Should I let this guy know how I feel or just let it go? Need advice
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Hmm. If he's in med school and studying for exams, then I can see how he needs to focus 100% of his energy on that right now. I get it. BUT if he really likes you it seems strange to not have had any contact at all with him. People can be busy and still date someone if they really want to. He may not mean to be unfair to you, but I think he is being unfair. You can't put your life on hold waiting for him to have some time for you when right now you don't even have a guarantee that you will ever hear from him again.
There are two things you can do. You can call him and ask him how he is and where things stand, or you can leave him alone. I think if you choose to leave him alone you have to try to have the attitude you're going to just let it go and try to move on. You can be open to hearing from him, but maybe try to move on and not expect that you will.
someone with diabetes who loves sweets.... he apparently gets "so relaxed" when he spends time with me that he doesn't do what he's supposed to.
I'd say give him some time. If you are such a distraction to him, it seems he's very much into you. But med school is also very important. Maybe something happened and he wasn't ready to get back in contact with you? Give him some time and see what happens first. Good luck!