Friday, February 20, 2026

Opinion: My continuous glucose monitor graphs my life — but misses the big picture

Diabetes is a chronic disease that affects millions of people worldwide. It is a condition where the body is unable to properly regulate blood sugar levels, leading to a variety of health complications. While most people are aware of the physical aspects of diabetes, there is a growing understanding that it is not just a metabolic disorder. In fact, as Mark E. Paull, a renowned diabetes expert, puts it, “Diabetes is not only metabolic; it’s emotional, cognitive, and situational.”

This statement highlights the fact that diabetes is not just a physical condition, but it also has a significant impact on a person’s emotional, cognitive, and situational well-being. Let’s delve deeper into each of these aspects and understand how they are interconnected with diabetes.

Emotional Impact of Diabetes:

Being diagnosed with diabetes can be overwhelming and can trigger a range of emotions. It is not easy to come to terms with the fact that you have a chronic disease that requires constant management. Many people experience feelings of fear, anger, frustration, and even depression after being diagnosed with diabetes. These emotions can be challenging to deal with and can have a significant impact on a person’s mental health.

Moreover, living with diabetes means constantly monitoring blood sugar levels, taking medication, and making significant lifestyle changes. This can lead to feelings of guilt, shame, and even self-blame if a person’s blood sugar levels are not under control. The fear of complications and the constant worry about managing the disease can also take a toll on a person’s emotional well-being.

Cognitive Impact of Diabetes:

Diabetes can also have a significant impact on a person’s cognitive abilities. Studies have shown that high blood sugar levels can affect cognitive function, leading to difficulties in thinking, learning, and memory. This can be particularly challenging for children and young adults who are still in school or pursuing higher education. The constant fluctuations in blood sugar levels can make it difficult for them to concentrate and perform well academically.

Moreover, diabetes can also affect decision-making abilities and can lead to impulsive behavior. This can have a significant impact on a person’s personal and professional life. It is essential for people with diabetes to be aware of these cognitive changes and take steps to manage their blood sugar levels effectively.

Situational Impact of Diabetes:

Living with diabetes also means constantly adapting to different situations and environments. People with diabetes need to be mindful of their diet, exercise, and medication, regardless of where they are or what they are doing. This can be challenging, especially when traveling or attending social events. It can also lead to feelings of isolation and exclusion, as people with diabetes may feel like they are not able to fully participate in certain activities.

Moreover, diabetes can also have a significant impact on a person’s work life. The constant need to monitor blood sugar levels and take medication can be disruptive and affect productivity. It can also lead to discrimination and stigma in the workplace, making it difficult for people with diabetes to advance in their careers.

Managing the Emotional, Cognitive, and Situational Aspects of Diabetes:

It is clear that diabetes is not just a physical condition, but it also has a significant impact on a person’s emotional, cognitive, and situational well-being. However, it is essential to remember that diabetes can be managed effectively with the right approach. Here are some tips to help manage the emotional, cognitive, and situational aspects of diabetes:

1. Seek Support: It is crucial for people with diabetes to have a strong support system. This can include family, friends, and healthcare professionals who can provide emotional support and help with managing the disease.

2. Educate Yourself: Knowledge is power when it comes to managing diabetes. Educate yourself about the disease, its complications, and how to manage it effectively. This will help you make informed decisions and take control of your health.

3. Practice Self-Care: Taking care of your physical and mental health is crucial when living with diabetes. Make time for activities that bring you joy and help you relax. This can include exercise, meditation, or spending time with loved ones.

4. Communicate Effectively: It is essential to communicate openly and effectively with your healthcare team. This will help them understand your needs and provide you with the best possible care.

5. Be Proactive: Take charge of your diabetes by monitoring your blood sugar levels regularly, taking medication as prescribed, and making healthy lifestyle choices. This will help you keep your diabetes under control and

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