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01 Cornish hamlet - father teacher, mother district nurse. Mother & GP only knew type 2s, so treated me with diet only & threats for 4/5 years – always ill & thirsty, until doctor visiting said I needed specialist. 90 miles to Plymouth hospital – insulin. | |
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02 Specialist blamed GP. Not admitted to hospital - no explanations. Diet strict – portions - but more liberal than previous starvation. Diabetes caused strife with parents, grammar school, siblings. Saw child psychiatrist. | |
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03 No diabetic education. Not taught injecting - took ½ hour. – painful - once daily, then twice. Refused urine testing - disliked being diabetic – rebuked by hospital. Avoided diabetics. | |
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04 Secondary school - different food – argued with cooks. Used diabetes as excuse. Child psychologist, until 15. Took Largactil. Teens - smoking, drinking, drugs. | |
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05 Teens – ignored diabetes, ate anything, injected without testing. As child – regularly unconscious. Teens – sugars high, hypos rare. Often in hospital, various reasons, before & during college in London. After college, abroad 12 years (slip – later corrected to 7 years)… | |
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06 …Italy, Greece, no medical supervision, returned to England for insulin. Aged 22 to 35 - travelled, taught English, socialised. Avoided LSD – unlike another diabetic. | |
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07 Ate & injected fixed times. Never tested. 1982, line in eye – visited doctor with Greek boyfriend – going blind. To & fro between Moorfields Eye Hospital & Greece for 2 years. Laser treatment. Shock when told registered blind – no warning, no help. | |
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08 Everything seen as my fault. No positive experience of medics. Not seen as person. No help after going blind. | |
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09 Parted from Greek partner. Began psychology degree. Changed to sociology - political understanding of disability helped. Took ages to get help needed. Now use computer & magnifying glass. | |
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10 Started 2nd degree, 1986, then MA, then PhD – finished 1996. During MA, realised impairment equality issue, not medical – helped. Diabetes badly controlled in Moorfields. Told nurse would have to do injections. Still no syringes specifically for visually impaired. | |
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11 Good control since lost sight, 1984. Test 4/5 times daily, 6 injections. At university, influenced by first consultant who explained. Worked in university. Since 2000, manager of organisation for disabled. | |
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12 From 2000, no relationship with consultant - moved hospital – hospital transport humiliating - moved back to other hospital – now see chief consultant - good. Thought knew more than specialist nurse until Insight course, 2003, run by nurse & dietician – now best control ever. On Lantus. Abandoned exchanges… | |
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13 …previously adjusted food to insulin: now insulin to food. Could eat sweet things. Ratio of carbohydrate to insulin. Weigh, because can’t see. Partner does maths. | |
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14 Weekly sessions worked well. Knew stress affected diabetes - medics disagreed – course taught effects of stress & alcohol. Assumptions overturned – don’t worry when miss lunch! | |
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15 Knew small stress lowers sugar levels, large stress raises them - before Insight course, medics uninterested – different specialists see different conditions – Insight was holistic. Since course, saw heart specialist – first explanation of diabetic connection. | |
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16 Now find nurse helpful. Complications require holistic treatment - like nurse – she’s exceptional – other nurses less knowledgeable. Typical day at home different from… | |
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17 …typical day travelling. Improvements – monitoring equipment, monitoring software, disposable syringes free, finer needles, pens discreet. | |
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18 Changes – Only some medics have changed. I demand equal treatment. Formerly no specialist nurses. Still long waits. Recent comment that diabetic worker should be shadowed. Type 2 better known – people assume all diabetes lifestyle-related. | |
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19 People ignorant re diabetes & visual impairment - don’t make provision. | |
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20 Diabetes central to me. Political understanding helps - from 1960s, disabled argued society should change. | |
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21 Course highlighted diabetes takes time. Message – research diabetes, don’t let it take over. Emotional effects – difficult child; eating problems; irritability - hard for partner. | |
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22 Course mentioned emotional effects. Diabetics tell lies to medics. | |
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