My mother is mismanaging her diabetes and I´m at the end of my rope

Red Earth

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1
This may be a bit of a rant.

I´m an adult (35yo) only child of a diabetic single mother. I´ve struggled with anxiety and depression for most of my life and lately I´ve begun to wonder if my mothers disease may have played a part in this.

My mother was diagnosed with type 1 diabetes when she was around 30 years old. Since before I was born she have always used a bit more insulin than her doctors recommendations, usually trying to stay between 4.5 and 5 mmol/L. As a result she got low often. It was not uncommon for her to get under 2 mmol/L more than once per day during the worse periods.

She has always claimed that the reason for this was her extreme fear of long term side effects due to high blood sugar levels. She has repeatedly mentioned being shown pictures of amputees at the hospital.

A few years before I was born she went hypoglycemic one day while ironing clothes. As she fell to the floor she grabbed onto the wire of the iron which got pulled down and struck her in the head. She was in a coma for days, developed brain damage and basically had to relearn everything involving movement and coordination -walking, talking, writing etc.To this day she has trouble with balance which of course makes her even more accident-prone. Unfortunately this did not change her pattern of using too much insulin.

I don´t remember exactly how I handled this when I was a child but I remember being scared. I remember phoning my grandparents to make a 100km rescue drive when I was 4 years old. Most of all I remember being on constant alert, laying in bed listening for anything out of the ordinary. As I got older I remember being unvoluntarily obsessed with certain horror films and later realizing they all shared the theme of female caregivers turning into zombies or monsters. As an adult I´ve been highly uncomfortable in close relationships, never being able to let anyone close enough to become dependent on me.

Recently our relationship have been strained since I´m unable to spend time with her in a relaxed manner due to her continuing episodes. She has been spent the last three christmases unconcious on the kitchen floor. I´ve had anxiety issues since my early teens which I´m starting to suspect may be related to all of this, since I´m still often on edge and in catastrophe mode in my own life. I´ve always tried to communicate the stress that these episodes cause but her response has always been to brush it off, claiming that she´s fine now, no need to worry. She has never seemed to be able to fully take in what I've tried to describe.

I´ve never talked to anyone with knowledge of the disease about this. Lately I´ve realised that I probably should have a long time ago. It´s just been a fact of life. I live in Sweden and though healthcare here generally is good they have never seemed to take affected children into account.

I have no interest in shaming my mother. She worked her ass off for me. Neither do I want to imply that diabetics would somehow be categorically unfit parents. I´m just looking for reactions and reflections in order to put this into perspective. I´m only now starting to realize that this is probably even less normal than it feels and that I know less than i thought. Surely going under 2 or even 1 mmol/L several times a day is not as it should be? How often is even normal?

If this is the wrong forum for this, I apologize. I´m just very tired. And I´m having a really hard time finding resources for people with diabetic family members other than their children. Is there anyone who have similar experiences?
 
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lucylocket61

Expert
Messages
6,394
Type of diabetes
Type 2
Treatment type
Diet only
This may be a bit of a rant.

I´m an adult (35yo) only child of single mother with diabetes. I´ve struggled with anxiety and depression for most of my life and lately I´ve begun to wonder if my mothers disease may have played a part in this.

My mother was diagnosed with type 1 diabetes when she was around 30 years old. Since before I was born she have always used a bit more insulin than her doctors recommendations, usually trying to stay between 4.5 and 5 mmol/L. As a result she got low often. It was not uncommon for her to get under 2 mmol/L more than once per day during the worse periods.

She has always claimed that the reason for her overuse was her extreme fear of long term side effects due to high blood sugar levels(She has repeatedly mentioned being shown pictures of amputees at the hospital).

A few years before I was born she went hypoglycemic one day while ironing clothes. As she fell to the floor she grabbed onto the wire to the iron which got pulled down and hit her in the head. She was in a coma for several days, developed brain damage and basically had to relearn everything involving movement-walking, talking, writing etc.To this day she has trouble with balance which of course makes her even more accident-prone. This did not however change her pattern of using too much insulin.

I don´t remember how I handled it when I was a child but I remember being scared. I remember getting my grandparents to make a 100km rescue drive when I was 4 years old. Most of all I remember being on constant alert, laying in bed listening for any noise out of the ordinary. As I got older I remember being unvoluntarily obsessed with certain horror movies and later realizing they all shared the theme of female caregivers turning into zombies or monsters. I´ve had extreme difficulties with close relationships, never being able to let anyone close enough to become dependent on me.

In later years, our relationship have been strained since im unable to spend time with her in a relaxed manner. I´m constantly looking out. She has been spent the last three christmases unconcious on the kitchen floor. I´ve had anxiety issues since my early teens which I´m starting to suspect may be related to all of this, since I´m often on edge and in "catastrophe mode". I´ve always tried to communicate the stress that these episodes cause but her response has always been to brush it off, claiming that she´s fine now, no need to worry.

