Explore Diabetes and Your Emotions
Share, Send, or Save

explore_my_motivation_iconExplore My Emotions

Intro
Activity
Wrap-up

Thinking about change

When thinking about making a change, there are often many emotions that go along with it. Sometimes these feelings can prevent us from making changes that would be helpful.

Overview of this section

This section discusses some common feelings people have when dealing with a chronic health condition like diabetes. It also offers suggestions for healthy ways of thinking and coping to help you better manage your diabetes.

Why is this important?

Your thoughts and feelings affect both your emotional and physical well-being. Acknowledging and coping with them is important for your overall health.

Thinking about insulin

Some people are more comfortable thinking and talking about feelings than others. For many people, thinking about starting insulin can bring up strong emotions. In this part, you will rate how you feel about starting insulin in three key areas. You can then review different ways of thinking and coping with your feelings.

Your answers are private.
We will not give this information to your doctor, family members, or anyone else. Your responses will only be used in this section to help you practice alternative ways of thinking. You will be able to print out your responses at the end of the activity.

Rate my feelings

You probably have many feelings when you think about starting insulin. Some of the most common feelings people experience are: anger, worry, and guilt. Please rate how you are currently feeling.

On a scale of 0-10, how strongly do you feel?

anger
5
not
angry
very
angry

Why do people feel angry?

Anger
Many people feel angry about starting insulin for various reasons. They often think:

  • It's unfair
  • This is awful
  • Everything is going to change
  • This is bad – people say insulin is the last resort

You may also have some feeling of anger about starting insulin.

worry
5
not
worried
very
worried

Why do people feel worried?

Worry
Many people feel worried or nervous about starting insulin. They often think:

  • It will hurt
  • Taking injections is a big deal
  • It will change my daily routine
  • I won't be able to do this

You may also have some feeling of worry about starting insulin.

guilt
5
not
guilty
very
guilty

Why do people feel guilty?

Guilty
People feel guilty about needing to take insulin for a number of reasons. They often think:

  • I've done something wrong
  • I should have taken better care of myself
  • This means I have failed
  • I've let my loved ones down

You may also have some feeling of guilt about starting insulin.

My feelings

You said that you currently don’t have strong negative emotions about starting insulin. Your feelings can change at any time, which is normal. When you do have strong negative feelings, the goal is not to get rid of your feelings but to help you reduce the intensity of emotion and the degree to which it might be getting in the way. Strong emotions may prevent you from starting insulin.

Strong emotions may prevent you from starting insulin. All of your feelings are normal. The goal is not to get rid of your feelings but to help you reduce the intensity of the feeling and the degree to which it might be getting in the way.

Coping with your emotions will enable you to focus your energy on taking steps to improve your glucose control.

Anger
Worry
Guilt
 
5
 
5
 
5

To change the way you are feeling about starting insulin, try the following exercises to help you recognize the thoughts that may cause your emotional reactions, and learn strategies to cope with them.

You are not expressing intense feelings right now but practicing these exercises will keep you thinking in a healthy way and helping you cope with your emotions.

You can come back at any time and try more exercises. The more you practice these strategies, the better you will get at thinking in a healthy way and coping with your emotions.

  • Anger (Recommended)
  • Worry (Recommended)
  • Guilt (Recommended)

Anger

Coping with your anger is useful in any situation, including starting insulin. When you feel angry, you probably have reasons for it. These reasons are often automatic thoughts that happen very quickly. Changing these unhelpful thoughts can help to reduce your anger.

This section will help you cope with your feelings of anger about starting insulin.

How does anger feel?

Realizing when you are starting to get angry can help you manage it better.

How does it feel?
When you get angry, you may feel your heart begin to beat faster, you may feel tense, and your adrenaline usually kicks in. When this happens, it is often difficult to think clearly until you calm down.


What should I do?
When you begin to feel angry, try relaxing a bit before you do anything. Close your eyes and take a slow deep breath in, hold it for 5 seconds, and then slowly exhale. Repeat 4 times.

Why are you angry?

To start learning to think differently, you need to be aware of what you are thinking. Your thoughts usually generate feelings, so it is helpful to figure out what thoughts are making you angry.

