Susan a 51-year-old woman whose diagnosis with type 2 diabetes 9 months ago, left her feeling shocked, anxious and alone. Susan placed her daughter in the inner circle at T1, as her main source of support. She helped with weight loss and fitness through collaborating with healthy eating and accompanying her to the gym. As Susan lost weight she says she grew in confidence and decided to change to another gym when her favourite class was dropped so was no longer reliant on her daughter for the same level of support. At T2 interview, Susan moved her daughter from the inner to the middle circle (backgrounding). Other examples of network members becoming less important over time included the diabetes nurse and a Facebook group. Although the diabetic nurse played an important role in the initial period following diagnosis, the drop off of frequency of appointments left Susan feeling disappointed and abandoned. Susan decided to move the diabetes nurse from the inner circle (T1) to the middle circle (T2). Likewise, Susan talked about being a member of a Facebook based diabetes support group (T1), but then got annoyed by the group which she described as American-centric and not very ‘uplifting’. This group was backgrounded from the middle to the outer circle. In contrast, Susan placed her partner in the middle circle (T1). She felt that he did not really understand the impact of her recent diagnosis and wanted him to show more interest in her condition and get more involved in her support. At T2, Susan moved her partner from the middle circle to the inner circle to reflect an increase in support (foregrounding). Susan felt that she was able to talk more openly with her partner as her confidence grew, resulting in him becoming more aware, involved and supportive. They are working towards doing exercise together and attending a ‘Sugar Buddies’ social evening as a couple. |