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Below 70? The 15-15 rule

All forDiabetes

Striking out diabetes

All for DiabetesPublished May 14, 20203 min read
Striking out diabetes

Key points

  • Eighteen-year-old Landon Talley seems like any other baseball player on the Maryville High School baseball team.
  • Diabetes, a chronic lifelong disease marked by high levels of sugar in the blood, afflicts an estimated 23.6 million children and adults in the U.S.
  • After the first day, (though) I knew I had to take care of it,” he said.
  • He asked nurses to teach him right away how to inject himself with the insulin, instead of having his mother do it for him.

Eighteen-year-old Landon Talley seems like any other baseball player on the Maryville High School baseball team. He hits, runs, plays third base and works out whenever he can.

Unlike other players, however, Talley must carry snacks, syringes and two types of medication into the dugout with him. The Maryville resident must have these items with him at all times to manage Type I Diabetes, a diagnosis he received about four years ago.

Diabetes, a chronic lifelong disease marked by high levels of sugar in the blood, afflicts an estimated 23.6 million children and adults in the U.S. It’s also the nation’s seventh leading cause of death, primarily because of diabetes-related complications such as heart disease and stroke. Managing the illness is key to staying healthy.

Talley said he had rapidly lost about 30 pounds and was “fatigued, tired and dehydrated.” That’s when his father researched the symptoms on the Internet, then took his son to the doctor, who confirmed their suspicion. The then-14-year-old said at first, he felt angry.

“I was scared. After the first day, (though) I knew I had to take care of it,” he said.

Talley changed his diet, limiting carbohydrates, and eating several small meals a day instead of the standard three. Plus, he had to check his blood sugar several times a day, and take an injection of insulin four times a day – a big change from getting one or two shots a year to four times a day.

He asked nurses to teach him right away how to inject himself with the insulin, instead of having his mother do it for him. He wanted to learn how to take care of himself.

To effectively manage his illness before ball games, Talley said he needed to eat some sweets to create – a little sugar rush before the game so I didn’t pass out, – he said. “I ended up having to take shots in the middle of the games.”

In order to do this, Talley had to split his attention between the game and his health. By his senior year, he’d learned to do both. His fellow ballplayers tease him, referring to his insulin injections as steroids. He’s also been called “insulin pump.”

This coming fall, Talley, a 2010 Maryville High graduate, will play baseball for Maryville College. He will be the third generation in his family to do so. His grandfather, Mike Talley, and father, Mark Talley, both played baseball at the college before him. The younger Talley will attend the college on an academic scholarship after finishing high school with a 4.1 GPA.

“I have a very good support system,” he said. “My grandmother, and mother always have extra stuff in their purses and I have a great group of family and friends around me. It is a true blessing, I believe.”

This story was edited for presentation on the Web. Additional information and details are available for subscribers only. If you want every word of Blount County’s best news and information source you can get home delivery and e-edition subscriptions here. Nobody knows Blount better than The Daily Times, your hometown newspaper for 125 years and counting.

By Rheta Murry
rhetam@thedailytimes.com
Originally published: May 28. 2010 3:01AM

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.