I saw my doctor this week and it was an unsatisfying visit to say the least. More struggles with my A1c, quite a shock to me given the low day to day blood sugar readings I've been getting overall. Nothing terrible, just not what I'd expected or would prefer. It's a few days later and I'm over the shock now. I've certainly been here before and I know that the best you can do is do your best, which I'm doing as I basically always have. I know too that my A1c will improve, and if I'm really honest with myself, I also know that it will be up again at some point too. It's the disease you see. It's what happens. I know this in my head (though I admit I still struggle with it in my heart).
I understand that I'm hard on myself and have high expectations. I understand that I need to find the right balance between good control and letting diabetes taking over my life. My doctor said as much. "What do I need to do given this A1c? Should I go on the sensor? Take more blood sugars?" My doctor, who means well, who understands me after all these years, who understands the balancing act we face as diabetics, basically replied, "do nothing". Just keep doing what you're doing and live your life. "Live your life". Literally, that's what he said.
I understand what he's saying and I strive for that. A good life regardless of diabetes. Or maybe because of it. I consider this a lot. And I try to let things go. But days later after the visit, I find I'm still struggling with the contradictions of my meeting with my doctor. A1c up, but don't do anything differently. Live your life, but keep you diabetes in control. I know that I can do this, that in fact it's what I do already. It's what I've done since I was diagnosed. I know this fact, but I still feel uneasy about it. I get that you just have to let go of the worry to live well. But I'm always wondering what and how much I should let go. Is it a slippery slope? If I give up caring about an A1c I'm not happy about to "live my life" will I give up caring about carb counting or a 280 blood sugar over time? Given the years that I've been doing this very delicate dance between caring and not, I'm not sure what the perfect place between them is. I'm frightened by the physical and emotional cost of not knowing that place for sure.
So where I've landed is I'll keep focusing on blood sugars, carb counting and correcting. Of course I will. It's who I am. I'm also thinking about going on the sensor again, maybe after the next A1c, depending on the result. I'm also going to continue try to accept that this is what diabetes is. Not a grade, just a disease that flows and changes. I live a life, a good life, with a disease that flows and changes. A life I love but also struggle with. One that is good in spite of AND because of diabetes.
It is such a hard thing to find isn't it? That balance between satisfactory diabetes management (when are we ever really satisfied, and when does the balancing work really ever end?) and living and enjoying our life.
Posted by: Scott K. Johnson | February 08, 2009 at 04:59 PM
I certainly hear you...I too suffer from chronic illness, both mental and physical, and sometimes it's a fine line we tread between wellness and tranquility and hell.... so often, we do it alone because, in the end, we are...unless we reach out as you are doing here and elsewhere in your life(I have been reading)...
I appreciate your struggle and wanted to tell you...and I love your blog...it's a little valentine the stars aligned just right to have fall into my lap this morning! so thank you for creating it, being honest to your path and having the guts to talk about it! I know it's not easy...
Posted by: linda | February 14, 2009 at 08:40 AM
Thanks for your kind responses. They couldn't have come at a better time. I've been seriously considering taking a break from blogging about diabetes lately and your comments have helped me to pause. I find I have less to say, or at least less to say that is new or particularly positive about the subject and I really don't want to just end up crabbing all the time about how hard this is. I believe that ideally all this struggle can add up to something positive and you're kind comments remind me that even when I'm not necessarily the sunny well of positiveness, positive things can come from sharing. Truth, transparency and openness, even when it's negative or sad or hard, can bring positiveness and light. Thank you so much for reminding me of that fact!
Posted by: birdie | February 15, 2009 at 09:13 AM
Yes, Birdie, another timely, beautifully rendered post. I have been silent on the Diabetes front lately because of what you just said--wanting to share but wondering what I have to say or if it's useful to just 'crab' about it. I find when I do write from a darker place, it gets the most responses. I guess we all want to feel we're not alone in these places, and it helps to know such a beautiful, well-spoken, creative soul such as yourself goes through this stuff, too.
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