Diabetes Self-Management Blog

(A) I have Type 1 diabetes.
(B) I’ve been diagnosed with papillary thyroid carcinoma.
(C) It could be worse.

That’s not multiple choice. All three are true. This week, then, in no particular order, are just a few of the positive things I’ve been including in my ongoing (and often-changing) narrative to friends and family when talking about my recent diagnosis of thyroid cancer, a diagnosis that piggybacks onto my diagnosis of Type 1 diabetes from less than three years ago.

  • I have a wonderful support network of friends and family, all of whom are concerned and who’ve offered in so many ways to help us through the next few months.
  • I have an incredible health-care team working for me as I go through the treatment for the cancer over the next few months. Last week I wrote that I hadn’t heard anything from my surgeon. Well, I discovered later that day that the silence was because my endocrinologist was communicating with Endocrine Surgery to ensure he was happy with the surgeon. I’d have liked to have known earlier that this was what was going on. It’s a long story, but in short: The surgeon my endo initially recommended is unavailable for the next few months, and because the surgeon who will take his place is someone my endo hadn’t really worked with, he wanted to do some checking. I like that. (A side note: one simple two-minute phone call from the scheduler that afternoon to let me know what was happening relieved so much anxiety for my wife and me. Even though nothing had really happened, that simple phone call was all it took to help us out. Communicate with your patients is the lesson to be learned here.)
  • If there’s a cancer to have — as I’ve said before — this is the one. I’ve gone through some doldrums these past few weeks, and I’ve done the woe-is-me thing and already milked the malady far more than I should. Thankfully I have a caring, observant, whip-smart wife who lovingly called me out on my negative thinking and helped me put things in perspective. Kathryn, thank you. My standard operating procedure from this point forward: be thankful that it is what it is (a rather overused phrase, I know — watch any postgame sports interview and you’ll taste the bile after hearing it).
  • Having diabetes and having thyroid cancer? Well, they’re both handled by endocrine specialists, and so during my conversation on Tuesday with the surgeon, he handled all of our diabetes questions without hesitation or pause, and he reassured us, just as my endocrinologist had, that although the stress of surgery may alter my blood glucose control for a little while, in the long run there will be no adverse effects to my diabetes self-management.
  • Five years ago I was working for myself, freelancing as an editor and writer. I didn’t have insurance that could adequately cover the health-care costs I’ve seen these past three years, not to mention the large dollar amounts I’ll see on hospital statements over the next few months that will thankfully say “insurance being billed,” and for which I’ll not have to pay a thing. I’m quite fortunate to be working where I work, to have the health coverage I have, and to be so close to such a wonderful health-care system.
  • I have, for the duration of my life with diabetes, practiced tight control; therefore I am entering into this brief period with thyroid cancer without my diabetes causing problems or concerns or complications beyond the straight fact that it is there. It exists in me. Good control and lack of diabetes difficulties simply means smoother sailing as I go into surgery and recover afterwards. So, if the thought of complications from diabetes alone doesn’t push you into good self-management, think about how life can and often does hand you health problems despite your diabetes. See, while I never said to myself last year or two years ago, “You need to manage your diabetes well so that when you’re diagnosed with cancer in late 2009 you’ll be in a better position to fight it off more efficiently and recover more quickly,” it appears, in hindsight, that such is the case.
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