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Eighteen months ago, we’d never even heard of American Girl. In fact, it was a completely blank look I gave one of my friends when she told me that we had to take the kidlet to AG when we were visiting the US in the middle of last year.
‘What is it?’ I asked
‘Only the best doll shop in the world.’ My friend had bought her daughter – a friend of our daughter – an AG doll when she was in NYC the year before.
And so it started. Walking the streets of NYC, out of the corner of my eye, I caught the red awning and overall ‘pinkness’ of the three-story American Girl emporium in Midtown Manhattan. My husband saw it too and despite our best efforts to distract our daughter and guide her line of vision away from the store, she noticed it. And started jumping up and down.
‘American Girl! American Girl!’ she squealed. ‘We HAVE to go in.’ And without waiting for us to agree, she stormed through the doors. ‘Oh-Em-Gee,’ she announced. I cringed.
We walked the three floors of the store in delight (the kiddo) and terror (her parents). I started calculating currency conversions in my head and worked out that if we bought only one doll and one outfit we could probably keep both our cars and only get one second mortgage on the house.
Of course, there was not only one outfit. Because there were also accessories, books, shoes, jewellery and a matching outfit for the kid. (Thankfully, there were no ‘But I want a pony!’ demands from our child, unlike the kid near us who was throwing a tantrum and cursing her mother as the ‘WORST MOM IN THE WORLD I CAN’T HAVE A PONY. NOW’ (Possibly, her name was Veruca Salt.)
Our daughter picked out a doll that had long, dark-brown hair, dark eyes and no fringe. She named her Iris. ‘I want her because she looks like me,’ said the kidlet. And she was right; she kind of did. We walked all around New York with Iris, and people in the street would comment that they looked alike. Our daughter smiled proudly.
We retuned to Australia with Iris and her wardrobe of outfits and accessories, and she became the favourite toy – and has remained that way.
When we decided on a return trip to NYC, the kidlet spent all her planning time working out how many times we would visit AG. She saved her birthday money and worked out what she would buy and announced to everyone that the reason we were going to New York was to go to American Girl. (Please know, that is NOT the truth. The reason we are here is to visit Doughnut Plant. Of course.)
So, we arrived last Wednesday and on Thursday, we walked through the revolving door, the kidlet squealing again.
This time, knowing what to expect, I spent the time really looking at all the dolls and the accessories. I actually quite like the back-stories to some of the dolls – it’s an interesting and fun way to introduce kids to different periods of history.
We looked at the accessories and outfits. And there, amongst the dance, soccer and karate uniforms, roller-skates, doll-sized musical instruments, equestrian gear, camping equipment and skis, I noticed a wheelchair, crutches, a hearing aid and seeing glasses.
American Girl dolls come in every hair colour and style, they have different colour eyes, some have freckles, and they have different skin tones. Most girls can find an AG doll that looks just like them, and the boys can find a look-alike Bitty Baby.
Dolls can be customised to look and BE just like the kid who it belongs to. And that’s kind of cool.
‘I wish there was an American Girl insulin pump and CGM. Then I would buy one.’ I said. And you know what? I totally would.

Samantha (on the left) and Iris.
I’ve been thinking a lot about diabetes burnout lately. A lot.
I have been burnt out for a long time now – it’s been 18 months. I can see how it started – I know the trigger. I miscarried in terrible circumstances and, after the constant monitoring and intense management that comes with trying to get pregnant and then conceiving, losing the baby allowed me to ‘take a break’.
I’ve not come back from that break.
My question is this: When does it stop being ‘diabetes burnout’ and become something more? And what is the ‘more’?
We use the term burnout so much in diabetes; I feel that I’ve become a little desensitised. It’s the norm – most people go through periods where they are so unmotivated that they can’t deal with their diabetes, or pay less attention than they typically would. But how long is ‘normal’? How long can we go on like this?
My burnout is scaring me because it has been going on for so long. I fear I’ll never get my mojo back and actually get to a point where I am able to care for my diabetes in a capable way.
I go through periods of so few BGL tests that my meter resets itself. I have not seen my endo for far too long and I’m way behind in my complications screening. The only thing I am up to date with is eye screening because I had cataract surgery in the last twelve months.
A button on my pump has been playing up for over 3 months – half the time taking three or four attempts to get it to work – and instead of getting straight on the phone to the company’s customer service team and organising a replacement, I let it slide until Monday, when I realised that next week I am getting on a plane and going away for 6 weeks and if I don’t get it sorted I’ll end up with a dead pump while overseas.
I’m taking my insulin, although haven’t basal tested for a long while and know that the rates need adjusting. I ‘blind bolus’ a lot of the time. Wearing a CGM is useful because it gives me an idea of my glucose levels, but I don’t actually do anything constructive with the data I am receiving.
I keep in touch with the online community which is my link to seeing and hearing how others are coping. While I don’t participate in every week’s OzDOC chat, when I do get there I feel supported and know that I have people to turn to if I need them. I guess I’m not completely disengaged.
