OK, we're going to talk about my health this week... and this is going to a long one.
So, I currently have two chronic conditions - Type-2 Diabetes and Long COVID (also called Post-COVID or Post Acute COVID Syndrome (PACS because we love our acronyms)). The Long COVID came first.
So, for clarity, what is Long COVID?
Long COVID is a condition that develops in a significant minority of people who had the COVID virus. It's new, poorly understood and not really clearly defined by the medical community. The exact causes and mechanism aren't understood. Anecdotally, it is actually more common in people who had mild COVID symptoms or were completely asymptomatic.
The symptoms of Long COVID include, but are not limited to, severe fatigue that grows worse after physical or mental activity and brain fog (difficulty concentrating, forming thoughts, remembering things). Other symptoms include respiratory problems, sleep problems, depression or anxiety, fever, digestive problems... yeah, it's not fun.
What does this mean for me?
Well, I talk about getting a limited number of active hours in a day. Basically, most days, I get about 2-4 hours of being able to sit up, concentrate and do something. Note, I said "sit up" not "stand up." Physical activity is exhausting. I can get around the house reasonably well, but walking out to the mailbox is a "well, I'm done now" kind of activity. I can talk with someone on the phone for about 30 minutes before I start to fade. Once I've used up my energy for the day, I'm pretty much done. From that point, it "lay down and watch stuff and forget about concentrating."
The one thing that I've found alleviates the fatigue is eating. I get about 30 minutes more energy out of a meal, probably 15-20 minutes for a snack. A little boost that lets me do a little more, feel a little more human during the day.
I can push beyond those energy limits, but I pay for it. I feel like I should mention that getting angry also gives me a "false" boost (adrenaline is a wonderful, terrible thing). I get a boost but I pay for it heavily.
When is say "pay for it" ... I mean "lay in bed and don't do anything for a day or two or three."
So that's my every day - get up, have breakfast, do something (hobby, game, whatever), fade out, have lunch, enjoy the little boost, lay down for the afternoon, have dinner, watch TV with my wife, go to bed. How much I can do depends on the day...a "good day" us 3-4 hours of doing stuff. A "bad day" is 0-3 hours. A great day might get me 5-6 hours up. In all cases those "up" hours still mostly consist of me reclining in bed and working on my computer, like I am now.
Got a picture? Cool. Now let's talk about Type-2 Diabetes.
Primary causes of Type-2 Diabetes lack of physical activity and weight gain. Notice the relationship? Let's spell it out - Long COVID prevent physical activity and encourages eating, which leads to Type-2 Diabetes.
The treatment for pre-Diabetes and early Type-2 Diabetes - exercise and eat less to lose weight. Also, changes in diet.
See a problem. Long COVID means I can't exercise. Not "I don't want to." Not "it's inconvenient and I'm busy." I Physically Can't Do It.
Next problem - one of the selfcare elements for Long COVID is getting those little boosts to energy to keep going and feel good during the day. That means eating food. Treatment for diabetes... eat less, no snacks.
I don't know how to explain how painful that is. I mean physically painful and mentally painful. I've spent days in the past few weeks too exhausted to do anything and so damn hungry I want to scream.
The "little wins" that get me psychologically through the day aren't achievable because I'm too tired and hungry to do them. So, on top of exhaustion, hunger and brain fog, I get depression... both from the hungry and from the lack of those "little wins."
Pile on the depression and anxiety that comes from the uncertainty and general life changing bullshit that is having not one but two chronic illnesses.
Now pile on the feeling that no one... not my family, not my friends, certainly not my doctor... seems to understand what I'm going through. Really, how could they?
Result...
This blog post! Because guess what... I'm me. I don't give up. You don't get it? I'm going to explain it to you! You still don't get it? Be prepared to hear more about it!
Also, I'm making minor adjustments to my diet to allow for small snacks (mostly nuts, or a hard-boiled egg) to give me those little boosts back. Will it work? Will it hurt? Heck as I know, but I there's a point where you have to balance Quality of Life against other concerns.
Well, if you stuck through all that good for you. You get a gold star.
I'm not giving up.
Onward