In November, 2006, I had the extreme honour of travelling to Canberra with Lance, other children and adolescents with Type 1 Diabetes, their parents and our incredible JDRF Australia staff. We were attending a function called “Kids in the House“, an event that drew national media attention and stained the pristine interior of Parliament House with a chronic illness that is so often misunderstood. By the time we had left, hundreds of fingerpricks had been performed, dozens of real life stories were told, and thousands of tears were shed.
Lance was only 5 years old at the time, and had a blood sugar reading of 23.8mmol/L during the procedings. He was slumped on my lap, his eyes were barely open, and I had to do everything in my power to prevent him from yelling out in frustration during the speeches. Thankfully, he drifted off for long enough so that I could take some photos, and actually clap eyes on the previous Prime Minister, John Howard.
However, my mind was consumed with some of the most powerful and emotive words that I had heard expressed from a young person with Type 1 Diabetes. A then-17 year old teen, with gorgeous dark curls spoke candidly and honestly about an issue that is rarely discussed in association with Type 1 Diabetes.
Gareth Eldershaw opened the eyes wide shut of the parents, politicians and many VIP attendees.
He stood alone, his eyes clearly carrying burdens that you would not expect to see in a 17 year old boy. He spoke about his struggles with a ten year stint living with Type 1 Diabetes. That alone, was heartbreaking, especially when my own son doesn’t know a life without it. However, no one expected him to reveal his devastating and perilous journey with severe Clinical Depression.
Gary’s face was burnt into my mind for the best part of the next week, and the words that he had shared had made me ache with despair for him and his family, AND for the 140 000 Australians who live with the cruel and misunderstood condition that is Type 1 Diabetes.
In recent times, www.whydidtheinsulindie.com has been inundated with parents, carers of teenagers with Type 1 Diabetes and other chronic illnesses and people who are hiding behind their computer screen who are desperately searching for a phrase, or a sentence that they may identify with, or match the symptoms that they are experiencing. I knew that I wanted to emphasize the trauma of depression as well as coping with Diabetes (in particular), because it is so overwhelming, infuriating and debilitating for the sufferer and the caregiver. Two silent, unpredictable conditions that bring out the worst in each other.
I also knew exactly who to ask for help.
Gary was more than happy to relive his many years living with Type 1 Diabetes, and he had summoned up much bravery and delved into private and difficult territory by talking about the impact that depression has had upon him, his family, his friends, his diabetes and his future. Gary’s mother, Annette, has also contributed to this interview by recalling some of the darkest times in Gary’s battle with the bottomless pit that is depression.
The information that Gary and Annette have shared is recounting a part of Gary’s life that hopefully never resurfaces. It is their hope that by reliving these memories, other young people and loved ones can feel assured that they aren’t alone, and know that there is hope for better days ahead.
Kate vs Gary-waxing lyrical on all things pancreatic, systematic, traumatic, psychiatric…
When we last saw each other I recall that you were 17-ish. How old are you now? 19 years old.
What is your Starsign? November 24, whatever that is. ( Lance’s birthday is November 23, which makes you a Sagittarius!)
Are you still studying? Nearly finished a TAFE Diploma in Performance Music. The Course wasn’t quite what I expected so I haven’t gone back. I’m having some time to get my head together for a few months & doing intensive drumkit practise, preparing for band gigs (One Way Down .. see me on myspace) & doing lots of composition for band & personal satisfaction. I’m really getting into transcriptions of other’s songs.
What special talent do you want to share with the world? (In other words, career hopes?) Famous Heavy Metal Rock Drummer!!!
Do you still have your tonsils? Yes…
Ever tried sushi?? Not a fan…
What’s on your iPod at the mo? Every genre imaginable from renaissance choral music ( I went to Europe last December with my old school choir – sing lots of old music & some contemporary Australian compositions – great fun) also many tens of thousands of contemporary music/songs everything from meditation Enya stuff to Philip Glass to metal (lots of metal.)
