When I was a kid of about ten years old, I read a memoir written by an autistic woman. I don't think I had even heard of autism at the time, but I found it interesting to read an account of a way of seeing the world and a view of thought processes very different from my own. Since then, I have realized that occasionally I get the chance to see the world in a way that many of you have not experienced. So I thought I'd try to share my experiences with you.
As a diabetic, it is important for me to keep my diet, exercise, and insulin balanced. Of course, this is important for everybody, but the effects tend to show more immediately for me if I mess up. I'm normally pretty good at recognizing the signs when my blood sugar levels get out of control. When they're a bit low, for example, there's this certain sort of shaky feeling. I'm having a hard time thinking of a more precise way to describe it, but I know what it feels like, and that's what matters. You may have felt this yourself. Then, when I've identified the problem, I can fix it- in the case of low blood sugar, I grab something to eat.
But once in a while, I don't manage to fix it right away, and my blood sugar continues to drop until it gets dangerously low- enough to majorly impact my thinking. It doesn't happen very often, especially since I started using a new type of insulin in my late teens. But it has happened often enough for me to tell about it.
When blood sugar drops, the heart starts beating faster so more sugar can go to the brain. When I am seriously low, there is still not enough sugar for the brain to function fully. So all of its resources and all of my attention are dedicated to getting food. If whatever I am doing will help me get some sugar into my bloodstream, in an honest and legal way, then I can manage it. But anything that will not contribute to the goal is disregarded. An illustration- during junior high, I once got really low during biology class. So I wrote a note excusing me to go to the counseling center, where I had some juice stored for this sort of situation, and had the teacher sign it. Later on, one of the secretaries mentioned that when the straw poked through the foil on the top of the juice carton, a drop fell on my leg. She said that I hadn't noticed, but this was not the case. I noticed, but it was irrelevant, so I did not react in any way. I also later looked at the note I had written. The handwriting was a bit different from my usual, and I had used the word "the" twice in a row, but it was legible and sensible. I was a little impressed.
Another thing that impresses me when my blood sugar levels drop is my handling of money. I have been in situations where I have counted my money, looked over the options and prices, and taken taxes into account before making my selection. And I have never chosen something that cost more than I had, even by a few cents. At least, not while my blood sugar was low.
But there is one dining situation that is a bit beyond me- choosing something off a menu. The problem? My script for that situation involves reading the description of every menu item that grabs my attention, and that gives me a bit more information than I can fully process in the situation. But I can't think clearly enough to just go off-script. And remember the part about how as much sugar is rushed to the brain as is possible? Well, that means that less goes to other parts of the body. Including the eyes. So I have a hard time focusing, which means I have a hard time reading. So the more reading I have to do, the harder it is. Related to that, I sometimes have a hard time walking. I can usually do it, but can't go in a straight line. And a couple times, I did have a little trouble balancing for a short while. And apparently I've still got some pride going on in there, because when that happened, I worried that I looked like a drunk.
One strange thing related to severe lows is that sometimes, they seem to fix themselves very suddenly. One minute I'm 100% focused on getting carbs into me. The next, I am aware of things going on outside of my immediate environment and I realize the strangeness of my recent behavior. Some examples of my first thoughts after the retreat of my brain fogginess during high school are, "Seriously? I loaded up on salsa packets?" (Thought process- get sugar, get food, salsa is food) and "I really should have told Sam what was going on" (I already had the food I needed, and explanations take effort. And pride might have had something to do with it as well.).
Now, after all of that, I have one request. If you ever notice me acting way out of it, try offering me some juice or a snack. I might need it.