Diabetes Checks into “General Hospital”

Soap operas: Many people scoff at them and the heightened drama that defines them. I get it. Betrayals! Infidelity! The mafia! Murder! Secret children! Evil twins! Name a ridiculous plot point, and I can virtually guarantee that it’s been explored on a soap.

But that’s precisely why I love soap operas. They’re the epitome of escapism. They’re so bizarrely over-the-top that it can be comical. And tuning into the absurdity is the perfect way for me to unwind after a long day.

My soap of choice? Why, it’s been the same one for years; in fact, since I was the tender age of nine years old…General Hospital. In the last 17 years, I’ve (mostly) kept up with the citizens of fictional Port Charles, New York. Their wild lives fascinate me. I think I’ve always been especially intrigued by the show because it centers around…well, a hospital. As a result, characters experience a myriad of maladies, everything from infectious diseases to totally invented my-memory-got-stolen-from-me-and-it’s-all-on-a-flash-drive-that-I-can’t-access sort of conditions.

So imagine how my interest piqued when longtime character Barbara Jean “Bobbie” Spencer got diagnosed with diabetes a couple weeks ago by her doctor son, Lucas (who has type 1 diabetes, himself).

The Minimal Lists
Diabetes is on the long list of medical conditions that GH has attempted to tackle over the years.

This plot line was…interesting. And somewhat concerning to me, because by the time the story wrapped, I’m not sure how much it did to raise diabetes awareness. Let me go over the good and the bad.

The good: Bobbie is a very petite woman who was diagnosed with type two diabetes. The character was in utter disbelief over this because she thought she practiced a healthy lifestyle. I can appreciate that the writers chose to diagnose her with type 2 to make viewers aware that obesity is not the only risk factor when it comes to developing it. And speaking of awareness, the writers chose to focus on the fact that people with diabetes are more susceptible to heart conditions. This is something that I like to pretend to not know sometimes, but it really is important to not be ignorant of complications.

The bad: Very little distinction was made between type 1 and type 2 diabetes with this new diagnosis. I can imagine that viewers who are unfamiliar with diabetes might be confused by what the difference is, especially considering that Bobbie was diagnosed by her son who has T1D. I feel like that should have been better explained or clarified. I also didn’t like how the whole plot line made diabetes seem very easy to treat and manage. I’m pretty sure the only things that Lucas told Bobbie to do was get her hemoglobin tested every 3 months and remember to take her medication (no mention of what kind, whether it was an oral drug or something else). Really? Frequent blood sugar checks, doctors appointments, and structuring a new daily routine couldn’t have been mentioned?

It’s just a bit frustrating to me as a person with diabetes. Of course, I don’t know what it’s like to live with type 2, but I know all too well about what goes into managing type one. And it’s not something that can be explained in a short story arc on a show like GH. Now I’m just curious as to how long the writers will prolong the diabetes diagnosis – will Bobbie’s condition be mentioned often, or will it only be swept under the rug until it’s a convenient time, story-wise, for it to come up? Time will tell.

Advertisements

Aim for an A1c of…What?!

All my life, I’ve been told that I should do what I can to keep my A1c levels between 6 and 6.5. This is the “ideal” range, the sort of long-term goal I should bear in mind on a daily basis.

So when my primary care doctor suggested that an A1c of 7 to 8 might be a more realistic, sustainable, and healthy zone, my jaw dropped to the floor.

He explained his reasoning for saying such a thing: Since people with diabetes obviously have different needs when compared to people without diabetes, it’s not entirely logical to expect a person with diabetes to maintain an A1c that they might have with a functioning pancreas. He said that as time goes on, it could affect cognitive abilities.

And then he said that this was the range that would be recommended to a person with type 2 diabetes – there’s no new research that indicates any difference in desirable A1c levels for a person with type 1 diabetes, so, as my doctor said, I should continue to aim for 6 to 6.5.

This was such a WTF moment for me, for a couple of reasons.

eb0ed848-712c-4a3f-9ed2-646696324953
Does anyone else feel super awkward taking selfies in exam rooms? Does anyone else even take selfies in exam rooms?!

One being that I had NO IDEA why he was saying this to me. He built up this whole explanation as to what the “new recommended A1c” is, only to inform me at the very end that it was only safely applicable to people with T2D at this time. Was he confused? Did he forget that I have type one for a minute there?

The other reason I was flabbergasted by this little discussion was that we hardly ever go into detail when it comes into my diabetes. In fact, he didn’t even ask me when my last A1c test was, or any questions regarding my insulin pump/CGM. He just asked the standard “how is your diabetes” question, to which I replied with a super-lengthy, not-at-all vague response: “good”. He did put orders in for the standard array of tests that I take for each annual physical, which would inform him of my blood sugar at that moment in time, as well as my current A1c. But it was nothing that I’d be talking to him about during that appointment because the results wouldn’t be available until late in the day. So yeah, I found the whole thing to be pretty bizarre and mildly misleading.

Coincidentally, I’ll be seeing my endocrinologist in a few weeks, and let’s be real here: She’s the one doctor who can best advise me when it comes to diabetes treatments and protocols. So I’ll be sticking with her recommended A1c range for me, which I have a feeling won’t be any different from what I’ve been told all these years with diabetes.