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An Admission, But Not Admitting Defeat

By Eric Devine

Even though Eric Devine may not take as good care of himself as he should, he has in no way given up or admitted defeat to diabetes. Perfect diabetes care may be elusive, but Devine has learned from his mistakes and adapted treatment to his lifestyle.

I do not take as good care of myself as I should. To tell the truth, I haven't had a physical in almost two years. I haven't been to my endocrinologist in more than nine months. I can't remember what my last HbA1C result was. I only complete my logbook two weeks in advance of a checkup (which has become a rarity). I cannot remember when I last changed the lancet in my pen. I have never run a calibration check on my current glucose meter.

In spite of my lax health care, I know how I feel on a daily basis. I know how constant my blood glucose level is. I know how much I work out and how clean I keep my diet. In essence, I am positive that my lack of adherence does not express a lack of awareness or concern. Rather, my behavior is an expression of acceptance.

I used to believe that if I tested and wrote down every single result, got my yearly physical, kept my quarterly endocrinologist appointments, and strictly followed all the other parts of diabetes care, then I could beat this disease. I believed that I could learn to solve any problem that emerged, because all it boiled down to tweaking my treatments. If I tweaked well enough I could achieve normalcy.

I don't know when my perspective changed, but I do know why: it was out of sheer exhaustion. I quickly learned that life cannot be lived with such strict adherence to every component of diabetes related care. No one can perform this disease management. I tried, but what I was trying to capture was elusive and always will be.

That doesn't mean I've given up on myself—far from it. I've gained a wellspring of knowledge that I readily share with others. In the process I've abandoned many practices but have replaced them with a life. I now live through this disease and take each new day as it comes.

Eric Devine, 30, has lived with type 1 diabetes since he was 12. He lives in upstate New York with his wife and two daughters where he works as a high school English teacher. Devine is an avid writer and is currently seeking publication of two Young Adult novel manuscripts.

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