An effective healthcare team is essential for maintaining wellness when you or your child has diabetes. The American Diabetes Association states that a diabetes care team should comprise:
The individual receiving medical care. This individual is the main part of the diabetes care team! Only you are aware of your emotions. Your diabetes care team relies on your honest communication and provision of information on your body.
Monitoring your blood glucose informs your physicians on the efficacy of your current diabetes management. Monitoring your blood sugar levels can help prevent or mitigate instances of hypoglycemia.
Primary physician. Your primary care physician is the individual you consult for routine examinations and when you are unwell. This individual is typically an internist or family medicine physician with expertise in managing diabetic patients. The child’s primary pediatrician will ensure comprehensive management of their healthcare and facilitate referrals to specialists as necessary.
Your primary care physician will likely lead your diabetes care team, as they are your principal provider of medical treatment.
Endocrinologist. An endocrinologist is a physician with specialized training and expertise in managing diabetic patients. It is advisable to observe yours consistently.
Nutritionist. A registered dietitian (RD) possesses specialized training in nutrition. Nutrition is a crucial component of diabetes management, hence your plan will assist in determining your dietary requirements depending on your weight, lifestyle, medication, and other health objectives (such as reducing blood lipid levels or blood pressure).
Educator for nursing professionals. A diabetes educator or diabetic nurse practitioner is a registered nurse (RN) possessing specialized training and expertise in the care and education of individuals with diabetes. Nurse educators frequently assist individuals with the daily management of diabetes.
Ophthalmologist. An ophthalmologist (a physician capable of medically and surgically addressing ocular issues) or an optometrist (a professional trained in primary eye care, including visual acuity assessment and diagnosis of more serious conditions; optometrists are not medical doctors) should examine your eyes annually. Diabetes can impair the ocular blood vessels, perhaps resulting in vision loss. Children diagnosed with type 1 diabetes should undergo a dilated eye examination five years’ post-diagnosis or by the age of ten, whichever occurs first.
Foot specialist. Foot care is crucial for individuals with diabetes, as the condition can lead to nerve damage in the extremities. A podiatrist is specialized in the treatment of feet and lower limb ailments. These physicians possess a Doctor of Podiatric Medicine (DPM) degree from a podiatry institution. They have completed a residency in podiatry.
Dental practitioner. Individuals with diabetes face an elevated and earlier risk of periodontal disease. Elevated blood glucose levels in the oral cavity create an optimal environment for bacteria, potentially resulting in infection. It is advisable to visit your dentist biannually. Inform your dentist about your diabetes diagnosis.
Fitness instructor. Regardless of the type of diabetes one has, physical activity should be a significant component in its management. The optimal individual to design your fitness regimen, in conjunction with your physician, is a professional educated in the scientific principles of exercise and safe conditioning techniques.
Psychological health practitioner. An expert, typically a social worker or psychologist, can assist you and your kid in managing the significant lifestyle adjustments associated with diabetes.
What is the recommended frequency for medical consultations?
Individuals with diabetes utilizing insulin injections typically consult their physician every 3 to 4 months. Individuals utilizing medication or managing their diabetes only through dietary measures should schedule a consultation at least every 4 to 6 months.
Increased frequency of visits may be necessary if your blood glucose levels remain uncontrolled or if your issues are exacerbating.
What Information Must My Physician Be Aware of?
Your physician aims to assess the management of your diabetes and determine if complications are emerging or deteriorating. Consequently, during each appointment, present your physician with your home blood glucose monitoring log and inform them of any symptoms indicative of hypoglycemia or hyperglycemia.
Inform your doctor of any modifications to your diet, exercise regimen, medications, or any new ailments you may have acquired. Inform your physician if you have experienced symptoms related to ocular, neurological, renal, or cardiovascular issues, such as:
- Impaired vision
- Paraesthesia or tingling sensations in the feet
- Chronic edema of the hands, feet, face, or legs
- Leg cramps or discomfort
- Chest discomfort
- Dyspnea
- Unilateral numbness or weakness
- Abnormal weight accumulation
Which laboratory tests should I undergo?
Individuals with diabetes should undergo routine laboratory examinations.
- Hemoglobin A1c
- Urinalysis and blood examinations for renal function
- Lipid analysis, encompassing cholesterol, triglycerides, and HDL
- Thyroid and liver assessments may also be necessary.