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Who is in control?

H

hanadr

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soaps on telly and people talking about the characters as if they were real.
Why is it impossible to find the point between non-compliance and being accused of obsession. Who came up with this idea that a T2 is concerned with keeping BGs under control is self obsessed?
Is it that when the patient has found out what works for them, calling them obsessed gives the healthcare worker control of the situation? Or am I just cynical?
 
Just remind them of standard 3 of the diabetes NSF:

All children, young people and adults with diabetes will receive a service which encourages partnership in decision-making, supports them in managing their diabetes and helps them to
adopt and maintain a healthy lifestyle. This will be reflected in an agreed and shared care plan in an appropriate format and language. Where appropriate, parents and carers should be fully engaged in this process.
Click to expand...

We are the only member of our health care team that have to cope with our diabetes 365/7/24 (on leap years we can have a day off!). They have a responsibility to make sure we are aware of how they perceive our decisions will affect our quality of life, but that is it.

Ask them to define non-compliance. Is it an A1c that doesn't meet expectations? Is it too tight control? More importantly, ask them to agree targets with you. If you're determined to keep your A1c within non-diabetic levels then tell them. I challenged my GP, telling them they may be "happy" with an A1c of 6.8% but I sure as hell wasn't. I quite miss the monthly follow-ups I was having, but OTOH I'm ecstatic that they aren't getting three phials of blood outta my arm every month.

As has often been said we will have to cope with any complications that arise out of how we manage our condition on a day-to-day basis, therefore it is largely down to us to tell them what progress we expect to make.

Regards, Tubs.
 
Hi Hanadr,
Self obsessed means that you are thinking about yourself all the time. Obsession means being preoccupied with a topic. Neither of these apply to you.
As you lead a full and active life and have many interests, as shown by your postings, I would not take it to heart. You and you alone control your condition. They don't.
We all feel good when we have low numbers and this has a positive effect on our wellbeing. Do what you are doing and when this is said to you again just smile sweetly.
Regards, Catherine.
 
Thanks Catherine and Tubs!
 
hanadr said:
Why is it impossible to find the point between non-compliance and being accused of obsession. Who came up with this idea that a T2 is concerned with keeping BGs under control is self obsessed?
Is it that when the patient has found out what works for them, calling them obsessed gives the healthcare worker control of the situation? Or am I just cynical?
Click to expand...

If you are doing better than expected it makes them look bad.

Don't forget many (but not all) of them have been trained to believe you will inevitably decline so NOT giving in to the inevitable is seen as somehow wrong.

Some quotes

"Of course you will have high blood sugars, you're diabetic"

"You'll be on insulin in five years"

"You're diabetic so of course you can expect diabetic complications"

etc. etc. <sigh>
 
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