Some people with Type 1 Diabetes have some negative feelings toward those with Type 2. I used to be one of those people.
Here’s
where I think this resentment stems from. There is such a stigma
surrounding Diabetes being a disease caused by desserts and gluttony.
Because it is possible to acquire Type 2 Diabetes with a poor diet and
obesity, people with Type 1 don’t want to be associated with that.
Understandable.
However,
I recently had the opportunity to sit around a table with six Type 2s.
The point of being there was to “relearn” diabetes management. This was a
full day session, so we had a lot of time to chat. This is where I
learned that the people with Type 2 Diabetes who are dependent on
insulin are a lot more like us than we think.
How
did these specific people acquire Type 2? A couple of them were due to
natural aging. One was due to poor diet. One had gestational diabetes,
then was eventually diagnosed as Type 2. And one was just unlucky and
had a large family history.
We
sat. We laughed about relatable things. We compared our methods of
receiving insulin. Funny enough, they were all on insulin pumps, while
I’m still using old school syringes.
But
most of all, I learned. I learned that people with Type 2 who are on
insulin live lives that are almost just like ours. They deal with lows
in the middle of the night. They have to choose between injections or a
pump. They struggle to keep their BGs in range, just like we do. They
get burnout. And if they stopped taking their insulin, they would die,
just like we would. So why are some of us shaming them?
Now
let’s go back to the group of people I did this session with. Do most
of them sound like they did this to themselves? Maybe one? But even he
was likely predisposed. Some people are naturally predisposed to
obesity, it’s in their genes, and that will increase their risk. They
didn’t do anything to cause it, and there’s nothing they could have done
to stop it. And now because they are insulin dependent, they have a
24/7 job of keeping themselves alive. Sound familiar?
A
lot of people want a name change for Type 1 due to the stigma attached
to Type 2 diabetes. I admit, that I am one of those people. I think it
would be beneficial to people with Type 1 to be separated from that
stigma.
However,
I think that the stigma attached to Type 2 is so wrong. Yes, if you eat
nothing but junk for years, you are putting yourself at more of a risk
for developing Type 2. And it is true that it is the most common cause
of it. However, there are so many other factors that don’t get talked
about. One person can eat nothing but junk food their entire life and
never develop diabetes. While another can spend their years watching
what they eat and exercising, and develop diabetes.
So
who is this article directed toward? My fellow Type 1s. Let’s not have
hostility toward those with Type 2. Diabetes affects some of their lives
just as much as it impacts ours, and I hope you can see now that many
of them did nothing to cause it. And even if they did, why shame them? I
hope you can feel for them, because they have to deal with the stigma
of people thinking they ate their way to this disease, when that’s not
true for a group of them. So next time you encounter someone with Type
2, make sure to remember that you don’t know the circumstances that led
to their diagnosis. Know that it isn’t all their fault that we have to
deal with this stigma. And know that regardless of their circumstances,
the stigma hurts them too. Every day.
Well presented and timely article Michelle - the only people living with diabetes that we really know how they "got it" are people with MODY and those who have had their pancreas removed. And there's no blame attached for them.
ReplyDeleteAs yet we have no cause and effect regarding diabetes, only some statistical observations.
We of all people should not be joining in with the ill-informed.