What makes you angry about having to take insulin? List as many things as you can.

Enter your own reason for being angry:
Or choose from these:

It’s unfair

Everything is going to change

This is awful

This is bad – people say insulin is the last resort

Add > < Remove
My reasons for being angry:

Your answers will not be saved. Your responses will only be used in this section to help you practice alternative ways of thinking. You will be able to print out your responses at the end of the activity.

Challenge your thinking

When we’re angry at something our thinking can become exaggerated. We also often make harsh judgments, unrealistic demands, and think illogically when we are mad.

Challenging your thinking can help you form a more realistic view that can help to reduce your anger. When challenging your thoughts, it is helpful to ask yourself:

  • Is this a fact or just a thought?
  • What proof is there that the thought isn’t true?
  • Is there another way of looking at it?
THOUGHT

It’s awful!

Alternative Thought

This is frustrating and it’s understandable that I am upset, but getting angry is not going to fix it.

 
THOUGHT

It’s unfair!

Alternative Thought

Unfortunately things don’t always happen the way we want, which is upsetting. Some people have other health conditions; I happen to have diabetes. Getting mad is not going to make it go away.

 
THOUGHT

Everything is going to change!

Alternative Thought

Some things will change, but it is not the end of the world. It will take some time, but I will eventually get used to a new normal.

 
THOUGHT

This is bad – people say insulin is the last resort.

Alternative Thought

Although I wish I did not have to go on insulin, Type 2 diabetes is a progressive disease so many people need to eventually take insulin.

 
> See More Examples

Challenge your thoughts

Now try challenging your angry thoughts by asking yourself the following questions:

  • Is this a fact or just a thought?
  • What proof is there that the thought isn’t true?
  • Is there another way of looking at it?
> See Next Thought

Your answers will not be saved. Your responses will only be used in this section to help you practice alternative ways of thinking. You will be able to print out your responses at the end of the activity.

WarningBy clicking back you will lose any alternate thought entries.

Practice your alternative thoughts

When you start getting angry, try calming down by taking a few deep breaths and then use your alternative thoughts:

When you start thinking...

Click HERE to print your alternative thoughts.

Worry

Many people feel nervous about starting insulin. Your worries can lead to nervousness or anxious feelings that could prevent you from making healthy changes. Coping with these emotions is necessary for taking new steps, like starting insulin.


This section will help you begin to develop healthier thoughts and help reduce your worry about starting insulin.

What are the signs?

Often when people think and worry about their condition, they start to get nervous or anxious. This can show up in different ways in different people.

  • Sometimes people feel tense.
  • Some people have trouble falling asleep or staying asleep because they have so much on their minds.
  • Some people find it harder to focus on things or remember details because nervousness and worry can affect concentration.
  • Some people find they have less emotional energy for small things or they might become frustrated more easily.

Each of these can be a sign that coping with diabetes is taking a bit of a toll, but they’re very common experiences.

What can we do?

Fortunately, our bodies also have a “relaxation response” that can calm us down. You can stimulate your relaxation response whenever you need. You can learn to catch yourself when you’re worrying by watching for clues like shallow breathing, muscle tension, and feeling distracted. To the right are some strategies you can try when you start worrying:

 
Try some deep breathing.

Stop what you’re doing for a few minutes. Sit in a relaxed position with your feet on the floor. Close your eyes if you’d like. Take a slow deep breath in. Hold it for 4-5 seconds and then slowly exhale. Repeat that at least 4 more times. If any thoughts come into your mind, just turn your attention away from them and refocus on your breathing.

 
 
Use your senses to feel more grounded.

Close your eyes and focus all of your attention on your hearing. What sounds are in the room? Ignore all thoughts that come into your mind and return your focus to what you hear.

 
 
Look at a relaxing scene.

Look at a picture that you find relaxing - maybe a nature scene, a photo of a loved one, or a vacation photo. Spend a few minutes thinking about how relaxed or happy the photo makes you feel.

 
 
Distract yourself.

Turn on some music you like and sing along, watch your favorite TV show, do some physical activity, or play a game.

 
> See Next Strategy

Stop the cycle

After practicing some relaxation strategies so you feel calmer, you can start trying to change your thinking patterns to reduce your worry and nervousness.

