Judging And Grudging by Lorraine Brooks

On Divabetic’s March podcast, Poet Lorraine Brooks reads her latest poem, Judging and Grudging.

Judging and Grudging is about Lorraine’s recent real-life encounter with a podiatrist. “I felt she was quite offensive in her lack of knowledge and her lack of using the appropriate language,” says Lorraine. “She was making judgments about me and how I handled my diabetes.”

Judging and Grudging by Lorraine Brooks 

My new podiatrist, who has never met me,
Feels it is her duty to address my diabetes,
Which does not offend me, although her comments make it clear
That she doesn’t “get” me.

She asks for my latest a1c, and the date,
And l dutifully tell her it was just last month,
that l stay on top of my bloodwork every 90 days,
And it’s been hovering around 8.

She doesn’t even look up from my feet
She shakes her head and makes that disapproving face,
While telling me l could “do better”, and l should lose weight
But in that moment, l refused to feel defeat.

I politely said, with all due respect, that statement is offensive
You have not done a history or proper exam,
You are making assumptions about who and what l am,
And your assessment of me is anything but comprehensive.

First of all, l am type 1, not 2,
I’ve had this disease for over 40 years, and yes, it is a struggle.
But l have no complications, and that includes my feet,
And now l feel l must educate you.

Everything in my life is not a result of what you see.
Every medical concern needs to be addressed objectively.
Whatever you would tell someone of average size
Is exactly what you should be telling me.

Pinched nerve? Tell me what to take, what to avoid, help me to cope.
Gastric reflux? Give me some practical advice l can use.
Don’t assume everything is about my size
Meet me where l am. Offer me hope.

Acknowledge that weight is just another statistic
That health, and well-being, are what you prescribe.
Tell me I’m ok without reservation
And examine yourselves to be more realistic.

Mr. Divabetic discusses language’s power to help or harm someone’s ability to manage their diabetes self-care with guests, Susan Weiner MS, RDN, CDCES, FADCES, and Lorraine Brooks. March’s musical inspiration is Prince and the New Power Generation. We feature songs from their Love Symbol album to celebrate the 30th anniversary of its release, courtesy of SONY Music.

Looking for a fun way to socialize without putting your diabetes wellness at risk? Do you need a little help staying on track with your diabetes self-care?

Join the happy healthcare host, Mr. Divabetic, hosts Divabetic’s upcoming free, fun Virtual Mother’s Day-themed Baking Party with special guests, Stacey Harris, aka The Diabetic Pastry Chef and Divabetic Image & Style Advisor Catherine Schuller, on Thursday, April 28, 2022, 7 – 8:30 PM, EST on Zoom.

Win gifts courtesy of Arthel Neville Design FABULOUS East/West Tote, Dr.’s Remedy Enriched Nail Care gift set, Best-Selling Author Tonya Kappes‘s Camper Cozy Mystery, Walden Farms Zero Calories, Zero Net Carbs Salad Dressings, and Peak 10 Skin’s Save My Sole Foot Rescue Cream during Mr. Divabetic’s random drawings. You must be present at our Baking Party to be entered in our gift drawings.

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Prince Inspires Divabetic’s Podcast in March 2022

We’re talking about the power of language used in diabetes care with musical inspiration from Prince on Divabetic’s podcast scheduled for Tuesday, March 15, 2022, at 6 PM, EST. 

Words have the power to elevate or tear down someone’s perception of themselves and their diabetes health.

For decades, much of the language around diabetes has been focused on adverse outcomes and laden with judgment and blame without considering individual needs, beliefs, and choices.

On the other hand, encouraging and collaborative messages can enhance health outcomes. 

In 1992, Prince changed his name to an unpronounceable, infamous “Love Symbol.” He wrote: “It’s all about thinking in new ways, tuning in 2 a new free-quency.” It derives from a combination of the symbols for both males and females. 

He adopted the symbol as a tool for contract negotiations with his record label. According to Rolling Stone, Warner Bros. wanted Prince to slow down the pace of releasing new music for fear of flooding the market. Unwilling to consent to their request, Prince actually increased his rate. 

The Love Symbol meant so much to him that he continued to use it long after changing his stage name back to Prince when his contract with Warner Bros. finally expired. 

Guests include Poet Lorraine Brooks, Patricia Addie-Gentle RN, CDCES. Throughout the podcast, we will be featuring music from Prince & The New Power Generation’s Love Symbol album courtesy of SONY Music. 

