I get annoyed when articles about diabetes get it all wrong. I would have thought that fact-checking is a pretty standard practise by journalists, but I’m finding that in many cases, this isn’t the case. Where it’s less clear is when someone is writing the facts correctly, but the overall sentiment doesn’t sit right. I guess that it is going to be up to the individual as to how they interpret the writing, but there are many occasions where most of the facts are right, but I feel it’s still all wrong.
On Sunday, the Age in Melbourne (and SMH in Sydney) ran a piece by national affairs writer Tony Wright. I generally like his writing and always try to read his pieces. So I was more than excited to see that he had written a piece about type 1 diabetes following JDRF’s Kids in the House (KITH) event at Parliament House.
I loved his introduction which set the scene of 100 kids sitting down to lunch with carbs listed; his description of the process of checking BGLs, guesstimating carb content of foods, insulin calculations and delivery was beautifully accurate. But there was some stuff in there that made me prickle. And I feel guilty and a little dirty for responding in this way. But I want to pull apart some of the comments I questioned and say how I would prefer they were reported.
Tony writes: ….daily reality for the 122,300 people in Australia diagnosed with diabetes type 1, also known as juvenile diabetes. Another six, most of them children, are diagnosed every day.
Renza says: Actually, type 1 diabetes is not also known as juvenile diabetes anymore and hasn’t been for some time. Just as it’s not known as insulin-dependent diabetes anymore. Why? Because type 1 diabetes can be diagnosed at any age. Also, we grow up! And using the term ‘juvenile’ means that people think it only affects kids and no one thinks about the support, information and healthcare needs of adults living with type 1 diabete
Tony writes:…..Type 1 really ought to have another name, for it is a more terrifying beast than the much more common diabetes type 2….
Renza says: Perhaps having different names for the condition is a good idea, although I’m far too tired to fight this battle and am sure that there are better battles to expend my energy on. However, it is perpetuating a myth by saying that type 1 is a harder condition to deal with. I don’t know about living with type 2 diabetes, but I would find it pretty terrifying if I was treated with diet or exercise or oral meds and my BGL meter gave me a reading of 22.1mmol/l and I didn’t have insulin to treat it and make me feel better . Which is my protocol as a person living with type 1 diabetes.
Playing the ‘mine-is-worse-than-yours’ game does nothing for anyone. And as Tony quoted in the previous paragraph, there are just over 120,000 with type 1 in Australia. How much attention do you think we’d get if sometimes we couldn’t ride on the coat-tails of the 900,000 people with type 2 diabetes? We’d get completely lost in an underfunded system and lose significant research dollars.
Tony writes:….Virtually all these people will come to conceal a secret: they fear going to sleep, afraid they will not wake up. Sometimes they do not.
Renza says: One person dying from a hypo from which they do not wake up is a tragedy and absolutely one too many. It is a terrifying and scary thought. But in all honesty, I wonder how many of us actually think ‘I hope I wake up in the morning’. I’ve spoken with several friends with diabetes who were diagnosed as kids and they say that this was never discussed when they were growing up. Today I see newspaper report after newspaper report with parents saying they are scared their kids will die overnight. Whilst in no way diminishing this fear, I wonder just what this constant reminder is doing for the kids. Do we want to instil such fear into them that as they lay themselves down to sleep they may not awake in the morning?
Kids in the House is a really important and valuable exercise to remind politicians about type 1 diabetes. Thrilled as we may be that Tony Abbott promised $35 million, we’ll need to see if he does in fact put his money where his far-too-big mouth is if a Coalition government is elected in 2013.
My only concern with any activity like this is that it packages up type 1 diabetes a little too neatly. It focuses solely on children and doesn’t address the support, information and education they will need as they grow older and become healthy adults; the focus is too cure-centric – of course that is the ultimate goal, but all our eggs in one basket will lead to so much disappointment.
But mostly, it allows our political leaders to say ‘we’ve done type 1 diabetes – we had KITH’. This cannot be a once a year, feel-good activity that ticks the type 1 diabetes box. The pressure needs to be maintained 12 months of the year.
8 comments
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December 5, 2012 at 4:09 pm
Diabetic Pros
It’s easy to generalize all diabetics into one category. Authors tend to not know the difference between type 1 and type 2 and distribute posts to their communities. Good information in this post, thanks. Learn more about diabetes in our community: diabeticpros.com. We’d love for you to join us. Thanks!
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December 5, 2012 at 4:20 pm
Kerrie Trevitt
Usually i love all of you Blogs Renza however on this occassion i must say as a of a child with Type 1 Diabetes i found the Tonys piece that appeared in Saturdays Age well written. As a parent I hope for many changes to be addressed for all with Type1 not just kids, as you say they all grow up and yes still have Type 1. I also hope that our child can always sleep well at night as it is me whom tests him while he is a child over night so we definately do not drum into him he may not wake up – but that is my fear as a parent to him – maybe you should ask your type1 adult friends parents! As parent you do whatever you can to give your child, firstly a childhood and a carefree one at that, but it can be tricky with type 1. As parents we keep a very positive outlook on things and try to just get on with life with type 1 in it. Tony Wright is very familiar to a life with Type 1 as his daughter has lived with it for 9 years. Im happy to hear your adult friends with type 1 feel they werent pulled down with the dreaded sides to a lufe with Type 1 – i maybe wrong but this is just my opinion sadly we have seen a very dark side to Type 1 we as parents will and are prepared to do what it takes to make his and all ppls life with Type 1 better, KITH was a fanrastic experience and also had adult avocates for type1. If you can suggest other things to raise awareness of Type 1 and the need for further funding into research im sure you will have a huge team of supporters.
