I made an appointment to see my diabetic specialist, along with my own doctor, i have been putting it off for months because i just didnt know where to start with what i wanted to discuss.
Since being diagnosed with diabetes i have had to face up to the fact that it has changed me, it has impacted certain aspects of our relationship, most especially in regards to s/m, even now im getting the right insulin and its more better controlled than it has been, it does require strict control.
Just for those that have no knowledge of type one diabetes...
Im insulin dependent, i inject 4 times a day, sometimes more if needed, i have to eat regularly, no skipping meals, i have to be careful about what i eat, some fruits contain too much natural sugar, i can have sweet stuff but very little.
My blood sugar levels can drop drastically due to an increase in physical activity, which can result in making me irritable, anxious and cause erratic behaviour, symptoms can vary from my skin being cold and clammy, blurred vision, dizziness, shaking, headaches and more.
It means i need a quick fix of sugar, i usually have glucose tablets on hand, then wait 15 minutes and test blood again, no improvement, repeat, still no improvement..hospital.
And then there is high blood sugar levels, which can be caused by not eating well, emotional stress, feeling unwell. This means i need more insulin, which i always have on hand, if it gets really high its hospital.
So, i spoke to the doctors about how i engage in s/m and if there are any precautions we. or i should be taking, they both were really good, they both have not come across this situation before, so it was quite funny witnessing their reactions.
Diabetic doctor straightaway was "no bruising, no having limbs restricted via bondage, no open cuts no damage to feet at all" (yeah foot problems are a big issue with diabetics) and a lecture on the importance of circulation.
yeah...we have a problem doctor!
feet, i will concede on, i have no problem with missing out on bastinado, but no bruising, no bondage and no open cuts, that is not happening, im not giving up those, just have to exercise more caution.
That pretty much rules out many of the things we enjoy!
The other issues for diabetics, one of which i didnt know and im glad i do now is, it effects my electrolyte levels, which she did explain in great detail..but basically electrical play is very dangerous and can have serious consequences for a type one diabetic, i dont mind admitting she scared the shit out of me when she explained why! so thats a no-no....im mourning that loss! apart from tens units that is acceptable..have to make do with that.
Also i bruise easier, then there is either (dependent on blood sugar level) less feeling of sensation during impact play or more, which explains why sometimes i really have not been able to handle things that before i have had no problems with.
So, yeah it means adjusting, mostly just keeping a check on it more closely, a lot of it is common sense, things that really i should no better..
before play check blood, check it during play (oh yay spontaneity out the fucking window), lots of water on hand, stop play if i get pins and needles, numbness anywhere, dizziness, shaking..the shaking is a problem..because i tend to shake anyway even long before i had the diabetes..from fear, nerves....so not sure how to work around that.
I do feel a lot better that my doctors know, i think its for the best, so worst case scenario and i have to see them for concerns related to s/m..excessive bruising etc they are aware...and if ever i need to be hospitalised.