We have the best diabetologist in the region who is just doing that,cash points machine,messages on cell phone,I took this idea from him,and my very busy parents appreciate this way.The children walk in asking about theirA1c,not many with great control,but it is ower mission to keep trying…forever…
I saw couples under stress get divorce.I see men look at their wives blaming them for diabetes in her side…even if it is type2.So I try my best when councelling parents together to explain that they have to support each others and accept God"s will and do their best for their child.I have many fathers who come alone knowing nothing about the children control,pick cell phones,ring spouse to talk to me…
I am coping well to make these wonderful poeple cope with their responsibilities.
The sad senario was when a young mother handed over her 4 y old son to her ex husband with my mobile number for him to contact me.A divorce including their doctor!! Me…
Rebelious:
the eleven y old girl would not look at me,with her mother pouring her complaints about the big girl who has to start doing all care by herself,because she is tired with her new arrival,number five addition…
Well I have to side with the beautiful girl,she just held her tears back…
Adolescence is a horrible time,add to it one self image infront of pears…
She has to accept me to trust me…
that just plain reckless and dangerous, one day that could really do some harm. teenagers think they know everything though, so don’t bother providing factual and useful information
Hopefully your beautiful patient will realize what an ally you are.
this is great info, my diag was because of acute dka, and it was the most horrible experience i ever had…
the desert would kill me
in time it will frustrate them. not to sound so pessimistic, but this is nothing to take so lightly
this is similar to the big business and big money making tobacco and alcohol companies who will never stop producing their products despite the fact that they are killing millions upon millions.
this problem cannot be tackled from the consumer side, there must be regulations which affect the production side. I just don’t see that happening, because as a society we have become hooked on the convenience of fast food and processed food, not to mention JUNK food that is full of empty calories, sugar, fat, and who knows what else. Plain old table sugar is a killer in itself, just indirectly.
read this: http://www.healingdaily.com/detoxification-diet/sugar.htm
it’s no wonder diabetes is cropping up everywhere
I know Steve,for 20 years diabetes try to defeat my spirit.First there is this first shock,when there are others with the same problems parents get some comfort,till they go home and the truth sinks,but then we have to be together…forever…
Steve,the bedouine are my best controlled diabetics,there are no sweet shops or MacDonald there,though I doubt if that will be for long.They are creeping,branching like octupus every where.I feel sorry for young generation…
Adolescence is a very difficult time as you know.
I would side with the girl too. I hope she realizes that she can take care of her D, and that there are people who love and support her, and then it won’t be so scary to her.
Two other things to consider are the expectations that males are often considered more highly than females, and an 11-year-old girl (in almost all cultures) will often be expected to care for much younger siblings, among her other chores. A third consideration is the girl’s marriageability in an arranged-marriage culture: will a person (male or female) with an obvious disability be considered an acceptable mate? (Does the income level of the groom’s family, or the size of the wife’s dowry, mitigate matters any?) It’s a tough road for the girl to follow, and she’s going to need a lot of emotional support from outside the family.
Girls here do not do any house chores; I wish if they do, every family has a maid! But regarding marriage, yes diabetes will hinder females and males marriage equally. But strange enough I found many diabetics, married with many children, and young generation are well educated and married. The girls here do not get married young, they prefer to finish education first, that will hinder suitability for marriage (men prefer younger girls), older girls may agree later to be second wives.
By the way tmana I am invited to a wedding today, all women in a nice hotel, dance to lovely songs till dawn…
Hmm… guess that’s either Saudi versus Egyptian culture, or a generational difference. Growing up, a number of friends from different cultures, who had much younger siblings, would be expected to baby-sit them and occasionally assist in childcare. (Again, it was normal for teenaged girls to earn pocket money by baby-sitting… today, a teenager watching a child for a couple of hours, with no adult on premises, often leaves a parent liable to legal charges of child abuse and neglect.) And we were expected to help with at least some of the housework…
My neices in Egypt baby sit and look after their younger siblings,The house helper are very expensive,they come few sessions/wk to clean for the working mums.Saudi girls new generation do not help in house chores.I asked a nice 10y referred for obesity to help in house chores,just wish if you saw the horror look on her face.We hire asian girls work according to contract,and hire drivers also as we are not allowed to drive yet. Bedouine women do drive away from cities.
Sounds like the problem to the solution is “money” – as in, "We have money – we can hire someone to do what we don’t like doing."
I’m slightly confused about the statement of older girls “agreeing to be second wives”. Are the arrangements and expectations for marrying different for a second/third/co- wife different than for marrying a bachelor or a widower? (Contract of marriage; dowry; conjugal expectations; living environment; expectations of caring for sister-wives’ children; agreement of primary/existing wives, etc.?) The expectations of married adults (both what they expect going into a marriage and what is expected of them) seem to differ widely between cultures…
Sad;
Is it depression coming back or what is it?. My favorite colleague asked me about World Diabetes Day plans. I could not say that I will be on leave. Last year and every year there were lots of activities and fun for the public.
Tomorrow I will continue the scientific awareness workshop on diabetes for the nurses.
Today was my endocrine clinic :
Obesity referrals are on the rise. I remember the old Bedouin with his 12 y boy who was referred for obesity. I did the usual, I never refer them to dietician in the first visit, I start by advising them to eat less every day and to walk a bit more, then it is maintain your weight tactics (as long as it is not morbid obesity or type 2 diabetes).The father came with his son on time, never missing an appoitment.In 6 months the boy lost weight. The kind father would get out of the city in his car, drop his son to walk by the road, him as an old man driving the car with the radio loud with recited Quran, they did that on daily basis. These Bedouin have common sense and are kind people.
World diabetes day:
I will spend it in Cairo,seeing the sphinx illuminated for the occasion.I will visit my father"s village and talk diabetes every where.I will convince the Mosque Imam to talk about diabetes.I will ask who is diabetic in my village and what they do about it. I know that the glucometer is present in the village pharmacy,where people go to check their blood glucose.I know that these simple kind people save the penny for their children to feed.But I do not know any child with diabetes in my village.
That is diabetes in my father"s village…