I can still see you standing at the podium in the Great Hall at Parliament House. I was seated next to a VIP; she was a Secretary for a Member of Parliament. Whilst you spoke, she clutched hold of my arm, lost all control of her etiquette and sobbed openly, using my dress to mop up her tears! Not that I could see that well, (tears were spilling down my face..,) but there were 10 year old kids, blokey, rugged fathers, cold, pretentious politicians and the beautiful JDRF staff, all seated, transfixed by your every word, all with crumpled Kleenex embedded in their palms. Between the VIP and me, we were both openly weeping towards the end of your speech. For me, my tears weren’t a result of pity or empathy, but more because of your gentle, humble energy and your intense inner strength. Your courage to provide awareness and share painful memories to a roomful of people about depression - and that despite the fact that Lance was asleep, how fortunate he is to have a male role model to admire. Your gorgeous Mum sent me a copy of “the speech” which has again left my eyes hazy…
Kids in the House Speech- 1 November 2006..
My name is Gareth Eldershaw, I am 17 years old and I have had diabetes for over 10 years. Its been 3 years since the first Kids in the House and the message is still very simple. I need a cure for type 1 diabetes. All the kids in Australia who have type 1 want a cure and so do their parents and families and friends.
Diabetes hasn’t just wrecked my life, but everyone’s in my family as well. I have just had my 10 year anniversary of my diagnosis of type 1 diabetes. Maybe that’s not a long time in some people’s lives – but for me it means I just don’t remember back to a time without diabetes. Before I was diagnosed my family had planned a trip to Africa. In the end we still went, but my parents were terrified in case something went wrong. We tried to do cool things like other families but nothing is spontaneous with diabetes, everywhere you go you must take needles, insulin, glucometer, food.
The worst bit is the needles. Over and over day and night. They never stop. Now I am a teenager, diabetes is more of a pain than ever. It is with me all the time. I try to stay positive about a cure coming soon but I worry about long-term complications.
Like all teenagers I have struggled with the pressure of our time, but living with type 1 diabetes and all it involves makes it worse. I really went off the deep end last Christmas.. I developed severe depression and nearly 12 months later I’m still battling this condition, having medication and regular psycho-therapy. Did you know that almost one in four young Australians living with type 1 diabetes struggles with long-term depression? No one wants to talk about this but it’s yet another complication of diabetes.
I’m old enough to really understand and fear the other complications that might come later….
These include: retinopathy, kidney failure, amputation, heart disease, stroke…
Heart disease accounts for 50% of all deaths among people with diabetes
Diabetes is the leading cause of blindness in adults 20-74 years old
Diabetes is the leading cause of kidney failure, accounting for over 40% of cases each year.
Over 40% of people with type 1 diabetes develop severe kidney disease by the age of 50.
About 60-70% of people with diabetes have mild to severe forms of nervous system damage.
People with diabetes are 15 to 40 times more likely to require a lower-limb amputation compared to the general population.
Diabetes is the sixth highest cause of death due to disease in Australia.
Overall, the risk of death among people with diabetes is about 2 times that of people without diabetes. However, the increased risk is greater for younger people.
It is good to know that JDRF are working so hard to find ways to prevent and treat these complications and ultimately find a cure.
But I also have to deal with what happens now. I had a bad hypo awhile back and my brother thought I was dead. Now my parents are even more protective than ever, which is not cool!
What keeps me going is the news that researchers are making incredible advances towards a cure each year. All they need is a bit of funding to keep them going. I know I am standing in the middle of a political arena but this is an issue that goes way beyond party politics.
I don’t want your sympathy, just your support. Support for a cure.
This speech left such a lasting impression on me; I guess as a parent of a child who was a baby when diagnosed, the majority of the public look at him and see a picture of health standing befote them, and they struggle to see where the “health” problem lies considering his robust appearance.
