Diabetes Self-Management Blog

I read an article today on perfectionism and its impact on blood chemistry. As you may guess, people who want to do things perfectly tend to have more stress around whatever their areas of focus might be.

It doesn’t take a research psychologist to figure that out since most of us, when we want to do well, feel extra pressure—a surge of epinephrine, cortisol, or other stress hormones that get your heart pumping and raise your blood pressure and blood glucose level. We simply feel these changes. But what if the focus of your effort is diabetes? What if you are trying to get diabetes right—how does that work for you?

We all know that when you go see the doctor and he looks at your blood glucose records, what he is looking for are those numbers out of the range that your levels are supposed to be in. Or it might be your parents evaluating your numbers, as was the case with the parents I saw this morning who called their son’s blood glucose levels “bad sugars.” Evaluating how someone is doing with their diabetes control presents a continual challenge to not judge him, and yet we know that he is likely to feel judged, particularly when we keep calling his numbers “bad.” If you have diabetes you may do this to yourself, too, taking the number that shows up on the meter personally, like you did something wrong or somehow were responsible for it.

Sometimes you are, but if this is how we view those numbers much of the time, we are likely to do what the boy I saw today did: first lie about the numbers and next just stop checking blood glucose levels. He struggled with getting diabetes right. The reality of diabetes is that few people get it right.

We all know that we can do the same thing two days in a row and get entirely different results. So if you believe that you can attain perfection with diabetes control and get it to stick around for a while, you may get frustrated. At best, you may pass through the normal range, or really dig in and do it all for a while, like a woman I know who had an HbA1c of 4.5% during her pregnancies. She was perfect—temporarily. Following the birth of her babies she was also perfect—perfectly out of control.

Finding a balance is tough, and it is tough to persist in the face of taking good care of yourself but not getting the results you would like.

So I wonder, how do you persist? What keeps you going when it gets frustrating? Do you take time off? Do you talk with a friend? How do you get back on the daily treadmill?


  1. Joe, you wrote:
    The reality of diabetes is that few people get it right.

    What do you mean by right? I think that “right” is different than “perfection”. If you mean that doing the best you can, re-comitting to controlling diabetes, and persisting despite the ups and down is “right” then I agree.

    But to read “few get it right” is quite discouraging. Working with a body with its own hormonal mind and idiosyncrasies makes perfection challenging (as you said) but one can make it as right as they can by persisting and acknowledging that the diabetic is not always in total control of what happens inside their body…what they put into it - yes, but the hormonal effects of stressors, not usually.

    Posted by sheryl |
  2. Sheryl,
    I can see your point, but I think Joe was talking about the fact that we all reach a point where we feel like giving up because our bodies do something we don’t expect it to do. We get discouraged because our numbers don’t stay in range. He’s not saying HE expects us to “get it right” but that too often we expect it of ourselves - causing stress and discouragement when it is impossible.

    I know I’m at that point now. I’m still eating close to right,and my numbers are staying good, but I quit losing weight months ago and this week I just haven’t made it to the gym even though I know its best if I do.

    Posted by Ephrenia |
  3. Joe,

    I would like to see that article on perfectionism and its impact on blood chemistry. Can you tell me please where you read it?

    Posted by mendosa |
  4. How can I be sure that my average 4 monthlyreadings of Acl should be under 7. What is the best acceptable average one should maintain? I have had between 7 and 8. Is it acceptable before going for insuline. Please advice. Thanks

    Posted by DE MELLO |
  5. Mendosa, you can read the article about the perfectionism study here.

    De Mello, you may be interested in checking out the article http://www.diabetesselfmanagement.com/article.cfm?sid=11&tid=80&stid=126&aid=1780 target=”_new”>”H-B-A-1-C” in our Magazine Archives section. In particular, the chart “Blood Glucose Correlations” shows what average blood glucose levels are equivalent to what HbA1c levels.

    Posted by Tara Dairman, Web Editor |

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