they were 32 mmol. At this point we had very little knowledge of what this meant, how the body works and just simply the severity of high blood sugars. It didn’t help that I had ravaged through a bag of skittles after school too, so we decided to hold fire and test them again in the morning after fasting. Sure, enough when we tested them again in the morning, they were still super high, and it was an inevitable trip to the A&E…

“Can I still play football…?” – The first and only question I asked when the nurse broke the news of my Type 1 diagnosis to me. It may sound stupid to most of you considering the health implications of Type 1 Diabetes but at the age of 11 football was all I could think about and the thought of that being taken away from me tore me apart. This is why when I stumbled across The Diabetes Football Community (TDFC) I just HAD to get involved.

I have very recently become part of TDFC team to help focus on the women’s side of the game. The Diabetes Football Community is well established within the men’s game – driven and founded by Welsh Futsal International Chris Bright and I want to help make the women’s side just as established. I have joined Chris alongside Katie McLean, Lucy Wieland & Becky Upsher to help kick start and maintain TDFC Women’s.

I have played football since the age of nine with the majority of my childhood being spent at Watford Centre of Excellence before I set off to Bournemouth University where I continued to play. I now play locally for AFC Dunstable who currently sit in Tier 5 of women’s football as well as dabbling in futsal in recent months. When I was younger there was very limited attention and focus on women’s football as it was, let alone on type one diabetes in women’s football and until joining the team here at TDFC I have not knowingly come across another female player with type one. Without really realizing it at the time this made my whole experience in football different to the other girls around me, for many years I just wanted to play football and underestimated the impact my diabetes could have on my performance.


With so much more awareness and resources surrounding type one over recent years, I am learning so much more about control during exercise and more specifically during football. I believe that if there were resources and communities like TDFC around when I was younger it would have made a huge difference on both my control and performance. I would love to be able to make a difference and help other type one footballers excel at what they love most. I was so inspired by the stories, podcasts, resources and accomplishments of TDFC – which is why I got in contact with Chris.

The aim – Through TDFC Women’s we hope to raise awareness of Type 1 diabetes whilst also building a supportive and safe community for diabetics within football where you can meet other likeminded people. Our long-term aim of creating an all-female, all diabetic futsal team with the hope to enter competitions, inspire others and show the world that having diabetes doesn’t hold you back within sport.

Currently we are in the recruitment and awareness stage of the project which, as many others, has been on the back foot due to covid.
So, to kick start things, over the last few weeks we have:
– Set up our Twitter page @TDFCWomens which has already started to gain momentum and spread the word (go on… give us a follow!!)
– Created a core team to work with Chris and really bring the project to life
– In progress of planning our launch event!! Hoping to incorporate networking, learning and of course playing some ball – watch this space for more information and a pretty amazing venue.

Would you like to get involved!? We are actively looking for anyone who wants to get involved in any way, shape or form! Whether it be playing, coaching, helping out in the background or just being part of the online community.

If you want regular updates on what we have going on, have any questions or want to be part of the team, follow @TDFCWomens on Twitter or contact us by email – thediabetesfootballcommunity@gmail.com
We look forward to hearing from you and are excited to watch the TDFC Women’s journey unfold…

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.

#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

It’s much more than just Football or Futsal… Part 1 (Tim Ward)

In April 2018, we started something which had never been done before. We created the first ever Futsal team in the UK that contained only players that lived with Type 1 Diabetes… As much as we hoped it would inspire and raise awareness of the condition we also wanted it to change lives and demonstrate the value of doing things differently to the medical profession when looking after people with Diabetes. We think it’s done that and more! Hopefully organisations such as the NHS can see the value organisations like ours add and continue to grow their support and the opportunities to work more closely together.

However, that’s enough about what we think…. Let’s hear from Tim Ward the UK Diabetes Futsal Team Goalkeeper about how TDFC has changed his life:

“Since becoming involved in the Diabetes Football Community and representing the UK as a member of the DiaEuro Squad my view of and the way I approach and manage my diabetes has changed, dramatically and it’s all been positive.

My usual mind set for the dreaded annual review at the local Diabetes Centre was an appointment to be met with the same antipathy as some of the staff showed when I tried to discuss the dreaded topic of getting any “Flash Glucose Monitoring”?! I have had my “Lazy” pancreas now for 37 years and as you can imagine as the years pass the complications within your health and well-being can arise and you start to accept this as the inevitable. Not any more!