However, I look at my son, and I see the blood samples that are collected from his arm every three months, the visits to the optometrist that leave me physically ill, waiting for the doctor to speak after thoroughly looking into Lance’s eyes in case he finds “a bleed.” I hold his hand, and feel his calloused, scarred little fingertips. I am constantly thankful for the lifesaving properties of a glucagon injection after a severe hypo. When his blood sugar is back to normal, we usually go through 24 hours of fierce headaches, light sensitivity and vomiting that almost always requires a drip, as he becomes terribly dehydrated. The morning I found him cold and blue in his bed at just under 3 years of age; he had slept through a severe hypo. Out trip to Canberra made me feel like we belong to a “Society” that knows all too well about complications, the stigma attached to having to prick your finger and how a drop of blood instills fear into ignorant folk, thinking that a blood borne disease could be contracted by sitting near a child who has Type 1 Diabetes. The stigma of depression is real and blatantly considered to be a “take a pill and it will go away” or ” You just need to remember that there are so many people worse off than you” brush off. Who wouldn’t be depressed at having to go through all of these procedures and knowing that you could be blind in your 20’s, have a heart attack in your 30’s..it’s a condition that constantly eats away at you. It’s difficult to hope for the best, because the best is so far away. The worst is already happening for Lance, and for you, regarding complications. It is fantastic to see surveys about being a carer circulating, and organisations such as Beyond Blue are recognising the difficulties associated with the upkeep of a chronic disease, and fighting off long term depression-finally a step in the right direction.
When were you first diagnosed with Type 1 Diabetes? May 15 1996
Are you on insulin injections or do you have an insulin pump? 3rd pump so far over 5-6 years . I had injections for first 6 years and HATED every one.
Is your endocrinologist a happy little camper at your 3 monthly visits? I have just started seeing a new guy (endo for last 12 years just retired). I have been very lucky compared to some peoples’ stories. My old endo was always encouraging, he never said I was “bad” –it was always “the best we can do at the moment” even when things were terrible or my HbA1C was 11.3 (just before I started on the pump). The new Endo was good at first visit and is also encouraging already.
How long have you been a JDRF Youth Ambassador? Since around 2001.
I know your fam are amazing fundraisers…do you get involved in any projects as well, such as Walk For A Cure? Every single one. Dad says it’s a sacred day for the family & everything else gets cancelled so we can go. Im supported by IBM (they have supported Youth Ambassadors for many years now) & Boral. I try to help as an ‘adult’ (!) now by handing out prizes, selling raffle tickets and the like. I’m usually involved in some media promotion too– radio or TV/film at the walk.
(Annette) When he was little, Gareth was always amazed that he couldn’t tell who had type 1 diabetes in the huge crowds. He thought it was funny to see so many glucometers at lunchtime though! We encouraged the event greatly as we felt Gareth needed to see that there were so many other quite “normal looking” other people that just happened to have type 1 Diabetes.
I speak at every JDRF Ball (been 4 so far) to get more support from well heeled corporate blokes - I love ‘em all, even though they are so much older than I; they treat me like an equal-crazy!
At what age or time period did you find Type 1 Diabetes become a social hinderance? To tell the truth, I can’t really remember. Obviously having it at a quite young age it is hard to remember the exact details of the situation ,but it pretty much became obvious to me as I started to get older and learn more about the disease, the more things I had to actively think about and try to take care of as best as I could. Sure, I had Mum at home and at a lot of the places I went, as you do as a littley, but she wasn’t always around to give a hand at school during the middle of the day for example. Problems would often come up and every day was a new challenge for me.
Were you pretty open about telling people that you had Type 1 Diabetes? Yes and No. I can talk to some of my close friends openly about it, but then again there are still some friends I feel awkward about talking to. I’m not exactly sure why, it could be that it’s something i don’t feel the need to talk about or whatever, but i really dont know. People around me should know, so they can have a vague understanding of what sort of situation I’m in, but it’s also up to me to be able to take care of myself and not have to have them worry about it/have to think about it everytime I’m with them. It’s not really their ‘job’ because in theory i should be all good, but sometimes things don’t turn out so great. I’m very grateful for my friends’ concerns and that they do understand. Not everything is so simple though….
