On Tuesday, March 26, 2019, 130 people participated in Divabetic’s first-ever Clued Inn Diabetes & Heart Health Escape Room Experience sponsored by Boehringer Ingelheim. Why was that date chosen? That is because it was the American Diabetes Association’s (ADA) Diabetes Alert Day, which focused on type 2 diabetes awareness. What’s the connection between diabetes and heart health issues? According to the ADA, people living with type 2 diabetes are two times more likely to develop all types of heart diseases that affect the heart or blood vessels, such as heart failure, heart attack, and stroke. In addition to learning about the symptoms of type 2 diabetes, and learning about risk factors and gender differences of heart disease, what lessons were also learned from the Escape Room experience?

There’s no “I” in “team”

When the participants were asked, in small group discussions with certified diabetes educators after they exited the escape room, whether they could have succeeded on their own, the unanimous answer was “no.” The analogy here is that when members worked together as a team they could complete the escape mission; likewise in order to be successful with managing medical issues, such as diabetes or heart health issues, your chances of success are improved when you work together with your health care team. Trying to escape by yourself or manage your health concerns by yourself is not a winning strategy. The lesson is: there is no “I” in “team.” A corollary to that lesson is: “you are not alone.”  When it comes to successful diabetes management, a multidisciplinary team approach is recommended. Who should be a part of your health care team?

Your diabetes health care team

The ADA recommends a variety of health care providers who each play a role in your health. However, “you are the most important member of your health care team.” Your health care team depends on you to talk to them honestly and to tell them how you feel.

Although your Primary Care Physician (PCP) is seen for general check-ups and when you get sick, you should consider seeing an endocrinologist for your diabetes care. He or she is a specialist trained in treating diabetes (and thyroid issues).  Most people with type 1 diabetes do see an endocrinologist and many people with type 2 diabetes may see an endocrinologist, especially if they are having trouble managing their diabetes or are developing complications.
 A certified diabetes educator (CDE) may be a nurse, dietitian, psychologist, podiatrist, pharmacist, etc. who works in some way to teach or care for people with diabetes. They may work in hospitals, clinics, diabetes centers, or private practice.

A registered dietitian (RD) is trained in nutrition and can help you learn how the foods you eat affect your blood sugar. He or she can teach you to balance food and medications and activity. You can learn to read food labels and plan healthful meals.

A mental health professional, such as a diabetes-focused licensed clinical psychologist or clinical social worker, can help with the emotional side of living with diabetes. Starting with receiving a diagnosis of diabetes, or coping with feelings of denial, anger, anxiety, or depression while living with diabetes, a mental health expert is an important member of the team. The goal of therapy is to empower you to accept your diagnosis so you can manage your diabetes the best that you can. If a person with diabetes is experiencing diabetes distress, where the person is stressed by all the demands of self-care, therapy can help to improve coping strategies. If a person with diabetes is experiencing symptoms of depression (unrelated to diabetes), a psychiatrist may be helpful to prescribe anti-depressant or anti-anxiety medication (or both). Some psychiatrists also provide counseling.

An ophthalmologist is a medical doctor who cares for your eyes. The ADA guidelines recommend that you see your eye doctor at least once a year. You should undergo a dilated eye exam to detect changes in the blood vessels of your eyes due to living with diabetes. When eye problems are caught early, there are very good treatments.

A podiatrist is a specialist who is trained to treat feet and problems of the lower legs. Diabetes makes you prone to poor blood flow and nerve damage in the lower legs. Podiatrists treat corns, calluses, and more serious problems. Do not try to fix these yourself, because you could cause an infection.

Other members of your health care team may include a pharmacist, a dentist, an exercise physiologist, a cardiologist, a nephrologist (kidney specialist) and a neurologist.

Enjoy a long and healthy life with diabetes!

The escape room experience taught the participants that “taking care of your risk for and/or managing diabetes is important to help you take care of your heart. Just like you’re planning to escape this room, you can escape your risk of heart disease by working with a team. Work with your physician and create your own health care team to help manage your blood pressure and cholesterol and/or diabetes to keep your heart and blood vessels healthy.”

Dr. Beverly S. Adler, aka “Dr. Bev”, is a clinical psychologist and Certified Diabetes Educator with a private practice in Baldwin, NY. She was honored in 2016 with the “Certified Diabetes Educator Entrepreneur of the Year Award.”

She is the author/editor of two diabetes self-help books which include insightful lessons of empowerment written by successful men and women with diabetes.  She has published articles in print and online about diabetes management – always with the focus on emotional adjustment. Dr. Bev has been quoted in numerous magazines and contributed to a monthly diabetes advice column online. She is a frequent contributor to the Divabetic Diabetes Daily Wire, where she blogs about diabetes topics from the psychological perspective.

Dr. Bev has lived successfully with type 1 diabetes for 40+ years. You can connect with her on her website www.AskDrBev.com and on Twitter @AskDrBev.

We’re talking about ‘Self-Acceptance & Diabetes’ with musical inspiration from Dolly Parton on Diabetes Late Nite. Guests include Poet Lorraine Brooks, Dr.Beverly S. Adler PhD, CDE, Patricia Addie-Gentle RN, CDE, Catherine Schuller AICI, CIP,  Lisa R Young, PhD, RDN, and Type 2 Diabetes – What To Know Facebook Community member, Crystal. 

Throughout the podcast we will be playing music from Dolly Parton’s Dumplin’ Original Motion Picture Soundtrack courtesy of SONY Music. LISTEN NOW