Treatment of Type 1 Diabetes

“Endocrinologist is My Co-Pilot.”

“Maybe we should switch places,” my patient laughed when I confirmed that his self-diagnosis was likely correct.

After a beat, I said, “That’s actually a pretty good idea.”

I had been having a long day at my endocrinology practice, and he did have a rather cool job as a mechanic at a nearby auto dealership. It would be nice if we could switch jobs for a day to get a new perspective, sort of like that Freaky Friday movie from back in the day. After a few brief seconds of deliberation, though, I decided that it probably wasn’t worth the amount of paperwork which we would have to send in to the medical licensing board to become an endocrinologist. And my white coat likely wouldn’t fit him.

There are times that I fantasize that I am practicing back in the day when patients would have to come to my office to pick up a pamphlet called “Getting to Know Your Diabetes.” Those days ended years ago, and WebMD and Wikipedia picked up where the pamphlets left off. Now almost all medical information is at everyone’s fingertips, including erroneous information and information that’s difficult for those without a medical degree to understand.

There are pluses and minuses to practicing medicine in this era. In all, I am grateful when patients are knowledgeable about their conditions. While I expect my mechanic to help me make the right decisions and fix parts as they break down, I am ultimately the one who has to drive the car. Likewise, I am here to help my patients navigate their paths, but it is ultimately they who have to take care of their diabetes, day in and day out. And the more they know and the better prepared they are, the better I believe that I can help them with their journeys.

Of course, I am happy to take the wheel when necessary or offer up my own directions when they start to veer off course. (Incidentally, it can be difficult when I’ve got a back seat driver for a patient, one who criticizes my decisions while not taking ownership of the journey him/herself.) What I like most is when my patients and I can take the trip together. There is no one clear roadmap to managing Type 1 diabetes, and both patient and doctor need to keep their eyes on the winding road ahead.

Thanks for reading this Insulin Nation article. Want more Type 1 news? Subscribe here.
Have Type 2 diabetes or know someone who does? Try Type 2 Nation, our sister publication.

Dr. Aaron Chidakel earned his medical degree from Jefferson Medical College in Philadelphia, Pennsylvania. He completed his Internship and Residency in Internal Medicine at Beth Israel Medical Center in New York, New York and did his Fellowship in Clinical Endocrinology and Metabolism at the National Institutes of Health in Bethesda, Maryland. He is currently working as a clinical endocrinologist in the Washington D.C. metropolitan area.

Related Articles


  1. liepwhlfp,Thanks for ones marvelous posting! I actually enjoyed reading it, you will be a great author.I will always bookmark your blog and will mkfaynewr,come back from now on. I want to encourage that you continue your great writing, have a nice afternoon!

  2. jpswywnpewz,If you want a hassle free movies downloading then you must need an app like showbox which may provide best ever user friendly interface.

  3. That happened to Senator Sanders yesterday, and Im calling it out, she continued. In what world? You dont boo folks for that. And I dont care if it was somebody who I didnt care about their policies, if they stood up with the Reverend Dr. Martin Luther King Jr. and other heroes and sheroes, we need to shout that out.

  4. In a news conference after the sentencing, Benjamin Crump, a prominent civil rights attorney who represented Jones’ family, listed a string of high-profile shootings of black men by police in recent years in which officers were not charged.

  5. He was doing that on jump shots, Lillard told Yahoo Sports. Thats not when youre supposed to rock the baby. You rock the baby after overpowering someone in the post. He had one layup in the post on me. Look it up. Ill live with his jump shots. He wasnt rocking no baby on me.

  6. Dorsey explained to the president that the number of followers fluctuates due to the companys attempts to delete spam accounts and bots, per the paper. The White House essentially confirmed the Posts reporting the next day.

Leave a Reply

Your email address will not be published.

Back to top button