Friday, 26 May 2017

The Heat is On

A topical post which I will try to get up before this mini heatwave (end of May 2017) breaks. 
I was spoilt for choice with titles based on songs about heat - could have been many from my Feeling Hot playlist, but Glenn Frey's 80s classic The Heat is On came first into my head.
This is a diabetes themed post, but before I get on to that, I can't resist making some general observations on our attitude to hot weather to see what others think. 
It puzzles me that there's a collective assumption that hot weather is goodweather. Weather forecasters - especially, dare I say, those whose qualification for the job appears to be based more on looks than on their meteorological expertise - tell us that temperatures are “good” when they just mean hot. Why do they assume we all love the heat? What about those who have to work in a stuffy office, factory or warehouse, exam candidates, hay fever sufferers, babies, old people, people in hospital, or anyone who just prefers to be comfortably warm rather than fried? What about animals? Even my hens were panting yesterday.
Rain is assumed to be a bad thing, but what about farmers and growers struggling to keep us fed, gardeners and groundsmen struggling to keep our parks beautiful and our sports pitches lush? 

Don't get me wrong - I like the sunshine, I like warmth. But a heatwave? No thanks. My perfect temperature is around 20°C, and over 25°C makes me feel sleepy, sweaty, lethargic, thirsty - and as a result far from cheerful. 
Peoples' response to, and behaviour in, hot weather here in Britain doesn't help either. The British have no idea how best to respond to heat, because it's a relative novelty. Our Mediterranean neighbours tend to slow down, dress in loose, cool clothing, cover themselves up and stay out of the sun, but the British throw off their clothing and expose themselves to the sun and all its harmful and potentially lethal effects. “Mad dogs and Englishmen do indeed go out in the midday sun”, and the alarming growth in  skin cancer cases provides proof if it were needed.
Very few people of either gender look more attractive when wearing fewer clothes. I’m sorry, but most mens' chests and most womens' arms and legs look better when covered. And I include myself in that statement. Very few men look good in shorts, and when worn by the over 60s with socks and sandals well just don't! Beyond the age of around forty, unless you're very lucky, you are very unlikely to look good with fewer clothes on. Time and again on a hot day, I see sights that make me just think “please, spare us”. And why do people think hot weather means you can inflict your choice of music on everyone else from your open window, your car or - God help us - your bluetooth outdoor speaker system?
Then there's diabetes. I put a poll on Twitter yesterday (25-05-17) to ask my fellow insulin users whether heat makes their blood sugar go high or low. I've had a good response, and around 75% say low, which certainly matches my experience. Here's a shot of it:-

Technically, I believe the reason is that insulin absorption rate is faster in hot temperatures, so for a given dose and carb intake, the hypo risk is greater. This was me yesterday, with my repeated need to compensate for falling BG clearly visible:- 
But this, remember, is our fickle friend Type One Diabetes, so straightforward it isn't. Some people (25% of my sample) find that heat makes their BG go higher because they are less physically active in the heat, meaning that they need more insulin, not less. You can't win.
And there's another problem which I only noticed yesterday when one of my #T1D friends said late last night that she felt high yet her BG was only 6. Same with me, I thought, then I realised why. What's the main symptom of high blood glucose? Thirst. What's a symptom of being hot? Thirst. So if you've got diabetes and you feel tired and thirsty, you could be high, but it could just be the heat. Welcome to our world. 
So when I hear forecasters speak of a threat” of a thundery breakdown, to me it's a “promise”. I love the freshness after a storm, and I was delighted to see that next week's temperatures will be back to the high teens.
My perfect day is probably a fresh mellow sunny day in autumn, when the temperature rises to around 20, but falls to single figures at night. So please, don't tell me a heatwave is “good” weather. It may be good for some, but they are, I suspect, fewer in number than we are led to believe. Let me know if you agree, and if you don't, enjoy the heat, but spare a thought for those who don't.

Thursday, 11 May 2017

Silence is Golden

Silence is Golden. One of those perfectly formed sixties pure pop songs. It was written and first performed by the Four Seasons, but found its lasting fame in the UK with this recording by the Tremeloes from 1967. The title is a ready-made cliché which sounds like something out of a Victorian schoolroom, but it’s a cliché which has great appeal to me.

Why is the world so noisy? And why are we so uncomfortable with silence? These linked questions quite often occupy my mind amidst the hubbub of life. I enjoy silence, or at least quietness, and within reason I enjoy being on my own.

I did think that intolerance of noise was a growing older thing, but a recent incident reassured me and made me think:

After the wonderful #TADtalk, a conference for people with diabetes in London on April 22nd this year, we all adjourned to a hotel bar for drinks and chat among delegates and speakers. Drinks and conversation were flowing, with much excited chatter about the day’s content as acquaintances were made or renewed. It was a pleasure to be there, except for one thing: as in so many bars, there was loud music. I was trying to engage in conversation with interesting people, many of whom I was meeting for the first time, with little prospect of seeing them again within a year or more. All had interesting things to say and stories to tell, and the sense of camaraderie and enjoyment was palpable. Except that I couldn’t properly hear what they were saying against the music. Not nightclub volume, but loud enough to make meaningful conversation a challenge. I stuck with it, reading lips, smiling and nodding in the right places (I hoped). It’s a familiar experience.

