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#zelle.txt
yurimage · 10 months
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Now that it's Disability Pride Month, anyone who makes obnoxious diabetes jokes along the lines of "diabetes in a cup" or similar jokes personally owes me at least $10 okay thank you much love ^_^
Same goes for the people who immediately tell me about how much they would hate their life if they had to inject themselves with needles everyday like I do after I tell them I'm diabetic, your comment is not helpful or insightful! :3
Oh and people who ask me for the in depth medical definition on type 1 diabetes owe AT LEAST $30, I'm not your personal medical dictionary
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zelle-html · 1 year
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How I feel today </3
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zelle-png · 1 year
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★彡 Pinned Post! ★彡
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*・゜゚・*:.。..。.:*・'(*゚▽゚*)'・*:.。. .。.:*・゜゚・*
★彡 My name is Zelle, I'm 18, and use any pronouns; you can find my main blog at @yurimage
★彡 I really only draw fan art for whatever I'm interested in at the moment, but I might do some stuff with OCs in the future
★彡 My interests change quite frequently but you can always count on me being absolutely consumed with Megami Tensei brain rot lol; I like pretty much every branch of MegaTen including but not limited to Persona, mainline and Devil Summoner
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yurimage · 1 year
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The coelacanth, my favorite girl <3
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yurimage · 1 year
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I saw this chart and I knew what I had to do.
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yurimage · 1 year
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Fun MegaTen fact! Yu Narukami is the only Persona protagonist to not have suffered more than Jesus!
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yurimage · 6 months
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I had another type 1 diabetic tell me once that she didn't consider herself disabled so therefore there was no need for me to call myself disabled. I didn't say anything at the time but I think about it a lot.
I don't think T1D comes on a spectrum or anything persay, but I think some people's bodies just handle it better somehow.
The past 4 days have been hell. My CGM prescription ran out over 2 weeks ago and my new insurance has been making me jump through hoops to get more; so I've been consistently hyperglycemic since then. I've had a lot of problems with my insulin pump since thursday so this made the problem a lot worse. To the point where I haven't really been able to do much the past two days, I didn't even leave the dorm today because I could barely manage to stand for more than 2 minutes without feeling like I was going to pass out. And this isn't rare for me. Regardless as to technical issues, I have a LOT of days like this. Days where I'm too weak to stand, or so dehydrated I start to develop heart problems. This really isn't out of the norm for me.
I'm really glad that for some type 1 diabetics they can go about their life minimally affected; but it just doesn't work like that for me. I am disabled, and the way in which that affects me sucks so bad but I truly don't mind using that label for myself. It's just how my life is.
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yurimage · 1 year
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I saw that @nonbiney-swag-competition ‘s upcoming Tumblr poll tournament had Testament on the bracket and I immediately opened PicsArt to make these LOL
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yurimage · 9 months
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he's really just Like That huh
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yurimage · 1 month
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i think smoking should be good for you i think it would improve society
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yurimage · 8 months
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Depeche Mode was so real for Blasphemous Rumours, like they made a song about the cruelty of god and then also made it so you could shake ass to the chorus
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yurimage · 9 months
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Never forget that Junpei has the two most iconic lines in the Persona series:
1. Brokeback Tartarus. A classic. Everyone loves it. I get a cackle out of it every single replay without fail.
2. "Woah. A white guy." as soon as he meets Teddie in Arena. 10/10, Teddie's blue eyed stare startles me too I get it.
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yurimage · 2 years
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Look who I found at Pride!
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yurimage · 2 months
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National Eating Disorder Awareness Week - Diabulimia
CW // Disordered eating
(click for better quality)
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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.
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yurimage · 1 year
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Sockeye salmon my beloved
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yurimage · 2 years
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I love this official art so much; specifically the side with Ky, it’s like the “are ya’ winning son?” meme but reversed. Sin cheering on his dad as he absolutely wipes the floor with his grandpa, love it.
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