Have You Checked Your E1c Lately?
Whether you’re new to life with Diabetes or an old pro – no doubt you’ve been educated, informed and otherwise drilled on the importance of achieving a healthy or target A1c in order to ward off a host of serious health complications.
We have been given the formula that involves a tight balancing act between the management of food, insulin, activity and a host of other physical factors that can impact our ability to keep our blood sugar in range. But how about all the emotional or “life” factors that influence our ability to do all these things that we’ve been told we need to do in order to achieve the elusive target A1c – what education and training have you received for that?
Whether you have diabetes, care for someone with diabetes or are a health care professional treating people with diabetes – it’s important to realize that things go badly when we assume or expect that the medical consequences of “poor diabetes management” will and should over ride who we are as individuals and humans.
Our personalities and where we are from a developmental and life stage perspective has a dramatic effect on what diabetes management abilities look like. By recognizing and anticipating that our level and flavor of diabetes management will naturally fluctuate through out the course of life, there’s an opportunity to identify and implement appropriate, targeted supports to offset the inevitable decline in diabetes management during those periods.
All too often the current response when a person hits a diabetes management trough is to cast a disapproving eye with the general theme being “don’t you know what will happen to you if you don’t do what you’re suppose to do”?
Sadly this message is the message people with diabetes receive from multiple sources within their psychosocial eco-system including well-intended family members, medical professionals and random strangers. Ultimately driving the loudest message of inadequacy, shame and guilt from themselves. And given that diabetes management is something that comes up throughout the day, everyday – there are literally 100’s of messages and judgments being sent each and everyday which create a very strong, defining self-picture.
The development of this picture of ourselves with diabetes carries significant weight with respect to our relationship with diabetes management for many reasons but to boil it down to it’s most basic factor – because we’re humans. As humans, and yes people with diabetes fall into this classification, we avoid things that we perceive we are not good at and things that bring us shame and guilt.
These human tendencies are so powerful that they have the ability to over ride the fear and understanding of the serious consequences that uncontrolled blood sugar levels can bring about.
As a T3 mom, I’m a staunch cheerleader who has the greatest interest and gratitude for the medical advances that are occurring in the field of diabetes treatment and the search for a cure. Period, Amen!
But in the meantime, we can make significant improvements to the health of people with diabetes if we increase the rigor and focus that’s given to identifying and building in supports that reflect the emotional and developmental context of people with diabetes - Believing firmly that if we are able to adequately take care of a person’s E1c then their A1c will follow.