Some of your thoughts might make nervousness worse. Often these thoughts happen so fast, you don’t even know you have them. Yet, they often drive your feelings and choices. Without doing something differently, your nervousness can increase.

worry_cycle_image

Think about your negative thoughts

When you start worrying and feeling nervous it is important to stop and consider what you are telling yourself. Think about the thought that is making you nervous.

When you think about starting insulin, what nervous thoughts do you have?

Enter your own reason for being worried:
Or choose from these:

It will hurt

Taking injections is a big deal

It will change my daily routine

I won't be able to do this

Add > < Remove
My reasons for being worried:

Your answers will not be saved. Your responses will only be used in this section to help you practice alternative ways of thinking. You will be able to print out your responses at the end of the activity.

Challenge your thinking

Generally these nervous thoughts add to your nervousness, making you feel less confident and able to do what you need. Questioning your nervous thoughts can be useful in creating more helpful alternative thoughts. When questioning your thoughts, it is helpful to ask:

  • Is this a useful way to think about this?
  • Am I trying to predict the future?
  • Is this a thought or a fact?
  • What would I tell a friend who said this?
THOUGHT

I won’t be able to do this.

Alternative Thought

Taking injections seems overwhelming, like many new things or big changes. Once I get some training and have some practice, it will hopefully become second nature.

 
THOUGHT

It will hurt.

Alternative Thought

Injection experience may vary but insulin injections generally cause little discomfort. Many people are surprised when they see how small and thin the needle is.

 
THOUGHT

It will change my daily routine.

Alternative Thought

I've dealt with changes in my routine in the past. I may not like it at first, but after I do it for a while it will also become part of my daily routine.

 
THOUGHT

Taking injections is a big deal.

Alternative Thought

Some medications can be taken in pill form and some need to be injected, like insulin, to work effectively. With practice, taking insulin will hopefully become second nature.

 
> See More Examples

Question your thoughts

Now try questioning your nervous thoughts and coming up with helpful, alternative thoughts by asking yourself:

  • Is this a useful way to think about this?
  • Am I trying to predict the future?
  • Is this a thought or a fact?
  • What would I tell a friend who said this?
> See Your Next Thought

Your answers will not be saved. Your responses will only be used in this section to help you practice alternative ways of thinking. You will be able to print out your responses at the end of the activity..

WarningBy clicking back you will lose any alternate thought entries.

Practice your alternative thoughts

When you start worrying, practice a relaxation strategy and use your alternative thoughts:

When you start thinking...

Click HERE to print your alternative thoughts.

Guilt

Feeling guilty happens when we believe we have done something wrong. Some guilt can be useful if it helps us make healthy choices (e.g., eating 1 piece of cake instead of 2 or swapping ice cream with yogurt and fruit). However, too much guilt can be self-defeating, preventing you from taking positive steps for your health (e.g., starting insulin).

The goal of coping with your guilt is not to get rid of your feeling, but to help you reduce the intensity of it. This less intense negative emotion will allow you to take steps to improve your health.



This section will help you begin to develop healthier thoughts and feelings about starting insulin.

Why does it happen?

Guilt, like most of our feelings, is linked to our thoughts. Our thoughts influence our emotional reaction to events.

Something happens

You have a thought about it

You have an emotional reaction to the thought

What guilty thoughts do you have about taking insulin?

Enter your own reason for feeling guilty:
Or choose from these:

I’ve done something wrong

I should have taken better care of myself

This means I have failed

I’ve let my family down

Add > < Remove
My reasons for feeling guilty:

Your answers will not be saved. Your responses will only be used in this section to help you practice alternative ways of thinking. You will be able to print out your responses at the end of the activity.

Thinking about your thoughts

We often have unrealistic thoughts that influence our perception of events. The demanding nature of some of our thoughts causes us to become upset. Having less demanding and more flexible thoughts can lead to healthier emotional reactions and behaviors. Common demanding thoughts are:

  • I must do well or else I am no good
  • I must have others approval or else I am no good

View some alternative thoughts to common thoughts about starting insulin. Replacing the old thought with a more flexible one can reduce the intensity of guilt.

THOUGHT

I’ve done something wrong.