A group of lads with a shared love of all things Futsal and Football related (be it all with Diabetes) can be a base of support, encouragement and knowledge which goes against the stereotype many wish to portray, but this is exactly what I have found.

Gone is the stigma of testing my blood glucose levels in the changing room before a game, or taking in extra carbohydrates if my levels drop while playing.

I have found answers to questions that the local clinics were unable or unwilling to give, I have experienced flash monitoring which has had an amazing effect on my knowledge of how my diet and eating habits affect my levels and how to better manage them to keep within the optimum levels. I have through the members of the squad learned new diet ideas of more fibrous carbohydrates, of when and how to inject and different options on the insulin to use.  I now know that there are a myriad of options available to me to not just perform better in a sporting context but also live a healthier more energized life of less hypos, a better hba1c and greater trust in my own body.

The greatest impact has been that I do not have to be ashamed of my condition, it is not a weakness, don’t believe it and don’t let others convince you that it is. It is simply a bad hand dealt. Make the most of that hand, TDFC can and will support you in any way they can.

TDFC and especially the players, coaches and management of the DiaEuro squad have taught me through words, actions or just a smile and a nod that when you’re ready to play, take a deep breath, tie your boots, test your blood and go and beat whatever is in front of you, because you can.”

If you want to follow Tim on social media head to his twitter: @Tim_Ward07 or to his instagram: @timward16 and make sure you keep an eye out on the blog as we release more player thoughts on how TDFC has impacted their lives in the coming weeks.

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

2018… Looking back to look forward

Firstly I’d like to wish all of our followers, volunteers, players, coaches and anyone involved in the TDFC family a Merry Christmas and a happy new year!

What a year it has been…. We’ve done some incredible things in 2018 and I really just wanted to summarise what’s happened, thank some of the amazing people who have helped us make it happen and look forward to what 2019 might bring for The Diabetes Football Community.  

So where do I start…

For me one of the most important projects to highlight and look back on was one of the first in 2018. The 24 hours in the life of a Diabetic Footballer ( #WalkInOurBoots) was an important awareness and education project which showcased the Andrewartha family and Mitch’s battles with type 1 as a young footballer. This video fills me with immense pride every time I watch it. For me it encapsulates everything about living with type 1 and wanting to play football during childhood. It showcases the immense physical and emotional strain it puts on the family, as well as the incredible amount of preparation and determination needed from Mitch and his parents to get him out there playing on a Saturday. Every time I watch it back I’m inspired, moved and so grateful to the community we’ve created for supporting our ideas and projects. We do it for you and we couldn’t do it without you!

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A massive thank you to Dave, Faye & Mitch for agreeing to do the documentary and their amazing performances! Also a huge thank you must go to Ferenc Nagy who filmed and edited the video. A great job buddy…. If you want to check out the documentary head over to the below link where you can find the video:

https://www.youtube.com/watch?v=ZWjlrLbvWr4&t=39s

The #WalkInOurBoots campaign was just the start!!! We then focussed on creating the first ever all Diabetes team to represent the UK and compete at the European Futsal Championships for people with diabetes (DiaEuro, www.diaeuro.org )… We don’t like to do things by halves! From the outset I knew it would be ambitious and extremely challenging to not only recruit players living with diabetes, but also to recruit members of the “staff” team who were willing to give up their time for nothing other than the experience (thank you to Harley, Paul & Jahna)! But what about the money?!! It’s quite expensive to get 14 people on a plane with kit and a roof over their head for a week!! A massive thank you must go to our sponsors Dexcom, Gluco and Havas Lynx for supporting the project in 2018 as we couldn’t have done it without you! As I look back now… A year ago it was an idea in my head which I’d just started to share on social media….  A year later and we’ve played in our first tournament and are planning for our second…. Sometimes I have to pinch myself to check it’s all been real! It was an incredible journey and achievement to create the team, manage the project and play in the tournament. Being stood alongside my 10 fellow type 1’s to represent our country and our condition was something I’ll never ever forget. Scoring 2 goals in our first win just topped it all off for me…. It still feels like a dream to me. I’ve made lifelong friends through this project and I hope the community draws a huge amount of inspiration from what we were able to achieve! With everyone’s support I hope this is a project and team I hope we can continue for many years to come…

