Your Role

You must learn to take control of your diabetes on a day-to-day basis. This will be easier the more you learn about your diabetes.

Learn about and practice self-care. This includes self-monitoring of blood glucose and learning how to change your treatment regimen according to the results.

Follow these guidelines:

• Examine your feet on a regular basis.

• Follow good life-style practices. These include choosing the right food, maintaining a health weight, getting regular exercise, and avoiding smoking.

• Know when to contact your health-care team.

• Keep in regular contact with your health-care team about any questions or concerns you may have. Have your questions prepared beforehand and repeat them if the answer is unclear to you.

• Speak to your health-care team, others, with diabetes, and your local or national diabetes association.

• Read pamphlets and books about diabetes provided by your health-care team or diabetes association.

• Make sure that your family and friends know about your needs as someone with diabetes.

If you feet that adequate facilities and care are not available to help you manage your diabetes, then contact your local or national diabetes association.

Adapted from "Patient Rights and Roles," a document prepared under the auspices of the St Vincent Declaration Working Group of WHO Europe and the European Regional Council of IDF. Publi cation supported by Boehringer Mannheim. Members of the group who produced the document include: KGMM Alberti (United Kingdom), J Apfel (United Kingdom), FA Gries (Germany), J Jervell (Norway), C Juinot (France), S Keranyi (Hungary) HMJ Krans (Netherlands), M Massi-Benedetti (Italy), V Sparre-Enger (Belgium), and K Staehr Johansen, a WHO observer. "Patients Rights and Roles" has also been published in Diabetic Medicine (1991). The copyright is owned by the International Diabetes Federation.

/¡\REMEMBER: The care of diabetes is a team effort involving you, your physician, and the diabetes education staff where you receive your medical care. This handbook cannot-and was not meant to-replace this team effort.

This handbook embodies the approach of the diabetes care team at the University of Massachusetts Medical Center. Different diabetes care teams may approach some aspects of diabetes care in ways that differ from those in this handbook. While most teams are in close agreement regarding the GENERAL PRINCIPLES of diabetes care, they may differ in the DETAILS. There can be more that one "right" way to approach a specific issue in diabetes management.

Always remain in touch with your diabetes care team, and bring any questions you may have about the materials in this handbook to their attention!

Copyright 1995, 1996, 1997, 1998 Ruth E. Lundstrom, R.N., John P. Mordes, M.D., Aldo A. Rossini,

M.D. All rights reserved.

Feedback: send e-mail to Dr. Aldo Rossini

This page was last revised on January 2, 1998.

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