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Type 1 Looking for some advice please.

cookh1

Newbie
Messages
4
Type of diabetes
Family member
Treatment type
I do not have diabetes
My partner has T1, and has done for 14 years - he’s now 24.

When we first met, he always seemed to have good control, and me never having been exposed to it before asked 10000 questions, researched, attended all his appointments, learnt how to inject him and learnt all the signs for hypos, highs, and how to treat them if I needed to step in.

We now live with each other, nearly a year now, and it’s feeling like I am being more and more relied on and he has gotten very relaxed but also frustrated with it.

I carb count every meal, I have a diary of all meals and add new ones as we go. I tell him how much he needs to inject for his meals, and nag him until he does it, I fetch him jelly babies or make a coffee when he needs them, I constantly check his BG levels (he is currently using Freestyle Libre so I can scan when I like) and it’s getting to the point where it’s taking over my mind and I’ve started to worry at night time, waking up and scanning because he went to bed at 7 and I fear he will drop.

It’s excessive, and I’m not helping myself by doing everything for him, but I’ve got here because he started to loose control and just inject any amount of units hours after dinner because he remembered he didn’t do any, then deal with the consequences when they arrived, after rising to 15 and above due to not injecting when he should have. He ‘forgot’ to do his long term insulin so didn’t have a routine with that. He stopped having snacks before bed and would wake up around 2.8 having been hypo since 3am (again, Freestyle Libre exposes this information).

We’ve had a scare recently due to high levels - diabetic maculopathy in his left eye. This can lead to blindness if not treated or kept under control. I know laser eye surgery can help this, but why let it get to this level and have treatment for something that he could have contained? Or am I wrong in saying that? I feel so low and everything I say seems to have the opposite effect. It’s a sensitive subject.

I’ve tried talking to him but he gets defensive and argues that it’s hard and he isn’t getting the support that he needs (from NHS and diabetic services). I have tried to distance myself and let him help himself, but he doesn’t and he’s always running high.

I can never ever know what it’s like to live with diabetes, and I cannot find a way to do this. But I have done everything I can to step into his shoes and learn his body and his signs, however I still feel like I can failing at every hurdle.

I talk to him and let him know how I feel, and he lets me know I am helping and he his control has gotten better, but it feels like we are going round is circles and it’s taking over my life. His HbA1c has gone from 104, to 78, back up to 90 and we are waiting results from his blood test last week.

Is there anywhere I can get help to learn how to help and support him better? Or anywhere I can take him to get some help to maybe start a fresh routine and get him out of bad habits? I would have thought the news about his eyes would have shocked him into having some motivation, but it seems to have done the opposite and he just says he hates diabetes. He is so young to be having complications like this.

I don’t know where else to turn and I am a worrying ball of woman with no one else to talk to

I now feel wrong about thinking all of this, and feel as though I should continue helping as I am. But shouldn’t he stand on his own to feet and take control? But it’s hard, so I should help. There’s a limit I guess. I think by my over-helping it isn’t actually helping either of us.
 
Hi @cookh1 - It's sounds like you have stepped into a very big pair of boots here with this..

Taking on someone else's condition is admirable, however it is his condition and he has to take responsibility for it, no one else but him can manage this, so not even his healthcare team can do the job for him, they can support him with DAFNE (Dose adjustment for normal eating) course, and can help get him back on track if he needs it, but ultimately the responsibility falls on his shoulders, not yours.

It's a tough love situation you will find yourself in, but you are being worn down by his inability to think for himself and he in turn is using you as a pillar to support him.

From a personal perspective I would never expect anyone else to manage something that is intrinsic to my own health, it's like flying a plane blind, he needs to take full responsibility for his own health, you can support him by understanding, but that's really all you should be doing. He needs to know how you are feeling so open your heart and tell him what this is doing to you, he needs to step up now and sort this out himself.
 
I admire your support and patience but he is responsible for his own management. Youre not his nurse and he needs to learn to take care of it himself. Of course you can support him but he has to do his own counting. What happens if youre not around. He would be lost which is not helping him. As he is reacting defensive when you bring up the subject tell him it has nothing to do with youre feelings for him but he after is the diabetic and youre not. Maybe you can go to the next appointment together and be honest to the care team. That way they can give him the help he needs,
 
Okay it does indeed sound like you are trying to fill some big boots for sure. Sadly its something your boyfriend has relaxed on because you have taken control here. Start out by asking him questions and get him thinking. So for example, ask him about the carbs for meals and how much he intends to inject for them. Start off slowly but get him thinking about these things and encourage him along the way.

Now he is probably scared and recognizes he has lost control and that is why he is being so defensive. However it may be worth while getting him to discuss this with his doctor too. Just calmly discussing that you think this is becoming a burden and asking him how you can best help him through this.

Give yourself a break too here. You are dealing with this and your own life all at once and that isn't easy. As he has had it for 14 years he is still a baby so he is learning and changing still and will have to step up at some point.
 
Sounds like the communication channels are fine, but your partner is not listening, acting or motivated. He might be depressed or have diabetes burnout. Maybe you could both go to his doctors and arrange a DAFNE course, or perhaps arrange a session or 2 with a diabetes educator.

What you are doing is remarkable and he is lucky to have you, but he will need to step up or be helped to step up.
 
I would have thought the news about his eyes would have shocked him into having some motivation, but it seems to have done the opposite and he just says he hates diabetes.

I was on a DAFNE course last year and there was a couple of people about the same age as your partner who were just cruising along at high levels thinking it's not going to matter, I'll just do what I want. By the end of the week, there was a complete turnaround in their attitudes: both of them were interested in it, had been taught a lot of stuff they just didn't know about before, gave them the tools to make it more manageable, and wanted to get their levels sorted. If you can get him on a waiting list for DAFNE, I'd try that.
 
Hi everyone. Thank you for your replies and your advice! It has really helped.

I sat him down this weekend and really opened up about how I’m feeling, and a lot of hidden pushed away emotions suddenly poured out of him which has done him a world of good as I don’t think he has ever really opened and accepted it! As much as it was not nice to see him so upset, it was good to finally understand how he feels.

He has brought himself a journal and is starting to recorded all of his BG readings, he has said he will cook 3 days a week so he can start to learn and get into carb counting again, he has agreed to attend the DAFNE course with me so we are going to speak with his diabetic nurse regarding that. It just feels like we are on the same page and can finally communicate freely about it.

Thank you again for all your advice - first steps to a hopefully brighter future :)
 
Just a hug and best wishes to the two of you. May a brighter future open up soon!
 
Hi everyone. Thank you for your replies and your advice! It has really helped.

I sat him down this weekend and really opened up about how I’m feeling, and a lot of hidden pushed away emotions suddenly poured out of him which has done him a world of good as I don’t think he has ever really opened and accepted it! As much as it was not nice to see him so upset, it was good to finally understand how he feels.

He has brought himself a journal and is starting to recorded all of his BG readings, he has said he will cook 3 days a week so he can start to learn and get into carb counting again, he has agreed to attend the DAFNE course with me so we are going to speak with his diabetic nurse regarding that. It just feels like we are on the same page and can finally communicate freely about it.

Thank you again for all your advice - first steps to a hopefully brighter future :)
It all sounds good. Best wishes to both of you but never forget that although your support is invaluable he has to take responsibility for his own condition. It will be best for both of you in the long run.
 
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