It’s on the kitchen counter, having arrived in the mail a day or two ago: a letter from the Joslin Diabetes Center with a full, quantitative report on what’s going on in my blood cells and, by extension, me. I’m not ready to open it.

Last week I saw my diabetes specialist. At one time, when I was new to diabetes and full of zeal, my performance — at monitoring, eating, record-keeping, sweets-avoiding, exercising, and controlling — was excellent. Sometimes, when Dr. A. introduced me to a med student on rotation, he would say, “This is my best patient.” Or even, “Here’s my A student.” In my late 20s at the time, that always struck me as paternalistic, if not affectionate, but still flattering. In the last couple of years, however, my body’s quarterly report card shows a more erratic performance. Occasionally, those numbers look great. More often than not, they look… merely adequate. Last week, as we looked over the records that I keep daily on my blood sugar, Dr. A. raised his eyes over the top of the paper and asked me, in so many words, why I couldn’t do better. When I shrugged and smiled weakly, he caught my glance and then tapped the side of his head (home of the brain) as if to say, “You can do it. And because you’re not doing it, it must be your attitude.” Continue reading →