 

https://www.youtube.com/watch?v=Sf8n6LSLRRM

Whilst we were busy planning for DiaEuro we also joined forces with 1BloodyDrop and the University of Worcester to deliver the first Type 1 Diabetes and Sports conference in the UK led by people with Diabetes for people with Diabetes ( #SporT1Day ). An idea conjured up by myself and Paul Coker, we wanted to bring people together to further the knowledge of sport and exercise management for those living with type 1 diabetes. We tried our best to bring in speakers which demonstrated a variety of sports, approaches and experiences to offer a rounded view of type 1 management in sport and exercise. The line up included type 1 professional athletes, university lecturers, a psychologist and sporty individuals keen to share their experience of managing the condition.  It really was a special event which I loved hosting and presenting at. I hope that everyone attended continues to utilise the strategies shared on the day and due to the overwhelmingly positive feedback we received it’s something myself, Paul and the University are looking at re-creating in 2019 so keep your eyes peeled for that. A huge thank you to those who attended and to 1BloodyDrop and the University of Worcester for co-creating this amazing event! If you want to read up on the 2018 conference check out the below blog post:

(https://thediabetesfootballcommunity.com/2018/05/28/the-first-sport1day-conference-organisers-perspective-chris-bright/ )

 

I feel that whilst we try to support people with the condition through advice, education and support through the community’s projects and members, I’ve always felt we need to try and drive change in a mainstream environment to counteract the stigma and stereotypes myself and many others have experienced. To do this I felt it was important to bring stakeholders in the Diabetes and Football world together to strive for change. In July 2018, we had the first Diabetes Steering group meeting led by the Worcestershire FA to do just that. We’ve invited the local university, the local NHS, members and volunteers involved in The Diabetes Football Community as well as parents of a child living with type 1 to join us within the group. Our remit is very much about trying to improve the knowledge and awareness of Diabetes within Football to improve the inclusivity of those living with the condition within the game. So far we’ve had 2 very positive meetings with some brilliant ideas coming up which we hope to develop forward into 2019. It’s a hugely positive step in the right direction which I’m sure will see tangible results for the whole community in the not too distant future!!

Around the time of our first meeting I also went over to Ireland on a scouting mission… Myself and Zak Brown (Our UK DiaEuro Manager’s Player of the Tournament), had spotted online about a junior small sided football tournament taking place in Dublin for children with diabetes and with the nature of what TDFC does it was something we couldn’t afford to miss… Ever since I started TDFC up the support of parents and children coping with type 1 diabetes has been incredible and this was an opportunity for us to do some fact finding for the future… I want us to deliver a project which really gives back to this group of people and I promise that we’re planning something for 2019, I just need to get my masters out of the way first!!! Diabetes Ireland did an amazing job at delivering their tournament and celebrating the successes of the children who took part. I was just so glad we were able to attend on the day and thank you for your hospitality… If you’d like to read up more on this check out the below blog post:

https://thediabetesfootballcommunity.com/2018/09/10/diabetes-junior-cup-2018/

 

I think one of our last projects is perfect for this time of year! If you need any inspiration around this festive period or you’re finding things tough I urge you to watch our World Diabetes Day video below… The kids did an amazing job at sharing their thoughts and they get me every time! It’s very special seeing the way the community has come together to support what was an idea floating around in my head. This is all about you, the people who interact with us, and as long as we continue to hit the mark by educating, supporting and inspiring you, I’ll be delighted! Thank you to everyone who contributed to this video!

https://www.youtube.com/watch?v=C353oCtYH2U

A year I will never forget and one that has shaped the future for TDFC. We’ve become an official registered community interest organisation which has furthered the ambition and potential reach for the future, we’ve received recognition on local BBC radio stations and social media, we’ve exhibited up and down the country at conferences in the Diabetes world and continued to grow our social media presence throughout 2018. None of this is possible without the continued support of people in the Diabetes community so all I’d ask is if you like what we do, please keep sharing, raising awareness and getting in contact with us. We will always need support and funding to make our goals happen so whether you like, share and retweet our posts or you’re able to help us with sponsorship or donating to the cause everything is valuable and we appreciate it so much.

 

But let me give you a sneak peak at what we’re thinking for 2019…

There will be more of the same but hopefully with some exciting new developments alongside projects we already have in place.

