(made with The Cheeseburger Factory LOLBuilder at ICanHasCheezburger.com)
This comment was left on one of my most recent entries, titled "'Very Poor' Diabetes Control":
"I am a type 1. listen, here are some cold, hard facts. if you have an a1c higher than 5.5 you should be freaked out and doing everything you can to get it to 5.5 or lower. no excuses, no complaining 'the doctors is reading you the riot act'....stop kidding yourself. get your a1c low and make it a life choice to keep it there. end of story case closed. use novolog and levemir, or a pump. and, if you have a BMI > 30 you are just fooling yourself, no one else."
It is not my position to alienate any readers I may have. I feel that it is almost regrettable that this comment made me very angry, because this is someone's opinion. I value all kinds of opinions, I really do. But Anonymous, your comment has made my blood boil a bit. Many of us come to the Diabetes OC to find support and friendship, to find out that we're not alone, and to see that not everyone with diabetes who is leading a normal life is a perfect patient. If you have Type 1, then you must know that when things aren't getting under control the way you want them to be, or the way they're supposed to be, it can be incredibly hurtful and frustrating.
I found your comment to be hurtful and frustrating as well. Here, let me break it down:
if you have an a1c higher than 5.5 you should be freaked out and doing everything you can to get it to 5.5 or lower. no excuses, no complaining 'the doctors is reading you the riot act'....
The only reason I was complaining about being read the riot act in that entry is because I knew the bad news was coming. Also, I had been sick, and I would expect a doctor to realize that because I was just getting over an infection, my glucose levels were terrible. Now, if you know your numbers are less than great, if you know your lab work is going to disappoint you, doesn't it almost add insult to injury when your doctor tells you how horribly you've been doing? If my doctor would have listened to me in the first place, when I said I'd been sick and things weren't going so well, I could have gotten a phone message saying something like, "It's just as we thought...your numbers are crappy, and we've got to work on improving them." If we both know that I've been a bad, bad naughty diabetic, I don't need to hear you telling me, "You've been a bad, bad naughty diabetic. Shame on you."
You're a doctor. You're supposed to help me, so offer me some help. My GP did offer help, in the form of telling me again to make an appointment with an endocrinologist, which I did. I also made an appointment with a diabetes educator's office.
As for not resting until my A1C is under 5.5, well, according to this article from the JDRF, as someone with diabetes, my target A1C should be under 7.0. You know what? I'd love to have an A1C of 5.5 or less, but right now I'd settle for the freakin' 7.
stop kidding yourself. get your a1c low and make it a life choice to keep it there. end of story case closed.
I'm not kidding myself at all. This is why I'm going to see Gary Scheiner. This is why I made an appointment with a new endo. This is why I keep this blog, and why I read the blogs of others. I want to be healthier. I want my A1C to be fantastic. But you know what? I'm a sensitive person who wants all of my healthcare providers to understand my needs. I want them to remember I'm a person coping with chronic illness every day of my life, and simply telling me I'm doing a bad job is not exactly a method of motivation for me. Thus, an angry entry came about.
use novolog and levemir, or a pump. and, if you have a BMI > 30 you are just fooling yourself, no one else.
I have a pump. I've had a pump for nearly 7 years. Just getting a pump doesn't solve all your problems or fix your A1C. And maybe if you've read more than one of my blog entries, you'd know some of this stuff.
And, excuse me? Fooling myself? I know I'm overweight, so who in the hell am I trying to fool, and with what? Contrary to some people's beliefs, being fat doesn't ruin your life. My BMI is over 30, and I'm not trying to kid anyone about it. I feel the BMI system has its flaws, but I'm aware that I should lose some weight.
And weight loss would be a hell of a lot simpler had I not developed insulin resistance when I was 2 dress sizes smaller. It's a fact of life.
And so, dear obnoxious Anonymous commenter, and you too, D-Blogosphere, listen as I say what I've said many times before:
I am not a medical expert. I am not a model patient with Diabetes. I am a person living with this disease, and I am taking it a lot more seriously than I used to. I am making improvements, and looking for friends and support. Any advice I dish out is either related to what seem to be common sentiments on the DiabetesOC or entirely personal opinions. I am not encouraging anyone to take care of their diabetes in the exact same methods that I use, because yeah, they're definitely lacking sometimes. I am not perfect.
Dorkabetic is not an actual model for how to manage your diabetes. It's a blog about how I live with it, and about the changes I'm making to my life so I can finally take full responsibility for myself. And that's all I have to say.