Some patients ignore the diagnosis when they learn they have type 2 diabetes. Dr. Sherita Golden, an endocrinologist at Johns Hopkins University School of Medicine, said such reactions are risky, but understandable in some ways.
“We often ask patients to significantly change their lifestyle through a series of new habits,” she said. “When the diagnosis is first learned, it can be overwhelming.”
Sherita’s goal is to wait patiently for patients to change their attitude of denial about diabetes, and she advises patients’ family and friends to take the same approach.
“But we shouldn’t keep waiting so long that they remain unconcerned about their condition,” she added.
Complications of diabetes
Over time, uncontrolled high blood sugar levels can lead to serious complications: eye disease (such as glaucoma), kidney disease, and foot ulcers, even leading to amputation.
She said, “All complications can be avoided by controlling blood glucose early enough to prevent them from occurring.”
If someone around you is in denial about diabetes, Sherita recommends the following steps.
Start simple
If one is willing to adopt only one new habit at first, Sherita recommends starting the medication prescribed by the doctor – and sticking with it. Side effects can cause patients to miss medications, so let your doctor know if they occur. Sherita said, “There are alternatives we can take.”
Listening and expressing emotions
Studies in which Sherita led participation reveal that people with type 1 or type 2 diabetes are twice as likely to experience depression and low mood compared to individuals without diabetes. Please do not ignore that this may also be a symptom of depression, and that treatment with related therapies or medications may help some patients adhere to their diabetes treatment plan.
Consider joining a support group
Support groups can be helpful for each other because “support groups let patients know they are not alone,” says Sherita.
When a diabetes diagnosis is first established, it can be helpful to meet patients who are willing to share advice.
Consult a nutrition counselor
Many patients believe that a diagnosis of diabetes means that they can no longer consume any sweets. In fact, adjusting the diet accordingly will allow for a small intake of sweets.
A dietitian or diabetes educator can help create a meal plan based on the patient’s own needs and preferences.
Consult your doctor for advice
The following questions can be asked of a doctor or diabetes educator:
- What will happen to my body if I ignore my diabetes?
- What will happen to my body if I ignore my diabetes?
- If you start with one diabetes management habit, which one is the most important?
- What is my current glycated hemoglobin (HbA1c) level and what goal should I set?
- Can you refer me to a dietitian who can help me change my diet?
- Am I at risk for depression? What symptoms should I be looking for?
- Can you put me in touch with a support group for people with diabetes?