1. Being perfect isn't possible. But it's what we often expect of ourselves when we have diabetes. And despite knowing all of that, there's a lot of guilt that comes with each little failure.
2. Fear is a really poor motivator. Don't tell me about your grandmother who lost her leg/eyesight/kidney function thinking that it will convince me to take better care of myself. First of all, I take damn good care of myself as is. Second of all, while the DCCT tells us that good glucose control can reduce some complications by 42% to 76%, NOTHING reduces complications by 100%. I could do everything right and still end up with complications. So keep your fear to yourself.
3. Speaking of good control, in his book Think Like a Pancreas, diabetes expert Gary Scheiner defines very good control as having blood glucose levels in range 70% of the time. Fair control is having the numbers in range 50-70% of the time. Imagine that you made soup using the same ingredients every day, but it only tasted OK 70% of the time. And, your 70% success rated you a master chef.
4. No one knows what causes type 1 diabetes. We know that islet cells in the pancreas are destroyed by the body's immune system. But the why and how are still under investigation. Wheat, viruses, low vitamin D, cow's milk, lack of breast feeding, and aliens are all possibilities, but scientists are far from certain. Chances are, it's more complex than we think.
5. When you think I'm sick, I'm not. When you see me testing my blood glucose or taking insulin, everything is OK. That's what I do to be healthy. Just like you brush your teeth or eat food.
6. And when you don't think I'm sick, I am. Contradictory, I know. Just because I look OK at any given time, it doesn't mean I'm feeling OK. The signs of low/high blood glucose are often easy to miss from the outside.