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December 5, 2012 at 5:11 pm
Renza
Thank you for your thoughtful comments, Kerrie. I agree – my perspective about diabetes is significantly different from yours and that of your family. I appreciate you reading and taking the time to express your thoughts. Thanks again!
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December 5, 2012 at 5:32 pm
Tori
I agree completely with your criticisms, Renza.
Kerrie – I was diagnosed at the age of 4, in August 1969. I’m sure as the parent of a T! child you DO experience a lot of worry etc .. but for your son .. realise he won’t always be a child – and once he hits 30ish, he’ll find no or little public support from the general community. That’s one thing a lot of us grown-up “juvenile” diabetics have had issues with for many many years.
The problems facing children with T1 are often far worse in adults with it – partially because we are denied a “face”, but also because for those of us diagnosed in the dark ages prior to the tools available now (pumps, BG meters … even disposable syringes in my case) are now facing the complications of less-than-stellar control. Equally, while there is a huge amount of in fo regarding puberty, and even pregnancy etc … try finding anything on things like menopause in T1s! It’s few and far between.
I could almost guarantee that of the 122K odd people with type 1 in this country, 70% of them are over 18… and probably 20% over 40 – and WE are the forgotten ones.
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December 5, 2012 at 7:33 pm
Kerrie Trevitt
Im so very sad that many have been forgotten :(. But I dont want anyone forgotten and really it was only last yr that the govt came to understand that a child of the age of 10 wasnt capable of being responsible for their care of Type 1, with the misinformation things are easy I dure see why there are many forgotten Type 1s, in my opinion and we are still reasonably new to this community having a loved one with Type 1 there are many things looking into the future that concern me for the future. The changes and awareness are not judt for our child its for recognition for the many. In the short time of being aware of type1 there are many things that in my small opinion are outragious and i wonder why things havent been addressed, I presume that before all this technology of linking communities its hard to link people to have the voice of people power. So I ask the more experienced people how and whom can help make change for positive outcomes for more people with Type1, as I ve said not just for our son whom one day will also be an adult. Really a small thing but something recently i was sadly shocked by I had heard about insulin pump funding thru JDRF i was interested whom funded this and how many were funded? I was shocked to find it was only funded for kids up to the age of 18 and in the financial yr of 2012-2013 was 62 for families of a low income that is for the whole of Australia. Funded by govt and funds distributed thru JDRF. Who does then advocate for adult Type 1’s, and if its not JDRF, is it DA VIC? You are right all our Type1 children grow up, i want to know that there are things in place that can be there for him and it is outragous that things arent changing for adult Type 1s, i maybe wrong but like many thing people now talk about Type 1 possibly in the past it was even more a hidden medical condition :(. I am very grateful for the leaps in care available in these days but wow adults also require assistance I love meeting adults with Type 1 but must also say I have also been shocked as well with people asking me how does our son go doing needles etc oh and how do I go with sending him to public toliets to do his insulin shots ?? Wow I was in shock 😦 and oh so sad to think many have felt they have had to survive like that … Menopause is not fun without having Type 1 hmm so many things i hadnt considered
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December 5, 2012 at 8:03 pm
Tori
Thanks Kerrie for taking the time to read my reply and respond. It’s an elephant of a problem – but you know how you eat an elephant? One bite at a time 🙂
Things are SO much better now than they even were 10-15 years ago (NDSS, pump funding) – so the future can only be better – even if it’s slow.
– Tori
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December 7, 2012 at 2:41 pm
Jayne Lehmann
The future evolves by people expecting it will be better. These discussions are a part of the process of evolving that future.
I’m a CDE and while I don’t have diabetes or a child with diabetes I do have an 18 year old daughter who is severely intellectually disabled. She also has unstable epilepsy and has many of her seizures at night, requiring midazolam to stop them if going too long.
I know that feeling of fear that she will not be with us in the morning. It drains and defeats you at times. This is a bit of an aside but we tackled this by getting a seizure alarm so that it wakes us up when she wriggles the bed for a certain period of time during a seizure. Then we can get up and keep her safe during the seizure. This is similar to the scenario for parents of children with type 1 diabetes and there may be a way to use the seizure mats to help parents of kids with type 1 diabetes not feel this terrible fear. Since having the mat I do not feel nearly as fearful.
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May 8, 2015 at 5:32 pm
cathysbd
I was diagnosed age 9 in 1973. My parents were quite laid back about it, no fuss, my school/s were very laid back about it. I was always treated normally. The only ‘horror’ stories I heard were when I started smoking age 19. My parents took it all in their stride, I was a normal kid and a normal teenager. Ok, am a slightly nutty adult now but that’s normal too!!!!
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