This book was published in 1998, when Dominick had had type 1 diabetes for 18 years, including through her teenage years. Unlike Lisa Roney (author of type 1 memoir "Sweet Invisible Body"), Dominick's prose is spare and straightforward, making this a quick read.
Major themes include various aspects of the theme of family and Dominick's struggles with retinopathy. Her older sister Denise, also a type 1, died of a drug overdose. As her roommate, Dominick found her body and understood that "[Denise] had a subconscious desire to take her own life before diabetes did" (p. 117). Dominick also discusses her marriage and how, even though her spouse participates in her diabetes care and sees what it's like for her to live with it, at the end of the day it's still her issue to deal with: "'Even though he's with me, sometimes I'm so alone. But maybe it's better that way. I can't take anyone with me through the bad times anyway. Not really. I know Doug will be there, but it's still my life that I must play out. He's there, but I'm still trapped inside myself'" (p. 217).
Dominick also describes the specter of complications that all people with diabetes live with: "'It's like I'm waiting for something that other people aren't waiting for. Waiting for something to go wrong. To go blind or die or for my kidneys to fail'" (p. 215). Something does go wrong for Dominick--she develops severe retinopathy, requiring multiple surgeries and impairing her vision. She tries to take a friend's observation that "We never think we can endure as much as we can" (p. 159) to heart as she struggles with the possibility of going blind.
Finally, Dominick echoes Pat Covelli (author of the type 1 memoir "Borrowing Time") when she expresses frustration about medical care for people with type 1 diabetes: "Diabetes is a defined illness. That's the problem. Medical personnel are trained to deal with the textbook cases, the most common problems associated with diabetes....I trust that most of them understand the disease itself. It's the individual diabetics who aren't understood. They treat us all the same" (p. 198). I do think this has gotten better over the past 20 years, especially with the advent of insulin suspensions that allow flexibility in when and what we eat. I wonder how Dominick is doing today--if her complications have stabilized given our improved treatments, and what sort of happiness she's found in life since the book was published. She certainly deserves both better health and greater happiness than she described having in "Needles."
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Read as part of the Diabetes Memoir Project, in which I am reading my way through 8 commercially published (i.e., not self-published) biographies/memoirs of people with type 1 diabetes (i.e., not parents of children with type 1 diabetes) treated with injections/insulin pump (i.e., not a transplant), in chronological order by the person’s date of diagnosis. The titles are:
- Breakthrough: Elizabeth Hughes, the Discovery of Insulin, and the Making of a Medical Miracle by Thea Cooper and Arthur Ainsberg (Elizabeth was diagnosed in 1918 at age 11)
- Borrowing Time: Growing Up with Juvenile Diabetes by Pat Covelli (diagnosed in 1964 at age 10)
- Growing Up Again: Life, Loves, and Oh Yeah, Diabetes by Mary Tyler Moore (diagnosed in 1969 at age 33)
- Sweet Invisible Body: Reflections on a Life with Diabetes by Lisa Roney (diagnosed in 1972 at age 11)
- Needles: A Memoir of Growing Up with Diabetes by Andie Dominick (diagnosed in 1980 at age 9)
- Not Dead Yet: My Race Against Disease: From Diagnosis to Dominance by Phil Southerland (diagnosed in 1982 at age 7 months)
- The Sugarless Plum: A Ballerina’s Triumph Over Diabetes by Zippora Karz (diagnosed in 1987 at age 21)
- The Insulin Express: One Backpack, Five Continents, and the Diabetes Diagnosis that Changed Everything by Oren Liebermann (diagnosed in 2014 at age 31)