4. Giving Up the Guilt

You are not a bad person because you developed diabetes. It is not your fault. You are not “bad” because you didn’t exercise today or because you ate more than you intended last night. Nobody can manage diabetes perfectly. Guilt is common when you are living with diabetes, and it is hardly ever useful.

Because of guilt, people often establish tough, sometimes impossible rules about how to manage diabetes (”I must NEVER eat even a bite of junk food ever again.”) Since you can never be perfect, rules like these can make you feel like you are failing and can promote depression. Enough already!

• Remember that you didn’t give yourself diabetes. As people around the world grow heavier and heavier, it almost seems like everyone is trying hard to develop type 2 diabetes. Yet most “fail” to do so. Obesity and a sedentary lifestyle are contributors to type 2 diabetes, but if you don’t have the genes for it, you can’t develop it. For type 1 diabetes, your own actions played no role at all. It wasn’t all those sweets you ate as a child, or anything else you did.

• With your doctor’s help, make sure your diabetes expectations are achievable. Stop beating yourself up when you eat more than you planned, forget to exercise or skip a blood glucose test. You don’t have to be perfect to reach the level of control that can keep you healthy. Develop a reasonable behavioral plan that can help you achieve those goals, then relax!

• Get perspective. Instead of criticizing yourself for the occasional lapse, give yourself credit for all of your positive efforts to manage diabetes. Everyone needs a pat on the back, and you probably deserve one.

Go Dr. P! These are the words that everyone with diabetes needs to hear. We waste so much of our lives feeling guilty about so many things, and having diabetes can be a big contributor to those guilty feelings.

When I was first diagnosed with gestational diabetes I felt soooo guilty. I was sure that gestational diabetes was my “punishment” for having an unhealthy lifestyle. One of the very first things the diabetes nurse said to me was “it is not your fault.” A huge weight was lifted off of my shoulders with those 5 words. Instead of wasting energy on my guilt, I was able to move forward and put that energy into eating well and exercising often.

I also find that guilt is often a mask for underlying emotions. Try changing the word “guilty” to a feeling word instead, like angry, sad, scared, or anxious. I once wrote a list of all the things I felt guilty about (it was a pretty long list!) I then forced myself to change the word guilty in every sentence to another feeling word. It was a real eye-opener as to what my true feelings were - and how I was trying to hide them under the guise of guilt. Peeling away the layers helped me to learn a lot more about myself.