Endocrinologist, dietitian, ophthalmologist, etc.

A good healthcare team is essential to staying healthy when you or your child has diabetes. According to the American Diabetes Association, a diabetes care team should include:

The patient. They are the most important member of the diabetes care team! Only you know how you feel. Your diabetes care team will rely on you to speak to them honestly and provide them with information about your body.

Monitoring your blood sugar tells your doctors how well your current treatment is controlling your diabetes. By checking your blood sugar level, you can also prevent or reduce episodes of hypoglycemia (low blood sugar) that you have.

Senior Physician. Your GP is the person you see for general check-ups and when you get sick. This person is usually an internist or family doctor who also has experience treating people with diabetes. Your child’s regular pediatrician will ensure that all aspects of your child’s health care are managed and can refer them to other specialists.

Since your primary care physician is your primary source of care, they will most likely lead your diabetes care team.

Endocrinologist. An endocrinologist is a doctor who has special training and experience in treating people with diabetes. You should see yours regularly.

Dietitian. A Registered Dietitian (RD) is trained in nutrition. Food is a key part of your diabetes treatment. So yours will help you determine your dietary needs based on your weight, lifestyle, medications, and other health goals (like lowering blood fat or blood pressure).

Nurse trainer. A diabetes educator or diabetes nurse practitioner is a registered nurse (RN) with special training and experience in caring for and teaching people with diabetes. Nurse educators often help you with the day-to-day aspects of living with diabetes.

Ophthalmologist. Either an ophthalmologist (a doctor who can treat eye problems both medically and surgically) or an optometrist (someone who is trained to manage primary eye health care, such as how the eye focuses or help diagnose more serious problems; optometrists are not medical doctors) should check your eyes at least once a year. Diabetes can affect the blood vessels in the eyes, which can lead to loss of sight. Children with type 1 diabetes should have a dilation eye exam 5 years after diagnosis or at age 10, whichever comes first.

Podiatrist. For anyone with diabetes, which can cause nerve damage to the extremities, foot care is important. A podiatrist is trained to treat feet and lower leg problems. These physicians hold a Doctor of Podiatric Medicine (DPM) degree from a podiatry college. They also did a residency (hospital training) in podiatry.

Dentiste. People with diabetes are at a somewhat higher and earlier risk of gum disease. Excess blood sugar in your mouth makes it a good haven for bacteria, which can lead to infection. You should see your dentist every 6 months. Be sure to tell your dentist that you have diabetes.

Exercise trainer. No matter what type of diabetes you have, exercise should play a major role in managing it. The best person to plan your fitness program with your doctor is someone trained in the science of exercise and safe conditioning methods.

Mental health professional. Usually a social worker or psychologist, this expert can help you and your child deal with the major lifestyle changes that come with diabetes.

How often should I see my doctor?

People with diabetes who use insulin injections usually see their doctor at least every 3 to 4 months. People taking pills or managing their diabetes through diet alone should have an appointment at least every 4-6 months.

You may need to go more often if your blood sugar is not controlled or if your complications worsen.

What should my doctor know?

Generally, your doctor wants to understand how well your diabetes is controlled and whether diabetes complications are starting or getting worse. Therefore, at each visit, give your doctor your home blood glucose monitoring record and let them know of any symptoms of hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar). blood).

Also tell your doctor about any changes in your diet, exercise, or medications, and any new illnesses you may have. Tell your doctor if you have had symptoms of eye, nerve, kidney, or cardiovascular problems such as:

What lab tests should I have?

When you have diabetes, you should have regular lab tests:

  • Hemoglobin a1c
  • Urine and blood tests for kidney function
  • Lipid test, which includes cholesterol, triglycerides, and HDL

You may also need thyroid and liver tests.

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