Mysteries of cold weather, type I diabetes and insulin resistance
It is a mystery for me. The mainstream medical theories deny such a thing as the ambient weather impact on complex diseases such as type I diabetes and prescribe blood glucose fluctuations and insulin resistance to less exercise or more food intake. I actually can and want to argue with that. Whenever the outside temperature drops to minus 15 to minus 30, the insulin injections I take stop working. I keep insulin in a proper place, I double the dose, I drink excessive amounts of water, I take a walk whenever possible. No change. There is practically no change. I keep taking more insulin until the dose reaches scary amount and then it would slightly lower the blood glucose. That would be using three times the normal dose. This also means a lot of finger sticking and using a lot of test stripes, up to 15 times day, so that finger tips become very painful after a while.
As soon as the outside temperature returns to minus 5 to zero Celsius, I have no problem with my insulin. I return to a normal dose and everything returns to normal levels. That is my ongoing problem with the terribly low temperatures during Canadian winter. The biggest issue that comes with it is damage to the body, fatigue and an absolute lack of energy. Doctors say: you are doing something wrong. Well, I am not. I am doing all the same. The only variable in this equation is very low temperature outdoors.
Seasonal menu as a factor?
I have simplified my menu to the point that it does not take too much time for me to cook and it doesn’t play too hard into my blood glucose sensitivity. I am having oat porridge every morning whether it is summer, spring, winter or fall. I cook it while doing something else and eat it with some butter. It isn’t sweet. I am somebody who always prefers salty dishes to sweets or desserts. I was always that way. I do not have cravings for chocolate or ice cream; in fact, I have chocolate very rarely and in very small amounts. I simply do not like it too much. I can still remember the wonderful taste of the 100% real and chemically unimproved and unprocessed ice cream while I got it rarely in summer when I was a kid, some 50 years ago. This ice cream cannot compare to that one, so, I pretty much do not consume any.
I keep my lunches very simple: some eggs, some cheese, some cottage cheese (the Latvian type of it which is available as unprocessed blocks of half a pound), berries or vegetables such as tomatoes, cucumbers, radishes, avocado and similar. I do consume lots of onions and garlic. I am adding garlic and onions to practically anything I cook. I love onions and garlic.
For dinners, I would mostly have potatoes (Latvian style, whether with skin or peeled and boiled in salted water with some garlic or as mashed potatoes) with simple salads and fish, meat or chicken. We rarely have rice or pasta. Very rarely. I always cook from scratch, practically every single meal, 3 times a day, every day of the year. I do that because I know that way what is on my plate and what it contains.
I personally cannot eat more than 3 times a day; I cannot eat snacks between my meals because I am simply not that hungry. If I would not have to take injection with my meals, I could easily survive on 2 meals a day. I still do sometimes, but skipping one meal and one injection isn’t that great, that affects the schedule and overall blood glucose level. I do not put food first, it usually comes after to whatever I have to do, and food is just something inevitable for me.
Food as fuel and 3 meals seem like a lot
I am trying to use only such foods that are practically not processed. That is the reason I am only using real butter (I always was) and 35% whipping cream because the sour cream isn’t a cream in Canada, it is something which has a lot of ingredients, a lot of added and free stuff, which means it is heavily modified. I am almost 60, and I haven’t ever been overweight. In fact, my weight and size haven’t changed since I was 21. I do not go to the gym (I simply cannot for the most time) and my exercise is physical work, work in the garden or walking. I frequently cannot walk at all, and there have been periods like after a surgery when I am totally unable to cross even the room.
I am listing this to simply show that my menu is pretty much the same throughout the year. I grow my own greens, herbs and vegetables, so, I would have these in summer and fall. I use herbs and greens a lot regardless of season because parsley, dill, green onions, water cress sprouts, rosemary, celery and basil are available now all year round.
Physical exercise and workload
My blood sugar does not comply with my good intentions. After having some very harsh and very cold winters in Canada, I came to conclusion that when the weather reaches some certain minus temperature, I get insulin resistance. I take walks or shovel snow when I can and, strangely, that does not affect the blood glucose. In summer, if I am not really cautious with physical loads, even walking to the store, my blood glucose is always low and frequently drops like a stone, so, I have to use pure sugar or glucose pills, a lot of them to bring the blood glucose level up to normal.
My workload is also mostly the same: typing at computer medical research works and translations, painting and giving art classes. That is the same regardless of season.