When you had episodes or bouts of depression, would they flare up and then die back or were they there, big and black all the time? Full blown all the time, I couldn’t get away from it.
Did you have any obvious symptoms that indicated that you were a candidate for depression? Well, I guess I wasn’t the one who noticed it because it came on as a gradual thing, sort of like growing, it’s always the grandparents or someone like that who notices and not yourself . But i guess my family were a little concerned with it to start with, i don’t remember a lot of it because it was just such a dark time for me, but my friends noticed too. Some tried to talk to me about it, but being your typical arrogant teenager at the time, I told them I could deal with it or nothing was wrong, which is pretty much the total opposite of what was happening.
(Annette
I could write a book about this now! He’s right - parents were about the last to admit (see) the symptoms – it’s pitiful now in retrospect – embarrassing to say you were the parent – we need so much more educating! I feel/felt such a failure.
When you were diagnosed with depression, were you initially shocked/angry/upset/? You could say I was upset, but then again i was upset the whole time I was going through it. Everything I looked at, I saw the negative side to it, even if it was something like the blue sky, i just couldn’t handle anything or even understand what was going on properly.
So, whilst dealing with this, was it tough looking after Type 1 Diabetes continually demanding attention from you all day long? It was a challenge in the fact I totally stopped caring, even if I got sick, felt terrible, made it hard for people around me, whatever. I was completely blind to everyone around me trying to help me, but also to the fact that I had so much support that went unnoticed by me because of such single mindedness, and not caring about anyone. It made more work for everyone around me too, having to do what I should have been doing myself but wasn’t, even the simplest of tasks.
Your family are an amazing support network to you. Did anyone click that there may be something wrong, or did you have to tell them how you were feeling? The former, i had no idea in the world what was going on til it was too late. I was taken to psychologists and psychiatrists and God knows who else..one after the other, to try and sort the problems out. Same with the medication, I started to hate it too, I didn’t think I needed it so I’d not take it for days on end and that would cause more havoc among the family.
Did you have a supportive medical network? I still do to this day.
Is there one particularly dark moment (more so than others) that you remember whilst suffering depression? There is no solid memory i can recall, but there’s enough fragments to last a lifetime…
You’ve tried both medication and counselling. Was it really difficult to have to wait up to 6 weeks for a tinge of improvement? It was hell, yes, I tried both the medication and the therapy/counselling but I didn’t feel it really helped (even though it obviously has..) The medication was ridiculously slow to actually have any noticeable effect on me so I didn’t think much of that. The counsellors trying to help- I thought they were just like little machines that had a response to every answer I could think of, or any question I had. None of them except one, had a good run with me I don’t think. They didn’t seem to help anyway.
When did things first start improving? About when I finished Grade 12. I got away from everyone and everything, I wasn’t really cut out for being in school because I hated the place to death, but I stayed for the sake of it. When the time did come around, I felt a huge weight lifted from my shoulders, but also the fact that I could almost ’start over’ . A whole new world opened up for me so i guess im lucky in that sense.
You sound like you are strong in spirit at this moment. Is it true what they say about “you’ve just got to give it time…?” As much as I know anyone who is in the same position as I was doesn’t want to hear this and will probably just ignore me for saying it, time is life. There’s no quick and easy way to just ‘fix’ it, its not really like a car and if something’s broken you just mess with it for a while and it will be fixed, its something human and living, you can’t get around it.
Can you suggest what somebody experiencing any of what you have been through should do first? Talk to those around you, and tell somebody how you are feeling. It may help rather than an outsider’s assistance..