A nasty hypo often gives me a shock and I get a few days of decent and frequent monitoring out of it, but this is short-lived and I fall back into minimal self-care pretty quickly.
And I feel totally and completely shit about the whole thing. And guilty. Of course I feel guilty.
In a couple of years of some pretty difficult stuff, diabetes is the thing that I can let go of. At least, I feel I can. I mean, I can’t stop being a mum. I can’t stop being a wife, daughter, sister, friend. I can’t stop coming to work. I can’t stop doing the things I need to do to be a functioning human. But I can stop with the self-care.
And because I am an idiot, or in denial, or just plain over it, I can’t see just how short-sighted this thinking is. I may be getting through the day and doing all those things that I tell myself I can’t stop doing. But how is all that going to work if something actually does happen as a result of my minimal self-care?
I honestly don’t know where to go from here. I feel paralysed and unable to make decisions that I know may help me start with some baby steps to get back on track. Is it a matter of re-engaging with my HCPs and talking to them for strategies? Do I try to set myself tiny goals, like a morning BGL check each day – or even every second day – that is achievable and will start to give me some data to work with? Do I go back to seeing a psychologist again and discuss ways to get back on track?
I don’t know.
It all seems too exhausting. It all seems too damn hard.
Is this burnout? Or is it something more?
I really don’t know.
This isn’t really a Christmas song, but I still think it’s a good song for this time of year. The wonderfully gorgeous Joni Mitchell and River.
I’m going to start by being honest and telling you that I think Sarah Wilson is an idiot. Her whole I Quit Sugar bullshit is nothing more than a moneymaking scam, and I will never understand why she thinks her D-grade celebrity status gives her any credibility when it comes to offering health advice.
But today, she has gone from being just a misinformed fool to an absolute troll. Because surely, that can be the only reason she would write that autoimmune conditions are all caused by self-hatred.
Oh yes she did.
Read this. I really don’t want to promote her stupid rantings, but read it. Read the ridiculous rhetoric. Read the assumptions. Read the complete and utter lack of anything resembling evidence. Read that this thoughtless opinion was a result of watching a TED talk given by Dr Habib Sadeghi, a so-called ‘healer to the stars’.
In addition to telling the world that autoimmune conditions are a result of self-loathing (as a person with three AI conditions, I clearly despise myself!), she also writes about a magic talent she has. So magic, that I am unable to understand why she is not teaching at Hogwarts.
Apparently, Sarah Wilson has the ability to ‘spot at “autoimmune type”’. What’s an autoimmune type? Well, the type who ‘…have an intensity about them, a desire to impress. They’re always the ones at the front of my lectures, frantically taking notes. They have an air of “I’m not good enough as I am’. I know as I write this, many heads out there are nodding.’
No, Sarah, no. They are not heads nodding, you foolish woman, they are heads shaking. In shock and disgust and amazement that someone could be so stupid, and dismay and outright disbelief that someone with a megaphone gets to say such damaging things.
Helpfully, Sarah has given us the secret of how to heal ourselves from these pesky autoimmune conditions we have hated upon ourselves.
It turns out The Beatles were right – all you need is love. Self-love.
Yes. That’s right. Sarah Wilson tells us that all autoimmune conditions can be cured with self-love.
Now, I am the first person to say that we should all be kind to ourselves. We shouldn’t feel guilt for our health conditions or blame ourselves (or anyone else for that matter). And when I am feeling good about myself – when I feel emotionally robust – it certainly does make it easier to care for myself and my diabetes.
But no matter how much I like or love myself – and truthfully, I actually do think I’m a bit of alright – I cannot cure my diabetes. And it would be irresponsible of me to think that I could.
Sarah Wilson, please, please stop writing such rubbish. Please stop outright lying to people about medical issues. Stop using your wide reach to say such damaging things. Please just stop.

Generally, I need a bloody good excuse to consider exercising. It’s been well-documented here on this very blog that I am exercise averse and would do pretty much anything to avoid donning a pair of runners to be physically active.
Little inspires me to keep fit and I really have never, ever understood the attraction of a workout.
However, guilt doing something good so that I can boast and be supercilious is a motivator.
Enter, the Big Blue Test.
This is the fifth year the Diabetes Hands Foundation (DHF) is running this campaign which raises diabetes awareness and funds. Since it started in 2010, DHF has donated about $250,000 to charities helping people with diabetes. This year, the aim is to raise $35,000 which equate to 35,000 Big Blue Tests being logged.
In case you need a feel good reason to exercise – there it is!
BUT! There is no time to waste. YOU ONLY HAVE TODAY!
It’s easy, easy, lemon squeezy to take part in. There are only four steps:
- Check your BGL
- Exercise for between 14 and 20 minutes
- Check your BGL
- Log it – here. (Or, to be a fancy Nancy, get the iOS or Android app.)
Could. Not. Be. Easier.
