Diabetes Type 2

I'm finding that as I'm getting older I'm more aware of being a diabetic. And that's mainly because of my feet. But I still travel. I've been away, this is May 2007 and I've been away for three and a half of the four and a half months that we've had. So I've not really suffered because of being a diabetic. My own feeling is right from day one that it's not altered my life, it's not interfered with anything that I've wanted to do and, mainly because I've not allowed it to. It's not a terrifying disease. Type 2 is one thing you get because you, usually because you've always been overweight. So, you know, you reap as you shall sow.

Other than my feet, I could count the number of hypos that I've had on one hand. And two of those have actually been in the last month, where we've been trying a new regime of insulin and it is just trial and error to get the balance right. And at the moment we're nearly there, but my sugar levels are still quite erratic. They will go from anything between 6 to 11 in a day. I've been taught the levels they should be. I've been taught the food that I should eat and I don't eat, and that I should eat and shouldn't eat. My wife is very careful about the diet that she gives me. And we just do not eat fatty food. We have lots of fruit. We have very little red meat. We have fish and chicken. We just eat extremely well, but sensibly.
 

I think because of the size I've lost a lot of weight, and I was twenty-six stone when I was younger and so many people used to moan about my weight and for some reason I lost it all, which is when the doctors actually say now they think that's when I became diabetic, when I was about sixteen. And then for no reason the weight carried on, you know, it, it grew back up and I couldn't lose it.

And then, when I sold my house and started to live by myself I kind of thought 'oh I'm a big girl to not get things done you know, if I don't eat it's not going to matter' and I managed to lose a lot of weight and I got down to a size 14 again, and I've realised that exercise is a big help in your diabetes.

I took to walking. I managed to do the Pennine Way six times, which was a great feat because I know when I started to do the first one, people panicked because they thought I'd die half way doing it, with, you know, not being a conventional diabetic, you know, eat, taking the pills and stuff. And it was just, I don't know, that adrenaline fix of 'I can do this' I've, you know, 'I may be big but I'm going to get out there and walk and I'm going to prove that'.

So has there ever been anything that you feel that you haven't been able to do as a consequence of the diabetes?

No. Up until two or three years ago I used to do an annual Action 100 as a charity, and it was a cycle ride from Bristol Temple Meads station to Chobham rugby club, which is 115 miles. And I cycled that in a day, 8 hours 15 minutes. So, and that's with my chest problems and the diabetes. So, no, it's not stopped me doing anything. Almost to the, the other, taking it to the extreme, I think it's made me do things, you know, because I won't give in to it. And so, yes, I've done these charity cycle rides. As I said, I haven't the last couple of years because I've been ill. But, no it's forced me into perhaps doing things I wouldn't normally have done, just to prove you can do it. I think I'm quite stubborn.
 

But now both things are combined, the risk has got a lot more greater what it used to be. Before it was clotting, anything like that, you know, something like that, my heart, thing, but in, with the diabetes my chances of the risk is triple now in all aspects. My heart, my brain, my liver, kidneys, everything. So I have to be extra careful, and my lifestyle is now totally different what I used to be. Sometimes I do feel physical limitation, that things I want to do. My mind says, “Yes, I'll do it” but my body doesn't respond. Yes, there's a physical limitation, which I find is really hard, especially when you want to play with the kids - you know children they want to play football, cricket things like that - and you do play, but the thing is I just play for five minutes, ten minutes, and after that you're really exhausted you know. So you can't do the things with the children what you used to do. And if we do go out as a family, something like that, or any activities, I have to be more careful what I can do, what I can't do it. So it has affected my lifestyle a lot.

And work-wise; I do go to work, I do enjoy the work, but when I do it, when I come home I do feel I'm really tired because of the work I'm doing. But before that [diabetes] I used to do so many hours a week, that didn't used to bother me at all, and I used to be a fine, active person all the time. I used to like to go out, everything, but now things have changed a lot. It's not the same as what it used to be.

And do you think it's because of the combined effect?

I think so, because my polycythaemia, when my blood level goes high, I do feel really tired, really tired, really lethargic, all I want to do is sleep. And being the diabetes on top of that, I have to make sure my diet, if my diet is not right, or my sugar level is either going up or down, that is a factor as well. So I think both have combined. And because of that it is, I find it a lot more difficult to cope with the things sometimes what I used to before.

Well the main thing, which we haven't mentioned yet, is that I did get very bad foot ulcers, and that was one thing that I wished I had had more emphasis on from, well me reading it, but also from the system. I mean I knew that you lose a bit of sensation in your peripheries and after I came out of hospital I went to a private podiatrist who ran filaments all over my feet and made it clear that I actually hadn't got much sensation in my feet. I can feel obviously when I am treading on them - they're not numb - but I don't get any major sensation. And as a result, because I didn't realise just how careful I should be I picked up a couple of bad ulcers. I don't know when the one on my left foot came, but on my right heel I think I had a bad cracked insole in a shoe and I walked quite a long distance on it, and it got so badly infected that as soon as I went to the podiatrist, he put me straight into hospital.

And I spent six weeks in there you know, just mostly, I pretty well discharged myself in the end, because I was just lying in bed, waiting for ten minutes of treatment every day. But it took, that happened in end of January after I'd been diagnosed' So that's a year and a half ago. But I thought everything was going well. You know, I came out of hospital, my vision got right. I started driving again and then about a few weeks after that my, this heel infection came in, and that actually didn't heal over until August.

That pretty well put me off. I had no work - I had to miss working. I had to miss my summer work for the university invigilating. I couldn't do any careers advice, so basically most of that eight months I was sitting in this chair or something like it, with my feet up staring at day-time television which was pretty boring.

Luckily thanks to the podiatrist and the care I mean that got better. But I have been told that I can't, I will never be able to walk any distance on my feet again for the fear of it going. I've got NHS boots which seem to protect it, but after, I had a' Last Christmas I did a bit more invigilation which involved one what would have been a minor walk in the days of my youth, just about a mile, and the heel broke down again and it was another three months before that healed over.

So given the fact that most of the things I intended to do in my retirement involved going up to Scotland, and climbing some of the mountains I've never climbed (because I was up there with cadets so I was responsible for, or going to museums and travelling and that sort of thing) and I can't really do that now. So it has had a major effect, its completely binned all my retirements plans and really makes most things quite difficult.