What about if you notice symptoms in a school friend?? It’s hard to notice at school because there is so much going on…,someone could be in a terrible state, but everyone may think they are stressed out from exams…or a detention later that day….or whatever the reason may be. If you CAN, talk to the person you are concerned about, if you can’t, find someone who can..it may be just enough to stop them falling apart…
If I could give you two tickets to any band/singer in the world, who would you go and see, and who would you take with you?? That’s a terribly hard question for me to answer! There are so many bands out there right now that I’d love to see..a LOT come to mind but if I could pick ANY band in the world and be able to give the tickets away, I’d give them to a few close friends of mine and let them enjoy the time, with the band of their choice. I find supporting friends/family is one of the greatest things a person can do for them.
If you are feeling any emotions or having moods that sound similar to what Gary went through, OR if you are concerned that your child may be depressed, there is help close by until you get a medical opinion.
By contacting any of these organisations, you will be taking your first step to helping yourself.
Beyond blue
www.BeyondBlue.org.au Complete our checklists to get an understanding of depression/anxiety
Kids Help Line - 1800 55 1800
Lifeline Australia - Lifeline Information Service
(Annette) “I’m not sure Gareth understands the power of his presentations yet; he just thinks it’s what he needs to do to help. At the time he was still “in” the depression & lots passed him by. For example: A few weeks after Kids in the House, he went with the Band from school to USA & Canada (I went too) – he doesn’t remember more than 10 minutes of the whole 3 weeks – such is the power of anti-depressant medication (especially when it’s not the right one). Hell continues …
I offer my heartfelt thanks to Gary and Annette Eldershaw, for sharing the living proof of how depression can appear from nowhere. 1 in 3 Australians will suffer from depression at some time in their lives, however, I tend to think that it affects every person-the real difference is the varying degrees of severity in each case and how it affects your overall wellbeing. If you are suffering from a Chronic Illness other than Type 1 Diabetes, you feel like your quality of life is suddenly impaired, and you feel entrapped and unable to embrace life as you once did, the above contacts are all excellent in regards to putting you on the right track. Once you know what you are dealing with, your medical support team and family will want to assist you in any way they can.
I am concluding this interview with an excerpt from a speech that Gary wrote and delivered at a fundraising event last year. His family are so devoted with helping him regain serenity once again. After all, he is a young man, who through no fault of his own, has missed out on having a happy, carefree childhood, and then to ice the cake, his teenage years have been laced with misery as well. Any chronic disease plus debilitating depression thrown in for good measure is a devastating combination. The excellent news is that you can recover from depression. It can be a rocky ride, however Gary Eldershaw is a perfect example of a young person who refused to give up on himself, and how the love and support of his family was paramount in pulling him out of the murky swamps he was embedded in. Today, he still lives with Type 1 Diabetes, but he has learnt to be Gary again. He is living a tranquil and relaxed life. The chaos is over, hopefully never to return.
An excerpt from Gary’s speech, delivered at the JDRF Gala Ball, 2007.
“We all had our lives and our families shattered by those 3 little words …”you’ve got diabetes”.…….. From that moment on our lives have been consumed by the relentless barrage of insulin injections ….just to keep us alive (remember that insulin is NOT a cure)…… Relatives and friends are constantly watching over us to make sure we eat food at the right time,….. don’t have a hypo,…….. and have our injections ……..and lots more.
At the last JDRF Ball, I told every one of my very personal hardships and recent complications of type 1 diabetes, of which one has been a struggle with severe depression…. Since then I’ve attended a symposium where people with diabetes were able to anonymously give details of their complications and fears……. Guess what….. I’m not alone…….. But few have been prepared to speak out or even have the opportunity to speak out.
Despite medication and psycho-therapy I have suffered several more depressive episodes since then…… I have the physical scars on my body of my attempts at self-harm……. I will have them for a long time … as a constant reminder of this dreadful disease….. As if all the needles were not enough of a reminder!”