“Are you really going to eat that?” My cousin leaned in, scrutinizing the piece of pumpkin pie on my plate. “That must have a ton of sugar,” he chuckled. I couldn’t help but sigh. You’d think after all these years of living with diabetes, I’d be used to these comments, but they still manage to irritate me—especially during the holiday season when it feels like everyone else has a free pass to indulge except me.
I was diagnosed with type 1 diabetes 13 years ago, a condition that ironically revealed itself just over Thanksgiving break. It began with a mysterious virus that left me with terrible stomach cramps and a splitting headache for days. Shortly thereafter, my health deteriorated significantly.
In the following 18 months, I experienced a drastic decline in my well-being. I lost nearly 30 pounds despite consuming far more calories than a person of my stature should. Thirst consumed me, and I would panic if I couldn’t find my water bottle. Walking even short distances felt like an insurmountable challenge, and my body was in constant pain. My mental health suffered as well, pushing me deeper into depression.
During this challenging phase, I was exceedingly hard on myself, painfully aware of my emaciated state. Others noticed too, some with unkind remarks. A man at the gym once growled, “Eat a burger,” while I overheard students whispering about my appearance. In grad school, some peers even followed me to the restroom, speculating about whether I was intentionally making myself sick. One acquaintance bluntly commented, “Enough with the weight loss,” while another asked if I was a size 00.
It took five different medical professionals and nearly 20 appointments before I finally received a diagnosis. My primary care physician expressed frustration over my frequent sinus infections and suggested I might be a hypochondriac. A dietitian handed me pamphlets on high-calorie foods, and an optometrist was puzzled that stronger contact lenses didn’t fix my blurry vision.
The message was clear: something was wrong, but it was likely all in my head. I felt like I was drowning, with no one willing to throw me a life preserver.
That fateful Friday morning, I took a nap on the couch, only to wake up to my husband rushing home from work to take me to the emergency room. In the ER, as nurses drew blood from me while I trembled and gasped for air, one nurse bluntly remarked, “You smell sick.”
After what felt like an eternity, a doctor entered with my lab results. The news was devastating: I was a type 1 diabetic, with blood sugar levels dangerously high at 700—seven times the normal range. My A1C level was 16.9, so elevated it wasn’t even recorded on medical charts. I was swiftly admitted to the ICU to prevent further complications from diabetic ketoacidosis.
During my five-day hospital stay, I learned that type 1 diabetes is a chronic autoimmune disease where the body stops producing insulin—an essential hormone for regulating blood sugar levels. Without insulin, survival is impossible. Diabetics like myself must rely on insulin injections or pumps, regularly monitor blood sugar levels, and meticulously calculate carbohydrate intake. There is no cure.
Type 1 diabetes, previously known as juvenile diabetes, accounts for about 5% of diabetes cases. Other forms include gestational diabetes, which affects some women during pregnancy, and type 2 diabetes, historically referred to as adult-onset diabetes. Regardless of the type, uncontrolled blood sugar can lead to severe health complications, including vision loss, kidney and heart damage, sexual dysfunction, and even limb amputation. For me, almost anything—weather changes, physical activity, hormonal fluctuations, or lack of sleep—can send my blood sugar on an unpredictable roller coaster.
Experiencing such a close brush with death alters one’s perspective. This is why I find diabetes jokes utterly unamusing. I’ve faced the abyss, and it was both terrifying and traumatic.
Social media often exacerbates the situation, filled with memes and GIFs that trivialize my life-altering, around-the-clock, expensive condition—especially around Halloween, Thanksgiving, and Christmas. These portrayals perpetuate the stereotype that all diabetics are overweight sugar addicts lacking self-control.
I appreciate humor, and I often joke about my condition when I’m in control of the narrative. However, it’s entirely different when someone without diabetes makes light of my daily struggles.
The holiday season poses unique challenges. While others pile their plates high with rich, carbohydrate-laden dishes, I find myself scanning options, calculating carbohydrate content, insulin requirements, and praying for a perfect outcome that allows me to enjoy a sliver of the sweet potato pie I brought along. It’s disheartening when someone questions whether I can eat what I’ve selected, often following up with tales of relatives whose diabetes spiraled out of control.
I’ve cringed as loved ones hovered over dessert tables, joking, “Just looking at all this sugar will make me diabetic,” or mimicking Wilford Brimley’s “diabeetus” in a drawl that lacks originality.
I cannot separate my identity from my condition because every aspect of my life is tied to how I feel at any given moment. There’s no respite; all I want is to enjoy the holiday spirit just as everyone else does. When I’m feeling festive and wanting to partake in the cheer, the last thing I need is an insensitive joke about my diabetes.
I’m grateful for the progress I’ve made and celebrate my life every day. However, I would appreciate it if the humor regarding diabetes could be reserved for my own jokes.
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In summary, living with diabetes is a lifelong journey filled with challenges, misunderstandings, and the need for sensitivity from those around us. It’s crucial to approach this serious condition with care and respect, especially during festive seasons when humor can often go too far.

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