idk who needs to hear this but diabetics can have sugar. they can have as much sugar as they want as long as they take the appropriate amount of insulin. the only reason diabetics are ever told to lower their sugar intake is to reduce the amount of insulin they use. and almost every sugar free alternative sweetener is either a literal carcinogen or insanely expensive. not to mention the fact that sugar is naturally occurring in every. single. thing. you. eat.

The Strawhats go to Syrup Village when their adventure ends because they want to say hi and thank everyone they've met along the way. Luffy misses his old friends! And Usopp, of course, wants to see the Usopp pirates and... And Kaya. Kaya, mostly. They were dating before Usopp joined the crew and when Usopp started having feelings for Sanji, he sent a letter to her asking if she was fine with that being a thing. And of course, she said yes, because Sanji seemed like such a nice gentleman and if he made Usopp happy then she was happy too. But he hadn't taken into consideration how nervous Sanji would be meeting her. Which, you know, understandable. Meeting your boyfriend's girlfriend. Something totally, uh, normal for Sanji's little mind who had to have a whole crisis for two years about his sexuality and relationships. But you know, it's okay, because it's Kaya. So everything will be fine.

And it surprisingly goes great! Well, surprisingly for Sanji. Usopp knew it would be okay! Obviously!

They encounter the kids first, and they're- They're older and it makes Usopp feel old too. Because what the hell. They're taller and they look almost like teenagers and it's making his heart melt. God, he has missed them so much. They go running to him and asking questions and hugging him and Usopp doesn't think he can take this much happiness, really. He keeps bragging about his cool, awesome, powerful crew and bounty and says that he'll tell them all their adventures later. Piiman directly asks "So, which one of them is your boyfriend?!" and Usopp freezes because "How do you know I have a-" and Tamanegi jumps in like, "Kaya told us!" and Usopp obviously can't be surprised at that. Or mad. He wrote the letters for the kids too, after all. So while the crew waits there watching it all happen, Usopp tells Sanji to come with him and meet the three idiots he had for a crew. And Sanji knows them, of course. He takes a drag of his cigarette, stares at them, and instantly goes "Ninjin, Piiman, Tamanegi" pointing at all of them correctly. They're astonished, but before they can say anything, Sanji squints his eyes at them "I remember because you look like vegetables-" / (Usopp): Ooookay, Sanji, babe, enough!" And he changes the subject to ask if Kaya is home right now. The kids say yes. Yadda yadda yadda, and they start walking to her house. (On their way to Kaya's, btw: "If I cook tonight we're not having vegetables, I would feel bad-"/ "Sanji!" / "C'mon, it's funny- They're cute, I swear. Like cute little potatoes-" / "Do you want me to punch you?" / "If we have children, do you think they'd look more like a radish or a cauliflow- / "Dumbass. And those are the only children we're having for a while. Get used to them." / "Wait, I was joking! Do you- You want children? With me? I-" / "Sanji, please, not today.")

So they get to Kaya's and... And Sanji is excited. Nervous. But excited. Nami won't stop teasing Usopp about it, too. And he's not worried. He's okay. He's not anxious. Everything's gonna be okay and she will love the person he has become. Definitely. Nothing to worry about. But he's visibly shaking, and he didn't expect Sanji to be the one holding his hand to calm him down, but it happens. And he couldn't be happier.

So, of course, Luffy can't be fucking quiet and starts knocking on the door and yelling for Kaya to come to greet them. Even if it was supposed to be a surprise. And Nami says "Gosh, Luffy, calm down! She can hear you. Everyone can hear you, actually. Shut up and wait for-" but she can't finish her sentence because Merry is already there with the biggest of smiles, opening the door for them. Usopp just says a soft "Hi!" while Luffy wastes no time in going in.

Nami: Luffy! Wait for a damn second! Merry: Oh, well, not that we can control the King of the Pirates, can we? Nami: You don't need to tell me. Franky: You look like Merry. Merry: ... I am Merry? Franky: No, I mean the ship- Usopp: Franky, we've explained this to you. Franky: Not the part where the butler looks exactly like the ship, though? Usopp: Oh. True. Well. There you have it.

