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Today, I travelled to Geelong to hang out with Kim and have lunch speak at the Barwon Region Diabetes Health Professionals Group about diabetes and language.
I have given lots of talks about the importance of language when speaking to and about people with diabetes. It is such an important issue and I am always pleased when I am asked to present on this topic.
When I was preparing for today’s talk, I looked over all the blog posts I’ve written here (and on other blogs too) about this issue and I realised that there were many. So very many.
There was this one – the post I wrote following the launch of the Diabetes Australia Language Position Statement.
There was this post where I asked if people consider diabetes a disability and if the word offends them in any way when referring to diabetes.
And this one where I took a couple of ward nurses to task for daring to use the words non-compliant and diabetic in the same sentence.
Also here is a post about someone calling me a diabetic. They really shouldn’t have.
There was this whole post that focused on the word ‘sufferer’ – still a word that I despise!
I discussed a lot about the importance of language specifically relating to diabetes, but I wanted to explore further today. I talked about the language of health, pointing to how I thought Healthy Weight Week missed the boat with the name of the initiative and also the language of food and of the ‘wellness industry‘.
The group was really engaged – lots of terrific discussions and questions and ideas being thrown around, which I love when I am presenting not only because it means less for me to do, but because I love to hear ideas from others and learn about what works for them. This was a really sensitive group. They were very switched on and understood that not only is language important, but the way they use it needs to be tailored to the person they are working with.
We also talked about language extending to more than just what they say. Their waiting rooms need to reflect the same sensitivity being demonstrated in the consultation room. I recalled the incident of the launch of the Diabetes MILES study where in the waiting room of a diabetes clinic was a horrid poster about foot care showing foot ulcers and amputations.
It was a terrific discussion and I am so grateful whenever I spend time with health professionals who are just so damn considerate and respectful when speaking about diabetes. And I am also grateful that they are seeking the consumer/patient/client/PWD (yes, we discussed that too!) perspective.
It’s International No Diet Day! No Diet Day promotes and celebrates natural beauty and diversity. People are found in all shapes and sizes and there is no one ideal. It also encourages people to stop dieting for the day and put aside all weight loss plans or food restriction practices and put an end to weight discrimination.
There are lots of ways that we can celebrate No Diet Day. But for me and my family, it will be just another day of eating the way we always do – mostly fresh food, lots of coffee (for the grownups, not the kidlet!) and, in all likelihood, something with some Nutella spread over it at some point of the day.
And I will also be thinking a lot about diabetes-related eating disorders and how common they are amongst people living with diabetes.

