Can you remember a time as a child growing up, when the neighborhood gang tired to make it easier for you, the younger child, to accomplish something? Perhaps it was the ability to hit a baseball and they slowed down the pitch and gave you extra swings before your chance was over.
I can. And that memory mixes resentment and gratitude in a strange combination that’s hard to portray. It’s the public acknowledgement of your immaturity and the group’s willingness to accept that immaturity, at least for a short time, that makes it unique.
Your sincere and heartfelt desire is to be accepted as part of the crowd without any accommodation. Slowing down the pitch or lowering the goal posts is not respectable from your younger-child point of view because it tarnishes the beauty of the aesthetic. You must face the reality of the game and deal with the failure.
Success needs failure to define itself. Without failure, success is meaningless. Once you accept your failure you can begin to work on the fundamental skills that allow you to climb out of failure and work toward success.
The 70-180 standard that the American Diabetes Association and others use as a blood sugar success standard will never be accepted as Ok by my inner self’s sense of success. Seventy to one-eighty is the grand accommodation made by the older kids to help out the younger ones but is commonly understood to never be the standard of success. That will only come when the pitch speeds up and goal posts are at standard height.
Now I know that The ADA standards of 70-180 and under 7% A1c can be an effective stretch goal to help people progress to better performance. But too many can see this easier standard as a success where people can settle and see the job as done.
The real world, where biology can exact cruel complications for the long-term acceptance of this contrived 70-180 “success” and these complications will eventually make their rude appearance. And all the organizations and doctors’ standards will be nowhere found to console you when that happens.
Just because we have diabetes, the healthy blood glucose range does not disappear. It still remains near 70-120 and doesn’t care that you have been diagnosed with diabetes.
I see the 70-180 standard as patronizing. It offends me! I see its use as simply temporary in the journey to more normal glucose levels. The ADA, JDRF, and many doctor organizations that advocate for this standard without any clear statement that this goal should only be a transient one while moving to embrace normal glucose.
They don’t see it as a transient goal; in their minds it’s a permanent one. That organizational acceptance of this range as the final goal is what I see as patronizing. It insults me.