Tag Archive for: Relationship Tips

Type 1 Diabetes and Your Relationship: How to Address Common Challenges

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Medically Reviewed by Rosalyn Carson-DeWitt, MD

Managing type 1 diabetes can take a physical, emotional, and financial toll on your relationship, whether you’re dating, married, or in a long-term partnership. Although every relationship has challenges, there are some issues that can seem especially tricky when you have a chronic condition like type 1 diabetes.

A qualitative study published in March 2013 in Diabetes Care found that people with type 1 diabetes and their partners feel that the condition impacts their relationship, posing both emotional and interpersonal challenges — and that partner support is a vital source of support for those living with the condition.

If you find that your type 1 diabetes has taken a toll on your relationship, there are steps you can take to help reconnect with your partner and get back on track.

Common Relationship Challenges

Here are some common issues that people who have type 1 diabetes and their partners may face, as well as tips to help address these concerns and maintain a healthy relationship.

Lack of support Diabetes requires many daily management tasks. If your partner isn’t aware of what all those tasks are and why each is important, it can be difficult for them to support you, says Mark Heyman, PhD, a certified diabetes educator and the founder and director of the Center for Diabetes and Mental Health in Solana Beach, California. “I encourage people to educate their partner or have a healthcare team who can help educate their partner about each step in managing type 1 diabetes. Your partner needs to be able to offer support — not only when you aren’t feeling well, but also in the day-to-day,” he says. “That means support in making healthy choices when it comes to eating, exercise, and other activities. It can be really hard to manage type 1 diabetes when you feel like you’re all on your own.”

Feeling micromanaged On the other hand, you may sometimes feel like you’re receiving too much support. It may seem like your partner is constantly asking you about how you feel and what you ate, and monitoring your every move. “It usually comes from a place of caring and not always knowing how to help,” says Dr. Heyman. In those cases, it’s important to let your partner know what’s helpful for you and what’s not helpful, he says.

“For example, you might tell your partner, ‘It’s really not helpful for you to be looking at my blood sugar numbers all the time and commenting on them. What would be more helpful for me is if we could plan time this weekend to take a walk together or prepare a healthy meal,’” says Heyman. “That does two things: It helps you set boundaries with your partner around how they interact with you about your condition, and it also gives them a concrete way to help you manage type 1diabetes, which can help relieve some of the anxiety your partner may have,” he says.

Lack of spontaneity Because type 1 diabetes involves a lot of planning, it might feel like there isn’t enough spontaneity in your relationship. While it may feel counterintuitive, doing a little planning in advance can help you be spontaneous. “Having supplies packed and ready to go can help if a last-minute trip or fun activity comes up,” says Heyman. Keep extra insulin and anything else you might need in a bag, he suggests. “If you want to take off on a weekend road trip, it’s nice to know you can just grab that bag and have everything you need to stay healthy,” he says.

“If one of you would like to be more spontaneous, ask the other person, ‘What can we do together to make you more comfortable with that?’” he says. “You may be amazed at the ideas that can come about if one of you just asks the question.”

Intimacy challenges A study published in May 2018 in International Journal of Environmental Research and Public Health found that people who have type 1 diabetes may be at an increased risk of sexual disorders. Communication is key in helping with these issues, says Heyman. “You have to let your partner know how you’re feeling, just as in any relationship,” he says.

“Lots of things can impact the desire for intimacy. There are times when you just don’t feel well. Maybe there are fears about having low blood sugar while you’re being intimate,” he says. The more you can communicate about what you’re experiencing and what your partner may be able to do to help, the better. “Being able to talk about it may lead to increased intimacy; often communication can make you feel closer to your partner,” says Heyman.

Financial strain The cost of managing type 1 diabetes can vary, but according to the American Diabetes Association, people who have diabetes spend approximately $9,600 a year on diabetes-related medical costs. This may include anything from doctor visits to medications and supplies. These extra expenses can add stress to your relationship. Communicating and planning are key, says Heyman. “Have a really frank conversation about your financial health and what your goals are. How does diabetes impact this? How can we manage it?” he says.

Sometimes there can be resentment if one of you feels “stuck” in a job you don’t like because you can’t afford to lose your health insurance. Talk about the situation and brainstorm together, suggests Heyman. “Is there a solution that can be agreeable to everybody, and if not, can you find a compromise?” he says. Bottom line: Staying healthy is critical to living your best life.

Dealing with low blood sugar When you’re experiencing low blood sugar, you don’t always act like yourself, says Heyman. “You may become aggressive or defiant,” he says, which can be concerning, medically dangerous, and stressful. “It’s helpful for couples to set rules around how they’re going to deal with an episode of low blood sugar — before it happens,” he says.