The UK DiaEuro Adult team will be continuing with an emphasis on the DiaEuro tournament in 2019 whilst also creating opportunities to play against our near neighbours in Ireland who are creating their own team. I’m seeing an exciting future for our local rivalry!!! Another exciting participation opportunity for the adult type 1’s in the London area is the creation of TDFC London,  project managed by our man Bryn White to take part in the London Futsal League (https://www.facebook.com/LondonFutsalLeague/) as an all diabetes team for the very first time. They will be kicking off for their first competitive game in February 2019, so keep an eye out for the developments on our social media and if you’d like to help support them, get involved with the project, play in the team or sponsor please do get in touch!

As I mentioned we hope to re-create the #SporT1Day conference in 2019 that takes on the feedback from last year to offer a bigger and better event! I’ll be working with Paul and the university to see when and how we go about doing this over the coming months… As always any ideas you may have make sure you get in touch.

As I alluded to within the Ireland trip I mentioned earlier it’s definitely time we tried to put a participation opportunity together for our type 1 kids and their parents out there. I’d like us to work towards delivering a day/tournament in 2019 but this will as always rely on support from the community, sponsors and volunteers to make it happen but it’s something I’m really passionate about creating, so let’s give it a shot!

Lastly, I’d suggest that our emphasis around education will be pushed further as we continue to develop the Diabetes Steering group and partnerships with other organisations to champion education on diabetes throughout different walks of life. We’re really keen to ensure we develop resources and tools to drive further understanding and awareness within mainstream environments/sport whether that is with the FA, schools or clubs. If you have any ideas about how we might do this we’re all ears.

Right… I’ve talked far too much on this blog but I felt it was important to demonstrate the amazing work we’ve achieved in 2018, our amazing community and the ambition we have for the future. The wave is coming and growing in size. Patient led initiatives like ours are beginning to help shape the way people are supported with chronic medical conditions and I couldn’t be prouder to be the founder of this one…

A favourite saying of mine at the moment is dream big, then dream bigger. If we can achieve all of this in one year, myself and TDFC need to set our sights on doing it bigger and better in 2019! Which is exactly what we intend to do.

Lastly to anyone out there who might be reading this, in any part of the globe, if you like what we’re doing or want to get involved please get in touch! We know that our work isn’t confined to the UK where we’re based and the ideas we generate are mostly what we come up with! If you’d like to help in any way or work with us, you know where we are.

As always a huge thank you to the directors and volunteers who give up their time to support our cause, we couldn’t do it without you! Let’s make 2019 bigger and better than what has gone before.

 

Merry Christmas and a Happy New Year!

Chris

The First #SporT1Day Conference: Organiser’s Perspective (Chris Bright)

After months of phone calls, organising, negotiating and talking about #SporT1Day, May the 13th 2018 has been and gone…….But what a day!!! It was our first foray into creating an event which provided education and inspiration in one big dose! Before I even start talking about the day I’d like to say a big thank you to Paul Coker at www.1bloodydrop.com and the University of Worcester (www.worc.ac.uk) for partnering with TDFC to deliver the conference. I’d also like to extend the thank you to those people who helped us organise, run the day and tidy up afterwards!

Building up to it I’d spent the previous week stressed, writing my presentation and critiquing everything myself and Paul had put in place as I strove for perfection… I knew deep down this wasn’t possible but I wanted the event to look as professional as possible whilst delivering the overall objective of giving the attendees tips, guidance and education about Type 1 Diabetes management in sport. I think we did a good job at trying to deliver that!!!

The day itself was an absolute whirlwind for me but I loved every minute of it…

I arrived with Alex at about 8:30 to ensure that we had the venue looking smart and the registration process in place… It took us half an hour,  but by 9 am we had it all sorted! At this time myself and Paul took up our places on the registration desk to welcome the delegates, check them in and give them their goodie bags! It was great to see so many smiley faces with an early start on a Sunday but I could sense the excitement in the attendees and in myself and Paul.

10 o’clock came around quick! This was the moment myself and Paul opened up the conference and after we’d rounded everyone up and guided them to the room it was time to begin the proceedings! We were keen to introduce and stress the importance of learning and education in our opening, with as few words as possible, due to the amazing speakers we’d lined up.

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Following the warm-up we started as we meant to go on… With a cracker!

