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CRUCIAL SKILLS®


A BLOG BY CRUCIAL LEARNING


CRUCIAL INFLUENCE




HELPING YOUR CHILD MANAGE DIABETES: A KEY TO BEHAVIOR CHANGE

by Joseph GrennyJune 12, 2024June 10, 2024

Dear Crucial Skills,

My 14-year-old daughter was diagnosed with Type 1 diabetes last year and we are
always fighting in the home about her sugar levels and eating habits. She
screams and shouts and blames us for everything. I try to be firm and not give
in to her tantrums, but my husband is disgusted with her and speaks ill of her.
I want her to see a therapist, he says she’s a lost cause. This breaks my heart.
What can I do?

Signed,
Diabetic Drama

Dear Diabetic Drama,

My daughter was diagnosed with type one diabetes at age twelve. Much of your
story brings back many feelings. I sympathize with your daughter, who is
navigating an age when we’re all desperate to feel normal while dealing with a
health issue that could make her feel abnormal. Some feel betrayed by their
bodies when they get a startling diagnosis like this. Layer on top of that the
conflict in your family and I’m sure it’s a tough time for her.

I’m sure it’s a tough time for you as well. I’m sorry that the division between
you and your husband is adding to your stress. I knew little about the disease
when my daughter was diagnosed, and I felt terrified of the unknown. I got
incredible relief from learning that just a couple of good habits would promise
her a healthy life. But it turned out that convincing me and influencing her
were two different problems. For the first year she would frequently lie about
her blood sugar, skip testing, and avoid adjusting her insulin when she was
around friends. As a result, I panicked.

Things got better when I started to realize this was not a Crucial Conversations
problem, but a Crucial Influence problem. The Crucial Influence framework
reminded me that she didn’t just have motivation problems, she had ability
problems we well. I grew more sympathetic and less impatient with her as I
considered the host of personal, social, and structural barriers she faced.

An even bigger breakthrough came as Crucial Influence principles informed how I
influenced her. For example, I realized that my attempts to motivate her were
all forms of “verbal persuasion.” I’d remind her what her endocrinologist had
said. I’d show her statistics about potential consequences of noncompliance. I
reasoned, pleaded, and criticized. And nothing helped.

I got a hopeful idea when I read what I had written previously about intrinsic
motivation in the book: When you want to motivate the unmotivated, nothing beats
direct experience.

People don’t feel the way they do about certain behaviors because of the
behaviors themselves. We don’t like or dislike doing something because of the
task itself. How we frame it determines how we feel about it. Some people love
cleaning house because they frame it as a way to achieve order or beauty. Others
see it as a chore and loathe it. The task is the same; the frame is different.
If you want people to feel differently about something, you must help them frame
differently. And nothing shifts a frame like a direct experience—immersion in a
reality that helps you connect your choices with their human consequences.

I invited my daughter on a Friday date after school. I let her choose a special
place she wanted to have a treat, where I prepared her for what came next. Our
stop would be an adult endocrinologist clinic where we would have a chance to
visit with people who were years down the road with her disease. She was nervous
but agreed it would be a good idea.

The visit changed her mental calculation about day-to-day decisions profoundly.
She felt differently about testing her blood sugar because she had spoken with
real people whose lives helped her see her decisions differently. One patient
whose kidneys were failing and required weekly dialysis explained that easy
testing was not available when she was first diagnosed. That one-hour experience
changed how my daughter felt because it helped her to frame her decisions as
protecting her kidneys, not obeying her parents.

Your husband may feel differently about your daughter’s struggles if he has an
opportunity to attend a diabetes clinic to talk with those who share what it’s
like for a teen to adjust to the disease. Your daughter may feel differently if
she has a tangible experience with the longer-term consequences of today’s
decisions.

And I hope you’re able to achieve better feelings in your home as you come to
frame each other’s struggles in more sympathetic and effective ways.

Warmly,
Joseph


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JOSEPH GRENNY

AUTHOR AND COFOUNDER

“If I haven’t challenged you, I haven’t helped you.”

Joseph Grenny is a New York Times bestselling author, keynote speaker, and
leading social scientist for business performance. His work has been translated
into twenty-eight languages, is available in thirty-six countries, and has
generated results for more than half of the Forbes Global 2000. Invite Joseph to
speak at your next event.


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