Everything happens a bit quickly. Kaya is walking down the stairs when they're walking in, and the second she sees Usopp she just has to hug him tight. Sanji steps away because, well, he doesn't want to get in between their reunion. And everyone thinks he's jealous or weird about it, but it only takes a moment to realize he's staring at them with the fondest of looks in his eyes. She's the most beautiful girl he's ever seen (apart from Nami and Robin, of course. But it's another type of beauty) and there's just this glimpse in his eyes nobody can actually describe.

Usopp and Kaya kiss and he starts to feel a bit dizzy because- Wow. Remembering her kisses is just as overwhelming as he thought it'd be. She's precious. He says they'll tell her all about their adventures. That he has truly become somebody she can be proud of. She says she has always been proud of him, and Usopp dies a little bit with that. When she's done staring at him, she tilts her head to the side saying hi to everyone else and she spots Sanji, hands on each side of him and bouncing his right leg. She lets go of Usopp to approach Sanji and grab his hands, and with a soft, tender smile, she says "I'm so glad you've been looking out for him. I've heard so many great things about you, Sanji! I truly hope we get to know each other better" and Sanji dies. Sanji instantly dies. Not from a nosebleed but a heart attack, probably. He's speechless for a whole second and nobody says anything. Because this sweet girl just said this in front of everyone and let's be honest, everybody is wondering how the fuck Sanji and Usopp are the ones with enough rizz to pull this wonderful girl. Anyway- I can imagine Jinbe laughing and saying "Usopp! You have a type!" and he's being genuine and sweet but it's so fucking embarrassing the sniper just wants to curl up and die.

Luffy, Nami, and Zoro see Kaya again and it's so, so sweet to see her being a doctor just like she wanted. She's healthy. She's adorable, like always. And she welcomes them into her house gladly. Kaya says hi to the rest and she. Absolutely. Adores. Chopper. That's probably the cutest doctor she's ever seen, and also the smartest! If Usopp and Sanji didn't need to talk with her, she'd probably spend the day talking to Chopper. She also gets along with the older members of the crew! They're all just so nice to her <3 Robin comments about how Usopp and Sanji have been talking a lot about her and Kaya giggles but it makes Usopp want to run away to a private place as quickly as he can. If Robin is the one talking about this, this means they will all keep the embarrassing conversation going and he can't have that.

They decide to stay for dinner, the way they had planned because Sanji is dying to cook for her and they just knew Kaya wouldn't let them go without having dinner with her. Besides, they've been staying for a while in every island so that they can enjoy their time with each person and decide what they want to do next. If they want to, you know, stay with the crew or choose to keep going with their lives outside of being a pirate (everyone chill, they're staying together. At least for a long while until they're old. Because otherwise, I will cry). So, Sanji cooks while the crew waits around the house. Talking to Merry and Kaya and wow!! The kids are staying too!! Awesome!! Usopp is in the kitchen with Sanji because he just needs a second to calm down. It's too much. In a good way! But god, he needs a second.

Usopp helps Sanji with a few things while they talk about everything and nothing. A kiss here and there. And then, Usopp is suddenly a bit uncomfortable about what he's about to say. "What do you think about, um, Kaya?" / "Are you really asking me that?" / "Yeah! Why wouldn't I? Maybe you don't- Fuck. I don't know. Maybe now that you've seen us together you don't want-" / "I want to, Usopp. More than anything." / "Really?" / "Yeah. She- She makes you happy. She even makes me happy and I just met her. And- I don't know. I guess she just looks a lot like my-"

But then the kitchen door opens quickly and it's closed just as fast, because Kaya is there, resting her back against the wall and smiling shyly at them both.

Kaya: Hi! Hi. I- Am I interrupting or-? Sanji/Usopp: No! Kaya: Oh! Oh, okay! I just thought It'd be nice for us to be together for a while? Alone? Usopp: ...... Luffy is being- Kaya: Nami? Usopp: Oh, fuck, yes, makes more sense. Sanji: Nami-san can be a bit assertive sometimes, but it's alright. Kaya: So it's okay if I stay? Usopp: Kaya, it's your kitchen- Sanji: Of course, madame. You're gonna be the first one to taste our dinner, then. I need opinions. Kaya: Oh, I'm not a cook. But I am sure your food is excellent! Sanji: Indulge me, please? Eat whatever you like. Usopp, whispering: Why are you being more romantic than me? She's my girlfriend. Sanji: And I am your boyfriend. She's, like, my girlfriend too, now. Usopp: Does that work like that? Sanji: Uh, not sure? Kind of? Usopp: ... As long as you two are happy. Sanji: You should eat too, by the way, mon amour. I am being serious when I say I want feedback.

