Powerlessness Has a Name // The 7 Sources of Diabetes Distress

When it rains in Little Rock, Cora won't leave the back porch. She walks to the edge, looks at the rain, and turns right back around. 5.9 pounds of pure refusal, and nothing Neil does changes it. That feeling has a name.

Diabetes distress comes in 7 flavors. Neil reads all 7 from the 2015 Fisher and Polonsky research (powerlessness, the daily grind, fear of lows, being judged, eating, your care team, and the people who love you getting it wrong), then the follow-up that tracked 224 adults for 9 months and found powerlessness was the most common one and the one that stuck around longest. It's the Thanos of the list. Plus the plain-English difference between distress, burnout, and depression, and why a good A1C and feeling like a failure are allowed to show up at the same time.

In this episode:

The 7 sources of diabetes distress, read fast so you can listen for yours
Why powerlessness outlasts the other 6
400 decisions a day with about a 60 percent hit rate
Distress, burnout, and depression: 3 different things, and which one gets a professional
Why distress doesn't track your A1C
The porch, the rain, and what standing there with the door open has to do with community

This week's challenge: Same as Monday. One real comment on one person's post, one sentence a human typed. Already did it? Do a second one, you overachiever.

Helpful resources and newsletter: https://yourbestt1dyear.com

Connect with Neil:
TikTok: https://tiktok.com/@the.betes
Instagram: https://instagram.com/thebetes
Facebook: https://facebook.com/neilgreathouse
LinkedIn: https://linkedin.com/in/neil-greathouse-a607b912
Website: https://yourbestt1dyear.com

Books on Amazon:
Type 1 Diabetes // One Day at a Time: https://a.co/d/6UHooWJ
Type 1 Diabetes // True Stories: https://a.co/d/dfIlyI1

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