This week, I saw a Tweet from Close Concerns President Kelly Close about the idea of behavior and “behavior change,” which sparked some conversation on Twitter (and woke up the bats in my head):

Talking about diabetes in the context of behaviors makes sense to me, because it puts an appropriate balance in play between the influence of diabetes on our actions and the influence of our actions on our diabetes.

I have type 1 diabetes, so the need for synthetic insulin is something I cannot change at this point.  I’ve had the c-peptide test to prove that my insulin production is undetectable after almost 29 years with diabetes.  What I can change is how much insulin I take on the whole – which, for me, means choosing foods that are lower in carbohydrates and offsetting some of the higher carb meals with exercise.  Diabetes influences my behaviors in that way, making food and exercise feel like an actual science experiment at times.  My behaviors influence diabetes, because while there are things I can’t change about the way my body produces (read: doesn’t) insulin, the choices I make every day map how my blood sugars might play out.

I have way more control of diabetes than I think, but not nearly as much as I’d like.

It’s a strange dance.  Fine and not fine.  Influenced and influencing.  Can you actually control diabetes, or is does it become an analogy of lemons into lemonade?

Kelly is looking for some feedback on her question.  If you have opinions on behaviors, the ease/difficulty of changing behaviors, the definition of behaviors, an alternate spelling of “behaviors,” please share.  The diabetes community is not short on opinions and perspectives, so please share yours.

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