How to Find a Doctor Who Gets You (and Why It Matters)
与伟大的医生合作对于保持糖尿病在控制下至关重要。这是如何找到你的比赛。
治疗慢性disease like diabetes can sound completely overwhelming, especially if you’ve received a recent diagnosis. But working closely with the right doctor can help you keep the condition under control. “It is important to find a doctor who will partner with you,” says Tamara Oser, M.D., an associate professor of Family Medicine at the University of Colorado School of Medicine in Aurora, CO. “This includes not only working to provide excellent diabetes care, but also working with you to achieve your specific diabetes goals.” Here’s what you need to know.
知道正确的医生和治疗课程 - 取决于你拥有的什么类型的糖尿病，以及它有多严重。
糖尿病是一种慢性病症，其特征在于血糖水平的延长时期，通常与胰岛素 - 一种调节这些水平的激素。1型糖尿病的人都有一种不会产生足够的胰岛素的胰腺。2型糖尿病的人更常见，对他们的身体产生的胰岛素不响应。
根据卫生和人类服务部，“西班牙裔美国人的成年人比非西班牙裔白人成年人更可能被医生诊断患有糖尿病的1.7倍。”估计，17％的西班牙裔/拉丁裔美国人有2型糖尿病，而2％的白色美国人。
“初级保健医师和内分泌学家对待糖尿病的人，”博士博士说。“初级保健医师包括那些培训的家庭医学，内科和儿科的特色。内分泌学家在内分泌学中完成亚特色培训，这是对身体的激素和荷尔蒙系统的特异性。“
oser表示，大多数患有2型糖尿病的人受到初级保健医生治疗，而初级保健医生与1型糖尿病的一半（其他一半由内分泌学家治疗）相比。您的初级保健医生会通知您是否建议了内分泌学治疗。
See what options are covered by your insurance provider.
When selecting a physician, you’ll want to make sure the doctor is covered under your insurance plan, or that you have access to out-of-network coverage. Use your insurance provider’s website to search for local physicians covered under your plan. You can check out online reviews to see what patients are saying, or even ask local friends and family if they have any recommendations.
You should also consider the provider’s location. Are they reasonably close to your home or workplace, or is their office prohibitively far away? Is their office open during hours that would work with your schedule? How often you’ll need to have appointments will vary depending on your treatment plan, but you may have to attend appointments every three months, six months, or annually.
初步预约 - 并询问大量问题。
在糖尿病预约，一般来说，医生将测试你的血糖水平，让您的血糖水平，审查任何药物，并为您提供计划（或继续管理）条件的计划。
“I always tell patients that, in a lot of ways, they're the customer and they're there to get their questions answered,” says Michelle Ogunwole, M.D., a general internal medicine research fellow at the Johns Hopkins University School of Medicine in Baltimore, MD. “Our job is to answer them. So, I think a lot of times, if you're not understanding what doctors are saying, the burden is on them to make things clear.”
有些问题你可以问：您推荐了什么疗程？我需要服用药物吗？我是否需要监测我的血糖水平（以及经常）？是否有任何替代品到您推荐的内容？有没有什么副作用？我多久需要进行一次测试？
别忘了与你的医生谈论生活方式管理和糖尿病教育。
“食物，运动，睡眠和压力会影响您的健康和糖尿病，”Ogunwole博士说。您的提供商应该能够与您交谈，了解可能的生活方式更改，同时仍然了解对您，个人和文化的重要性。她强烈建议使用共享决策的医生 - “这意味着我们与患者一起努力尝试创建一个针对他们的需求量量身定制的计划。”
The right doctor should also give you information on what to expect about living with diabetes—and potential complications to look out for down the road. Make sure you discuss your risk of things like stroke, blindness, poor wound healing, and kidney disease.
另一个拼图，你的医生应该开放讨论？精神健康。根据国家联盟对精神疾病（NAMI），西班牙裔/拉丁裔社区的成员与其他任何人都易受伤害的群体 - 但它们面临访问治疗的差异。
具体而言，大约34％的西班牙裔/拉丁裔人在任何一年中有精神疾病接入治疗，与美国平均值为45％。纳米列出了一些关心的障碍，因为缺乏保险，语言障碍，卫生保健提供者之间的文化能力，以及某些社区内的耻辱。如果糖尿病诊断影响您的心理健康，专家认为与您的医生解决这一问题很重要。
“糖尿病也有抑郁症的人并不常见，这可以让你的糖尿病真的很难，”奥斯克博士说。“与行为健康团队合作可以成为某些人为糖尿病治疗的重要组成部分。”
Ask your doctor about other resources.
“Almost always, diabetes treatment includes a focus on what is often called ‘self-management,’ including things like diet, exercise, taking your medications, and weight management,” Dr. Oser says. She says that working with a糖尿病护理和教育专家(DCES) can be helpful in adjusting to your treatment and sticking with the plan.
如果您有一个特定的生活方式管理领域，您担心或挣扎，请向相关专家提出推荐。例如，注册的营养师可以帮助您为您的生活方式工作的饮食修改，包括您最喜爱的餐点的简单调整。“我们正试图弄清楚如何创造一个不仅仅是剥夺的生活方式，”Ogunwule博士说。“这是关于健康和健康。”
确保你觉得听到了。
“你需要觉得你可以开放[your doctor]and ask them questions without feeling judged, and that they listen to you, and that they respect your opinion,” Dr. Ogunwole says. “One of the things I tell my patients is actually, they're the expert of their body, they know their body more than I do, because they've lived in it their whole lives.”
If you have further questions or don’t feel comfortable with a provider, you can always ask for a second opinion. And if you’re working with a language barrier, request a medical interpreter or translator—this service should be available for free at any hospital that receives federal funding.
感觉舒服的your diabetes doctor is step one in diabetes management, Dr. Oser says, because “ultimately, you’re the one who has to live with the treatment plan, whether it’s checking your glucose levels, exercising, modifying your diet, taking pills, taking injections, or any or all of the above.”
西班牙裔/拉丁歧X社区的精神疾病：National Alliance on Mental Illness. (n.d.). “Hispanic/Latinx.”nami.org/Your-Journey/Identity-and-Cultural-Dimensions/Hispanic-Latinx
Diabetes Stats:U.S. Department of Health and Human Services, Office of Minority Health. (n.d.). “Diabetes and Hispanic Americans.”minorityhealth.hhs.gov/omh/browse.aspx
