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Ask D'Mine: Trumping the Blood Sugar?

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Ask D'Mine: Trumping the Blood Sugar?

Welcome back to our weekly diabetes advice column, Ask D’Mine — with your host veteran type 1, and diabetes author Wil Dubois.

On this President's Day weekend, Wil is helping a reader trump his fears about the state of healthcare coverage in the U.S. under our newly elected president…

Got your own questions? Email us at AskDMine@diabetesmine.com

Name withheld on request, type 1 from Oregon, writes: I’m young, liberal, and afraid. I can’t believe what’s happening in our country, to our citizens, and to our Constitution. And I’m terrified that I’ll lose my health insurance (I’m almost 25, but I’m still on my mother’s work insurance thanks to Obamacare.) All of this is making me sick. Literally. At least, I think it is. My blood sugars have been crazy-wacky, running very high. Could it be Trump’s fault?

Wil@Ask D’Mine answers: Happy impending President’s Day. No matter what your political stripes, I think we can all agree that we’ve never seen an American leader like President Trump. And yes, Mr. Trump is absolutely to blame for your blood sugar problems.

More on that in a minute.

But first, an unusual disclaimer. Know how when you slap the special features DVD that comes with a new movie into your player, a little box pops up that says, “The views expressed in the interviews and commentary of this special feature are solely those of the individuals providing them and do not reflect the opinions of ____________ Film Corp, its affiliates, or employees?”

My disclaimer is that the views I’m about to express are mine alone and may or may not reflect those of my editors, mother, spouse, child, or pet cats.

I realize that even talking about a highly controversial president risks pissing off half my readers, no matter what I say. That’s because diabetes doesn’t respect politics. Democrats get diabetes. Republicans get diabetes. Greens get diabetes. As do Independents, Tea Party folks, communists, socialists, and yes, even anarchists. That, I suspect, means that diabetes is evenly distributed across the political spectrum. As about half the country voted for the man (even though most news agencies reported that Clinton got three million more votes in the popular count, and the percentage difference between their vote totals was only about 2%), that means about half my readers are Trump supporters and half are anti-Trump.

Still, your question needs to be answered, and we take all questions. So here we go.

When it comes to our health insurance, I’m with you in the Fear Department. Well… OK. That’s not quite true. I’m next door in the Anxiety Department. The administration and Congress have pretty much sworn to do away with the Affordable Care Act, and they are being very vague about what, if anything, they plan to replace it with. Actually, it’s always struck me as odd that the Right hates the ACA so much, as it seems very pro-business to me. I mean, seriously, a law that requires every citizen to buy a commercial product? That sounds very Republican.

Still, I think we can agree that the handwriting is on the wall, and that changes are in store. But even if the party in power over-turned the ACA tomorrow, the logistics of disassembling it are daunting, to say the least. It’s part Federal, part State, part private businesses. It involves millions of people and billions of dollars. I doubt anything will happen overnight, and actually, nothing much beyond talk has happened so far.

Of course, there’s a risk that this will change before what I’m writing today is in print, but at least a total gutting of the Affordable Care Act wasn’t in the first slew of activities initiated by our new president.

What’s that you say? He’s not your president?

Oh yes he is. He sure as hell is. Like it or not, and you are free to not like it, he is our duly, lawfully elected president. There was no coupe d’état, no massive election fraud (if you don't count that Russian meddling). He didn’t win the popular vote, but that’s not how our system works. Trump isn’t the first president to lose the common vote yet still win the office through the labyrinth of the Electoral College. So did Bush W, Harrison, Hayes, and JQ Adams.

Does the Electoral College make sense? Maybe, maybe not. If we don’t like it we can change it. But we can’t change the rules after an election because we didn’t like the results. To deny the results of the system as it stands is undemocratic.

In any election, a portion of the populace will feel disenfranchised. That’s the way it is in a polarized democracy. I suppose if Clinton had won, the Trump supporters might be holding signs that say, “She’s not my president,” but they would be equally wrong to do so. Not only is it undemocratic, but if you deny Trump as your president he’s not obligated to hear your voice or consider your concerns.

So he is my president. He is your president. And for what it’s worth, he’s as stuck with us as we are with him.

And while I’m expressing my views on the subject, I have one more soapbox. I was sickened when anti-Trump protests started in the D-community before the man even took office. Partly, I found it petty. He hadn’t even uncapped his pen yet. As our legally elected leader, I felt he should have been given a chance. Just on principle. But mainly, I worried that protesting the man, not his actions, we liberals—and I’m one of you—would be seen as petulant children; unhappy that we didn’t get our own way.

Really, we need to save our energy, and our credibility, for the substantive fights ahead about policy issues that matter to us.

Anyway, now that I’ve got everyone’s blood pressure up, let’s talk about your blood sugar. Trump has you stressed out. And stress raises blood sugar— much more so than people realize. So, yes, Trump is truly making you sick.

Here’s how: Stress triggers the body’s flight-or-fight system, pumping sugar into the blood for extra energy. Low-grade, chronic stress can lead to near-continuous release of sugar into your blood stream. If you are running universally high, you may need to raise your basal insulin for, say, four years or so.

Still, even though Trump made you sick in the first place, he’s not responsible if you choose to stay sick. You need to adjust your meds to compensate, or adjust the stress so that it does not affect you.

How do you adjust stress from circumstances beyond your direct control, like national politics?

There are two ways to fight stress: Learn to relax, or take action. For relaxing, you need to train your mind to let go of fears. It’s a good idea to free your bedroom of computers, TVs, and cell phones. Create a barrier of time before bed to unwind. Read a romance novel or a great work of (non-political) fiction. Have a drink. Take a bath. Light a candle. Cuddle a pet. Or a stuffed animal. This is a flight response; it will dissipate the sugar by ceasing its production.

Or tackle the stress head-on. Fight it by taking action. This is a fight response. It burns the sugar off. In this case, as your stress comes from our political environment, I suggest you get politically active. Call your Congressmen and Senators. Do it daily. Call the members on both sides of the aisle. Make your voice heard, but speak out on issues, not on someone’s personality. By becoming part of the process you’ll find you feel less victimized, and that will reduce your stress.

And as an added benefit, it will make you a better citizen of our democracy.

Disclaimer: This is not a medical advice column. We are PWDs freely and openly sharing the wisdom of our collected experiences — our been-there-done-that knowledge from the trenches. But we are not MDs, RNs, NPs, PAs, CDEs, or partridges in pear trees. Bottom line: we are only a small part of your total prescription. You still need the professional advice, treatment, and care of a licensed medical professional.

Disclaimer: Content created by the Diabetes Mine team. For more details click here.

Disclaimer

This content is created for Diabetes Mine, a consumer health blog focused on the diabetes community. The content is not medically reviewed and doesn't adhere to Healthline's editorial guidelines. For more information about Healthline's partnership with Diabetes Mine, please click here.

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