Are Kids with Type 1 Diabetes “Special Needs” Children?

A few days ago, I found myself telling a colleague that I couldn’t attend a conference, as I try not to travel much any more. “I have two young children,” I explained in an email, “and of them is a special needs kid.” 

Wow, did I really write that? I did. Did I mean it? I don’t know. It makes it easier when communicating about my limitations at work. “Special needs” can mean all kinds of things, but everyone realizes that it translates into extra parental responsibilities. That is true for parents of kids with type 1 diabetes, but are our kids “special needs?” 

I’m uncomfortable with saying that about my son. He’s psychologically and physically healthy, well adjusted, easy (for the most part) to get along with. He does have this one whopping physical problem that sucks up so much of our time and energy. But is this “special needs?” And why do I even care?

Part of me hates saying “my son has type 1 diabetes.” Outside of our little world, no one knows what that means. I never knew until my son was diagnosed at the age of two. So it makes life easier to just say “special needs.” But I’d better think about this carefully, before I wind up labelling my boy in a way that is inaccurate, or that will cause him upset later on. 

What do you think?

James Ron
James Ron

James Ron is an American, Israeli, and Canadian academic, whose son, Sacha, was diagnosed with type 1 diabetes in 2009 at the age of two. Until then, James had never heard of the disease. Today, James is a member of the scientific and advisory group of Life for a Child, an Australia-based charity that supplies insulin and other diabetes supplies to children and youth in the developing world. James teaches international affairs and human rights at the University of Minnesota, and lives in Minneapolis with his wife, Emma, and their two children, Tessa and Sacha.

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Gina
Gina
6 years ago

I know this is an old post but I’ve only just allowed myself to let this sink in. YES my child was a special needs child. I never took advantage of that and sometimes I should have. My daughter was diagnosed at the age of 9 months and died at the age of 45. Maybe if “special needs” had been an option in the early days, we would have had her a little longer. (Maybe that’s just my grief talking.) Your child may be fine now but what about in 15 years when you are no longer the primary caregiver?… Read more »

Liam
11 years ago

There is nothing wrong with having special needs.
Yes, I have a special need. Its called, having to be your own pancreas. Diabetes for short. :)
If I need to stop to take my insulin, while my colleagues do not, would you not call that special?
 
And besides… Us T1s are special in a whole lot of ways, disregarding our illness… :)

Anne
Anne
11 years ago

I’ve referred to my child as having “special needs,” but only in the context you describe: trying to make it clear in the workplace that our parenting responsibilities go beyond the typical. The term “special needs” only makes me uncomfortable in that our challenges are minimal in comparison to the ones faced by many parents of special needs children.  Usually i say my son has a chronic illness. I find that most people are unfamiliar with the demands of raising a child with type 1 diabetes and using the term “chronic illness” better conveys a sense that  my child needs… Read more »

Leann
Leann
11 years ago

I’m with Jess – we undervalue the amount of work we do, even if you are successful. While it might be emotionally uncomfortable to admit it, we do have special needs. We can’t justify more money for research if we don’t have a real need. I have a diabetic alert dog – do I or don’t I have a right for one? Yes, they are needs, and they are special. I don’t call it it pulling a “card” – it’s called the truth. If you child needs special accommodations to allow for lows during testing, but you claim you don’t have special… Read more »

Jessica Apple
11 years ago

I completely understand not wanting the label of special needs.  I think though that ultimately we diabetics undercut ourselves by being so strong and doing so well.  The more “fine” we declare ourselves, the less we get.  How can we convince the world that everyone with diabetes needs a CGM if we’re fine?  How do we get more funding for cure research if the disease isn’t such a big deal?  

michelle
michelle
11 years ago

No easy answers.  But I can see how sometimes it gets people’s attention when you need it.  I applied for the disability tax credit and now my accountant uses my “disabled” status to our advantage for taxes.  I don’t feel guilty about that, even though I don’t feel disabled.  I know I have special needs that are not recognized by most of society, so if that is the language we have to use with the govt i am ok with it.  But i have never used it with people in my personal life.  Maybe part of it is that you… Read more »

Celeste
Celeste
11 years ago

We have never described our daughter as special needs.  The only context that special needs is used in our world is in her 504 meetings – as in “she needs to be able to go to the bathroom whenever she wants” “she needs to have snacks when she feels low”.  Our daughter was dxd at 7 and is 17 now.  I would be very very careful when using that terminology.  In fact, we call what you did “pulling the diabetes card.” As her parents we aren’t allowed to do that unless she gives us permission. 

Celeste
Celeste
11 years ago

We have never described our daughter as special needs.  The only context that special needs is used in our world is in her 504 meetings – as in “she needs to be able to go to the bathroom whenever she wants” “she needs to have snacks when she feels low”.  Our daughter was dxd at 7 and is 17 now.  I would be very very careful when using that terminology.  In fact, we call what you did “pulling the diabetes card.” As her parents we aren’t allowed to do that unless she gives us permission. 

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