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DIABETES: THERE IS ONLY ONE THING YOU CAN CONTROL
I said a lot more, but the main thrust was that I chose to look at what seemed good to me rather than to anticipate all the gruesome complications that can happen at some point. Afterwards, many in the group asked me questions about my ideas on life because, evidently, no one had shared anything encouraging with them before. I told them that pain is inevitable for all of us, but that we have an option as to how we react to the pain. It is no fun to suffer; in fact, it can be awful. We are all going to have pain, but misery is optional. We can decide how we will react to the pain that inevitably comes to us all.
Since learning that I have diabetes, I have read a dozen books and even watched some video tapes to learn all I could about how to cope with this chronic, debilitating disease. The most important thing I learned is that having a proper mental attitude works wonders. If you take care of yourself and do all the things that you must do to keep it in control so that it doesn’t control you, you can live a happy, productive life.
I didn’t want this disease, and I surely empathize with others who have endured it for many years, but I choose to do all I can to care for myself and enjoy each day that I am here. I constantly remind myself:
THE ONLY THING YOU CAN REALLY CONTROL IN THIS LIFE IS YOUR OWN MENTAL ATTITUDE.
Recently I was in Sacramento speaking for a women’s retreat, and a cheerful, perky gal in a wheelchair volunteered to help me at the book table. Her name was Mary Jane. She only had one leg, and I wondered if diabetes might have claimed the other one. But she just whirled around in that wheelchair, getting change and doing a fabulous job of handling customers who wanted to buy my books.
We talked later, and Mary Jane told me that her leg had been amputated because of cancer. Then she began to laugh and told me that for years her doctor had been after her to lose weight. He had put her on diets, which were always unsuccessful, and when she finally went in for the leg amputation, she said from the operating table, “Now you be sure to weigh the leg so that you can remove that amount of weight from my chart!”
What an attitude! Her pain is inevitable, but she chooses to make her option something other than misery!
So does a man I met at the La Habra post office. You’ll be reading a lot about that place because it seems I spend a lot of my life there. My license plate says SPATULA, and the other day when I pulled in to park at the post office, I noticed the plate on the car next to me said: “2 BUM NEZ.” I thought, That’s so cute—the guy probably has arthritis or something.
As I tore around the car with my arms full of tapes and books to mail, I called out, “Oh, I just LOVE your license plate!” Suddenly I saw that he didn’t have any legs! Talk about hoof-and-mouth disease! Someone was helping him out of the car, but he put me at ease by saying, “I’m glad you like it. My wife said I should get one that said, “NO LEGS,” but I would rather have folks get a chuckle out of it like you did than have them feel sorry for me.”
Bill and I See Life Differently
I love that man’s attitude because it illustrates so beautifully how pain is inevitable, but misery is optional. We cannot escape having pain in this life, but our choice is in how we react to it. For years I’ve been trying to convince Bill, my darling but melancholy husband, that how you look at life can either bring a sparkle of joy or a handful of gloom.
Recently we had car trouble and had to be towed from San Diego to our home, a distance of nearly 100 miles at a cost of about one dollar per mile. I had never even been in a tow truck before, and it was really fun sitting up so high and looking down at all the little cars whirring by. Being up so high, I could see everything perfectly, even our car attached behind. But Bill didn’t think it was fun at all. He didn’t think it was an adventure. He didn’t think there was anything cheery about it.
Trying to lift his dark and depressing mood, I chirped loudly, “But think of all the gasoline we are saving!” For me, it was a new, fun experience. We probably would never ride that far in a tow truck again, so why not enjoy ourselves since we had to be doing it anyway? But Bill didn’t see it that way. We often view life differently, Bill seeing the glass half empty while I see it brim full and running over.
One thing I love about Bill is that he always lets me be myself. In chapter eight, I’ll explain how God put our personalities together to balance each other and to be a smoothly working team. Bill’s steady, organized ways do much to make our ministry a success!
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Warning: Do not give aspirin to children with viral infections. Parents still commonly administer aspirin to their feverish youngsters despite widespread publicity about the risk of developing a rare but often fatal disorder called Reye’s syndrome when children with viral infections take aspirin. If an analgesic (painkiller) or antipyretic (fever reducer) is needed for a child under the age of twenty-one, acetaminophen (Tylenol being the best known brand) should be used, not aspirin.
Keep in mind that fever is a mechanism the body uses to heal itself. Pediatricians say that unless a child’s fever exceeds 102 °F (which rarely happens with a simple cold) or the child is very uncomfortable, there is little to be gained and possibly something to lose from giving medication to reduce it. Reducing the child’s fever does not produce the improvements in comfort, appetite, or fluid intake that parents might expect. However, children with a history of fever-induced seizures should be given an antipyretic. Give only acetaminophen at the correct dosage for the child’s weight once every four to six hours.
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There are two types of sinusitis: acute and chronic. Whether you have one or the other depends upon how long your symptoms have been present.

Acute Sinusitis
If your sinusitis has been present for less than three weeks, it is called acute, meaning that it is of short duration. In older children and adults, there are three typical symptoms of acute sinusitis:
1. Pain or a sensation of pressure in the face over the area of the infected sinus is common. This is made worse by bending over, straining, jogging, or going down stairs.
2. A cloudy nasal discharge, from one or both sides, or a cloudy postnasal drip.
3. Fever, which is not a part of chronic sinusitis.
In younger children symptoms are not specific. A nighttime cough that doesn’t respond well to cough medications may be the only symptom.

