face the new ones.
Finally, be open to making changes in your own care as you live with diabetes. Your body will go through natural changes each year, and these changes will require adjustments on your part. Use resources, such as your personal health care team and information from the American Diabetes Association (ADA), to help you make informed decisions about your health. Share any successful tips you have learned with others who live with diabetes, too. Imparting strategies and ideas you have learned to others can help you build a support network and improve your own knowledge. Isn’t it often said that teachers learn more from their students than the other way around?
The truth is that you will be a lifelong student in the subject of diabetes. But it will be a journey that is worthwhile. My hope is that this book can help. In the following pages, I provide useful tips derived from professional experts, as well as “real life” people. The result is the first “50 Things” you should know about diabetes.
—Kathleen Stanley, CDE, RD, LD, CN, MSEd, BC-ADM
KNOW THE PLAYERS
1. How to pick a good diabetes doctor and get the most out of the relationship
2. How to interpret an A1C score
3. How to get the most out of your visit to the registered dietitian
4. How to call your doctor for help
5. How to work with your insurance company
1 How to pick a good diabetes doctor and get the most out of the relationship
FINDING YOUR DOCTOR
Diabetes is a lifelong disease, so choosing a good doctor to take care of your diabetes will be a long-term decision. Think about other relationships you have established for your business or in your personal life. More than likely, good communication and trust are largely responsible for the successful relationships you have had. You will be working together with a doctor for years, so choose carefully, and expect to build the relationship over time, not just at the first visit. The following tips should help you in this important search.
GET PROFESSIONAL ADVICE
Ask your favorite current health care provider (family doctor, dentist, ophthalmologist) to recommend someone. If you like this provider’s professional style, chances are, they will recommend someone who uses a similar style.
DO SOME SCOUTING BEFOREHAND
Some physician offices and clinics have marketing packets or office information packets that could be mailed to you. The web is also an excellent resource. Many insurance companies, hospitals, and even municipal websites offer online physician finders. Many doctors and clinics also have their own website with information on credentials, services, and insurance policies.
Making Peace with Diabetes Technology
Many of us could happily live our lives without owning an MP3 player or sending a text message. But when it comes to your diabetes care, it’s time to accept some degree of technology, because it will to play an ever more important role in your health. For instance, some physicians use health data banks and software that allow you to input your blood glucose information and management information online. You can send in your numbers and get an update on your management without setting foot into a doctor’s office! Many health care professionals also communicate through e-mail, which can sometimes be more reliable than a phone call. And let’s not forget the number of diabetes management software programs available on cell phones, personal organizers, and computers. Most of these are very easy to learn and can make organizing data, analyzing your numbers, and spotting trends much, much easier.
So even if you wouldn’t own a digital camera if someone paid you, it might be time to accept that some technology can simplify your diabetes management and improve your health.
CONSIDER COMMUNICATION STYLES
Start your selection process by considering your communication needs and preferences. If you are the type who likes to have frequent contact or ask a lot of questions, you might want to consider a physician who has an on-call resource for after hours or enough trained staff to answer questions when the physician isn’t available. Ask if the health care professional or physician takes direct calls, or if you are routed to others or through a frustrating electronic messaging center (“press 1 for more options, press 2 if you are tired of options, press 3 if you want us to disconnect you for no apparent reason, press 4 if you would like to throw your phone across the room”). If you are very comfortable with technology, seek out a doctor who is using the latest technology in their office (see sidebar).
HOW MUCH TIME DO YOU NEED?
If you prefer one-on-one time with a human being, you may want to ask about the time slots for appointments, or even take a casual visit to see the waiting room. If appointments are scheduled every 10 minutes, the waiting room is overflowing, and the staff looks harried, it may be sign that you may not get a lot of face-to-face time with this particular doctor. Conversely, some offices employ support persons to help with your visit, including a dietitian, laboratory staff, and diabetes educators. With this extra staff, you will probably get more personal contact. You will also get the scheduling flexibility of a multidisciplinary team, rather than being dependent on just one person. Remember that diabetes is a multifaceted problem, and a team can help in your overall health care treatment plan.
GROUP PRACTICES VERSUS SOLO PRACTITIONERS
Larger offices may have several partners, so ask if you will (or can) be assigned to one particular physician, allowing you to develop a relationship if that is important to you. If not, you may be scheduled with the “available” physician when you call, meaning you may be seeing a number of physicians or professionals. Finding someone you “click” with and can talk openly with is very important; you are developing relationships that will undoubtedly grow over the years.
CHECK THEM OUT AT A CHECKUP
The best time to make the first visit is for a simple checkup. This way you can see how the office works and meet the physician without the stress of an illness. At each visit you should generally expect:
