Janis Roszler, RD, CDE, LD/N
Each February, the rich and beautiful of the world flock to Miami Beach to purchase yachts at the annual international boat show. These vessels are not your run-of-the-mill sailboats; they are floating villas, complete with media rooms, wet bars, staterooms, handsomely paneled bedroom suites, and price tags that run into the millions.
Those who buy one of these beauties can't possibly care for it alone. Each requires a well-trained crew to polish the woodwork, keep it fueled, correct mechanical issues, monitor the computerized navigational system, prepare meals, and have it ready to sail at a moment's notice.
If you have diabetes and want your body to run like a fine-tuned yacht, you should assemble an expert support crew as well.
Captain
No, it isn't your doctor, it's YOU. You know your diabetes best. If you don't report a problem, you can't receive the help you need. For example, very few men ask for assistance with diabetes-related sexual problems. Their situation would improve dramatically if they brought up the subject to their health care team. Be the captain of your ship and discuss all issues that affect your quality of life.
Cook
Who prepares your meals? Diabetes meal planning has become very flexible over the past few years. Sugar, in moderation, is permitted and most of the foods that you love can return to your meal plan, as long as they are eaten in appropriate amounts. If you, or the one who prepares meals, hasn't seen a dietitian in years, visit one soon.
Doctor
An endocrinologist (diabetes specialist) plays a critical role in your diabetes care. He or she can provide you with state-of-the-art treatment. Unfortunately, few family physicians have the time to stay current with the enormous number of changes that happen in the diabetes world. If you feel that you are not getting the quality of care that you deserve, see a specialist.
Crew
Your crew is made up of numerous health professionals who support your treatment plan - your podiatrist, ophthalmologist, diabetes educator, pharmacist, athletic trainer and others, such as kidney and heart specialists, who are brought onto the team as needed. Heed their sage advice. They can help keep your body in ship shape.
First Mate
If you are in a committed relationship, your partner can play a significant role in your diabetes life. The Secrets of Living and Loving with Diabetes, by Janis Roszler, RD, CDE, William Polonsky, PhD, CDE and Steven Edelman, MD, is a terrific book for both those who have diabetes and their loved ones. It uses humor, personal stories, discussion topics, and expert advice, to help keep diabetes from interfering with your important relationships.
Purser
On a cruise, the Purser acts as a concierge and fills your daily requests. From whom do you get your diabetes supplies, such as test trips, lancets, and meters? There are many sources for diabetes items. Local pharmacies sell them, but they may be expensive. Mail order businesses offer automatic refill services and discounts, but can't provide you with an item at a moment's notice. Some mail order companies substitute products to entice you to try new brands, while others maintain a policy of non-switching, Ask questions before placing an order.
How you manage your "diabetes ship" can either keep you in clear, calm waters or steer you head on into a storm. Assemble a crew of talented experts who care about you and your diabetes needs and you will find smooth sailing wherever you go.
(Originally published in the eDiets.com Living With Diabetes newsletter.)