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    • 50 minutes ago
      Ahh Life likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      How about the emotional exhaustion when the decisions you've made don't work out as planned. Take last night's estimate for eating Chinese food. My extended bolus didn't cover it, I ended up with an extended high. Thanks to Control IQ it came down overnight. Still stressful thinking about how to do it better next time.
    • 4 hours, 53 minutes ago
      Phyllis Biederman likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      How about the emotional exhaustion when the decisions you've made don't work out as planned. Take last night's estimate for eating Chinese food. My extended bolus didn't cover it, I ended up with an extended high. Thanks to Control IQ it came down overnight. Still stressful thinking about how to do it better next time.
    • 5 hours, 47 minutes ago
      Bob Durstenfeld likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      My “feeling” in this “report card” age is that everything now provides you a report card: your car, your pedometer, your watch, your glucometer or CGM. (YOUR OVEN !!!) I did not mind getting a periodic report card, maybe every 6 or 10 weeks. I usually did pretty well. But that was in the analog days, the ancient of days. Today’s torrent, with a blizzard of digital report cards ricocheting everywhere every moment of everyday rat-a-tat machine gun like, is, well, disconcerting, deleterious, and discombobulating to my mental health and well-being. Harrumph.
    • 5 hours, 47 minutes ago
      Bob Durstenfeld likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      My wife doesn't know about all of the diabetes-related decisions I make. But, I don't expect other people to know how I'm using my time and energy. Each person has their own life to think about. I'm making decisions continuously throughout the day, and during the night to adjust and regulate my insulin levels, blood glucose levels, supplies needed, dealing with insurance companies, pharmacies, and Durable Medical Equipment suppliers.
    • 5 hours, 49 minutes ago
      Bob Durstenfeld likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Nobody wants to realize it. I don’t really want to acknowledge it. All I know is, if I ignore the elephant in the room, I’m done for.
    • 6 hours, 4 minutes ago
      Natalie Daley likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      My “feeling” in this “report card” age is that everything now provides you a report card: your car, your pedometer, your watch, your glucometer or CGM. (YOUR OVEN !!!) I did not mind getting a periodic report card, maybe every 6 or 10 weeks. I usually did pretty well. But that was in the analog days, the ancient of days. Today’s torrent, with a blizzard of digital report cards ricocheting everywhere every moment of everyday rat-a-tat machine gun like, is, well, disconcerting, deleterious, and discombobulating to my mental health and well-being. Harrumph.
    • 6 hours, 5 minutes ago
      Natalie Daley likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Only family members and close friends have a clue!
    • 6 hours, 5 minutes ago
      Natalie Daley likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      My wife doesn't know about all of the diabetes-related decisions I make. But, I don't expect other people to know how I'm using my time and energy. Each person has their own life to think about. I'm making decisions continuously throughout the day, and during the night to adjust and regulate my insulin levels, blood glucose levels, supplies needed, dealing with insurance companies, pharmacies, and Durable Medical Equipment suppliers.
    • 6 hours, 6 minutes ago
      Natalie Daley likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Well how would they know ? Those who live with you have a pretty good idea
    • 6 hours, 6 minutes ago
      Natalie Daley likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Defining "other people" is the challenge. I don't think "most people" have any idea or realize what T1D decisions involve & that includes "most T2D people." I'd put it most in the "clueless" or "don't care" category.
    • 6 hours, 6 minutes ago
      Natalie Daley likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Nobody wants to realize it. I don’t really want to acknowledge it. All I know is, if I ignore the elephant in the room, I’m done for.
    • 6 hours, 6 minutes ago
      Natalie Daley likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      I don't think most people understand the impacts and time consumption of any disease or condition until faced with it personally, by a member of the immediate family, or close friend. Even with most family members and close friends the mental impacts aren't a known quantity. Living with a disease/condition or making the decisions for someone with such is the only way to appreciate the full amount of decisions and stress imposed by them.
    • 7 hours, 45 minutes ago
      KCR likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Well how would they know ? Those who live with you have a pretty good idea
    • 7 hours, 52 minutes ago
      Steve Rumble likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      They do take more time but what most people don't realize is how many decisions that you have to make in a day!
    • 8 hours, 24 minutes ago
      John Barbuto likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      They do take more time but what most people don't realize is how many decisions that you have to make in a day!
    • 8 hours, 41 minutes ago
      Fabio Gobeth likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      I don't think most people understand the impacts and time consumption of any disease or condition until faced with it personally, by a member of the immediate family, or close friend. Even with most family members and close friends the mental impacts aren't a known quantity. Living with a disease/condition or making the decisions for someone with such is the only way to appreciate the full amount of decisions and stress imposed by them.
    • 8 hours, 42 minutes ago
      Fabio Gobeth likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Well how would they know ? Those who live with you have a pretty good idea
    • 8 hours, 46 minutes ago
      Lawrence S. likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Most people think you wear a pump and it does everything. They have no idea about pre-bolus for food and adjustments, site changes or any of the other issues and decisions and actions we make every day.
    • 8 hours, 47 minutes ago
      Lawrence S. likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Lucky them. And, I have no idea what challenges they’re facing in their lives.
    • 8 hours, 47 minutes ago
      Lawrence S. likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      I don't think most people understand the impacts and time consumption of any disease or condition until faced with it personally, by a member of the immediate family, or close friend. Even with most family members and close friends the mental impacts aren't a known quantity. Living with a disease/condition or making the decisions for someone with such is the only way to appreciate the full amount of decisions and stress imposed by them.
    • 8 hours, 47 minutes ago
      Lawrence S. likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Nobody wants to realize it. I don’t really want to acknowledge it. All I know is, if I ignore the elephant in the room, I’m done for.
    • 8 hours, 47 minutes ago
      Lawrence S. likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Defining "other people" is the challenge. I don't think "most people" have any idea or realize what T1D decisions involve & that includes "most T2D people." I'd put it most in the "clueless" or "don't care" category.
    • 8 hours, 48 minutes ago
      Lawrence S. likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      They do take more time but what most people don't realize is how many decisions that you have to make in a day!
    • 8 hours, 48 minutes ago
      Lawrence S. likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      Well how would they know ? Those who live with you have a pretty good idea
    • 9 hours, 20 minutes ago
      Deborah Wright likes your comment at
      Do you feel like diabetes-related decisions take more time and energy than other people realize?
      They do take more time but what most people don't realize is how many decisions that you have to make in a day!
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    Does your diabetes clinic have a mental health provider on staff?