I applaud these sorts of awareness campaigns, but the danger is that in the positive messaging, there is still a risk of shaming. No Diet Day is not about shaming people who are thin. When reading up about No Diet Day, I came across a lot of materials that were celebrating ‘real women’ and ‘real bodies’, claiming that real women have curves. This actually doesn’t advance the cause it all. All women are real women. Whatever shape or size you are, if you have a vagina, you’re a woman. Go get that on a t-shirt!
I guess the thing that we can all take away from today is remembering that diets don’t work. That’s the bottom line. Diets Do Not Work. So with that in mind, perhaps we should be aiming for every day to be No Diet Day. I know I certainly do.
In other news, jump over to the Diabetes Victoria blog where today I’ve written the second in a series about the consultation that is underway around the development of the new Australian National Diabetes Strategy. You still have 11 days to complete the online survey and I really urge you to take the time and provide some feedback.
Yesterday, as I sat in the waiting room to see my endo, I couldn’t help but feel that I was walking into a wasted appointment. I had seen her about six weeks earlier and left with promises to myself of being more engaged with my diabetes care. I promised I would have my blood work done. I thought about goals and how I could work to achieve them.
And yet, there I was, waiting to go in and wondering what the hell I had to say to her. There would be no discussion of lab results. I haven’t gone to pathology to have the checks done. There wouldn’t be any pulling out of data for me to show her – I hadn’t been logging anything. I was pretty much in the same state of mind about my diabetes as I had been last time I sat waiting to go in to see her.
I was wasting her time and I felt really bad about it. Not that she would ever tell me that. In fact, not that she would even be thinking that. But it’s how I felt. I have such respect for this endocrinologist, and I felt that in some ways I was actually being disrespectful in showing up so unprepared.
There were no tears yesterday. But there was an honest and open admission from me that I need help. I have tried everything I know to try and pull myself out of the motivation slump I have been in for so long. There are been periods where things seem to be better and I am able to make more of an effort, but they are fleeting and before long, I am back to feeling burnt out.
Let me be clear – I am not completely ignoring my diabetes. I am bolusing insulin at all the appropriate times; I check my blood sugar, albeit nowhere near as much as I know I need to – or that I would like to; I have started seeing my endo again. I eat well. At no time has diabetes completely fallen off the radar. But it certainly has deviated from being as much of a focus as I would like.
It’s not the mechanics of diabetes that is the problem. It is the trouble-shooting and problem solving and thinking about diabetes in a way that makes me feel confident that I am dealing with my health and wellbeing as much as my blood sugars. But I’m not doing that. I’m in a fog of burnout from which I now know I am unable to emerge without some real help.
I can pinpoint the source of the burnout; I can trace its progression; I can see why it happened. I understand all of that. I understand that dealing with the loss of our baby following a miscarriage and all the things that happened around it were often all I could deal with – both at the time and for periods since then too. But even though I have words to explain how this has happened, I don’t have actions to get me out of it.
I’ve tried. I’ve tried everything I could think of – all the techniques that have worked in the past. But I suspect that the combination of grief and the longevity of this burnout have resulted in me simply not being able to fix it alone. I need help.
I also believe that tied up in all of this is the way that I am feeling about my body and its failings. Because I do feel I have failed. Or at least my body failed me – again – when I miscarried. I really did think that I was ‘over’ it and was moving on, but not a day goes by where I don’t, in some way, feel sad and broken about it. I don’t know how to stop feeling this way. Again, I need help.
So, I asked for a referral to someone who can help me work though things – someone to help with strategies. I have been in therapy before; I know that it will help. It’s not a quick fix – I know that too.
I am trying to be all Pollyanna-ish about this and make grand ‘the first step is the hardest’ statements. And I am being positive and saying that it is certainly a step in the right direction. It’s going to take time. It’s going to take effort. Perhaps I am ready for that now. I know I certainly haven’t been to date. But maybe – hopefully – I am now.
I’m back on the bandwagon today. Or back on my high horse. Or back on my soap box. Whatever analogy you want to use, I’m on something. But I’m always on message!
Last week we heard a story of the tragic and just so very sad death of a beautiful little boy with type 1 diabetes. According to media reports, seven year old Aiden Fenton, who had type 1 diabetes, was taken, by his parents, to a hotel in Sydney, where he was denied food and insulin and slapped repeatedly as part of a barbaric treatment meant to cure him of his type 1 diabetes.
This is a tragedy. There is no other word for it.
The theory behind this brutal treatment is that repeatedly slapping the body builds heat, which will allow ‘chi’ to flow which results in toxins to be released. This will, apparently, cure what ails you.
And while this may be the extreme, what we have here is yet another example of ridiculous assertions by people claiming to have an understanding of health and wellbeing. But there is no understanding. There is no science behind these claims. There is no evidence to suggest that they work.
There’s that word again: ‘toxin’. It’s a favourite with many wellness experts and Instagram diet and fitness frauds who seem to have forgotten that the body has a fabulously powerful and clever organ called the liver. They should Google it – they’ll get pictures to go with explanations of the role this organ plays in the body and its connection to ‘toxins’. Pictures like this one:

You’re welcome.
Thankfully, there are others – many others – much smarter and with much better reach than I asking questions and calling out these dangerous cults.
Yesterday, the CSIRO (I think we can pretty much bet they are all about science) tweeted this.

Yes please; I’ll take one in a 10.
Helen Razer wrote a fabulous (and very swear-y) piece a few weeks ago about the stupidity of the paleo movement and other dangerous messages being regularly expounded by equally dangerous idiots wellness experts. You should read it (language warning again in case those sorts of things offend you.) My favourite line is the caption used under a photo of Pete Evans: ‘Stupid is the new science’. Yes – I want that on a t-shirt, too.
And take a few minutes – well ten and a half – and watch the brilliance of Tim Minchin with this fabulous animated short of his poem ‘Storm’.
Minchin first wrote this as a jazz-backed beat poem for a live show. From there, it was the animated short was made and, most recently, a graphic novel which I’ll be purchasing next time I head to my favourite books store, Readings. You can read how the poem came about in this piece Minchin wrote for The Guardian.
Yes, I know. I keep harping on about the same things. But alternative therapies and the ‘wellness movement’ are responsible for a little boy’s death. They fuel eating disorders, they confuse people, they deliberately and intentionally target the vulnerable who are desperate for answers and cures. And there is no evidence to support that they work in any way. In fact, they harm. A little boy is dead. Just keep thinking about that.







At the moment, it’s a rare day when the oven is not on, baking or stewing or roasting something in its warmth, intensifying flavours and delivering, at the end of the cooking process, a wonderful hearty dish. It’s probably my favourite thing about this time of year and there is nothing better than settling in for the cold night on the couch, fire lit, with a delicious, hearty bowl of something.















