My response: Yep. I sometimes feel like a walking medical conundrum and a pharmacy.
Some elaboration, and this goes with question 2, but there are conditions that I live with and we don't know the cause. I have a heart condition, and I've been "diagnosed", but from everyone I've talked to who has the same diagnosis, my case is nothing like theirs. Also, some symptoms were ignored when making a diagnosis, which makes me even more skeptical. I know that not all things are relevant when making a diagnosis, but never been satisfied with that diagnosis, and the medication I take for it just treats some symptoms, and occasionally doesn't help at all. I have depression, and I know the cause of that one. I have anxiety issues, have panic attacks, show many classic signs of OCD, occasionally get migraines... I'm not a good example of someone in awesome health.
My response: They aren't entirely sure if D cause them or not, but at least one of them is unrelated.
Some more elaboration, yeah, the depression is completely unrelated to diabetes. I should have been diagnosed with chronic depression at least a few years before I was diagnosed with diabetes, but I became a little too good at acting like I was fine while I was mentally torturing myself. I was diagnosed with depression until about 3 years after I was diagnosed with diabetes, and that was a whole different can of worms. Every time they've tried to take me off my depression meds, my depression becomes what seems like a million times worse, and they put me back on them. I don't know if the heart problem, or any of the other stuff is related, or if I'm just that special that I get all the problems! I know, butterflies and rainbows. Here are some adorable photos, because I need adorable photos after that paragraph, and maybe you do too.
My response: They've made it harder to manage D. They all interact and the meds all interact...sometimes "ydmv" is taken to an extreme
Elaboration: Depression makes it harder to do to the things I need to do to take care of myself. I lack the motivation to do simple things, like eat, take my meds, check my blood sugar, etc. (I'm okay now, by the way. Yay meds making it easier!) The heart problem sometimes makes it so movement is impossible, so I'm stuck in bed, or on the sofa, for anywhere from a few minutes to the rest of the day. After a heart episode (because heart attack gives the wrong impression) all I want to do, and really can do, is sleep for the following few hours. It's like getting to run a marathon while laying in place! So much fun. The other fun mental stuff makes it really hard to let anyone help or let anyone in. It also contributes to lots of sleepless nights. There are nights where my mind goes at a million thoughts a second, and I swear that if the thoughts weren't all going in opposite directions, my brain's processing power could probably do all the math and pretty graphs for a thesis paper, and probably write the whole novel to accompany it at the same time. And migraines, well, those just make the world suck.
My response: Requirement? No. Offered and easily accessible? Yes. Everyone gets stressed managing this disease & needs help.
Elaboration: I really don't like the idea of requiring people to go see a mental health professional. Things like support groups and making help available and easily accessible should be required, but people shouldn't be forced to attend. Any chronic illness is a pain in the butt to manage, and I think everyone goes through burn out at some point. Having another person to add to the health team is always a plus, but only if it is the right fit. And I'll be honest, many therapist just aren't the right fit, and many of them are judgemental jerks. It seems like more work to find a good shrink than it is to find a good endocrinologist, and I think that says something.