You've felt alone for half of your relationship. He's not necessarily a bad guy, but it doesn't sound like this is such a great long term relationship, especially when you say you're engaged to the guy. Two years isn't that long when compared to the rest of your life. The biggest part of any relationship is communication, and he's not willing to do this with you.

So it seems you have settled in to a very BAD relationship routine... if it hasn't changed and you have already addressed the problems and you are seeing no change, maybe it is time to put yourself first, instead of him. a relationship is a partnership and if you do not have apartnership and equal respect, it is going ot fail. You can either approach him with your thoughts on breaking up or jus tleave. I would approach him on your thoughts, if he isn't going to listen, and hasn't for the past year, what makes oyu think he is going to do it now or in the future? Yes people change, but only when they want to. Maybe oyu letting go will spark some interest in him wanting to spend more time or pay attention, but I would say most times, it doesn't really. I have been through something similar and it just never worked out... I left. It is easy to let go when you don't get what you need in a relationship. If you have tried everything you can, why stay? Maybe you need to go to couple therapy or something similar to figure out your relationship... If there are personal issues, then those are personal issues that need to be worked on seperately. I would figure out what steps need to be taken to get your relationship healthy and if it worth it because you both have to make your relationship healthy together. One-sided never works.

If you'd like, continue reading the comments, but I agree with @Dare2BDiferentt@xanga and @suggestivetongue@xanga in that you should simply go to a counselor together.

All the comments, including mine, have potential to actually damage you and/or your relationship if you or it are in a fragile state and you're not looking at them from a clear perspective.

See a counselor together, and keep going to 'em.  Relationship counselors are not only a way to make talking about serious subjects easier, they can also be a fun and exciting way to facilitate good conversation and interesting discussions.

I've seen good experts turn trifles like these on their head if they're good at what they do and the two people are good for each other as well as committed to the relationship.  Going through something difficult can be immensely positive for your relationship in the long run.

Don't look here for anonymous mob leverage in your relationship. Remember why you love him and decided to get engaged in the first place as you work it out with him and a professional.  Relationships come with their share adversity, you need to let him know that you feel neglected and that your emotions are not to be ignored.  Ask yourself if you have done anything or acted in any way that has caused him to act differently.  Take a step back and look at how yourself, your fiance, and your collective mental, emotional, and spiritual states and how it's all gotten you here.  To me, he doesn't seem to be doing anything so awful, it may be an issue that just takes time to overcome.

This doesn't sound bad at all, I have a feeling you two will be just fine-- don't do anything rash.

Best wishes to you both.  :)

If you have already addressed the problem to HIM and he does NOTHING to change the environment for you, undermined your reasons for wanting to COMMUNICATE, why the heck did he propose? What did he think? Living together will be easier because you don't have to TALK? You don't have to COMPROMISE?

You two need to have some counseling. If he doesn't want that for whatever HIS reasons are, but you explain to him that people who are engaged to be married should be able to TALK about things from time to time, rather than avoid it and ignore the issues at hand. If he doesn't want to spend the time to speak to someone (uninvolved 3rd party) in terms of your relationship HEALING itself before you can progress to planning your wedding and rest of your lives non-communicatively, then he has to WAKE up and face the facts. He shouldn't have proposed if he didn't even have the time to talk to you about anything that makes you uncomfortable and then undermines your reasons by calling you names.

@NikBv@xanga - she's not being needy if she is addressing clear issues she's having in her LTR and her fiance does NOTHING to make it better. Instead he's not being responsible nor is he being the loving guy she fell in love with. If he doesn't want to spend time to TALK to her and resolve issues WITH her, why did he propose?! It has nothing to do with her being needy. It doesn't mean she finds other ways to occupy the time that is better off being spent COMMUNICATING with her husband to be.

@NikBv@xanga - I agree with you that we are only hearing her perspective of the situation and thus cannot properly provide comprehensive advice on the matter.  That's why they should just hop over to someone who can give 'em some help.  No biggie. 

Seems like this hasn't been addressed yet...

...you say he started out different and then changed. Is there a possibility something is going on in his life (mental or physical health related) that isn't caused by you?  I guess what I'm saying is perhaps he needs help to deal with a problem (e.g. learn to take care of himself and manage his diabetes?) and he isn't sure how to ask for it. And in my opinion part of a good partnership is being sensitive to your partner's issues and needs.  Whereas your post seemed to focus very much on "he's not doing __ and __ for me like he used to."

That said, if this is NOT the case and you are making an effort to be supportive and he's not making an effort to help you, himself, or your relationship, then he's not treating you or himself right; and is not someone you should be with, regardless of your (or his) feelings for each other.

I used to know a guy, who was full of excuses, and I tried to communicate with him but he either didn't respond or gave me more excuses. I found a new friend to talk to. I'm no longer with him and have a new guy, not the friend that I talked to, but a different one, so I've upgraded and have been happier than with the indifferent douche lol but that's just my situation. if he refuses to put in more effort to communicate, then the one-sided concern doesn't seem to help the relationship. maybe move on.

You should not marry someone when there are relationship issues like this.  Take a step back and work on reigniting the communication and appreciation for each other.  Marriage is not just committing yourself to a person; you will be legally binding yourself to them.  It's not a step to be taken when you aren't ready.

@NikBv@xanga - I kind of agree to some degree. Sometimes doing your own thing, perks up a guys attention. "What is it that she has going on that is more important than me?" Atleast, thats my take. You've already addressed the situation, but he's also going to have to be willing to go to therapy, like many suggested which there's a chance he might not be.
Also, as a nursing student I can tell you that diabetes is not an impeding diagnosis that he can't function in life. There are many people who take insulin or oral hypoglycemics and are capable of living a normal life. Him using diabetes(DM) as an ailment and reason not to spend time with you is BS. Was this a recent diagnosis? Maybe he's having a hard time coping with it? Although there are different outcomes to DM, as long as your partner is eating right, exercising and taking his appropriate medications, he should be fine. But if he's tired all the time, then that could be a sign that his blood sugar is high. Excercising could help with that, maybe you two can do that together?
Anyways I went off on a tangent. My point is, I don't by the whole diabetes thing and if this guy isn't getting his shit together to give you the proper time of day, do your own thing and if things don't change, it's time for an end. Things are not going to change for the better once your married, and simple put he's taking you for granted. It's common but that doesn't mean you gotta put up with it. 

I agree with bsides_photos..I'm currently in a similar situation. We broke up last Friday (Mutual)...decided to go on a MONTH long break to see if we miss each other. But three days later I'm finally accepting he's never going to change & that I will never be his priority & he will never give me the full respect that I deserve...I'm just trying to figure out HOW to text him it's over.. 

@NikBv@xanga - If he's her fiance, it is his responsibility to give her even just a little attention. But no, he's a little asshole that can't even be bothered to have a simple conversation with her. She's not needy at all. Why be with someone if you just want to act like they don't exist?

Anyways, OP, I think you should make it known that you're not gonna put up with this anymore. If he cares enough about you, he'll start giving you the attention you deserve. If not, well then he's been wasting his own time and you should just leave him.

@NikBv@xanga - And you just sound like a moron. Nobody said anything against you so you can just go shove it :)