Hi, your Mum sounds like she was a very strong woman, surviving 66 years of type 1 diabetes! Sorry for your loss.
Re: education of diabetics, I completely agree, it is not taken seriously enough in my opinion. As somebody who is very much controlled by her diabetes, I feel completely let down in the way I was taught to "control" it. I was diagnosed at 11 years, when I was told I could eat whatever I wanted, and just adjust the dose of insulin accordingly. They were just introducing the DAFNE approach, however I was never trained to carb-count. This means I was essentially told I could eat what I want as long as I gave the right insulin, but I wasn't taught how to work out what the right insulin was. I've seen dietitians since and I find that the very limited time and support you get seeing a dietitian every few months meant nothing I was told really stuck - I know people who have had diabetes for longer than me who can just look at a plate and make a very good estimate as to how many carbs are in it. I wouldn't even be able to guess the weight of the food to the nearest 500g! I believe it is completely irresponsible to tell people they can continue to eat sugary treats unless you are teaching them how dangerous it is if you haven't learned to carb count and adjust your insulin FIRST. Furthermore, I don't know what anyone else thinks about this, but I find that sugar is like an addiction to me, a problem I didn't have before the diabetes, and there seems to be a very clear link between insulin and sugar cravings- the more insulin I take, the more sugar I want. The more sugar I then eat, the more insulin I need, and so the vicious cycle continues. I would have been much better off if I'd just been told I wasn't allowed to eat sugar anymore because it would have an adverse effect on my health.
I also believe therapy should be recommended to anybody who isn't managing very well. I'm considered a very self-aware person by most, but after 11 years of terrible control, missing injections, underdosing, and not doing blood tests, but I have only just realised (when I decided to see a therapist to try and work out why I was struggling so much) that subconsciously I have been choosing to neglect my health for years, because I haven't been able to accept my diagnosis. I believe this is a problem that many diabetics with poor control may be struggling with, whether they're aware of it or not. I also feel let down by the fact that therapy is really helping me, but it was ME who had to suggest it, and it was a hard fight trying to get it, and I think a good doctor should have recognised that a mentally capable person who is unable to manage their diabetes, clearly needs some help on a psychological level!
Would love to hear other peoples' thoughts on this matter.
Sarah