{"id":9072,"date":"2024-05-01T17:00:28","date_gmt":"2024-05-01T21:00:28","guid":{"rendered":"https:\/\/type1support.ca\/coping-and-resilience-key-to-accepting-ones-type-1-diabetes\/"},"modified":"2026-02-18T10:38:26","modified_gmt":"2026-02-18T15:38:26","slug":"coping-and-resilience-key-to-accepting-ones-type-1-diabetes","status":"publish","type":"post","link":"https:\/\/type1support.naracreative.com\/en\/coping-and-resilience-key-to-accepting-ones-type-1-diabetes\/","title":{"rendered":"Coping and Resilience Key to Accepting One\u2019s Type 1 Diabetes"},"content":{"rendered":"<p><em>(Written in March 2022; updated on May 1, 2024)<\/em><\/p>\n<p>While living with type 1 diabetes (T1D) is challenging, accepting it might be even more so. It\u2019s quite a load to take on: understanding the illness, reorganizing your daily life around it and being mindful of all that needs to be done on a daily basis to optimize blood sugar management.<\/p>\n<p>Over time, a person can learn to <strong>cope<\/strong> by managing their diabetes and treatment in a way that optimizes their overall health. But is it possible to <strong>accept<\/strong> living with this chronic physical illness?<\/p>\n<h2><strong>The coping process<\/strong><\/h2>\n<p>Coping with T1D and managing the stress and requirements of its treatment while maintaining self-esteem is a five-step process similar to the stages of grief. The order and length of each step vary from one person to another depending on their life experience or environment (e.g., more or less quick, more or less conscious, more or less intense). Just like each person experiences grief differently, some steps might overlap or simply not surface.<\/p>\n<p><strong>Life being what it is, some days are more difficult and can make you go through certain steps all over again even though you felt you were done with the process.<\/strong><\/p>\n<ul>\n<li><strong>Shock and denial<\/strong><\/li>\n<\/ul>\n<p>This first step follows the diagnosis and is characterized by denial (e.g., \u201cmy child will get better\u201d, \u201cthis can\u2019t be diabetes; nobody in the family has it\u201d) or minimizing the existence of diabetes, its chronic nature and the need for treatment. While going through this step, you might be scared of this new reality and the potential threat to your physical integrity (e.g., \u201cit\u2019s nothing serious\u201d, \u201cI don\u2019t feel ill\u201d).<\/p>\n<ul>\n<li><strong>Outrage and rebellion<\/strong><\/li>\n<\/ul>\n<p>Diabetes and its treatment are seen as being unfair. You understand the threat, but also see the negative aspects of diabetes. Because you feel like you are being treated unfairly, you might resent others, blame the world (e.g., \u201cwhy me?\u201d, \u201cthis is not fair\u201d) and feel anger, defiance or frustration.<\/p>\n<ul>\n<li><strong>Negotiation and bargaining\u00a0<\/strong><\/li>\n<\/ul>\n<p>During this phase, you seek to have more \u201ccontrol\u201d over T1D to reduce the feeling of helplessness. You might follow the treatment only partially, leaving out the aspects you dislike the most (e.g., \u201cI take insulin, but I don\u2019t count carbs. I don\u2019t need to count carbs; I\u2019ll live with it!\u201d). Of course, this feeling of \u201ccontrol\u201d is only an illusion; all aspects of treatment\u2014even the most irritating ones\u2014are essential to achieve good blood sugar management.<\/p>\n<ul>\n<li><strong>Reflection, resignation or depressive feelings<\/strong><\/li>\n<\/ul>\n<p>This is the last step before acceptance. You realize that T1D is a chronic condition and that some losses may be permanent (e.g., ability to do an activity spontaneously). With this new awareness, you may feel sad and wonder whether you can live with this condition for the rest of your life.<\/p>\n<ul>\n<li><strong>Acceptance<\/strong><\/li>\n<\/ul>\n<p>You now have a more realistic understanding of your condition and decide to take concrete steps to manage T1D and its treatment in your daily life. You realize that achieving psychological well-being and a satisfying social life is within your reach if you get involved in your treatment and learn more about T1D. You don\u2019t necessarily agree with having to live with this condition, but you accept to follow recommendations for managing T1D by taking conscious measures.<\/p>\n<p><strong>Going through these steps might be easier with the support of resources such as your healthcare team, your family and friends or fellow T1D people.<\/strong> Nobody can force you to accept T1D, but you can get support and have others sympathize with your emotional journey towards acceptance.<\/p>\n<p>Remember that each person with T1D feels, sees and experiences the illness in their own unique way.<\/p>\n<h2><strong>Resilience is your friend<\/strong><\/h2>\n<p>The ability to overcome challenges\u2014including those that are specific to T1D\u2014, to bounce back and to eventually rebuild yourself optimistically (e.g., after the diagnosis) is called <strong>resilience<\/strong>. If resilience is not your strong suit, there are strategies that can help you build and boost it.<\/p>\n<ul>\n<li><strong>Identify and use your inner resources.<\/strong> Each person has their own tools to face challenges and achieve their goals\u2014and that is also true for people with T1D who must follow their treatment. Identifying and using your strengths (e.g., what you know, what you like to do) will help you live better with T1D (e.g., \u201cI can downplay my situation using my sense of humour\u201d, \u201cI can find solutions to T1D-related problems using my creativity\u201d).<\/li>\n<\/ul>\n<ul>\n<li><strong>Identify and use social and environmental resources.