But as time went on I found it increasingly tiresome. Then I became aware that among the crowd of my friends, two in particular were anxious to get away for the meal that we had tentatively agreed to share later in the evening. They were, like me, fed up with the noise and difficulty of making conversation. I took my cue and decided to join them in politely taking my leave and finding somewhere quiet where we could sit down, relax, eat, not shout. Given that I was one of the oldest people in a group of around a hundred, there was nothing remarkable  about that, except that those two others seeking peace and quiet were two nineteen year old young women. Not some of the other fifty or sixty-somethings, but two of the youngest in the group.

So the three of us took our leave and quickly found a restaurant, chose a quiet table, ordered some food and drink and started to enjoy a proper conversation, able properly to catch the subtleties and nuances which to me are part of the joy of human interaction. You can only fully sense what someone means, how they are feeling, how they are reacting, when you can hear them and they hear you. What delighted me was that these two younger people felt this just as strongly as me, and we enjoyed a leisurely meal talking about all sorts of stuff of mutual interest. All at a civilised volume, and it confirmed my view that far more people - of all ages - might actually prefer a rather quieter world.

Why do we put up with noise we don’t want? It happens so often at social events - weddings for example. How many times have I found myself shouting in the ear of someone I really want to talk to, having maybe not seen them for years?

Don’t get me wrong. I LOVE music, including loud music. I even have a Spotify playlist of Angry Songs that I play at top volume (with windows closed) when I’m on my own in the house and annoyed. I enjoy - very occasionally - discos and dancing, but only if there’s somewhere quiet where I can chill out, give my ears a rest and chat quietly to someone. In the right circumstances, I love being in a noisy crowd: just over a week ago, I was one of 20000 excited Bolton Wanderers fans chanting WE-ARE-GOING-UP as our team celebrated promotion back to the Championship with a perfect 3-0 win in the last game of a successful season.

I suppose what I object to is unnecessary, intrusive noise in inappropriate places, from which there is no escape. I don’t mind lawnmowers and hedge trimmers from neighbouring gardens, but object to having to hear someone else’s music from next door.

And it’s not just music: I hate unnecessary chatter in places where peace and quiet are what I seek. Most obviously in church, where I increasingly find that people who are old enough to know better feel compelled to engage in inane small talk and banter in a place where I seek contemplation, thought and silence.

Of course silence can be uncomfortable, especially in the company of others, and there are times when a bit of background noise is welcome. There’s something very creepy about being in a pub or restaurant as the sole diner, or with just one other person and no background noise at all. On such occasions, a bit of music is welcome, but only as background.

But we shouldn’t be afraid of solitude, silence, or at least quietness: I am a habitual early riser, largely because of diabetes, and instead of moaning or worrying about it, I have grown to enjoy early mornings on my own, especially in summer when the dawn chorus gives a beautiful soundtrack to my contemplations. I’m not antisocial either: conversation is one of life’s great pleasures, but I prefer to be in a small group where there’s a chance to listen, think and respond, rather than clamouring for attention.

Perhaps my thoughts are best summed up by one of my favourite hymns, the much-loved Dear Lord and Father of Mankind. It’s no coincidence that the words were written by a Quaker, the American J G Whittier. Silence and contemplation are central to the practice and beliefs of Quakers, but hymns are not. Whittier wrote the words - as a poem - and they were set to music by Hubert Parry, writer of the very different but equally treasured tune to Jerusalem.

The last two stanzas say it all, and could have been written in the noise-infested modern world, not nineteenth century America, as they seem to me to express what we all need to do from time to time: slow down, be quiet and listen:

Drop thy still dews of quietness,
till all our strivings cease;
take from our souls the strain and stress,
and let our ordered lives confess
the beauty of thy peace;
the beauty of thy peace.

Breathe through the heats of our desire
thy coolness and thy balm;
let sense be dumb, let flesh retire;
speak through the earthquake, wind, and fire,
O still, small voice of calm;
O still, small voice of calm.

Peace and quiet - even silence - is a fundamental human need, recognised I think in the current fad for mindfulness, but really just obvious common sense. We are by nature a contemplative species - it’s what makes us human - but if we allow our lives to be overwhelmed by noise, we undermine our very humanity.

I conclude with another quotation, from the opening of a piece of writing, Desiderata, which in the seventies was a best-selling poster, and which I have long regarded as a pretty good manual for life. In case you don't know it, the full text is here, but the opening line is as good as any:

Go placidly amidst the noise and the haste and remember what peace there may be in silence

Silence is Golden. We need a bit more of it.

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