Chronic Sinusitis
This is the term used to describe sinusitis present for longer than three weeks. It is not unusual for this condition to continue for months. In older children and adults there are three typical symptoms:
1. Chronic nasal congestion or stuffiness
2. Frequent, or almost constant colds
3. A persistent cough

In younger children, typical symptoms include the following:
1. The child seems to always “keep a cold”
2. Cough, particularly a nighttime cough, is a nuisance
3. Recurring ear infections
In all age groups, a cloudy postnasal drip, otherwise unexplained bad breath and recurring ear infections are common associations. Facial pain and fever are not frequent in chronic sinusitis.
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The pancreas is a gland which lies near the liver, stomach, and duodenum. It has a number of secretions, some of which go directly into the intestine and are concerned with digestion. One secretion goes instead into the blood and is intimately concerned with the way in which the body uses sugars. This substance is called insulin. A deficiency of insulin in the body results in a chronic disease called diabetes mellitus. Diabetes has been known for thousands of years and was described by ancient Greek and Chinese writers, who were principally concerned with the large amounts of fluids excreted by the body in this condition. The fact that the urine contained sugar was first noted in the seventeenth century. Not until 1889 was it proved that diabetes results from failure of the pancreas. In 1921 Banting prepared an extract of the pancreas which is now called insulin. At least a million people now in the United States have diabetes, and the number increases, because the condition tends to come on with advanced years. More than half the people with diabetes develop the condition before they are fifty years old. Women are affected more frequently than men, particularly in diabetes in advanced years.
Studies of diabetes show that heredity plays an important part. This relationship is becoming more and more clear as people with diabetes tend to live longer and have more children. Once diabetes in childhood was considered invariably fatal. Now these children grow up, marry, and have families. We now know that if both parents are diabetic, the children will most certainly inherit the disease. Overweight is also important in relationship to diabetes. Not everyone who is overweight develops the disease. In fact, diabetes is seen in only a small proportion of the people who are overweight. However, nine out of ten people who develop diabetes are overweight. Among those who are overweight and who develop diabetes, dieting and restoration to normal weight lessens the severity of the symptoms and sometimes controls the condition. The person who is overweight, however, can produce more and more insulin and this may be a factor in exhausting the function of the pancreas. Both the pituitary gland and the adrenal glands are also related in their functions to the use of sugar by the body. Excessive action of the pituitary gland may result in the appearance of sugar in the urine. Excessive action of the thyroid gland may make diabetes worse by increasing the work of the gland, through the fact that the person is taking in large amounts of food.
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Upper respiratory tract infections are the commonest cause of illness in children as well as in adults. A number of terms are used (sometimes inaccurately) to describe these ailments. They include ‘colds’, ‘flu’, ‘tonsillitis’, or ‘pharyngitis’. The average preschool child has at least six colds a year. Sometimes, especially in winter, it seems that the child is unwell for weeks at a time, barely getting over one cold before becoming sick again. Young children are particularly susceptible because they have not had a chance to build up immunity to the many viruses that are responsible for colds. As the child grows older, the frequency of upper respiratory tract infections decreases because he gradually builds up his immunity.

Cause

Most colds are caused by a virus. In fact there are over two hundred types of virus that can cause the common cold. This is the reason it is not possible to be immunised against a cold.

Colds are more common in the winter months. Cold weather by itself does not increase the chance of getting a cold, but people are in closer contact with each other because they stay indoors and are more likely to infect each other. The viruses which cause colds are spread by sneezing, coughing and hand contact.

Clinical features

These are well known to all parents and are essentially the same as in adults. There will be various combinations of a stuffy or runny nose, sneezing, sore throat, cough, headache, red eyes, swelling of lymph glands, and occasionally fever. Often there will be a loss of appetite, and sometimes nausea and some vomiting. Children may be miserable or irritable.

The actual symptoms will vary from child to child, and from illness to illness. Usually the symptoms will last anywhere from a few days to a week or more, and the child recovers fully without any problems.

Very occasionally there are complications such as ear infection, laryngitis, croup, or a lower respiratory tract infection such as bronchiolitis or pneumonia. These are relatively uncommon illnesses compared to the uncomplicated cold, which is widespread.

Investigations

Very occasionally the doctor will order a blood test, throat swab or, rarely, a chest X-ray, but for the majority of children with upper respiratory tract infections no investigations are necessary.

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Blood tests

Some abnormalities can be detected through specific blood tests. This involves taking blood from a vein in the mother’s arm. Blood tests are done routinely and regularly throughout pregnancy. Tests are done to check for rubella, anaemia, and bleeding tendencies. At around 16-18 weeks a test is done to check the level of alphafetoprotein in the mother’s blood, which can help to determine whether the foetus has any serious neurological defects such as spina bifida. The timing of this test is crucial and if dates are inaccurate, the results may be interpreted incorrectly. If the test result is abnormal, and you are sure of your dates, it will probably be repeated, and an amniocentesis will be recommended so that a more certain diagnosis can be made.

Ultrasound scan

An ultrasound scan is routinely performed at around 20-22 weeks to check the progress of the pregnancy, especially the size and maturity of the foetus. It also shows whether there is more than one foetus present. It is your baby’s ‘first photo’ and can be quite an exciting event for the parents. Occasionally the sex of the baby can be detected if the genitalia are clearly seen. You may both decide that you do not wish to know the sex of your baby until it is born. If so, make sure you let the doctor who is performing the ultrasound know, so he can respect your wishes. The test converts sound waves into images on a television screen and is not dangerous. Interpreting ultrasound images requires a lot of experience. Make sure with your GP that the doctor performing the ultrasound is an expert in the field.

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