Tag Archives: diabadass

Burnout and Patient Shaming

I slacked off in 2016, canceling my doctors appointments and not rescheduling them. 

Yes, I’m aware that’s terrible. 

Yes, I’m aware that’s dangerous. 

I’m also aware that I was still adamantly monitoring my A1C through my Dexcom, had no instances of DKA, was never hospitalized, and never ran out of supplies because my doctor kept approving the prescriptions. 

It isn’t an excuse to those in the healthcare field, but to those of us with chronic illnesses, we get it. We understand that the appointments are overwhelming. The tests are frustrating and annoying. The battle with insurance is never-ending. 

And sometimes, you just need a damn break. So that’s what I did. 

Now I’m getting back on the wagon. I saw my endo a couple weeks ago, and saw my eye doctor yesterday for the yearly diabetic eye exam. 


I passed. I still have 20/20 vision, and I have no signs of diabetic retinopathy. 

But I didn’t miss the judgement in the doctors voice, that I hadn’t been there since April 2015. That I didn’t have an up-to-date A1C number and the estimate of 7.2 from Dexcom Clarity “really should be closer to 6.0.”

I hear you judging me, but I also hear that your perfectly functioning pancreas keeps you going every day. You don’t face the battles I do. You don’t have to hope to God you’re going to be able to pay for your deductible because you meet it in January every year. You don’t have to stab yourself over and over and over again.  You’ve never dealt with burnout from this horrible condition that you didn’t cause or ask for. 


Shaming me for my actions isn’t a solution. If anything, it only makes me hate you more and not want to do better. It makes me feel like the things I have accomplished – like the fact that I received a promotion to middle management last year, played a sport and still managed to keep myself alive – mean absolutely nothing to you. It makes me feel like the fact that I’m still out here kicking ass doesn’t matter because my A1C isn’t a 6.0 (which, by the way, A1C isn’t a good marker for diabetes care anyway!) 

A little compassion goes a long way. Rather than chastising me for not coming in for an appointment for the last year, maybe try asking me what I have been up to in that time? When I indulge that I played softball, ask how that affected my blood sugar – was it difficult to deal with, did I tend to run low or high during games? If you act like I’m more than just an A1C number, I’ll be a lot more receptive to your advice and suggestions. 


So please, keep your judgment to yourself, healthcare professionals. I already know that I didn’t and don’t do things to your standards, and ultimately I am accountable for my actions. 

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Filed under Accountability, Real life