They end up spending a long while together making dinner. While Usopp tells her about their adventures, she tells her about her life without him and her studies. How much she has been trying to help the village, too, and how the kids have been doing. Sanji asks them their opinions on the food. Asks them for help, too, if needed. And everything ends up being so domestic and nice that Usopp is surprised Kaya and Sanji just met. They're so in sync and they look so pretty together they even look like a couple already. Usopp thought he'd end up feeling left out (because he always does) but there's just something about them being together that makes his heart melt.

Skipping the dinner part, because it's just all of them having fun as usual and besides a few cute glances and blushes and compliments, there isn't anything remarkable about Sanusokaya here. They end up in Kaya's room after dinner, while the other crew members go do whatever. They have designated rooms and beds (the place is a fucking mansion, and there's room for everyone).

The thing is, they go to Kaya's room to talk about... Them. They don't know where to begin, so Usopp breaks the silence by telling Kaya about how he met Sanji. Things she already knows from letters, but she hasn't actively heard. And it's obviously more entertaining this way. So Sanji and Kaya sit on her bed while Usopp talks. And one thing leads to another and he's also explaining Skypiea. And Water 7. And when he gets to Dressrosa, something they had already talked about during dinner, Sanji decides to explain what happened back in Whole Cake Island. He didn't have this in mind. Opening up so much, he means. But there's just something about Kaya that makes him want to keep talking. So he explains a bit (not everything, of course) about his past. And she's so, so sweet about it. Holds his hand all the time. Rests her cheek on his shoulder. Usopp kisses both of their foreheads. And that's when Sanji stares at Kaya and says:

Sanji: You know? You remind me a lot of her. My mother, I mean. Kaya: Do I? The way you talk to her is so wonderfu- Sanji: You are wonderful. Kaya: Oh- Usopp: Sanji, you can't say that to her! That's my job. You're wonderful, babe. Kaya: Thanks, darling. I just- I was thinking that it could... If you are okay with it. Maybe I'm overstepping. That it could also be his job? God, I am explaining this awfully. I am a doctor, not a writer- Usopp: He would love to be your boyfriend. Sanji: Don't answer for me! Usopp: Weren't you going to say yes? Sanji: In a more romantic way, yes. Of course. Kaya: Really?! Usopp: I think he likes you more than he likes me- Sanji: Idiot. Don't ever say things like that. He's always so- Kaya: No, yes, you have to force the love into his head, huh? Sanji: Exactly! Usopp: Don't get too excited, Kay. He's just like that too. You say something good about him and he starts sobbing.

Long story short, they sleep together in Kaya's room, all tangled up and cuddling because they're the cutest, most adorable couple in the world. They stay for a while in the Village and spend some days together, growing closer and clingier every day. And sadly they have to say goodbye because they want to keep going with their journey (they have stuff to do. They tried to bring Kaya along, but she's the doctor of the village. She can't leave them alone) but she knows they'll come back to her. She trusts them to

doing a search for "vegetarian diabetic ibs recipes" in the hopes of finding dinner ideas that will only trigger my gerd

Just found out that the CEO of Dexcom (the company that makes my constant glucose monitor) made $15 million last year. I’m glad my incurable disease is funding his yacht.

Ron and a uhh horrendous trevor i draw (im a gay man im sorry)

This is wade

im not anti fatphobia bc i think you can be fat and healthy im anti fatphobia because i got told to stop eating so many grapes because its giving me prediabetes by a dietician at an eating disorder treatment facility

Anyone else have to hold back from binge eating after being high for a while and not being able to eat what you want because of the high bloodsugar so now that you're finally at a good number you have to restrain yourself from devouring everything, plus that weird t1d thing where it's rare to get that "full" feeling because idk our body doesn't make that hormone or chemical or something

bumper sticker idea: 🥯food baby on board🍕

National Eating Disorder Awareness Week - Diabulimia

CW // Disordered eating

(click for better quality)

Transcript Below

Diabulimia- Diabulimia is the informal term for an eating disorder specific to type 1 diabetics in which someone with the disorder intentionally restricts their insulin in order to lose weight. Although not listed as an official diagnosis in the DSM-V, it is an incredibly prevalent and dangerous eating disorder.

Type 1 Diabetes- Type 1 diabetes (T1D) is an autoimmune disorder of the pancreas. Typically, the pancreas secretes insulin, a hormone that takes glucose from the blood and moves it into cells in order to be used as energy. However, in T1D, the body attacks itself and destroys the cells that secrete insulin. Without insulin, glucose from food sits around in the blood and builds up– causing a condition called hyperglycemia.¹ There’s currently no cure for T1D, so patients with the condition need to take insulin as injections or delivered through an insulin pump. T1D is irreversible, and life long, so patients need to take insulin for the rest of their lives.¹ T1D and type 2 diabetes (T2D) are not the same. In T2D, the pancreas still has insulin secreting cells; however, the body can’t properly use the insulin due to a high level of insulin resistance.² Because of the differences between T1D and T2D, diabulimia can only occur in those with T1D.

Insulin Restriction- In the absence of insulin, glucose can’t enter cells and instead stays in the bloodstream. Eventually, the body attempts to flush out excess glucose through urine– leading to severe dehydration. Since cells can’t get energy from glucose in this scenario, they instead try to get it from other sources– the body’s muscles and fat stores begin to be broken down for energy. This state is biologically the same as starvation as calories from food in the form of glucose are leaving the body before being used. The loss of calories and breakdown of fat and muscle, coupled with the loss of water weight from dehydration, lead to rapid weight loss.³ In diabulimia, insulin is restricted intentionally with the goal to lose weight.

DKA- In the short term, diabulimia leads to frequent urination and severe dehydration, immense fatigue and nausea and vomiting.³ If left untreated, these high blood sugars will eventually lead to a condition called Diabetic Ketoacidosis (DKA). DKA occurs when fat is broken down in the body. The breakdown of fat releases acidic compounds called ketones. Eventually, with enough build up of ketones, the blood itself becomes acidic and may eventually lead to coma or death.⁴ DKA must be treated in a hospital setting; and as such, is often the way that diabulimics are first treated for their eating disorders.

Health Consequences- Consistently high blood sugars will eventually lead to severe diabetic complications such as neuropathy (nerve damage), retinopathy (damage to the retinas in the eyes) or kidney disease.³ While long term health effects like eye damage and kidney disease are already common complications for those with T1D, diabulimia significantly increases the risk for these complications. A Japanese study found that insulin restriction was the most significant factor in developing retinopathy and kidney disease; meaning that these complications were more strongly correlated with insulin restriction than other factors such as how long someone had been diagnosed with T1D.⁵

Prevalence and Risk- When compared to girls without T1D, those in the same age range that were diagnosed with T1D were around 2.4 times more likely to have an eating disorder ⁶ One study that surveyed 112 teens with T1D found that around 27% restricted insulin dosages ⁷ An 11-year study found that those with T1D who restricted insulin had a risk of death 3.2 times higher than diabetics who did not ⁸

Why I'm Making This- Accessing treatment for diabulimia is incredibly difficult. When I first began to look for inpatient eating disorder treatment, I was turned down from every residential and inpatient facility in my state. The only reason I got into a residential that time was because my mom is a very determined and very convincing woman (she threatened to sue them). And that isn’t even accounting for the lack of diabulimia specific treatment. My last time in treatment, the hospital I was at recommended I enter inpatient; however, there ended up being only a few inpatient centers with diabulimia experience in my country-- the closest one rejected me because they couldn’t find an endocrinologist to oversee my diabetes care. This lack of treatment is especially dangerous with how severe the health consequences of diabulimia are. In fact, since beginning work on this infographic, I found out I may have kidney damage. Yes, as a result of diabulimia. I also have permanent eye damage, neuropathy, and I’m finally (3 months after leaving the hospital) recovering from the short term health consequences of my disorder. And even I am luckier than a lot of other diabulimics. With a disease so prevalent, and so, so dangerous, you’d think there would be enough support in treating it. But there isn’t. Largely I think, because most people simply don’t know that it exists. My only hope with making this infographic is that we can change that.