I’d spent the last few months getting to know Chris Pennell and his work with the Type 1 Diabetes academy based at Worcester Warriors, so it was only natural I should ask the first Type 1 Diabetic to score a try for England, to be the first speaker at #SporT1Day.  Like Chris’ career, he did not disappoint!! We heard stories of Chris’ life and his approach to Diabetes management, which caused a stir in the room, whilst he talked about the endeavours of being a professional athlete with a chronic medical condition.

2 comments really stood out to me from Chris’ talk… The first was his reference to himself as a “plastic Diabetic” which he explained was because he felt he’d had an easy ride by being diagnosed as a 19 year old after the difficult years of school and being a teenager. I felt this was a direct reflection of Chris’ work with Type 1 Children in his academy and the stories he’s heard from countless families about the battles they face… It is difficult but we come through it stronger.

Despite the amazement in the room at Chris’ dietary approach to type 1 combined with his athletic lifestyle, I actually felt he made a really interesting comment about becoming a better Rugby player because of living with the condition and the discipline it taught him. An interesting concept I’m sure many type 1 Diabetics won’t have considered. I’ve always thanked the condition for making me more determined and motivated to achieve whilst I understand the impact it’s had on my ability to plan and organise, so it wasn’t too much of a shock to hear Chris say that but I wonder how many others in the audience were expecting it?  It was fascinating listening to Chris’ story and I can’t thank him enough for agreeing to share it with us! I appreciate it mate.  

After Chris shared his experiences for us it was the turn of Matt Cook, our Sports Nutrition expert and senior lecturer from the institute of sport and exercise science at the University of Worcester. Matt isn’t an expert in type 1 Diabetes but I felt he did a great job in demonstrating the academic literature out there and how it corresponds with Type 1 Diabetes. It gave plenty of our audience quite literally “food for thought” as he demonstrated the recommendations and gaps in understanding for people living with the condition from his sports nutrition perspective… I really enjoy getting the perspective’s of people who aren’t well accustomed to the condition as it brings an unbiased representation of the facts, which is important for those of us living in the world of Diabetes. Matt did a great job of positioning what we do and don’t know about the condition in relation to sports nutrition and management and I think the whole room got a lot from his talk. Thank you Matt!

Following a really quick coffee break… We moved onto the “Legends” of the type 1 diabetes world, Mr. Paul Coker, my co-organiser, and Mr. Pete Davies a man whom has lived with Diabetes over double my own lifetime! They both have epic stories to tell which I’d struggle to do justice with words so I’ll just try and describe the theme of their talks. I’d seen Paul speak a couple of times at other events about running 40 half marathons in one year to celebrate 40 years living with Type 1 Diabetes, but this was the first time he wanted to break down his routines and try and give the audience something tangible to take away and utilise in their own exercise regimes. I was watching many members of the audience frantically scribbling down, which was a huge indication of the quality of the information Paul was delivering. I think we all learnt something from Paul’s presentation. We won’t mention the fire alarm going off (a minor hiccup!).

We then met the man who’s surpassed 60 years of living with Type 1 Diabetes, Pete Davies. What a guy and wow has he seen some change over the years! I saw Pete speak at TAD (Talking About Diabetes Conference) just a couple of weeks prior to our event and his talk was super inspiring so I was just pleased we’d secured him for our first conference. His presentation involved demonstrating the changes in Diabetes care over time as well as the amazing treks and expeditions that he’s been involved in. I think everyone in the room felt very lucky to have the access to technology surrounding Diabetes care that we now have within society. I certainly did! It’s a huge eye opener to think that 50/60 years ago people living with type 1 Diabetes weren’t expected to live much beyond 40 which is something I’ve certainly taken for granted! A quality presentation from Pete and a huge personal thank you from me for your support for the event!

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After we’d spent the lunch break talking about the morning’s talks, I was preparing to take to the stage for mine! After watching some of the amazing presentations during the morning I felt I had a lot to live up to…  The approach I took was to talk about the journey I’d been on from diagnosis at 8 years old through to founding the Diabetes Football Community with snippets of detail about diabetes management mixed into it. I just hoped that people that listened to me took something from the talk… It was honestly a pleasure and a privilege to be able to talk about my own experiences and views on the world of Diabetes. I felt the talk went pretty well, up until the moment technology let me down and didn’t play the videos I’d included!!!  Alas, it’s in those moments you just adapt and crack on! Hopefully next time I won’t be let down in the same way! I thoroughly enjoyed it and as I finished up I had the honour of introducing Craig Stanley, a former professional footballer whom has lived with the condition for the majority of his career.