Alternative Thought

I probably could have controlled my diabetes better, but many people have to go on insulin after having diabetes for a while because it is a progressive disease.

 
THOUGHT

I should have taken better care of myself.

Alternative Thought

I probably could have taken better care of myself.

 
THOUGHT

This means I have failed.

Alternative Thought

This doesn't mean I personally failed. Adding insulin replaces what my body isn't making enough of naturally to help control my blood sugar.

 
THOUGHT

I’ve let my loved ones down.

Alternative Thought

I know my family cares about me and wants me to be healthy.

 
> See More Examples

Change your thoughts

Try changing your negative thoughts to more realistic and tolerant views.

> See Next Thought

Your answers will not be saved. Your responses will only be used in this section to help you practice alternative ways of thinking. You will be able to print out your responses at the end of the activity.

WarningBy clicking back you will lose any alternate thought entries.

Practice your alternative thoughts

When you start feeling guilty, practice using your alternative thoughts to reduce the intensity of the feeling:

When you start thinking...

Click HERE to print your alternative thoughts.

Good Job

You’ve worked with your thoughts and feelings in a new way. Emotions can change depending on what you are thinking and doing from moment to moment.

On a scale of 0 – 10, how angryworriedguilty do you feel right now?

Enter a number to the right.

anger worry guilt_
5
no
angerworryguilt
very
angryworriedguilty

Congratulations

You have completed this section.

My feelings of angerworryguilt
BEFORE
My feelings of angerworryguilt
NOW
 
5
 
5



You’ve made some progress with your anger. You may have reduced your feelings of anger by changing how you think.



You’ve made some progress with your worry. You may have reduced your worries by changing how you think.



You’ve made some progress with your feelings of guilt. You may have changed your feelings of guilt by changing how you think.

Taking care of your health is a complex issue. You might continue to have some strong thoughts and feelings about starting insulin, and these may come back unexpectedly. Remember to pay attention to these thoughts and feelings because they can affect your health choices and actions.

Changing how you think about things takes time and practice. The more often you use the strategies in this section, the faster your thinking may change, reducing your feelings of anger.

Your feelings of anger didn’t decrease, but changing how you think about things takes time and practice. Remember to pay attention to your thoughts and feelings because they can affect your health choices and actions.

The more often you use the strategies in this section, the faster your thinking may change, reducing your feelings of anger.

Taking care of your health is a complex issue. You might continue to have some strong thoughts and feelings about starting insulin, and these may come back unexpectedly. Remember to pay attention to these thoughts and feelings because they can affect your health choices and actions.

Changing how you think about things takes time and practice. With the strategies in this section, your thinking may change, reducing your worry and nervous feelings.

Your feelings of worry didn’t decrease, but changing how you think about things takes time and practice. Remember to pay attention to your thoughts and feelings because they can affect your health choices and actions.

With repeated use of the tools in this section, your thinking may change, reducing your worry and nervous feelings.

Taking care of your health is a complex issue. You might continue to have some strong thoughts and feelings about starting insulin, and these may come back unexpectedly. Remember to pay attention to these thoughts and feelings because they can affect your health choices and actions.

Changing how you think about things takes time and practice. The more you use the strategies in this section, the faster your thinking may change, reducing your feelings of guilt.

Your feelings of guilt didn’t decrease, but changing how you think about things takes time and practice. Remember to pay attention to your thoughts and feelings because they can affect your health choices and actions.

The more you use the tools in this section, the faster your thinking may change, reducing your feelings of guilt.

GET STARTED

Get Your Diet on Track With FREE Tools

Get Your Diet on Track With FREE ToolsRegister now and learn how to count carbs, read nutrition labels, and make healthy meal choices for yourself and those who depend on you.

Sign Up Now

Learn What to Ask Your Doctor

Learn What to Ask Your Doctor Our FREE Doctor Discussion
Guide helps you organize
your thoughts and ask the
right questions.

Download Guide Now

Important Safety Information About Insulin

The most common side effect of insulin is low blood sugar. Some people may experience symptoms such as shaking, sweating, fast heartbeat, and blurred vision, while some experience no symptoms at all. That’s why it’s important to check your blood sugar often.