Medical journal articles are finally starting to criticize the substandard care that type 1 diabetics receive in hospitals, since they are assigned to wards according to what has brought them into the hospital, which is not always diabetes related, so the doctors managing their insulin often don’t know the first thing about type 1 diabetes management. As many of us know, even endocrinologists have little understanding of the daily management of the disease, and nothing to compare with their patients’ knowledge, if the patients have had the disease for a while.
But what is going to happen to us in nursing homes, where we will probably have no authority over the management of our disease, where the gerontologists who visit us once a week will know nothing about type 1 diabetes, and where the generally careless treatment of patients may well prove lethal for us?
For example, my father spent the last nine years of his life in an expensive and thus supposedly high-quality nursing home costing $10,000 a month, and the care he was given was disastrously poor. I once even caught the person distributing pills to the patients just randomly tossing them in the cups without knowing or caring who was going to get which one. So what will happen to us if our blood sugars and hypoglycemic episodes are being managed in such a setting?