    Home > LC Polls > Does your diabetes clinic have a mental health provider on staff?
    Previous

    Nick Jonas will be in a Dexcom commercial during the Super Bowl, hoping it will encourage those with T1D to live their best lives. Do you typically feel inspired when you see messages like this?

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    Have you ever been an athlete with T1D? Tell us about your experience in the comments!

    Sarah Howard

    Sarah Howard has worked in the diabetes research field ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange.

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    8 Comments

    1. Ken Raiche

      Unfortunately not but would be a great addition to any endocrinologist office or clinic.

      5 years ago Log in to Reply
    2. Mary Berube

      No. I am a patient but also work as cde in the hospital and refer to inpatient social worker; have been able to help coordinate some outpatient services at outpatient diabetes appointments. However, although the office has looked into filling SW position they haven’t gone in that direction. Luckily the organization has greatly expanded mental health services in primary care practices.

      5 years ago Log in to Reply
    3. Ceolmhor

      In a larger healthcare provider such as Kaiser-Permanente, such mental health providers are readily available to diabetic patients, but they’re not housed within the endocrinology department.

      5 years ago Log in to Reply
    4. Amy Schneider

      They used to but I think they had to phase out that program.

      5 years ago Log in to Reply
    5. Pat Reynolds

      Sort-of. There is no psychologist (Dr or other professional) as part of the Diabetes team, but the DSN monitors mental health, and can refer to the Mental Health department (just as they refer to Nephrology, Opthalmology, Neurology, etc for other conditions associated with diabetes, and Occupational Health, Dieticians, etc for support. Would it be better if specialists we embedded? I think for psychology and dieticians, it would be – diabetic mental health is (for example) a very specialist field, as specialist as gambling addiction. The downside of embedded was is that specialists also need the support structures of their own speciality Not just for vital professional supervision and support, but also for the “quick chats” and team teaching that will enable a specialist working with a type 1 patient with issues that are seemingly unrelated to type 1.

      5 years ago Log in to Reply
    6. Mary Ann Sayers

      Yes. Joslin has a mental health division.

      5 years ago Log in to Reply
    7. Carol Meares

      I am sure my regular health practitioner has mental health taken care of at their clinic bay t the specialty clinic I attend to see my visiting endocrinologist does not have a mental health person that I know of. I am sure there is someone here who handles mental health and either of my doctors would steer me to them if I showed need of help.

      5 years ago Log in to Reply
    8. Molly Jones

      My diabetes clinic is part of a large university hospital with a few mental health clinics. I do not know if the diabetes clinic itself has a mental health provider.

      5 years ago Log in to Reply

    Does your diabetes clinic have a mental health provider on staff? Cancel reply

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