A man was left feeling so ashamed of his diabetes that he injected himself with insulin under the desk.
Daniel Newman, who went by 'sugar boy' at school, wants to break down the stigma attached to the condition - as 'no health condition should be a punchline in a joke'.
The 36-year-old, who lives in London, was diagnosed with type 1 diabetes – an autoimmune condition which causes the level of glucose in the blood to become too high – when he was 10 after being rushed to A&E following an evening at the cinema.
Following his diagnosis, Daniel had to inject himself with insulin twice a day in order to manage his glucose levels, but he tried to hide this from his friends and classmates because he just wanted to fit in and be accepted.
But this led to further health complications. For fear of being judged, Daniel, now a senior HR manager, didn't manage his diabetes well as a teenager, which later contributed to him developing chronic kidney disease.
He "carried a lot of guilt" for many years but after learning to forgive himself, now wants to use his own experiences to educate others, joining awareness groups such as the sporting society The Diabetes Football Community (TDFC) and hosting his own podcast on the condition.
"My aims for the future are just to continue to challenge and to talk about diabetes stigma," he said.
"There will be people living with diabetes, probably going through the same thing that I went through, and just worried about the stigma, worried about the acceptance, and these things do stay with people, but it’s important to change the conversation.
"You might see that diabetes is the punchline in somebody's joke when, actually, no health condition should be a punchline in a joke."
According to the NHS, those who have type 1 diabetes need to inject themselves with insulin every day to manage their blood glucose levels.
As someone 'terrified' of needles, Daniel remembers his first injection vividly but knew he had to do it.
He was alone in dealing with his diabetes, as none of his friends at school had it, so he felt he had to conceal his condition.
Daniel says he used to inject himself with insulin under the table in class, go to the toilet 'so people wouldn't see', or he would avoid injecting himself altogether because he could not find the right time, or the privacy, to do it.
"It was just that fear of being judged; that fear of standing out and being different to everyone else," Daniel explained.
"Regardless of that period of time, I think all teenagers just want to fit in, because you want some level of acceptance, but when you add diabetes into the mix, then that comes with its own baggage and its own stigma."
According to a survey commissioned by global healthcare company Abbott, which had 1,500 participants from the UK including 500 with diabetes, nearly 75 per cent of Britons living with diabetes have viewed negative commentary towards their condition on social media, television and online.
In Daniel's case, he said he was called 'sugar boy' and was told that type 1 diabetes is 'the easy one' while he was at school.
"You do feel a level of – particularly the 'sugar boy' – embarrassment and shame… and the stigma links to isolation as well," he said.
"You don't just see them as harmless words; those are words that carry weight and have meaning and they can be quite damaging."
At the age of 16, Daniel said he hit his lowest point and he started experiencing what he described as "diabetes distress" and "diabetes burnout".
Frustrated, he started to withdraw from managing his condition in the best way.
"I just felt like I had had enough with managing the condition because it's relentless," he said.
"It just keeps going and going and going, and so I said to myself 'Do you know what? You need insulin to stay alive', so I’ll just take insulin to stay alive.
"I won't check my levels, I won't do any of that, I'll just take insulin to stay alive.
"At the time, as a teenager, that logic is great, but, obviously, being older and looking back, you realise that logic doesn't work at all."
Due to complications with his diabetes, Daniel was diagnosed with chronic kidney disease in 2013 and was the recipient of a live kidney transplant in 2018. He is now managing this with immunosuppressants and anti-rejection medication.
He was also diagnosed with diabetic retinopathy – caused by high blood sugar levels damaging the back of the eye – and has had multiple laser treatments in each eye, along with a vitrectomy operation, to help improve his vision.
Daniel said he felt "deflated - failing a test over a condition he didn't ask for" - as these diagnoses were most likely linked to the management of his diabetes in his younger years.
"I carried a lot of guilt around, which I think many people who are diagnosed with complications whilst living with diabetes do," he said.
"But what it doesn't take into account is the mental and emotional side, and that's the part which is really big when you are diagnosed with complications… (it's about) learning to forgive yourself for what has happened in the past and understanding that you can’t change it."
Daniel explained that changing his mindset and focusing on personal development and self-improvement, by reading, researching, and listening to podcasts, has been fundamental in helping him to accept his conditions and educate others.
He feels that people need to have more open and honest discussions about diabetes to take away the stigma and, he hopes that, by drawing on his own diagnoses and by not "glamorising" them, he can "use (his) voice and (his) experience to help others".
Daniel set up his own Instagram account, @t1d_dan, to share updates on his diabetes, he was a member of the NICE Diabetes Update Guideline Committee until September 2022, and he has even set up his own podcast, The Talking Type 1 Podcast, to talk to guests who have diabetes and other health conditions.
He has also joined TDFC – a network of people who all have diabetes and who play football – and said there is “no judgment there”.
Daniel said he will continue to engage in conversations, and his advice to anyone who has been diagnosed with diabetes is: "Try not to panic and try not to be overwhelmed… there will be good days and bad days, but just try to do your best every single day.
"Just remember that you can do it and never, ever lose hope.
"You aren't the only one; there are other people who have experienced what you have experienced, who are going through what you are going through, and you can see some of their experiences and draw inspiration from them.
"Just having that conversation takes away the stigma of living with diabetes and changes the perspective."
– To find out more about Abbott’s Let’s Change Perspective campaign, visit https://www.abbott.co.uk/lets-change-perspective.html
