Last year, I wrote a blog post about having your Diabetes Care Team and why it’s so important for you to choose the right people. Choosing the right people that support you and are helpful and sensitive to your current condition is so important. I’m part of a diabetes support group for women on Facebook and it’s always so sad seeing some women being mistreated by their doctors and wondering if what they’re doing is even right because their doctors make them feel dumb and inadequate. Having the right people by your side should NOT make you feel less than the amazing person you are.
Your Diabetes Care Team should consist of a Primary Care Physician (PCP), Endocrinologist, Certified Diabetes Educator, Opthalmologist, Podiatrist, Dentist, and a Registered Dietician. All of them specializing in fields that can help monitor and manage your diabetes.
Since I was diagnosed with Type 2 in February 2017, I have really slowly built my team. Like really slowly. I had my PCP who diagnosed me and started me on oral medication in hopes that by losing weight and eating better would naturally bring me back around,which it didn’t.
In 2018, I went to a diabetes education class with a diabetes educator. I learned a lot at that class and I’m really glad I went, but I don’t know if the lady that headed the class is still working there anymore. Also in 2018, I got my opthalmologist and podiatrist. They’ve been keeping an eye on how my diabetes has been affecting my eyes and feet, which so far has been good.
In 2019, I was referred to an endocrinologist who put me on insulin which I’ve been using ever since. My dose has gone way up to the point that he may have to prescribe me another insulin on top of that.
And finally in 2021, I got a dietician. My PCP was supposed to work it out for me but that never happened so I had to do it on my own. Thankfully I’ve been taking classes and other services from a local nonprofit that provides classes about diabetes, hypertension, and healthy eating among other subjects. They also work with dieticians and other specialists to bring their services to the Native Hawaiian population. I’m very grateful for their services.
Here’s why seeing a dietician is so important. Going to classes about healthy eating and diabetes will always go over what you should and shouldn’t eat. You can ask the instructor questions but you can’t have a conversation with them during class because there are others there as well. I suggest seeing a dietician so you can sit with them, one on one, and really get to the nitty gritty.
I saw my dietician for the first time yesterday and we talked about when I usually eat, what I ate in the last 24 hours, what my glucose reading was, what my concerns were, if there were any changes recently in appetite or anything really, and she gave me suggestions on what I could change. Talking to someone one on one is really getting the information to sink in better than during all of the classes I took.
I have to go back in and see her in a month to see if any of the changes I’ve implemented are working. The changes I’ve agreed to make are to eat brown rice instead of white rice, try whole grain bread instead of white bread, get more fiber in my diet is the big goal, try to incorporate more vegetables in to my diet, and continue to walk AT LEAST 15 mins for AT LEAST 3 days (the more the better).
I’m going to have to increase how many times a day I check my blood sugar which might now be about six times a day at least. I think my endocrinologist might also want me to check before and after I eat now too. But I’m willing to do this now more than ever! Why? Because I’m so close to breaking 200lbs! I haven’t been less than 200lbs since 2012. There was a short stint in 2019, but I gained it all back because of stress. I want to break 200lbs once and FOR ALL!
If you haven’t seen a dietician, I really suggest you do. They can come up with a menu of things you should eat more of as well as what kind of physical activity you can do to bring your blood sugar down. The one on one experience will also benefit you as well, I think.
I would love to hear your stories about your journey with diabetes. Feel free to submit your story. You can submit it anonymously if you want. I just really want to know that I’m not going through this alone, that others out there are going through similar experiences like I am.