Wednesday 24 November 2010

Number 13 - How long diabetic?



Diabetes, as far as we know, has been known about for thousands of years, but it is only in the last hundred years that it has been understood what it actually is, how it can affect the body, and how it can be treated. A hundred years ago someone with diabetes would either live a shortened life, eventually going blind, having kidney failure, limbs amputated, a heart attack or stroke or falling into a diabetic coma. This would have been the case for what we now call ‘Type 2’ diabetes. There were, of course, far more acute cases, usually in the young, where the patient would become quickly emaciated and probably die within months – what we now know as ‘Type 1’ diabetes. Usually, those with Type 1 would not live long enough to develop the longer term complications exhibited by Type 2s.

Then, in 1922 Drs Banting and Best isolated the ‘missing link’ that could finally be used as a treatment for diabetes – insulin. It was seen at the time as a miracle cure, although now, nearly eighty years on from that discovery, we know that it is a treatment for the symptoms and not a cure. There have been many developments over the years, with new techniques, new insulins, oral treatments for some types, advances in testing equipment etc. – all these have made the daily control of blood sugar levels tighter and more manageable, and the advances continue apace.

Having only being diagnosed a couple of years myself, I have been very interested to hear the experiences of those members who have lived with the disease for many years – even decades in many cases. This post shows what a huge range of experience we have on the forum, ranging from days, weeks and months to over half a century since diagnosis. Interestingly for the forum, it is not always the case that these long-term diagnosed people have the greatest knowledge. Often, they have grown up with diabetes and stuck to what they have always known, whether by accident or design, and it is fascinating to see how things that would be commonplace knowledge to more recently diagnosed people is a complete mystery to them. Through no fault of their own, it's likely that their doctors may have had the misguided belief that they ‘already know it all’ and have not sought to educate them on the latest advances.

It is only thanks to the medium of the internet that this information is now becoming widely available to all, and through forums like ours, experiences can be exchanged like never before. Many people with over 30 years of diabetes had never met another diabetic and it is great to see these experienced people join in our community, often transforming their lives in the process.


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