Sometimes you may be in the middle of a low blood sugar episode and not realize it, or think you’re just fine and your blood sugar will correct itself, he says. Developing rules that are “non-negotiables” are a good idea.

“For example, if your partner thinks your blood sugar is low, agree that you’ll check it. If your partner sees that your blood sugar is low or if you’re exhibiting signs that it is, agree to take the snack they offer you without question,” he says. “Agreeing and sticking with rules like this can go a long way in easing tension and letting your partner know that their concerns are heard and you’re going to be okay,” says Heyman.

Find Support — for Both of You

Your partner needs to understand that sometimes you just don’t feel well. “High blood sugar doesn’t always feel good and low blood sugar is not only dangerous, it just doesn’t feel great,” says Heyman. “That can be a hard thing to communicate to people; diabetes can be a very invisible disease. Someone may look fine even if they’re not feeling well, and explaining what the different symptoms feel like can be challenging.”

Seeking social support, either in person or online, where you can get other couples’ perspectives on what these things are like and how they handle them, is a good idea, says Heyman. “Online communities are a great source of support,” he says. Beyond Type 1 and Type One Nation are two helpful resources for people with type 1 diabetes.

“Diabetes can be overwhelming and frustrating. You can experience lots of emotions that go along with that,” says Heyman. Having a partner you can count on and who can understand and empathize can go a long way.

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6 Keys to Staying in Love

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In the dating world, most intimate relationships don’t turn into long-term commitments. This happens for different reasons: Some loving partners can’t get past the challenges that ultimately end their commitment to each other. Some give up early, not wanting to waste time on something that is already problematic; they just aren’t willing to put energy into a relationship that doesn’t seem to be going anywhere. Others, determined to make the relationship work, hold on to the bitter end, hoping that their continued efforts will eventually succeed.

Many of these frustrated relationship seekers come into therapy to try to understand what they might be doing wrong. They’ve made their best efforts and still can’t make a relationship last. And they’re aware that some couples face the same odds, yet stay together. They want to know what these people do differently that keeps their love alive. Are they just lucky people who have magically found the right person, or do they make relationships work no matter what? And if they do, what is their formula for success?

After four decades of working with couples, I have to say, yes, they are different in some ways. Although they face the same issues, couples that remain together approach their problems in unique ways that don’t damage their relationship. It is remarkable to watch these couples face situations that might unravel another relationship, and yet consistently come out caring more deeply about each other.

Stay-in-love couples each have their own style, but they also have a lot in common. These six qualities are the most notable. It is my hope that they will inspire others to find their own successful paths.

1. How they resolve their conflicts.

Every couple argues. If they are honest and authentic, they accept the fact that they will never see eye-to-eye on everything. They know that differences of opinion can add interest and intrigue to a relationship—if those disputes are worked through successfully. They also know that unresolved repeated conflicts can threaten and ultimately damage relationships, and make it much harder for them to get back what they’ve lost.

In contrast, stay-in-love couples ache when their disagreements drive them apart. After a conflict, they strive to resolve the situation and make up as soon as possible. Rather than needing to win, they want to understand why they disagreed and how they could have done it better. Judgment is not an issue—inquiry and learning are. Even when they are hurt or angry, they still want their partner to feel heard and supported.

2. They refuse to assign blame.

During a conflict, so many couples blame their partner for what’s going wrong. It’s hard for anyone to look at his or her role in conflict during the middle of strong emotions. Perhaps to avoid guilt or feeling righteous, some people try to make the other person into the bad guy, hoping they will win the argument that way. Many people will cave in when they feel badly about themselves, and counter-accusations sometimes successfully win the argument.

The sadness in assigning blame is that it doesn’t work in the long run. There are always two sides to every story, and more than one way to see the truth. Every intimate partner aches to be heard and understood, even if there are conflicting realities. When intimate partners use blame to get their way, they are likely to push their partners into defensiveness, anger, or withdrawal, and risking their capacity to keep their love alive.

Stay-in-love couples know that their partner’s views must be respected and honored, especially if they are different from their own. They strive to understand them to find a truth that allows for both. That doesn’t mean they will always agree, but they know that every connection and every disconnection must be the responsibility of both. It is a “we do this to each other,” and never, “This is your fault because you’re obviously the problem here.”

3. How they respond to requests for connection.

An important part of every quality relationship is the ability for both partners to authentically agree to honor the other’s feelings and thoughts, especially when they are trying to work through difficult emotional issues.