Craig’s talk was a fascinating listen for me, as I’m sure it was for the audience, as I’d always dreamt of being a professional footballer and having missed out on that opportunity a couple of times, it was amazing to hear from a man who lives with the same medical condition I do and who’s lived that dream. Craig’s talk mixed in humour, stories from his career and a constant relation to his routines and experiences with type 1 diabetes within professional football. It was my personal highlight of the day, as a part time footballer and founder of a community based on Football and Diabetes, to have Craig there was extra special.  He was a big hit with the audience and was asked a number of questions post presentation and throughout the day. I’ve had the privilege of getting to know the man over the last few months and he’s a really top bloke and I can’t thank him enough for his support for the conference and our UK all Diabetic Futsal team.

Following the final break in the programme it was onto our final speakers… Georgia, Alex and Emma.

I’ve been in contact with Georgia for around a year or so now as she’s been really supportive of The Diabetes Football Community and spreading the word of what we’re doing, so it was only natural with her experiences as a Diabetic intent on living a healthy lifestyle encompassing weightlifting that we asked her to be a part of the day. Georgia quite openly expressed her experience with Diabulimia (google it if you haven’t heard of it) and her passion for exercise and a healthy lifestyle within her talk. With Georgia being a Radio DJ she showcased an engaging style and female perspective to an otherwise male type 1 diabetes line up which really captured the audience’s attention. You could see the impact she had on the attendees as her Q & A session was almost as long as her actual talk!!! It was wonderful to have Georgia with us and I’m just glad she said yes when I asked!! Thank you.

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Georgia’s talk led quite nicely onto our penultimate speaker, Mr. Alex Richards. A good friend of mine and an expert in Sport & Exercise psychology whom has become a really important fixture in the work of The Diabetes Football Community over the last few months. His work has been appreciated and praised in the community for its unique and differing approach to the condition in sport. I think his work will become more and more important to diabetic athletes over the coming years and it’s definitely a “watch this space” message from me regarding the direction Alex heads towards over the next year. Much like the work he’s been producing, his presentation captured and engaged the whole room. His presentation focussed on sport, self-compassion and Type 1 Diabetes which to my knowledge is a subject seldom addressed by anyone before.  This groundbreaking look into sports psychology for Type 1 Diabetic athletes is something that I believe can make a difference and Alex is passionate about contributing towards. He did a fantastic job on the day and I think he was just as excited about the reaction from the audience as the audience were about his ideas!!! Thank you buddy.

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Last but by no means least, was our expert medical professional, Emma Innes. Emma has been a leading Diabetes specialist nurse amongst many other roles across her distinguished career, which has now led her into a role as a senior lecturer at the University of Worcester.  I was certainly keen to involve someone from the medical profession in the day as they have such a big impact on the lives and approach of people living with type 1 diabetes to sport. Emma cross referenced her experience in the profession with the recommendations for people with the condition exercising. It was a really insightful viewpoint on which to bring this epic first conference to a close.

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As myself and Paul wrapped the day up by thanking the speakers and audience for attending, I was absolutely buzzing from the excitement as well as being absolutely exhausted! It involved a lot of my time planning, organising, negotiating, communicating and ultimately delivering the day. In some ways I was pleased that it had come to an end but for the most part I was disappointed it had been and gone as I really enjoyed the experience.

As I drove myself and Alex home that night there was no doubt the positivity was radiating throughout our conversation and the question about the future prospects of another #SporT1Day conference was discussed… Why Not?!

After a day full of wonderful speakers, a great venue and with wonderful support from the Diabetes community, I’m not sure myself and Paul could say no to creating another conference. So our intention is to organise another #SporT1Day later this year… November is a month looking likely so keep your eyes peeled for our social media announcement and I hope it’ll be in a location where the community can continue to back us.

Lastly I must say a huge thank you to the University of Worcester for their support in hosting the event and allowing us access to staff members whom spoke, to Dexcom for supplying a starter pack prize to our most prolific Tweeter and to Gluco for supplying delegates with hypo treatment goodie bags.

An incredible day and the start of something quite special… Keep supporting us and who knows what we can achieve?!

Chris  

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

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

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

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

Thanks,

Alex.

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