The problem of blame

We diabetic people are pretty familiar with the blame game. People like to blame us for our disease. "You ate too much sugar." "If you lost weight, your diabetes would go away." "Well, that's what you get for being fat and lazy."

None of this applies to people with Type 1 diabetes, of course, though we get lumped into this all the time. But it doesn't always apply to people with Type 2 diabetes, either. Not everyone with a diagnosis of Type 2 got it from being fat or lazy. For many people it was just the luck of the genetic draw. If your grandparent and/or parent had Type 2 diabetes, there's a good chance you'll get it eventually ,too, regardless of your weight or physical fitness level. There are also people who get Type 2 diabetes as a side effect of having another medical condition, such as polycystic ovarian syndrome, or whose weight gain was caused by a particular medication they were on. Many antidepressants and other psychiatric medications have weight gain as a side effect.

Even if a person did get Type 2 diabetes because of their weight, it's not helpful or supportive to keep blaming the person. I'm sure they didn't wake up one day and say, "Hey, I think I'm going to be fat now. I love being ridiculed by the general public and blamed for everything that's wrong with the health care system and demonized by the media." Telling a person that he or she got diabetes from being overweight isn't going to make their weight magically drop overnight, nor will telling them that their diabetes will go away if they lose it. (It won't, by the way. The person may be asymptomatic, but the diabetes will always be there, regardless of what Drew Carey or the latest celebrity with diabetes says.)

I mentioned the media. They're the ones who are largely to blame for this. Some 99 percent of the news stories about diabetes mention weight. I follow lots of diabetes "news" sources on Twitter and almost all of them are full of articles about diabetes and weight. The media just eats up stories about fat people, for some reason. Obesity + diabetes makes a good sound byte, I guess. News stories are limited for time (TV and radio) and space (newspapers and websites) so they can't go in to the very complex causes of diabetes. I doubt many of them have ever heard the term "autoimmune disease" or even know that there is more than one type of diabetes, let alone several types.

While diabetes seems to be the favourite target of the blame game, some other diseases get it too. Lung cancer is another popular target. I remember when some minor celebrity died of lung cancer. I mentioned on an online discussion forum that this person was not a smoker, so therefore we can't blame all cases of lung cancer on cigarettes. Well, I was immediately pounced on by people who told me that obviously, shne must have smoked at SOME point in her life; either that, or she had lived with smokers long enough to be exposed to enough secondhand smoke to develop lung cancer.

Why do people like to play the blame game? Well, I think for many it comes down to fear. If I'm afraid I'll get a particular disease, I can look around and say, "Well, I don't smoke," or "I'm not overweight," or "I don't eat junk food," or "I exercise regularly," therefore I won't get that disease, unlike the people who do smoke or who are overweight or who eat junk food or who don't exercise. It's probably reassuring in a way.

Then again, some people just like to make themselves look better than other people. I have encountered some people with Type 1 diabetes who consider themselves superior to those with Type 2 because we didn't get our disease from being fat.

I think in the end we all want the same thing: a cure for all types of diabetes. Unfortunately, the "blame game" stands in the way of that by making the general public think that if people just lost weight, their diabetes would be "cured" and that getting diabetes is our own fault, and if we just lived healthier lives we wouldn't get sick in the first place. So why donate money to research a disease that can be "cured" so easily?

World Diabetes Day & Me

Today, November 14, was World Diabetes Day. I was aware of it, but I didn't do anything to mark it. There wasn't anything happening in my community to mark WDD, perhaps because it was a Sunday. There were no walks, no rides, no buildings or monuments being lit up. (One of the ways that many places mark World Diabetes Day is by lighting up specific buildings or monuments in blue, because blue is the colour of World Diabetes Day.)

Sundays are usually pretty quiet days for me. I seldom go out. So I didn't even have a chance to wear blue today.

I tried to take part in the "Big Blue Test" but I didn't manage even that. For the Big Blue Test you were supposed to test your blood sugar at 2 p.m. your time, then do 15 minutes of exercise and test again. I tested at about 1:55 and found that my blood sugar was 3.7. That's too low for exercise, so I didn't do any.

Some people were doing a diabetes scavenger hunt, with the idea being that you organize a team, take pictures of specific items and then post them to a certain web page. But I found out about this only the night before, which was too late to organize a team, even if I knew enough fellow people with diabetes to do so. The only diabetic people I know are the ones on Twitter. My boyfriend didn't want to go out today.

Next year I'm going to try to get a jump on World Diabetes Day. I don't know how yet, but I'm going to do some research to find out if there is a way to organize people to do something to mark the day and get something lit up in blue. Unfortunately it's a work day next year, being on a Monday, so that will limit my options.

Don't forget to eat!

When I left home more than 20 years ago to live on my own, one of the pieces of advice my mother gave me was "Don't forget to eat!" I didn't say anything to my mother, but at the time I thought that was pretty silly advice. Who forgets to eat?

Apparently I do.

This morning I got out of bed around 9:00 a.m. and sat down at the computer. I started eating an orange, and I figured I'd better take my insulin to cover the orange as well as the bowl of oatmeal I planned to eat after I'd finished eating the orange. So I calculated my dose, and I did the injection.

Now, it just so happens that there are these games I like to play on the internet. They're on Facebook. They're called Farmtown and Farmville. They are highly addictive little games. I play both of them first thing every morning, and can easily spend an hour between the two of them. This is what I was doing while I was eating my orange and injecting my insulin. This could have had something to do with what happened.

About an hour and a half to two hours after I injected the insulin, I noticed that I was feeling a little bit lightheaded. At first I shook it off; I figured I was just expecting to have low blood sugar because I'd had it the day before between breakfast and lunch, but today I'd lowered the dose of insulin to make sure that didn't happen again.

But I still felt lightheaded and a little dizzy. I was just about to go find my blood glucose monitor when something occurred to me.

What happened to that bowl of oatmeal I bolused for?

I looked in the sink. No dirty bowl in the sink.

I thought back. Did I remember boiling the water? Did I remember mixing the oatmeal in the the bowl?

I did not.

Yes, somehow I managed to forget to eat my breakfast. When the little blotches of light started appearing in front of my eyes, I grabbed a can of Coke and gulped it down.

Then I prepared and ate my overdue bowl of oatmeal.

Sorry, Mum. Guess you had good advice for me after all!

Su