 

Generation Matters: Type 2 Diabetes and You by Susan Weiner MS RDN CDE CDN FAADE

Have you ever scrolled through Instagram and Facebook posts of endless carefree moments and wondered, “is this every-day life”? The truth is that balancing home, work and relationships can be challenging! Add in a diagnosis of type 2 diabetes and you may feel overwhelmed by the daily demands of diabetes management. Every person with diabetes is unique and has his or her own feelings, thoughts and perspectives about life with type 2 diabetes. Some folks view a diagnosis of type 2 diabetes as a nudge to prepare healthier meals and add in more physical activity into daily routines. Others may feel more anxious about the cost of managing the disease and feel overwhelmed with the prospect of following-up with their doctor or health-care provider.

As we get older, we may have different thoughts about our health and everyday lives. A 25-year-old woman may have different concerns about her type 2 diabetes diagnosis then she will in her 60’s. Financial issues, romantic relationships and schedules obviously change as we age and must be addressed. In order to tackle this important issue, healthline.com conducted a survey of 1500 people with type 2 diabetes across generations to explore their feelings, concerns and insights. https://www.healthline.com/health/state-of-type-2-diabetes The survey explored feedback from Millennials, Gen Xers and Baby Boomers. As one of the medical reviewers for this important survey, I was intrigued by the varied perspectives across generations.

I was very interested in how people of varying ages felt about their type 2 diabetes diagnosis. About half of Millennials surveyed and about a third of Gen Xers stated that they often hide their condition from others (which may include friends, family and co-workers), because they are worried about what others might think. Additionally, younger respondents were very concerned about the cost of managing their disease, which lead to a reduction in following health care provider treatment guidelines. The cost of healthcare is huge factor associated with proper medical care and can compound fears about potential long-term complications associated with a diagnosis of type 2 diabetes.

As I read the survey results, I was struck by the feelings of judgment, embarrassment and guilt younger people feel when they follow up with their doctor or health care provider. There are many challenges associated with being overweight and type 2 diabetes. The stigma of type 2 diabetes referred to as an “older persons” or “lifestyle” disease may cause younger people to feel embarrassed. Many survey respondents felt their diabetes diagnosis was perceived as a result of lack of self-control behaviors. This perception may lead to less than optimal outcomes, and needs to be addressed with the health care community as well as the general public. More education about type 2 diabetes is essential!

While non-judgmental diabetes language wasn’t specifically addressed in the survey, I believe it should be at the forefront of this conversation. What we say, and how we say it can make a significant difference for a person managing the complexities of diabetes.  A task force with representatives from the American Association of Diabetes Educators and the American Diabetes Association developed a fabulous language guideline paper insightful tips around language use as it applies to addressing issues of with diabetes. https://www.diabeteseducator.org/practice/educator-tools/educator-guidance/diabetes-language-paper

Simple language swaps such as “checking blood sugar” instead of “testing blood sugar” may put a person at ease. Blood sugar is not a pass-fail grade. A person with type 2 diabetes may feel extremely guilty when they see their doctor, and therefore may not return for a follow-up appointment. 

Body image was viewed differently across generations. More than 50% of Millennials and more than 40% of Gen Xers reported feeling ashamed about their bodies on a daily or weekly basis. In contrast, only 18% of Baby Boomers feel that way! Millennials and Gen Xers had recurrent feelings of guilt, embarrassment, while this was not seen as frequently in older adults. Hiding the condition was more common for younger people, which lead to issues with romantic relationships and feeling of isolation. 

Gender divides were also acknowledged in the survey. Women reported more issues with self-care, including weight management. Many of the women felt that as care givers, they often put others needs before their own. 

Rather than feeling overwhelming with all the “must-do’s” associated with daily diabetes care, consider taking small steps which will add up to big changes. Please speak to your health care provider, family, friends, certified diabetes educator or others in your peer support community about your concerns. You are not alone!

Please share your thoughts and comments. I would love to hear from you! Contact: Susan Weiner MS RDN CDE CDN FAADE

Join Susan Weiner MS RDN CDE CDN FAADE and two other outstanding certified diabetes educators, Dr. Beverly S. Adler PhD, CDE and Rachel Stahl MS, RD, CDN, CDE’ at Divabetic’s Clued Inn: Diabetes & Heart Health Escape Room Experience sponsored by Boehringer Ingelheim on Diabetes Alert Day, Tuesday, March 26, 2019 in New York City. Currently we have over 150 pre-registered for Clued Inn but there’s still room for you and your friends to participate! Register now at CluedInn.org.

Susan Weiner MS RDN CDE CDN FAADE helped us to make carbohydrate counting fun with a series of colorful Carb Kitty videos available on YouTube: