by Melinda D. Maryniuk, MEd, RD, CDE
1) Be prepared. Come to the appointment with a clear idea of the issues you want your doctor to address. And since most people don’t get a lot of time with their physician, it’s best to prioritize your two most important questions or issues that you want to cover. And it’s okay to take the lead and ask your questions first thing as soon as your doctor walks into the room.
If you’re feeling stuck, here’s a list of questions you can ask yourself prior to the appointment… the answers may be something that you want to share with your physician.
- What has been causing you the most frustration with diabetes lately?
- Are you having any issues with your medication? (like side effects, insurance issues, or remembering to take them)
- Are there any outside stressors that may be interfering with your diabetes? Work? Family? Finances? Others illnesses? Sleep?
- How worried about diabetes are you on a daily basis?
2) Bring backup. It is important to bring your notes, supplies, and support with you to every appointment you can. It can really help facilitate discussion with your doctor. Backup includes:
- Your blood glucose meter and written log of your glucose results
- A 3-day record of your recent food intake and activity
- A list of your medicines, or bring the Rx bottles (especially those that may have been prescribed by another doctor). Include any supplements or over-the-counter products that you take on a regular basis.
- A list of questions you want to remember to ask
- A family member or friend who can be with you to listen, take notes and be supportive
3) Express your feelings and emotions. Sometimes at medical visits we focus so much on the facts that we forget about the emotions. It’s okay and important to let your doctor know how you feel. Your feelings impact your overall health. It’s okay to ask for help. Diabetes “distress” is real and it is not unusual to feel depressed. Talk about it.
4) Keep track. There is power in keeping a journal that can show you what’s happening with your health. Be sure to bring it with you to your appointment.
- Record lab results from your visits, including: A1C, blood pressure, cholesterol (LDL and HDL), and a kidney function test (albumin and creatinine)
- Write down questions as they arise.
- Include visit dates, doctor and educator names and phone numbers
- Record all medications you are taking and any allergies you may have.
5) Expand your care team. Ask your doctor for recommendations (and a referral) on people who can help you manage your diabetes such as a dietitian, diabetes educator, behavioral medicine counselor, exercise physiologist, eye doctor, podiatrist or a support group. Support can make a big difference!
6) Look ahead. Is there anything coming up that may affect your diabetes treatment plan like a big trip or social event, some medical or dental surgery or a change in your insurance or financial situation? Be sure to mention anything like this to your doctor during your appointment and together you can develop a plan beforehand.