Knowledge or Blissful Ignorance?

For those readers that are new to Type 1 Diabetes, it is a disease where the body attacks itself and can no longer make its own insulin. Insulin is a necessary hormone whose main job is to convert food into usable energy. People with T1D rely on getting this hormone in their body from an outside source through an injection or shot. It’s a fascinating (and sometimes frustrating) disease that requires the daily micro-management of food, exercise, and insulin. Even more fascinating is that there is a blood test that screens for T1D. This test looks at a persons blood for the autoantibodies that are associated with T1D. Positive results for these autoantibodies indicate that said person is at a high risk for developing T1D.

I first learned about this screening when Nora was diagnosed last month. Before then, I had no idea it existed. While in the hospital, her endocrinologist and diabetes educator asked me if we would like to have our other two daughters tested. “Thank you, but no thank you” was my immediate response.

Later that night when Nora had finally fallen asleep, I put more thought into why I said no and more importantly why I said it so quickly. I mean, our family tree is scattered with T1D. Besides myself, and now Nora, I have a cousin and an uncle who both have T1D. How is it that the youngest person in our respective core families came to be persons with T1D? Well, the exact cause of T1D is unknown and generally thought to be brought on by a combination of factors including environment and genetics. So if the cause of T1D is multifaceted, what is there to gain by knowing if my big girls have these autoantibodies? First and foremost – research towards the goal of finding a cure. But for us, with Nora’s diagnosis still being so very raw, there would be a lot of unnecessary worrying and second guessing of everything.

Would you want to know if you kiddo was at high risk of developing a disease knowing there was nothing you could do to stop it? Or would you rather soak in the moments of blissful ignorance? There’s no right or wrong answer, but for my family – we choose blissful ignorance…for now.

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