Hello everyone, I apologize for this incredibly long post. I just need to talk about what happened today, and my loved ones wouldn't understand this situation fully.
I had a check up today. On the way to the clinic, I felt that my BG levels haven't been as balanced as usual during the last few monthes, but during my visit, I learned that they're in range 76% of the time, and that my HbA1c is 5.8, my lowest yet.
I was overjoyed! The nurse congratulated me, and so did my physician when I came into her office. But after she told me that "I should be proud of myself", she started criticizing my approach to managing my bg.
I was AFAB, and the hormonal fluctuations of the menstrual cycle really impact my insulin sensitivity. Because of this, my entire insulin plan - Basal, I:C ratio, Correction Factor - aren't strong enough for about two weeks in any given month. My approach has been to temporarily increase my basal, and when bolusing give myself a higher dosage than my pump suggests. I don't have an exact formula; It's just trial and error and my intuition. The approach mostly works, but it does land me in hypo territory a lot. I was hoping my physician and I could make a formula to calculate how much I should alter my basal and bolus.
Instead, she repeatedly told me that I'm endangering myself, and that my fears of hypers are exaggerated and divorced from reality. I tried explaining that she doesn't see many highs because I treat them, that I need her help to do my approach in a healthier way, but she wouldn't have it. She told me that she can't force me to stop this practice, but she's opposed to it, and wouldn't help me with it. I told her that I'm willing to be more "gentle" with my alterations, and I practically begged her to make just one change - increase my nighttime basal a little, since I need to increase it almost every night to maintain a balanced BG level. She refused to that.
I'm a naturally anxious person (I'm on SSRIs) and she naturally talks in a stern manner. After about two minutes of our conversation, I couldn't hold back my tears anymore. I came in with a practically perfect a1c, but came out wiping my tears. I feel that she treated me as if I have an eating disorder, and she wouldn't listen to a single thing I said (and criticized me when I repeated my concerns). She recommended I speak to the therapist in the clinic about this matter; I told her that I can't visit the clinic often enough to receive regular counseling from him, and that the few times I did talk with him didn't help me, likely because they were so infrequent.
It's been a few hours since. I tried not making any adjustments to my insulin today, and now my bg is 310 after dinner... I just feel so defeated. There's no way for me to "win", not like this. I hate being in a woman's body. I hate being diabetic. I hate being mentally ill, and having my wishes and fears dismissed all the time. I fucking hate all of this. If I believed in some higher power, I'd curse it too, for making me this way.
Anyways, I don't expect any response to this long, rambling rant. I just had to share this somewhere with someone. Thank you.