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Conditions We Treat
Diabetes in Your Family?
What you need is a team approach!
If someone you love has diabetes, you know how demanding this illness can be. Diabetes impacts everything from family meals to vacation planning to interpersonal relationships. Here’s what you and your family can do to build a strong “home team.”
Adjusting to a new diagnosisWhen a family member is diagnosed with type 1 or type 2 diabetes, the whole family has lots of learning ahead. As the patient realizes the life changes diabetes will require, he may need to talk about it—and he’s not the only one. “Everyone worries when a family member has diabetes,” says Mary Cipolle, R.N., of Lehigh Valley Hospital’s Helwig Health and Diabetes Center. “Sharing your feelings makes you better able to handle the disease.”
If the newly diagnosed person seems to be obsessing over his blood sugar or insulin injections (required for people with type 1 and some with type 2 diabetes), that’s not necessarily a bad thing. Diabetes should be taken seriously. Your support will help your loved one feel less intimidated and gradually make the disease a normal part of his life.
The family’s ongoing roleAs the spouse or adult child of a person with diabetes, you can play a key ongoing role in encouraging your loved one to eat healthy food, exercise and check blood sugar regularly to prevent long-term complications, says psychologist Jeff Knauss, Ed.D., of Lehigh Valley Hospital and Health Network. (Knauss has had type 1 diabetes himself since childhood.) The challenge is to strike a balance between not doing enough and becoming over-controlling.
When that happens, the person with diabetes may grow defiant and purposely not do what his family wants, says endocrinologist Matthew Corcoran, M.D., of Lehigh Valley Hospital and Health Network. (Low blood sugar also can create dramatic mood changes the patient isn’t even aware of.) “I suggest people with diabetes talk regularly with their family about how it feels from the patient’s point of view,” Corcoran says. “That helps everyone understand why family members need to be teammates and not the ‘diabetes police.’ ”
As a teammate, you can support your loved one—and be a good role model—by learning about the disease, eating healthy and exercising regularly. And if you need extra help, don’t hesitate to ask, Corcoran says: “I often recommend counseling or support groups for my patients and their families.”
When the patient is a child“Because most children diagnosed early in life have type 1 diabetes and require insulin, parents must be more heavily involved in managing the disease,” Cipolle says. “They tend to worry about the safety of sports, field trips and other activities. But kids with diabetes can do the same things other kids do—there’s just more planning involved.”
Control can become an issue, especially in the naturally rebellious adolescent years. “Rather than fighting over who’s in charge, think of yourself as your child’s coach, overseeing her care and helping her when she needs it,” Knauss says.
Want to Know More
about diabetes and planning healthy meals for your whole family? Click here for Healthy Holiday Eating
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. This page last updated 2/12/08 04:08 PM
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