Cover Photo: A photo of a bin full of colorful, empty apple juice cartons.
Photo courtesy of Quan Nguyen/Flickr

Treating My Diabetes Meant Facing My Eating Disorder All Over Again

I posed the question to her, earnestly, seriously: If given the choice, would she rather gain weight or would she rather die?


Diabetic. Type 1. Insulin-dependent. Patient is not presently in a state of ketoacidosis. Patient is conscious. History of Anorexia Nervosa but no concerns at present.

speaking of cupcakes

Oh, honey, you’ll be fine. You’ll just need to be disciplined, count your carbohydrates, and always track what you eat.


Let’s try again, there must be an error, it would be very unusual to have gained much weight so quickly. Wow.

eat something

Patient may struggle with honest self-reporting Well, would you rather gain weight or would you rather die?

Patient may struggle with honest self-reporting.

Hannah Matthews is a librarian and writer based in Portland, Maine. Her work can be found in  Catapult, SELF, McSweeney's, BUST, Entropy, and elsewhere, in print and online. She tweets at @hannahmsays and cries in public places.