<\/strong> People around you (e.g., family, friends, colleagues, roommates, healthcare team) who are already involved or who want to help you live better with T1D are precious resources. They can support you, help you when you need it, empathize with you and help make you feel less alone.<\/li>\n<\/ul>\n<p>Other <strong>healthcare professionals<\/strong> (e.g., psychologists, social workers) are also good resources to help you build resilience and achieve your T1D-related goals.<\/p>\n<p>Getting in touch with other people who live with T1D (<a href=\"https:\/\/type1better.com\/en\/why-is-peer-support-so-important\/\"><strong>peer<\/strong><\/a><strong> support<\/strong>) can also support emotional, social and behavioural coping with diabetes. Studies have found that people who use peer support manage their blood sugar better than people who don\u2019t.<\/p>\n<ul>\n<li><strong>Identify and use technological resources.<\/strong> Technological tools (e.g., <a href=\"https:\/\/type1better.com\/wp-content\/uploads\/2022\/12\/CGM-comparison-table.pdf\">continuous glucose monitoring [CGM] systems<\/a>, <a href=\"https:\/\/type1better.com\/wp-content\/uploads\/2022\/12\/Insulin-pump-comparison-table.pdf\">insulin pumps<\/a>) are known to have a positive impact on quality of life and can help you feel more in control and build resilience.<\/li>\n<\/ul>\n<p>No matter what stage you are towards acceptance, acknowledging your coping efforts and practising self-compassion are key to further adapt to your treatment and live better with T1D over time.<\/p>\n<h3><\/h3>\n<h3>References:<\/h3>\n<ul>\n<li>Louis Geoffroy et Monique Gonthier. (2012). <em>Le diab\u00e8te chez l\u2019enfant et l\u2019adolescent<\/em>. Montr\u00e9al: \u00c9dition du CHU Ste Justine.<\/li>\n<li>Unit\u00e9 de m\u00e9decine de jour m\u00e9tabolique de l\u2019H\u00f4tel-Dieu du CHUM. (2013). <em>Conna\u00eetre son diab\u00e8te pour mieux vivre<\/em>. Montr\u00e9al: Les \u00c9ditions Rogers limit\u00e9e, Groupe sant\u00e9.<\/li>\n<li>Kamody, Rebecca C. <em>et al.<\/em> (2018). Psychological Flexibility Among Youth with Type 1 Diabetes: Relating Patterns of Acceptance, Adherence, and Stress to Adaptation. <em>Behavioral medicine (Washington, D.C.)<\/em> 44(4): 271-279. doi:10.1080\/08964289.2017.1297290<\/li>\n<li>Amsberg, Susanne <em>et al.<\/em> (2018). Acceptance and commitment therapy (ACT) for adult type 1 diabetes management: study protocol for a randomised controlled trial. <em>BMJ open<\/em> 8(11 ): e022234. doi:10.1136\/bmjopen-2018-022234<\/li>\n<li>Jaser, S. S., and L. E. White. (2011). Coping and resilience in adolescents with type 1 diabetes. <em>Child: care, health and development<\/em> 37(3): 335-42. doi:10.1111\/j.1365-2214.2010.01184.x<\/li>\n<\/ul>\n<h2>Meeting or chatting with people with T1D<\/h2>\n<p>There are many groups and activities, including:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">The <strong><a href=\"http:\/\/www.youngdiabetes1.ca\/\">VPN<\/a> Facebook page<\/strong> welcomes people with T1D aged <b>14\u201324 years<\/b> who live in Canada. You can share your knowledge, discuss recent diabetes-related developments or share funny stories with T1D peers. <a href=\"https:\/\/type1better.com\/en\/support-group-for-14-24-year-olds\/\">Find out more<\/a>.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Specialized summer camps<\/strong> for children with T1D. <a href=\"https:\/\/www.diabetes.ca\/d-camps\/summer-camps\">Find out more<\/a>.<\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.facebook.com\/groups\/jdrft1dsupport\">JDRF Canada Type One Diabetes Support Group<\/a> (all ages).<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Facebook groups like <a href=\"https:\/\/www.facebook.com\/groups\/CanadianT1\">Canadian Diabetes Type 1<\/a> to meet people with T1D across Canada.<\/li>\n<\/ul>\n<h2>NEED HELP?<\/h2>\n<p>For some people, it is more difficult to cope and to build resilience. If you feel like you are losing control, reach out to one of the resources below; they are there to help you.<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/kidshelpphone.ca\/\">kidshelpphone.ca<\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.811healthline.ca\/medical-advice-and-health-information\/\">811 HealthLine<\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/findahelpline.com\/organizations\/988-suicide-crisis-helpline\">988: Suicide Crisis Helpline<\/a> if you or someone you know is thinking about suicide.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.facebook.com\/BetterType1\/\" target=\"_blank\" rel=\"noopener\">\u00a0<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(Written in March 2022; updated on May 1, 2024) While living with type 1 diabetes (T1D) is challenging, accepting it might be even more so. It\u2019s quite a load to take on: understanding the illness, reorganizing your daily life around it and being mindful of all that needs to be done on a daily basis [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8037,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[4269],"tags":[4264],"class_list":["post-9072","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mental-health","tag-articles-fr","entry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Coping and Resilience Key to Accepting One\u2019s Type 1 Diabetes - Support<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Coping and Resilience Key to Accepting One\u2019s Type 1 Diabetes - Support\" \/>\n<meta property=\"og:description\" content=\"(Written in March 2022; updated on May 1, 2024) While living with type 1 diabetes (T1D) is challenging, accepting it might be even more so. 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