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01 I’m 62. Brought up in Sheffield. Father professor. Grammar school; Oxford University; Sheffield steel industry; moved to Cotswolds with wife - short-term jobs; management consultancy. Older brother diagnosed 1945 – treated by RD Lawrence. Parents spotted my symptoms early. | |
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02 Lawrence taught self-management - parents learnt more from him than from my specialist. I was diagnosed 1954 – very early – only 4 units of Lente at first. Diagnosed after ‘flu. | |
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03 Parents diagnosed. GP referred to hospital – adult ward - private room - nearly 2 weeks. Cycling machine daily. | |
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04 Medical staff realised parents knowledgeable. When left hospital, I was afraid I wouldn’t cope at school, but did. | |
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05 Injection once daily: glass syringe, surgical spirit, metal container. Steel needle – 17 gauge. Fat atrophy due to needle size & cow’s insulin. (Pig’s insulin came later.) Syringes lasted. | |
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06 Brother had used Benedict’s solution. I used Clinitest – worked well, but… | |
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07 …could get normal result on verge of hypo. Lawrence taught re portions, but 10 grams carbohydrate of some food more harmful than 10 grams of another… | |
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08 …mother realised, but dieticians made no distinction. Dieticians referred to black lines. Also red lines - protein & fat – parents didn’t bother with these. Broke rules in teens – Bounty bars. | |
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09 Back to school. Unconscious with hypo. Happened 6 times. I didn’t talk re diabetes. Teachers became well-informed. Sent 3 times… | |
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10 …for caning – surprised when let off! Special puddings – public. Cooks treated me differently – bad for diabetic children that… | |
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11 …adults fuss over them. Once interviewed by researcher re psychological effects. Only diabetic pupil - only 30 years after insulin introduced. More diabetes in gene pool now. (1st Sheffield person to receive insulin – Sir Stuart Goodwin.) | |
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12 In teens, discovered re later complications – when applied for insurance & when treasurer of local Diabetic Assoc. died young. Longevity due to luck & control. I’m lucky: when Jim Black examined eyes at Radcliffe… | |
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13 …students thought I wasn’t diabetic. Have membranous nephropathy, unconnected with diabetes. Specialist says if eyes good, kidneys good. Others less fortunate – should research why. Hard-working teens. Never exercised much. | |
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14 School photos - tallest at time of diagnosis; following year, had stopped growing. Then grew over 6 ft. Voice broke late. | |
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15 Teens - Didn’t drink much. Brother allowed smoking instead of sweets. I smoked until mid-30s. Girlfriends not involved in diabetes, but may have deterred some. | |
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16 Worked for steel firm between school & Oxford University. Returned to firm at end of 1st year at university. Following summer, worked as coppersmith’s mate. | |
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17 Parents had prepared me to manage diabetes away from home. Mother worried more than necessary – don’t hear of people dying from hypos. Few hypos at university… | |
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18 …but one while driving – banned from driving for 1 month. No dietary problems at university. | |
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19 Managed Chinese meals. Always eat what’s given – just check re carbohydrate. Attended clinic at home. Only attended GP at university when broke nose. | |
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20 Became graduate apprentice with steel company – managed shift-work OK – as when crossing time zones. | |
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21 Haven’t talked re diabetes at work, but ensure someone knows. Nowadays people know someone diabetic – as indicated by Prof. Matthews (mentioned in Inspector Morse novel). | |
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22 Mother-in-law worried re infertility – doctor said no problem & children might not have diabetes. Daughter diagnosed in early 30s… | |
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23 …She became pregnant, 2003 – good medical treatment. Good control – normal sized baby. I don’t interfere, but helped with injecting at first. | |
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24 She copes better than me with disturbances in routine - & has hypo warnings. Problems when I started human insulin - packets not labelled - but still had hypo warnings . | |
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25 In 1950s, insulin from hospital. When charges began, put shilling in machine. Later prescription from GP. NHS sometimes unhelpful e.g. damage caused by coarse needles, or charge for disposables needles before outcry. I re-use disposables. | |
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26 Used to get at least 3 months supplies from GP – now only 2 months. Some reports of pressure to use fewer test strips. I prefer large supply of insulin | |
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27 Didn’t test until my 40s – guessed - urine testing inconvenient; blood-testing at first delayed. Began testing after ‘flu… | |
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28 …halved dosage – high sugar – admitted to hospital. Got first BM test kit. 2 injections daily of mixed insulin – control not so good as now. Began 4 injections daily, early ‘90s – more flexible. Use pen – fine needle – easier than in past. | |
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29 NHS good for diabetics – nobody prefers private treatment. Fewer hospitalised. Outpatients good. I prefer hospital to GPs’ clinics. Now health professionals recognise diabetes – in past GPs didn’t. | |
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30 I’m 62 & still working as management consultant. Don’t exercise enough. Wife died 2 years ago. Recently married old friend – copes well with diabetes. Hard to live alone. | |
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31 Can’t imagine life without diabetes. Mother found hard to say I’d always have to inject – I accepted it. Hasn’t prevented anything. Advice: trust advice, learn to control - can’t forget it, but worse diseases. Lawrence keen diabetics should lead normal life. | |
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