I´ve never talked to anyone with knowledge of the disease about this. But lately I´ve realised that I probably should have, a long time ago. It´s just been a fact of life. I have no interest in shaming my mother. She worked her ass off for me. Neither do I want to imply that diabetics would somehow be categorically unfit parents. I´m just looking for reactions and perspectives on this since I´m just now starting to realize that this is probably less normal than it feels. Surely going under 2 or even 1 mmol/L several times a day is not too common?

If this is the wrong forum for this, I apologize. I´m just very very tired. And I´m having a really hard time finding resources for people with diabetic family members other than their children. Is there anyone who have similar experiences?
Is it possible for you to get some counseling? Being a carer at a young age is a difficult thing. Continual carer, for many years, takes its toll mentally and physically. What country are you in? Any resource or support group which help carers may be of help to you. I have been a carer for family all my life, from the age of 10 years old. You are not alone.
 

Antje77

Guru
Retired Moderator
Messages
20,880
Type of diabetes
LADA
Treatment type
Insulin
If this is the wrong forum for this, I apologize. I´m just very tired.
Not the wrong forum at all, you're very welcome!
I´m just now starting to realize that this is probably less normal than it feels. Surely going under 2 or even 1 mmol/L several times a day is not as it should be?
That is correct, this is not as it should be.

Sounds like you've been dealt some very difficult cards in your life, and I think @lucylocket61 's idea of finding support groups and/or counseling could do you good, especially for the issues you've developed yourself.

Your not responsible for how your mother handles her diabetes, much as you've grown up in that role. In that aspect diabetes is no different than any other unhealthy behaviours.
A possible cause for her brushing those hypos off is that she may not remember them, so they don't bother her nearly as much as they worry you. That's not right, it's just a possible cause.
Changing ingrained behaviour is very hard, and it sounds like she has been using this approach for over 35 years.
Does she have regular contact with her diabetes nurse or endocrinologist on how she manages her diabetes?
She might greatly benefit from a continuous glucose sensor, which alarms at a preset level so she can correct her dropping levels before she goes extremely low. But she'll need to want this herself.

I'm wishing you and your mum all the best, I hope the situation will improve, and I hope you'll be able to put her problems back where they belong: with her, with the occasional bit of healthy support from yourself.
 

Lamont D

Oracle
Messages
17,761
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
I have had two years of counselling. I am also my wife's full time carer
ask your doctor about talking to someone, who will ask you a few questions. Getting the right referral to a counsellor is important. I would certainly recommend it.

You and your mother need help, there is help out there, please contact your surgery.

Stay safe, best wishes.
 
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david4503

Well-Known Member
Messages
181
Type of diabetes
Type 1
Treatment type
Insulin
Yikes and double yikes! I agree that as you say you coulda shoulda have sought help for this situation long ago. But now would be a good time too. You mentioned a TBI (traumatic brain injury). This is possibly a complicating factor in finding the right people to assist you. TBIs typically involve cognitive issues which can make behaviorial change more difficult. The combination of Type 1 and TBI is not something that medical people here in the U.S. are trained to deal with and few have experience with it. The UK may be different but I have no idea about that.

That said, the hypoglycemic episodes seem to be the biggest immediate threat so figuring out even a short-term solution to curtail those would seem the obvious place for any healthcare provider or advisor to start.
 

EllieM

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10,048
Type of diabetes
Type 1
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Pump
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hypos and forum bugs
Surely going under 2 or even 1 mmol/L several times a day is not as it should be?

As the others have said, this is absolutely not normal, and I'm surprised that your mother's diabetic team haven't addressed this issue with her. (Usually they hate T1s to have blood sugars that they perceive as too low, because they fear the hypos.) And it's pretty clear that this episodes have damaged her, as in the incident with the iron.

As a long term T1 (52 years) I have had a few going down to 2 hypos, notably when I kept my blood sugars low during pregnancy and lost hypo awareness when I was asleep. Not terrifying for me at all, because I don't remember the incidents, but my husband was terrified and genuinely thought I might be dying. I can only imagine how much worse it might be for a small child. Personally, before cgms, I lost hypo awareness if I kept my levels too low, so I didn't try to aim to have my blood sugar at non diabetic levels. Now I have a dexcom which warns me before I go hypo, and it has transformed my life, but as @Antje77 said, your mother would have to want to use this for it to be able to help her. I wonder if she has got so used to hypos that she is unable to recognise the damage they are doing to her? And as @david4503 said, it is possible that the brain injury may be playing in to her inability to recognise that she has an issue.

How old is your mother now? Is there a chance that dementia is playing into her issues?
Hypoglycemia and Dementia - PMC (nih.gov)

I second the others' suggestions that counselling might be helpful to you.

Good luck and lots of virtual hugs.
 
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mike1972

Member
Messages
15
Type of diabetes
Type 1
Treatment type
Insulin
It’s not normal to run between 2-5mmols and your mom needs a CGM or Libre 2 / 3 which will alert her when her levels go up or down. It’s the best tool to control diabetes on the market today. I have used this for two years and have maintained my Hba1c at 6.7%. Get her to check in with her diabetes clinic to see if her insulin to carb ratio is correct as it may need changing by Doctor / DSN.

[mod edit.]
 
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