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Type 1 Diabetes
My district manager pulled me into the office and gave me a hard time about my condition. Advice?
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<blockquote data-quote="ann34+" data-source="post: 1574937" data-attributes="member: 94348"><p>When i was diagnosed, nearly 40 years ago, things were very different - it was considered, with reason, not a good idea to work shifts. And for a young woman, even more so - your hormones with be all over the place. Some hormones block/reduce insulin action, others facilitate it - Even with regular hours good control, and that means as few hypos as possible, as well as few highs, will not be easy - i had enormous changes through the monthly cycle - ranging from needing as little as 17 units per day total to 44 units per day. Try documenting this, hopefully at a time when you have a time of more stable hours, and see if there is any pattern at all, trying to keep carbs to around the same level (this wont be possible during the days of big drops in insulin need, but it will help you work out what is happening,) so you can report all this to your DSN . As others say, you must explain all this to the DSN. Nowadays more Type 1 s may have some insulin left, and things may not be so bad for some, but for others it must be just as bad as it was. If you read older books on Type one you will see the emphasis on regular hours - i honestly do not think there is a great deal you can do until you get them. I am older now, but i see that there are earlier posts re the Disability Discrimination Act, which was not there when i was younger - this would enable you to ask for more appropriate working hours? I realise in today's world this may be difficult, but hopefully your DSN will help. Good luck.</p></blockquote><p></p>
[QUOTE="ann34+, post: 1574937, member: 94348"] When i was diagnosed, nearly 40 years ago, things were very different - it was considered, with reason, not a good idea to work shifts. And for a young woman, even more so - your hormones with be all over the place. Some hormones block/reduce insulin action, others facilitate it - Even with regular hours good control, and that means as few hypos as possible, as well as few highs, will not be easy - i had enormous changes through the monthly cycle - ranging from needing as little as 17 units per day total to 44 units per day. Try documenting this, hopefully at a time when you have a time of more stable hours, and see if there is any pattern at all, trying to keep carbs to around the same level (this wont be possible during the days of big drops in insulin need, but it will help you work out what is happening,) so you can report all this to your DSN . As others say, you must explain all this to the DSN. Nowadays more Type 1 s may have some insulin left, and things may not be so bad for some, but for others it must be just as bad as it was. If you read older books on Type one you will see the emphasis on regular hours - i honestly do not think there is a great deal you can do until you get them. I am older now, but i see that there are earlier posts re the Disability Discrimination Act, which was not there when i was younger - this would enable you to ask for more appropriate working hours? I realise in today's world this may be difficult, but hopefully your DSN will help. Good luck. [/QUOTE]
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My district manager pulled me into the office and gave me a hard time about my condition. Advice?
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