A SESSION ON THE ART OF SELF MANAGEMENT

After the stress of exams, children with Type 1 Diabetes (T1D) reunited on April 29, 2024, for the ‘Friends Forever’ meetup. The session, led by Dr. Samuel, Consultant Diabetologist at the Gopalapuram Centre, was filled with enthusiasm and valuable insights. Dr. Samuel began with an analogy of driving to emphasize the importance of self-management in T1D, stressing that dependency solely on healthcare providers isn’t sufficient for easier living and better control of Diabetes.

Highlighting insulin as the sole treatment for T1D, Dr. Samuel delved into the art of blood sugar control and explained the mechanisms of basal and bolus insulin. Practical tips to enhance knowledge included daily reading on T1DM for at least 15 minutes, active engagement with healthcare providers, utilizing social media for resources, and participating in T1D forums and seminars.

Dr. Samuel emphasized achieving good glycemic control, introducing the concept of ‘Time in Range’ (TIR), aiming for at least 70% of blood glucose levels between 70–180 mg/dL. He stressed the importance of systematic blood sugar monitoring, advising a structured approach and the adoption of Continuous Glucose Monitoring Systems (CGMS). Discussions on blood sugar charts with doctors were encouraged to identify weak and strong zones for better management.

 The session covered the role of exercise in blood sugar control, recommending 60 minutes of moderate to heavy physical activity daily. Pre-exercise tips included establishing a routine, monitoring blood sugar levels, and adjusting insulin and carbohydrate intake accordingly. Post-exercise advice involved checking blood glucose levels promptly, adjusting insulin doses, and staying hydrated to manage sensitivity to insulin for up to 24 hours post-activity.

Dr. Samuel also addressed preventing hypoglycemia pre, post, and during exercise through understanding personal thresholds, establishing routines, and monitoring blood sugar levels closely. He reflected on the historical context of T1D before 1921, highlighting advancements in life expectancy and quality of life post-insulin discovery by Dr. Banting and the first patient, Leonard Thompson. Recognition was also given to Dr. Bose for bringing insulin to India, significantly impacting the lives of individuals with T1D.