Medical and non-medical causes of insulin resistance
I have been researching this phenomenon a lot, but it was mostly attributed to drinking less water, exercising less (I don’t do it ever, not in summer, not in winter or in any other season) and eating more or eating comfort foods. As I mentioned before I do not eat more in winter. I never change my meal schedule when I am at my place, and it keeps my condition pretty stable. The only exception is a very cold weather. For this to happen, the temperature has to drop below minus 10 or so. We have had recently minus 24 to minus 27 for a few weeks and I have been in a lot of trouble.
I have found that there are more people complaining about this issue. The only advice they are given is: move more and eat less. In my case, the blood sugar level stays high even if I skip a meal and eat nothing. It stays high even if I go outside and do a lot of snow shoveling (our sidewalk is very long, it is a huge lot) or walking fast. When it is really bad I am trying to eat more proteins, especially eggs and drink a lot of water. That slightly helps; however, I would not say it helps significantly.
In a very hot weather, I sometimes have to eat lots of sweet things to keep the blood glucose level up and proceed extremely carefully with physical activity. If I have taken insulin at a normal dose, but I suddenly have to walk somewhere, the blood glucose drops heavily and I have terrible low blood sugar symptoms from which it is hard to recover.
Therefore, I tend to disagree with the fact that the ambient temperatures and weather conditions have no impact on us and on diseases such as type I diabetes. Well, type II diabetes is very different in many ways, so I am not talking about type II diabetes which is also most often not-insulin dependent while I live on 2 insulins: the basal and the fast acting.
Seasonal affective disorder
I am very sensitive to anything, however. I feel a lot of pressure on joints which were fractured (that is a lot of joints: left shoulder, left hip, left ankle and right wrist plus vertebrae fracture) in rainy weather; my low blood pressure goes even lower when it is cloudy and foggy, I do experience lack of energy and fatigue with cold and hot weather: I would say I can relate a lot the seasonal affective disorder. Does that explain the insulin resistance in very low temperatures? It is hard to say because all scientific advice tends to make everybody the same: if 100 people eat too much and do not move at all one must be the same and that explains their high blood sugar levels. I do disagree with that also. There are many type I diabetics who are rather skinny, who have low and very low blood pressure like me, but there is definitely something within my body which causes my blood sugar and insulin metabolism and its release react the way they do. Maybe that is a slow-down of any metabolism? Maybe that is less active immune system altogether? Or over-active immune system? Maybe that is a leftover of a genetic phenomenon which most medical specialists absolutely disagree with?
Globalization of medical treatments
Well, we are all so different. Therefore, one treatment, one advice and the same drugs will never help a condition which has the same name, but occurs in different people with distinctive genetics and many variables in their personal and medical history, as well with different places of origin, race, gender and life style. The general medical approach misses that. We are evaluated by using clinically studied results and values which are STATISTICALLY SIGNIFICANT. When somebody does not fit in any statistically significant category, their doctor will say: that cannot be. That’s exactly what they will say. Why? It cannot be because it cannot be. Don’t we know other things which cannot be, but they are?
With globalization of everything, treatments tend to become global, too: if this was working in 100K people, it must be working in you, as well. Is it? No, it frequently isn’t working.
I find that the individual aspect of any condition and disease is the one that is neglected and missed most often. It is so easy to go by the text-book. It takes a lot of courage and extraordinary thinking to get beyond that and start treating every patient as an individual which we are.
Therefore, I am very sure there are more people whose blood glucose levels ARE AFFECTED by the ambient weather and temperature. It could be a more sensitive immune system, their personal metabolism, metabolism of minerals, vitamins, salts and water, sensitivity of blood circulation and blood composition, as well as glandular activity, hormonal balance and genetic settings which play a role.
Individual differences in clinical conditions
The only different article which reviews the insulin resistance in extremely cold weather was this one: https://www.healthline.com/diabetesmine/diabetes-and-the-ice-age#3
Comments under this article showed that most people either did not read it carefully, or did not understand what this article was about. As I mentioned before, type II diabetes is very different from type I diabetes, and methods of treatment and ways of maintaining healthy glucose levels are different, too. Plus, etymology of type I diabetes should be taken into account also, but nobody ever does that. I find that most doctors will view a patient as one of many similar cases. It is very rare when individual specific issues are addressed because the excuse always is: it just cannot be! It sometimes is, even when the cause is unknown or unclear. If there is somebody type I diabetic reading this who has experienced something similar, I’d love to hear from you!
It is terribly cold still. The weather forecast promises milder week ahead, so, I’m very much looking forward to it. I cannot even keep sitting at computer because I am frozen stiff. If I do not respond right away it is because it is too cold to stay on the first floor.