There are many individuals who will support you as you learn to live
with diabetes. Each has a specialty, but they all have one goal in common,
helping you take charge and live well with diabetes. You are a member
of the team, in fact, the most important member. You are always there
– making daily decisions that will have an impact on your diabetes
management. Get involved with your own diabetes management. Be sure to ask
questions when information isn’t clear, or if you need more information.
Most importantly, remember…you are not alone! Let's take a look
at other possible members of your team.
Your Physician
Your physician will work with you to safely achieve healthy targets for
blood glucose, blood pressure and blood fat levels. Your physician will
prescribe and adjust medications as required, and refer you to specialists
if necessary. He or she will order lab tests and examinations in order
to evaluate your control, and screen for complications. It is important
to share your questions and suggestions when meeting with your physician.
Keep your diabetes logbook up to date, and bring it with you, so that
you can review your glucose readings together - make notes for yourself
between visits so you don't forget your questions when you arrive for
your appointment.
Your Diabetes Educator
Your diabetes educator will explain your diabetes in more detail, covering
a wide range of topics. A diabetes educator could be either a nurse or
dietitian. They will answer your questions (and your families’),
provide support and give you information that will help you make informed
choices. Your diabetes educator will teach you about the tools you can
use to control your diabetes - knowledge, physical activity, food choices,
monitoring and medications. They will also help you set your own personal
goals. You will learn potential problem signs to watch for and preventative
measures such as daily foot care, dental and eye check ups. They
will discuss how to handle stress, an important factor in controlling
blood glucose levels. During follow-up appointments your educator will
help you assess your diabetes control, and work with you to find solutions
to problems.
Your Diabetes Nurse
Your diabetes nurse will help you as you adjust to glucose monitoring
and new medication regimes such as pills or insulin. He/she will help
screen for potential problems by checking your blood pressure and assessing
your feet.
Your Dietitian
Your dietitian will help you develop a personal approach to healthy eating.
Taking into consideration your individual nutrition requirements, they
will support you in achieving your goals, such as healthy meal choices
or working towards weight loss. A dietitian will also help you continue
to enjoy your favorite foods.
Your Pharmacist
Your Pharmacist prepares your medications at the pharmacy or
hospital. Many pharmacists have a special interest in diabetes and are
certified diabetes educators. They can offer a lot of information about
both over the counter and prescription medications. If you are unsure
which cold medicine to choose, or have other medication questions, your
pharmacist is the person to ask. It is important to keep all your prescriptions
at one pharmacy. When your pharmacist has a complete list of your prescription
and non-prescription medications it helps them identify potential problems,
such as drug interactions. Many drug stores stay open long hours and pharmacists
are readily available to discuss your needs and answer medication questions.
Your Dentist
Your dentist’s goal is to help you prevent problems before they
occur. When you have diabetes, regular dental care is especially important to prevent problems
from occurring. Be sure to let your dentist
know that you have diabetes.
Your Podiatrist or Chiropodist
Your podiatrist or chiropodist can help you take care of your feet. They
will work with you to prevent foot problems, and if they do develop, offer
treatment. Your feet are very important - if you have a chiropodist in
your community, plan a visit.
Your Optometrist
Your optometrist will examine your eyes and look for any sign of potential
problems. In some cases you may be referred to an ophthalmologist. Make
sure you let your eye doctor know you have diabetes.
Social Worker, Psychologist or Counselor
A social worker, psychologist or Counselor can offer support when additional
help is needed. They can arrange for local assistance to help with financial
problems, personal crisis or emotional stress.
There are many individuals who can help you learn about managing your
diabetes. Each time you visit with a member of your team, you will have
an opportunity to learn more. Research will continuously provide new information,
leading the medical community to set new standards of care.
There is a lot of diabetes information that can also be found in books,
magazines, television shows, support groups and, of course, the internet.
Always check to make sure the information is from a reliable source, such
as a Certified Diabetes Educator, and that the information is based on
the Canadian Diabetes Association 2003 Clinical Practice Guidelines. The
Canadian Diabetes Association offers detailed information on the clinical
practice guidelines, as well as a wide range of information about diabetes
in general. Visit their website at www.diabetes.ca. For the association
of Diabète Quebec, visit www.diabete.qc.ca. If you are unsure about
an information source, ask a member of your healthcare team.