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I do not want to start insulin. My friend who started insulin now has to stay on it forever.
This is true to all patients with type 1 diabetes and partially true to certain people with type 2 diabetes. For patients with type 1 diabetes, the body does not produce insulin and so will need     more
Question Posted:
2010-09-26 01:38
Question: 
I last tested my A1C in February. Level was at 13.2%. Not good. I have not changed my eating habits or exercise habits. I have not been very good at checking my glucose levels because it's just disappointing seeing my levels consistently in the 300-400 range. How can I mentally prepare myself to think that I can do much better and get to manageable, safe levels?
Answer: 
You share the frustration and fear that many people with diabetes have. I once heard one of our diabetes educators at the Joslin giving this analogy. When you miss an exit while driving on a highway, you should just get off the next exit. Don't stop the car in the middle of the highway and dwell on why you have missed the exit. Keep moving! Learn from the past and move forward. Same thing can be said about diabetes. Diabetes is a chronic condition that does not yet have a cure. Inevitably, the journey of living with diabetes is often full of ups and downs. Take comfort in the fact that having poor glucose levels for a short period of time will not lead to long-lasting complications. More importantly, reaching and maintaining a good glucose target for a prolonged period of time can protect your body from complications for years to come even when glucose levels wander beyond targets later on. Although we still don't understand how this metabolic memory works, let it be a motivating factor for you! Take control today! Answered by: William Hsu, M.D.