Channel 4's the Hospital - Letter to the editor

Having type 1 diabetes raises the risk of developing anorexia or bulimia twofold. 40% of 15 - 30 year old female Type 1's also regularly induce potentially fatal diabetic ketoacidosis by omitting their insulin to loose weight rapidly. There are a plethora of mental health issues that can accompany a diagnosis of type 1, a rare (less than 250,000 in the UK) auto immune disease whereby the immune system accidentally kills off the insulin producing cells in the pancreas. As a result T1's are dependent on synthetic insulin to stay alive, too much is injected and a hypoglycemic coma can occur, not enough and you can die of acidosis. It is a second by second disease that never takes a holiday and requires constant attention. No one knows why Type 1 happens, popular theories include a faulty reaction to a virus or an extreme physical shock. You would not have learned this or the difference between type 1 (typically diagnosed early in life, completely unrelated to diet or lifestyle issues) and type 2 diabetes (typically diagnosed in adults and correlated with diet and lifestyle issues) if you had watched channel 4's the Hospital. There is a huge amount of ignorance surrounding type 1 diabetes, children diagnosed often get bullied as the distinction between this and type 2 is not advertised in the media and people presume it is caused by eating rubbish and being lazy. Perhaps what Channel 4 have missed is that this kind of irresponsible, inaccurate and tabloidesque programming can seriously damage type 1 diabetics. Many feel under extreme pressure to be thin, to detach from the stereotype of an illness that is completely unrelated to their own and like stated above develop very serious eating disorders. At no point at all in the documentary did Channel 4 make the distinction between the two types and the last statement by their 'expert' was that diabetes will become like smoking, cut to the type 1 not taking her insulin and by the way with a blood sugar reading of HI she should have been in front of an A & E nurse not a camera. This is just going to further promote confusion and add to the appalling ignorance faced by t1's everyday. I seriously hope that future broadcasting will take the quarter of a million Type 1's who did NOTHING to encourage the onset of their diabetes into consideration. Channel 4 should be ashamed of themselves they have potentially wiped out the hard work of t1's, their carers and supporters in raising awareness of this truly awful disease. And for what? To prove that teenagers are stupid and irresponsible. Poor, poor show.


Kind Regards

Jacqueline Allan

Director: www.diabeticswitheatingdisorders.org.uk

Views: 16

Tags: 4's, Channel, Hospital, the

Comment by The Diabetic Welfare Queen on August 23, 2010 at 11:27am
I *am* writing my own... I am writing my own to the person who wrote the letter. :) I am sure that had I written a letter with which what you thought was bad information, that you would be trying to correct me on it, too. We should ALL be each other's advocates.

I am not against you for helping these girls. They need the help. And while people with regular eating disorders may not die immediately, as a Type 1 with an eating disorder may, they will eventually die, too, without intervention.... From heart attacks, among other issues, etc.

I am not asking you to run a charity for Type 2's... nor about Type 2's with eating disorders... anymore than you are asking Channel 4 to become a Type 1 Advocate, and run their own charity.

But I am asking to sort of stop the blame game. I could go and blame any person for having an eating disorder, and simply say it was their own fault they got heart disease for keeping themselves from eating and exercising too much, and whatever else... But I don't believe that, and I won't. A LOT of people believe that, though, and it doesn't make it any more real than the simple "bad diet and sedentary lifestyle" belief. Everything is a lot more than just what it appears... There are a lot more variables at play, for everyone (and not just that 20%)... THAT is what I'm getting at. We ALL want to be represented accurately.

Any way, good luck with you, and the girls. Their problem is a problem of self image -- it is NOT a Type 2's fault, or an overweight person's fault in any way. It is their own sense of warped self image, and at the end of the day it is not that they do not want to be associated with Type 2's... but that they are deathly afraid of being overweight... and they only do themselves more harm by associating Type 2 with "self-induced" obesity.
Comment by Jacq Allan on August 23, 2010 at 2:18pm
Again lizmarie - my issue is with the media's portrayal of T2 and not T2's themselves and I'm not saying that that is the cause of a T1 eating disorder. I am saying that from my own experience of both recovering from anorexia/ bulimia/ deliberate insulin ommission and working with over 500 t1'ds who have ed's, this portayal is a contributory factor. I have already have 4 of them tell me that they don't want to inject because they don't wan't to be seen as fat and lazy (as portrayed by the programme). I also respectfully argue that you would need to have experience of working with these girls to make any valid comment on the reasons behind their eating disorder
Comment by Marie on August 26, 2010 at 6:22am
Unlike many of the people replying here I did watch the programme and fully support your letter.
The JDFR statement about the programme puts it very well.

On various internet forums I have come across too many young people but more often their parents or even spouses who have had problems of the type described in the programme. I know of at least 2 who have subsequently died. one from DKA, the other from the consequences of alcohol and injecting at bedtime (just as one of the young girls suggested she would do.that night).
The programme concerned is concerned with young peoples lifestyles and the effect on their health. One week it was about the results of knife crime;this week it continued with drink, drugs and liver problems. Part of it's aim seems to be to shock so for the diabetes week it had shocking images of young people 'out of control' . These young people were shown as irresponsible by not taking their injections, by drinking excessive alcohol, by disregarding dangerously high glucose levels and by not following a diet (this was the type 2 young woman) To emphasise the possible complications they they included a graphic.amputation, a difficult pregnancy and a young man who was on dialysis.
Unfortunately, It did nothing to explore the psychological problems of young people with diabetes there was no attempt at understanding their denial, why they 'couldn't be bovered'. Neither was their any positive role models, no real suggestions as to how these young people might be helped .
Then on top of it there was the blame, even coming from the mouth of the consultant blaming diabetes on obesity and lifestyle.
The media forms peoples perceptions and people believe it especially when it comes from the mouths of doctors. Even though I weighed barely 50kg on diagnosis, the first person I met when I came out of hospital said 'Oh it must have been our good French food'. I was in my fifties and able to point out the nonsense of the statement. I was also able to deal with emotionally with my return to normal weight and mature enough to be able to cope with injections, carb counting and blood testing. Not nearly so easy when you are in your teens.
Good luck with your Charity Jacqueline, this support is desparately needed.
Comment by Jacq Allan on August 26, 2010 at 7:02am
Hi Marie,

If you read my other blog then you'll see that it was not for entirely selfless reasons that I set up the charity. I had ed's before I was T1 and the difference between the care and help I was offered then and when I was ommitting was disturbing. It's weird I never really imagined that I'd end up doing what I do but then no one else is doing anything in the UK. It's shocking

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