Diabetes is largely a self-managed illness. Unlike more acute illnesses, you provide almost all of your own care.
It is up to you. You are free to decide how much or how little you do to care for your diabetes. Because you benefit from the results of your choices, you have the absolute right to make these decisions.
Many things in our lives are not of our own choosing. Diabetes is not something most people would choose to have. Although you cannot change having diabetes, you do make choices about how you live with it and your attitude toward it. No matter how constrained you may feel, you can often make different choices.
Freedom brings responsibility as well. In fact, freedom and responsibility are two sides of the same coin. Because the choices you make affect your outcomes, you have a great deal of responsibility for your own health and quality of life.