Diabetes Rehab

Urrgghh, My Diabetes is crap. For the last year my HbA1c has been creeping up, despite repeated efforts to utilise my continuous glucose monitor, numerous dietary changes, planning, planning, replanning, trying to increase my engagement with my medical teams, self help. self therapy, self hypnosis blah blah blah, you get the picture.

So I have decided to put myself in Self Imposed Diabetes Rehab.

As anyone who knows me can testify I have a somewhat hectic lifestyle, Diabetics with Eating Disorders, my Phd and teaching all ensure that I am pretty much ran ragged constantly and my control pays the price, I struggle to prioritise my own health. This gets more apparent as my stress levels rise, there is so much else to deal with that I just don't have the headspace to engage with the D the way I should.

This is of course a simplistic explanation as to why my Diabetes is not on track. A long battle with eating disorders and other mental health issues that have never really been properly treated in a systematic congruent way has left me wondering if my whole attitude and resulting behaviour is simply a result of maladaptive coping.

As the founder of DWED I have long been a proponent of treating Type 1 holistically, involving as many teams as necessary and engaging as many approaches as needed until the right regimen sticks. When dealing with my own health however I have not been so enlightened. Instead I have been frustrated, inconsistent and guilty on more than one occasion of trying to 'logic' myself out of my problems. I feel like I should say at this point that I am not in a bad way, in fact in many ways I've never been better, I have a great relationship, the financial troubles of being a charity director are finally behind me, I love my Phd and I get a real kick out of teaching. Still, though, I'm not quite right, I just can't seem to get traction with my Type1 and I'm still not where I want to be. I kept on thinking that as soon as I sorted X then Y would sort itself out, the dietary problems, the smoking too much, the lack of physical activity ect but pretty much all my Xs are in place and all my Ys are still all jumbled up. Put simply to do what I want to do I need to be in a much better place physically and I need to find a way to stay there. The consequences of not sorting myself out are grave, I have spent 2 out of the last 4 weeks sick, my thoughts are jumbled and I can't get a grip on what I need to being for my Phd, I'm tired, my asthmas playing up for the first time in years and I'm frustrated and annoyed.

So I am going to design my own programme of health care based on my own principles, sounds easy enough right? Except if I'm so smart then why haven't I done it already? I really don't know what's stopping me, I make all the right noises but struggle to follow it up. As such I'm going to try and take a different approach and build up my self care in a systematic way engaging in different strategies.

I have been thinking about doing this for a while but lets just say it's been one of those Y variables. I think my programme will rely heavily on psychological approaches as I can't help thinking that this is at the crux of my problems so I am putting this out to you, my lovely diabetic friends to see what you suggest in terms of how you handle your diabetes care, what dietary tools you use, if you've ever utilised psychological therapies and just basically get your feedback.