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UNIT FOUR LESSON 12 Working with Your Health Care Team. Objectives. At the end of the lesson, participants should be able to: State the importance of the team approach to managing diabetes Identify members of the health care team Set a goal that relates to working with the health care team
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UNIT FOUR LESSON 12 Working with Your Health Care Team
Objectives At the end of the lesson, participants should be able to: • State the importance of the team approach to managing diabetes • Identify members of the health care team • Set a goal that relates to working with the health care team • Describe feelings and experiences of living with diabetes • Identify ways to modify everyday snacks to fit into the diabetes meal plan
Team Approach to Diabetes Management • Diabetes affect the eyes, kidneys, blood vessels, heart, legs, and feet • A team approach is needed to manage the disease, identify problems, and reduce or prevent diabetes complications
Core Team Members • You • Primary care provider (doctor) • Family members • Certified diabetes educator (CDE) • Registered dietitian • Nurse educator
Questions to Ask Your Doctor • What target range should I have for my blood glucose? • Am I controlling my blood glucose? • How is my blood pressure? • How is my blood cholesterol?
Questions to Ask Your Doctor • Do I have symptoms of nerve damage? • Are my feet healthy? • Do I have signs of kidney disease? • Should I get a flu or pneumonia vaccine? • When next should I see you?
Certified Diabetes Educator (CDE) • CDEs are health professionals who have special training in teaching people with diabetes how to manage the disease
Questions to Ask Your CDE • What is type 2 diabetes and what are the symptoms? • How do I cope with diabetes? • How do I manage my diabetes? • How does diabetes affect my eyes,kidneys, heart and nerves?
Questions to Ask Your CDE • How do I use a glucose meter to monitor my blood glucose? • What should I do if my blood glucose numbers are too low or too high? • How do I give myself insulin injections?
Registered Dietitian (RD) • A dietitian is trained in nutrition and has passed a national exam • Some dietitians have special training in working with individuals with diabetes • Your doctor refers youto a dietitian
Questions to Ask Your RD • How do I make good food choices? • What foods cause my blood glucose to rise quickly? • What foods should I choose when I am eating out?
Questions to Ask Your RD • How do I find diabetes recipes? • How do I include cultural foods into my meal plan? • How do I eat when I am sick? • What is the best diet to follow if I want to lose weight?
Nurse Educator • A nurse educator is a registered nurse (RN) with special training in caring for and teaching people how to live with and manage diabetes
Questions to Ask your Nurse Educator • How can I make changes in my daily habits so that I can cope with diabetes? • How can I manage my diabetes? • How can I reduce my risk for diabetes complications?
Other Team Members • Pharmacist, CDE if available • Eye doctor (ophthalmologist) • Podiatrist (foot doctor) • Dentist • Counselor • Exercise Physiologist
Pharmacist • The pharmacist is trained in the science and use of prescription and over-the-counter medications • They can be found in neighborhood drugstores and large food chains • They help with the selection of blood glucose meters and over-the-counter diabetes supplies
Pharmacist • Let the pharmacist know all the medications you are taking, including herbal supplements, because they can interact with the medications your doctor prescribed
Questions to Ask Your Pharmacist • How does the medicine work? • How should I take the medicine? • What should I do if I miss a dose? • How do I know if the medicine is working? • What are some of the side effects of taking this medication?
Questions to Ask Your Pharmacist • What should I avoid when taking this medication? • How should I store the medicine? • Do I need a refill? • Are there generic brands of this medication?
Ophthalmologist: Eye Doctor • An ophthalmologist is a doctor who specializes in diseases of the eye.
Questions to AskYour Eye Doctor • Do I have eye problems? • Do I need glasses or new glasses? • Do I need special treatment? • Am I eligible to drive? • What can I do to take care of my eyes? • What should I do if I notice changes in my vision?
Podiatrist or Foot Doctor • A podiatrist is a doctor trained to prevent, diagnose, and treat problems of the lower legs
Questions to Ask Your Podiatrist • How can diabetes affect my feet? • How well are the nerves in my feet sensing feeling? • How is the blood flow to my legs and feet? • Are there changes in my feet? • What is the best way to trim my toenails?
Questions to Ask Your Podiatrist • What type of lotion or cream should I use on my legs and feet? • What are the best types of shoes to purchase? • Can special shoes help my feet? • How can I care for my feet?
Dentist • People with diabetes are more likely to have gum disease especially if their blood sugar is not well controlled • They are also more likely to get infections and that is another reason they tend to have teeth, mouth, and gum problems
Questions to Ask Your Dentist • Do I have early signs of tooth, mouth, or gum problems? • How should I protect my teeth? • What is the correct way to brush and floss my teeth? • What should I do to keep my teeth, mouth, and gums healthy?
Mental Health Professionals • A mental health professional may be a social worker, psychologist, psychiatrist, or counselor • These members of your team help with the social and emotional side of living with diabetes
Depression • People with diabetes are more likely to be depressed • The daily tasks needed to manage diabetes can become overwhelming, especially if a person is experiencing diabetes complications such as nerve damage, kidney problems, and/or poor blood glucose control
Questions to Ask YourMental Health Professional • Is depression normal for persons with diabetes? • How do I deal with my feelings and emotions? • Can my emotions raise my blood glucose?
Questions to Ask YourMental Health Professional • Social Worker • What kind of costs does Medicare cover? • How can I find resources to help with medical and financial needs?
Questions to Ask YourMental Health Professional • Counselor • Where can I find support for depression and emotional stress? • How can I deal with depression as a result of diabetes?
Questions to Ask YourMental Health Professionals • Psychiatrist • If I have to take medication, what are the side effects of medication? • Are there other treatment? • How will medication affect my blood glucose levels?
Exercise Physiologist • An exercise physiologist is a licensed health professional who can plan an exercise program that is safe and appropriate for you • Benefits of Exercise: • Lowers blood glucose level • Helps the body use insulin more effectively • Improves heart functions • Controls your weight • Helps you feel better
Questions to Ask YourExercise Physiologist • What type of exercise is best for me? • How can I exercise safely? • How long should I exercise?
Putting it All Together • Share what you learned about diabetes and the health care team
E-mpowerment Diabetes Education Series: Working with Your Health Care Team
Diabetes Education Series • Describe your experiences and feelings working with your health care team. • What worked well for you? • What was most difficult? • What are ways that you could overcome some of these difficulties?
A-ction Did you accomplish the goal you set last week? Your goal is to develop your health care team.
R-eal-Life Problem Solving Phyllis’ Story
Questions about Phyllis’ Story • What information would you give Phyllis concerning individuals who should be on her diabetes care team? • Explain the role of these individuals to Phyllis and how often she should see them. • What other information can you pass on to Phyllis? • How can Phyllis keep track of what health care specialist she needs to see and how often?
Questions about Phyllis’ Story • Please find the Real-Life Problem Solving handout for this lesson in your folder • These questions will help with your understanding of Phyllis’ story
N-utrition Menu Fruit Yogurt Dip Mini Bran Muffin
We have come to the end! Continue on the path of success! Keep reaching for your goals!