37-year-old woman has had type 1 diabetes since she was five years old. She was referred to me to help her manage her glucose levels because she wants to have a baby. She was wearing an insulin pump at the time, and had been for the past 20 years. Her glucose levels were very erratic. No pattern in sight. She thought she could do better with injections, but in time realized it was too much work because she did have the dawn phenomenon, and would get very low during and after exercise. It was her decision to go back on the pump.
As we worked together, she told me she couldn’t have a baby. She didn’t deserve it. I asked her to talk with me more. In time, she realized she was told since a child all the things she could not do. You can’t eat this, you can’t go here, you can’t go there, you can’t have a baby.
My work with her has been to show her all the things she can do, including have a baby. I informed her that what she was telling me was not true. Once we had this conversation, both of us worked hard to help her get her glucose levels within her target range. She has hope and she is meeting with a reproductive endocrinologist today.
- Diabetes management has come a long way.
- The best way to empower people who have diabetes is to teach what they can do, and give them the tools to do whatever it is they want to do.
- When people have hope, they will work towards a goal they think they can achieve.
If you have a “Diabetes Disaster Averted” story, please let us know! If we feature your Disaster Averted in our Diabetes Clinical Mastery Series e-newsletter, you will receive a $25 gift card. Please click here to submit a short summary of the incident, what you feel you learned from handling the incident, and your name and title. If you prefer to remain anonymous, please let us know, but still give us your name and address (so we can send you the gift card).
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