Many different people have different
thoughts about what to do when you are initially diagnosed with type
2 diabetes. I doubt my ideas have not been exposed before, but
several in our group have asked me to blog about these ideas. It is
surprising the different attitudes we have encountered in the last
three years.
Yes, we all have seen anger or
something similar. Some have seen shock and self-blame. All these
are normal reactions as is denial and many go this route and many in
our group have seen this. Tim and I have often questioned why we
have seen severe depression when this is not one that we see that often.
Yes, later we have all seen quite a bit of depression and mostly mild
versions of depression.
A couple of people we know are still in
the self-blame stage and have refused to consider anything else even
with several of the group working with them and explaining how they
are not to blame.
We are always happy when people we are
working with accept their diabetes and want to take charge of their
health. Much of what we suggest depends on how long it has been
since diagnosis and recent A1c results. The longer it has been or
the higher the A1cs, the more we work with them to help them learn
the basics and find what works for them.
I can understand if you panic about the
diagnosis, but try not to make drastic changes before you understand
something about diabetes. Find what you can do to manage your
diabetes, as often you need to take a step back and learn what you
can about diabetes. You need to learn what measures should be taken
to manage diabetes, and what will help you prevent the complications.
You will need to break down the
complexity of diabetes into easy to understand terms and learn why it
is important to get an obtainable HbA1c reading. It is even more
important to learn how to do the daily testing and learn how the
different foods you consume affect your blood glucose levels. Learn
to test in pairs, before you eat and about 2 hours after to discover
how the meal affected your blood glucose level.
Most newly-diagnosed people with type 2
diabetes are aware that what we eat and how active we are affects our
blood glucose levels. Next, we need to learn how caffeine, stress,
and amount of sleep affect our diabetes management. All of this
should tell you how important the different logs or journals we
maintain can help us with diabetes management. Keeping information
about your blood glucose readings, what you ate, when you exercised,
and how stressed you were that day can provide clues or trends. Use
these to discover what affected your blood glucose readings.
The more you learn about what affects
your blood glucose levels, the more accurately you can tailor your
diabetes management plan to avoid continual trial and error.
Having support in managing your
diabetes can be a great help. Several studies have shown that having
some kind of support system, whether it is family, friends, a health
coach, or a behavioral health counselor, can greatly improve an
individual’s ability to manage their diabetes. If you feel like
you could use a boost in support, ask your primary care provider
about local support groups where you might find peers who may be able
to relate to what you are going through because they have been
through it.
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