Sources:

1- “What is Type 1 Diabetes?” Centers for Disease Control and Prevention. Accessed January 31, 2024. https://www.cdc.gov/diabetes/basics/what-is-type-1-diabetes.html.

2- “Type 2 Diabetes.” Centers for Disease Control and Prevention. Accessed January 31, 2024. https://www.cdc.gov/diabetes/basics/type2.html.

3- “Diabulimia.” Cleveland Clinic. Accessed January 31, 2024. https://my.clevelandclinic.org/health/diseases/22658-diabulimia.

4- “Diabetic Ketoacidosis.” Mayo Clinic. Accessed February 11, 2024. https://www.mayoclinic.org/diseases-conditions/diabetic-ketoacidosis/symptoms-causes/syc-20371551

5- Takii, Masato, et. al.. “The Duration of Severe Insulin Omission Is the Factor Most Closely Associated with the Microvascular Complications of Type 1 Diabetic Females with Clinical Eating Disorders.” International Journal of Eating Disorders 41, no. 3 (April 2008): 259–64. doi:10.1002/eat.20498.

6- Jones, Jennifer M. “Eating Disorders in Adolescent Females with and without Type 1 Diabetes: Cross Sectional Study.” BMJ: British Medical Journal (International Edition) 320, no. 7249 (June 10, 2000): 1563. doi:10.1136/bmj.320.7249.1563.

7- Markowitz JT, et. al.. “Brief Screening Tool for Disordered Eating in Diabetes: Internal Consistency and External Validity in a Contemporary Sample of Pediatric Patients with Type 1 Diabetes.” Diabetes Care 33, no. 3 (March 2010): 495–500. doi:10.2337/dc09-1890.

8- Goebel-Fabbri, Ann E., et. al.. “Insulin Restriction and Associated Morbidity and Mortality in Women with Type 1 Diabetes.” Diabetes Care 31, no. 3 (March 2008): 415–19. doi:10.2337/dc07-2026.

I love playing a fun lil game with my blood sugar called ‘how low can you drop until the room starts spinning and colors start making sound?’

On the topic of food.

Dooku, Sifo, Jocasta, Jaster **least** favorite food?

ohhh, now we're talking. hmmm

I think for Sifo I'll actually say that he is a pretty picky eater, at least compared to most jedi. idk, if I was overwhelmed with the weight of ten diffrent futures at all times I'd probably not want too pungent or strong tasting foods.

So the swamp stew is definitely up there, but I think any sort of blue cheese. Sifo hates them with a passion. waste of perfectly good milk.

For Dooku.... do you know those horrible, horrible sugar bomb burritos you sometimes see on social media? like where ice cream and all sorts of sweet gummied and sprinkles get wrapped in a burrito of candy floss or smt?

that.

Dooku doesn't have much of a sweet tooth anyways and stuff like that just gives him diabetes with just a glance.

As for Jocasta, hm, I could see her dislike something more because of the texture than the actual taste. So maybe anything glibbery, slimy like pudding or roe? Yeah, let's go with roe. Any sort of fish eggs you can hunt her with.

And Jaster i've mentioned before in the serennian cuisine thing i think, but he's mever coming aroumd to any sort of raw fish or meat. Especially when it's like a whole animal like certain mussles or fish, something deep inside him just refises to see it as food.

Mandalorians have the cultural predisposition for well-cooked, stewed into oblivion dishes, so it's umderstandable.

To whom it may concern (beetus friends):

ChocZero is a LIE. They use a type of soluble corn fiber that you body digests as a starch, but the FDA allows them to list as fiber. I was SO EXCITED to have marshmallows for the first time in like 10 years and got a 150 point glucose spike for it.

Very cool to market your product as diabetic and keto friendly, ChocZero. Have fun killing people you assholes

;-;

most fucked up thing about the body's response to not eating is when you're so hungry you feel like you're gonna throw up. this does not make it easier to eat food actually