By the way, exercise doesn’t necessarily mean running or walking or getting on a bike. Think out of the box. Gardening, vacuuming, walking the kids to school, washing windows can all count as physical activity. I know that I hypo anytime I so much as look at a vacuum cleaner!
And, ahem, for another out-of-the-box idea, a morning, afternoon or evening quickie could not only be the perfect interlude in your day, but also a nice way to log a Big Blue Test. Plus, it’s nice to do charity work with a loved one.
By the way, the Big Blue Test is for EVERYONE – not just people with diabetes. Those with working pancreata (it’s the plural – look it up) simply log their exercise. (And that’s ANOTHER good idea to consider the quickie idea – you get two Big Blue Tests for your buck! Oh, stop it. I said BUCK!)
What are you waiting for? Go!
I was driving to pick up my daughter from school last Friday afternoon, and could feel the pressure of the previous week lifting. World Diabetes Day was all but over. There was, of course, the matter of a 24 hour tweetathon organised by the clever Cherise from DCAF, but that would be fun and interactive. The official things were over. Done and dusted for another year.
The thought of picking up the kidlet and chatting about her day, and things we had planned for the weekend made me smile. I’d been distracted with the craziness of the week and we’d not had our usual long, meandering conversations. I was looking forward to hearing what she’d been up to and NOT talking about WDD.
She ran out of her classroom to greet me, a big smile on her face, her bag hanging from her back and her latest book in her arms. And off she went filling me in on the day she’d had.
After telling me who she’d played with and what she had done in PE and reminding me that on Monday her Italian Choir was rehearsing for an upcoming concert at a neighbouring school and that she would really like to go cherry picking soon and how Sooty would like a run in the park, she said, ‘I told Mr D that it was World Diabetes Day today. I wrote it up on the board at the beginning of the day.’
I looked at her, surprised at the direction her stream of consciousness conversation had just taken.
‘What’s that, darling?’ I asked.
‘This morning. When I got to school. I told Mr D that it was World Diabetes Day and he said I could write it up on the board. Then we had a discussion about it.’
‘Really? What did you talk about?’
‘Mr D wanted to know if there was anyone who knew someone with diabetes. Of course, I said I did. And so did A.’ She was referring to my beautiful neighbour Jo’s gorgeous boy who is in the same class. ‘And S – her grandmother has diabetes. Type 2 diabetes. She checks her blood sugar like you do.’
‘I was surprised that Mr D knows so much about diabetes. But then he said that one of his friends has type 1 – that’s why he knows about it. We spoke about the different sorts of diabetes. A and I were saying that type 1 is because the body stops making insulin. And we talked about pumps. Hey mum – can we go get iced chocolates for afternoon tea?’
Subject changed, we headed to our local café, sat outside and enjoyed the sunshine.
I looked across the table at my nine year old as she slurped at her iced chocolate. World Diabetes Day is about raising awareness of diabetes to people in the community. In her own little way, she had done that in her classroom. Just because she could. Just because mum has diabetes. I had a little advocate on my hands. And I couldn’t have been prouder.

The kidlet and her side kick.
Today I hate diabetes.
I am completely and utterly sick of the World Diabetes Day messages that are scrolling through my screen. I am over looking at posters and diabetes empowerment messages and I cannot be bothered being involved in the activities that are all around me. I don’t want to talk about it – which is actually really unfortunate as I am giving a Grand Rounds talk at the Austin Hospital today about life with type 1 diabetes.
This morning I am hypo-fucked after dealing with a low that would not quit. This is the sort of low that mocks and teases and is just plain cruel. And when it finally passes, glimpses and flashbacks plague my mind for the coming days, reminding me how vulnerable and scared I feel.
I needed help to manage it – and I absolutely hate making my lows someone else’s problem. Eventually, after a jar of jelly snakes, raisin toast and two glasses of milk, my BGL started to resemble something respectful and I was able to change out of my sweat-soaked PJs. Despite being in something dry and under a warm doona, I was chilled to the bone and shivered for an hour before finally falling asleep.
Today, diabetes made me break a promise I’d made to my daughter – a walk to school with the puppy. But what made me feel even worse was the way she nodded her head in acceptance – and understanding – of why I was breaking the promise. I hate that diabetes is part of my daughter’s life because of me. I hate that she understands diabetes. I hate that she ‘gets it’ when I tell her that I can’t do something because of my stupid blood sugar.
Today I hate diabetes.
Today, I feel defeated. Today, I desperately want to not be living with this condition.
Yesterday, I took part in Diabetes Queensland’s WDD social media campaign that asks people to share what ‘type 1 diabetes for me is….’ (#T1D4MeIs). Here is what I came up with:
Today, my poster would look a lot different. It would have just one word.
Today I hate diabetes. I don’t feel empowered. I don’t feel ‘in control’. I just feel sad. And scared.


My take on comments like this is to roll my eyes and try to change the subject. I don’t believe there is any malice in someone making these suggestions; they really are trying to help. They want to help.










