By David G. Marrero Ph.D., Robert M. Anderson Ed.D., Martha M. Funnell M.S., Melinda D. Maryniuk M.ED.
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Extra resources for 1,000 Years of Diabetes Wisdom
Part of my mind was saying, “Why is this such a big problem? You are a diabetes specialist. You explain to your patients how they can live well with diabetes, offer support, and encourage them by giving examples of how other patients manage. ” Then I realized that it is one thing to know about diabetes, but knowing is utterly different from having diabetes. I felt overwhelmed as I lay in bed crying. I finally fell asleep after making some important decisions about changing my life. Although the next day was Saturday, I woke up early and walked for two hours.
Asking the Tough Questions by Janis Roszler, dietitian, Miami, FL On the way to work one morning, I had made a personal promise to discuss the topic of diabetes-related sexual complications with all of my patients. When I walked in, there he was—a heavy-set Orthodox Jewish rabbi with a graying beard and a black hat. But a promise is a promise. So after we ran through the issues he had come to discuss—his diabetes control and weight goals—I brought up sexual complications. I threw it in at the end of a list of potential diabetic complications.
He told me that he was very frustrated. He tried very hard to take care of himself but was beginning to feel as though he had failed. He was particularly concerned because his doctor told him he was failing as well. After some additional background information, I asked the patient to tell me what he understood he was supposed to do to take care of his diabetes. The patient had been prescribed an oral agent that he needed to take twice daily before meals. The patient informed me that his doctor said to take the medication 30 minutes before breakfast.