Many partners automatically treat each other this way when their relationship is new, but as their relationship matures, they may come to feel burdened or disrupted by continuous requests for connection, and not want to be immediately available anymore. In trying to dismiss their partner’s desires quickly, they may resort to trying to “fix” the situation without taking the time for deeper inquiry. Or perhaps a preoccupied partner will minimize the other’s feelings to try to neutralize them. An irritated partner may reply in with sarcasm or even withdraw.

Partners who remain in love do not ignore a partner who wants to connect for any reason. Even if they are distracted or preoccupied, they take the time to understand what their partner needs, and decide together how they should handle it. If that cannot happen at the time, both partners make an agreement as to when they will resolve it. And they do not mock, minimize, or disregard the other’s desire to connect.

4. How they parent each other.

In every intimate love relationship there is always an underlying “criss-cross” interaction between the symbolic parent in one partner and the symbolic child in the other. It is impossible to be open and vulnerable to another human being without those interactions happening from time to time.

People are never just the age they are in the current moment. They are a composite of all the ages they’ve ever been. If a partner had heartbreak in childhood and a situation causes it to re-emerge in the present, his or her partner can help ease, and even heal, that pain by acting as a nurturing symbolic parent.

Those automatic responses are notable in the early stages of a love relationship. Intimate partners often refer to each other as if they were talking to young children. They call each other “baby” or “sweetie-pie,” and every couple knows what their unique, tender words mean to both of them. It is a normal interaction.

As relationships mature, many partners begin to feel less willing to give that kind of unconditional nurturing, and might not be as automatically available when the other slips into a younger place. When no longer loved in that tender way, the needy partner may feel abandoned or rejected. They may feel they must behave more carefully, having lost the confidence that anything they say or do will be automatically supported. The symbolic parent-child safety net that was available at the beginning of the relationship is no longer always extended.

Stay-in-love couples understand how important it is to never let those special “sweet spots” die. They know that their partner will sometimes need to feel that guaranteed comfort and safety, and are more than willing to act as the good parent when asked. They know that it is natural for people to feel insecure and young at times, and they want to be there for each other when that happens.

5. How they deal with control.

Many relationships fail because one partner attempts to dominate the other, or fears being controlled by the other. Many people had childhood experiences in which they felt unimportant and were expected to submit to whatever was demanded of them. They often bring those trauma–memories into their adult relationships, fearful of being controlled again. Those fears can lead people to push for a partner’s automatic compliance, to allay that anxiety. Many partners alternately pull a partner close and then push him or her away, fearing that intimacy and commitment will lead to entrapment and being controlled.

Stay-in-love partners know that the need to feel in control at times is natural. It allows a person to be fully respected as the stronger one in the relationship at that moment. The other partner has confidence in his or her own autonomy to not react defensively or take it personally. He or she doesn’t feel the need to either counter-control or to automatically submit. Comfort with the situation allows them to seek understanding about what may be driving those behaviors. They also know that they will need to be the need-to-control partner at other times, and will receive the same understanding and respect.

These couples also know how quickly interactions can deteriorate if both want to be in control at the same time. When those situations arise, they work to stay centered and calm, agreeing to take turns listening to what each other need and feel. When they fully understand what both of their desires for control are about, they decide how to best help each other get their underlying needs met.

6. How they respond to urgency.

Newly-in-love couples are most often each other’s first priorities, so they respond immediately to their partner’s distress signals. As life’s obligations intervene and the couple resumes their normal routines, those requests must be absorbed into other priorities. Even though they may realize that being the center of someone’s life naturally somewhat diminishes over time, many partners feel neglected when that happens. They may become more demanding or feel neglected, and begin to blur the line between truly important requests and less urgent ones, fearful that neither may be met.

Stay-in-love couples are authentic, open, and self-reliant, but they also urgently need one another at times. They trust that the other will never take advantage of that immediate availability, and that when an urgent S.O.S. call goes out, their partner will rapidly respond without question or challenge. They trust that those requests are not expressed fraudulently or without concern for the other’s needs. Stay-in-love partners understand the sanctity of personal boundaries, and take pride in their own autonomy. They have learned that one of the most important qualities any person can have is the ability to love again after loss. That drives them to practice forgiveness and humility when a conflict is over. Their mutual goals are to resolve and to reconnect, leaving distress behind as soon as possible.

They know that love must include always living in each other’s hearts, whether they are together in the same place or temporarily separate. They know that the future is unwritten and that they can be taken from each other at any time. The acceptance of that truth continuously reminds them that their relationship is only as good as they are able to re-create it in each present moment.

By Randi Gunther Ph.D.

https://www.psychologytoday.com/blog/rediscovering-love/201701/6-keys-staying-in-love