Last Friday night, I was at a work dinner. The event followed a very full day of meetings and as we sat down for our meal, I was concerned that my brain was so drained I wouldn’t be able to focus on the guest speaker.
However, when he started, the speaker (one of Australia’s leading diabetes health professional experts) gave an eloquent and articulate talk about the state of diabetes in Australia and the world.
He spoke for a relatively short time – about 15 minutes – and then sat back, continuing to chat with other people seated around him.
He noticed my CGM on my arm, but didn’t say anything. However, later on as he was speaking about realities of living with diabetes, he stopped and said directly to me: ‘You know this better than anyone else. Why am I talking?’
I was grateful for the acknowledgement, but I did want to hear more from him. One of the things he focussed on in his talk was about how HCPs often don’t truly understand diabetes or how to speak to people with diabetes. He identified stigma as a real issue for people living with diabetes – and how the way diabetes is presented and spoken about in the media is damaging. But several times, he came back to his concerns about healthcare professionals and their approach to dealing with people with diabetes.
‘You are so right,’ I said, agreeing with him. ‘I’ve found – and have heard from many others – that often HCPs don’t get diabetes at all. There is this weird concept that diabetes is a matter of insulin (or other meds) – food – check BGL – adjust accordingly. And go! It’s not that easy. It’s really not.’
He nodded at me. ‘You know; I think we made a really big mistake about 30 years ago when we started saying that people with diabetes can live a normal life…It’s not true.’
I’ve not been able to stop thinking about that comment all weekend. It was startling to hear the words, but I think that was because I realised straight away that it was true.
When I was diagnosed, I was told that diabetes would not prohibit me from living a normal life. Sixteen years ago when I started using a pump, I was told that it would make me feel normal again. When I started on CGM, I was told that I would feel normal when I could easily see and adjust my glucose levels. When I’ve started any sort of new eating plan, I’ve done it because I’ve heard that it makes people feel more normal.
I spend so much time convincing people – convincing MYSELF – that diabetes hasn’t prevented me from living a normal life. I check off on my fingers the things I’ve done, one at a time proving that I can do anything, I have done everything. I am normal! Look!! I work; I travel; I have a kid; I eat what I want; I stand up in front of people and talk; I write and get published. Look how normal my life is!
But the truth is – it’s not normal. My life is not normal. And it’s disingenuous to suggest otherwise.
It’s not normal to for my body to not produce insulin. It’s not normal to have to think about every piece of food I put in my mouth, (how many carbs are in there? Are there too many? Are there not enough? What is my BGL right now and do I need more/fewer carbs?) It’s not normal to be terrified that I am going to develop complications that will be debilitating, limiting, scary. It’s not normal to be so worried about my health all the time – to be so focused on my health all the time. It’s not normal to have sensors and pumps and devices stuck to my body as I try to mimic a human organ. And it’s not normal to think this is normal
Humans are incredibly adaptable. We modify and make changes to suit to new environments, circumstances, challenges.
And when we are diagnosed with a chronic health condition that impacts on pretty much every part of our life, we adapt. It may become our new normal. But it’s not normal.
I agree with the esteemed professor from the other night. It was a huge error to start saying that we can live a normal life with diabetes. It undermines, and negates, the constant effort we need to put in to appear normal and to be healthy; it makes us feel guilty – and incompetent – when diabetes does stand in the way. It makes us fell less than we should when we need to seek special consideration or dispensation to help manage situations.
I have diabetes. My life is not normal. And it doesn’t diminish me in any way to admit that.
12 comments
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February 13, 2017 at 12:54 pm
Di Daley
So very true, Renza. However it’s hood to know that a HCP realises how challenging it is to live with a chronic health condition that constantly plays games eith us, physically, mentally and emotionally.
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February 13, 2017 at 1:02 pm
Victoria Burns
Thanks for this post Renza! I can really relate; we are perfectly abnormal ! Not sure if you checked out latest edition of PLAID journal? Your post echoes many of the themes (uncertainty, fear, hope) of this edition. Btw Your plaid article inspired me to contribute to the audience perspectives section and share part of my personal journey with t1d. Thank you!!!! 🙂
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February 13, 2017 at 2:43 pm
thelakes@iprimus.com.au
Dear RenzaS ,
re: ……‘You know; I think we made a really big mistake about 30 years ago when we started saying that people with diabetes can live a normal life…It’s not true.’
Hallelujah. Hallelujah. Somebody has finally said it!
Diabetes NSW runs the mantra that …people with diabetes can live a normal life. The message my family gets and my ex-work colleagues got was that diabetes was not something to be so concerned about. What am I always on about?
So much to say about this.
Regards
Graeme Macey
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February 13, 2017 at 3:35 pm
Andrew Bassett-Smith
Hearing you loud and clear. The saying is indeed incorrect and is probably better with “can lead to what appears (to outsiders) to be a normal life” once you allow for the bucket load of steps we take all day long to get there as you outlined. Many struggle with sooo many of those steps, some of us cope with some of those quite well, the variety is massive. Our hcp’s don’t always see or even comprehend the struggle the various steps can confuse and strain and drain us… No wonder depression and burnout occurs so easily and kids often go off the rails as they just can’t cope
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February 13, 2017 at 5:49 pm
Annabelle Leve
Spot on again Renza. However, the message I got when I was diagnosed at age 11 was that if you don’t do a, b and c, you will suffer all the dreaded complications. I fought this for years, no way! I will live the life I choose, the way I choose it! But always with the underlying belief that I was going to be punished – blinded, feet amputated, on dialysis … because I didn’t do a, b and c as much or as well as I should have.
But my ‘being able to do whatever anyone else could do’ was part of this message and mantra. Which has meant that I’ve had a damned amazing life and done damned amazing things, WITH the added burden of #T1D. Perhaps we are not ‘normal’ but bloody AMAZING!
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February 13, 2017 at 7:37 pm
maureenchad458
I am a HCP and from my early beginnings working with the families of children with Type 1 life would never be the same again.
Thank you for expressing it so eloquently.
Maureen
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February 13, 2017 at 7:47 pm
maureenchad458
I hope you don’t mind but I have shared this on LinkedIn twitter and my Facebook page.
Maureen
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February 13, 2017 at 9:29 pm
lizayers
Love this post. Thank you!!
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February 13, 2017 at 9:37 pm
Alana H
Love this post. I like to think we’re actually super-human to take on the role of such a complicated organ.
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February 14, 2017 at 1:56 pm
Rick Phillips
My life is only normal for me. But then again who’s life isn’t normal for them? I love being who I am even if I have to live with issues like RA and diabetes. I am glad to be me, and I know many have it worse. But I also know no one is normal.
(personally, I am glad to not be normal, that seems so boring. )
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February 16, 2017 at 9:42 pm
Thyra Bolton
Sorry accidentally posted before I finished my rant. The best and fullest life they can. What is normal anyway?
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February 16, 2017 at 9:47 pm
Thyra Bolton
Jane I really enjoyed reading that article. It is a very true description of daily living. People don’t understand that diabetes is a constant thing in your life, you never get the day off. There are some days you just want to do nothing, no insulin, no blood tests and not thinking about what you eat yay !.Then if you are trying your best to keep your BGLs within the normal range to reduce your risk of complications that is even more stress. I think there are a lot of judgemental HCPs out there, perhaps they should live a day taking insulin and doing BGLs etc. however there are also a lot of great HCPS out there, Jane being one of them. So the statement “you can live a normal life” needs to become redundant, I think everyone needs to live the Best and fullest life they can. What is normal any way?
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